FIELD: medicine, surgery.
SUBSTANCE: one should perform laparotomy, remove hernial content and replace it into abdominal cavity, isolate esophageal-diaphragmatic ligament, dissect its excessive parts, perform posterior crurorhaphy, overlap the defect with netted implant applied around abdominal esophageal department to be fixed with separate interrupted sutures to esophagus along internal contour and simultaneously with the same interrupted sutures - along external contour to sutured diaphragmatic pedicles without tension.
EFFECT: decreased complexity and traumatism of operation.
6 dwg, 1 ex
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