Laparoscopic approach a new stage in the surgical treatment of gastroesophageal reflux disease

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.