Abstract:
The life’s quality is a primary factor in the productive activity of any person in socioeconomic and cultural sphere. This particular factor is impaired in patients suffering from gastroesophageal reflux disease (GERD). The global incidence with GERD for the period 2006-2009 (by
WHO) is 10-30% and about 1 to 10 (adults) show specific signs for this pathology. In this context, the
authors made the study, which shows the benefits of establishing laparoscopic surgery in restoring the
life’s quality of patients with GERD. The research was carried out on a group of 40 patients
(diagnosed Hiatal Hernia, both axial as well as para- esophageal) that had GERD symptoms, operated
by laparotomy (15 patients: 11 women, 4 men) as well as the laparoscopic approach (25 patients: 10
women, 15 men) from 2006-2009 in the Municipal Clinical Hospital No 1 from Chisinau. From this
group was selected a clinical case: a patient, of 48 years old diagnosed with GERD that was operated
by the laparoscopic fundoplication method. Following the evolution pre, intra and postoperative the
patient have confirmed the data obtained in the research group of patients. All of these elucidate the
superiority of laparoscopic techniques by: shorter duration of intervention and restore, reduce
intraoperative complications (no cases of injury of the spleen), low postoperative analgesia,
aesthetically trivial injury, reduced hospitalization time and return to work in the shortest time
possible. The purpose of this study reveals the advantages of using the laparoscopic method in
surgical treatment of GERD, which causes minimal complications and may allow an early restoration
of work ability. Despite the fact that there are multiple methods of treatment, however, laparoscopic
treatment remains "Gold Standard" in the surgical cure of hiatal hernias.