Efectividad del enfoque quirúrgico con funduplicaturas como tratamiento de hernia hiatal. Revisión Sistemática

Abstract

Introduction: A hiatal hernia is an anatomical abnormality of the upper digestive tract, described as the protrusion of elements of the abdominal cavity through the esophageal hiatus. They are classified as sliding hernias, comprising type I, and paraesophageal hernias, comprising types II, III, and IV, respectively. Fundoplication is currently the most frequently used procedure for the surgical treatment of hiatal hernia, and the effectiveness of its variants is reflected in the degree of the diagnosed condition. Objective: To determine the effectiveness of surgical treatment using fundoplication as a treatment for hiatal hernia. Methodology: The research considers scientific articles from meta-analyses and gray literature from reliable scientific databases, ensuring that the information found is highly reliable and relevant. Keywords in English and Spanish such as “Hiatal Hernia,” “Nissen's fundoplication,” and “Toupet Fundoplication” were used, schematically addressing treatment using fundoplication for hiatal hernia. Results: A total of 77 publications were found in the databases: SciELO, PubMed, Redalyc, Elsevier, UpToDate, and Scopus. Seven of these were not available in open access, 25 did not address the proposed topic, three were narrative reviews, three were journalistic articles, four were duplicates, and one was a note. Therefore, 43 publications were excluded, 9 articles were read in full, of which 4 did not meet the objectives of this study. Therefore, 30 were included in the integrative review. Keywords: hiatal hernia, treatment, fundoplication, Nissen, Toupet