There were analyzed own experience treatment of 211 patients with hiatal hernia and gastroesophageal reflux disease from 2005 to 2014. There was performed laparoscopical Nissen fundoplication in 144 (68.2%) patients, Toupet fundoplication — in 22 (10.4%) , own modification Nissen fundoplication (patent N 59772) — 45 (21.3%). Mean operative time was (90±15) min. Recurrence hiatal hernia and gastroesophageal reflux disease — in 3 patients (1.9%) at 12, 18 and 36 months after surgery, operated on for primary mixed giant hiatal hernia and “short esophagus”. There was not any case of perforation of the esophagus and stomach, migration antireflux wrap, postoperative septic or thromboembolic complications.
