GC1pink, I read somewhere ages ago that they stopped doing the Hhernia repair only, because the repair would often fail, and the patient would return with the original problem
This abstract explains some of the history of Hhernia surgery,
"History of Antireflux Surgery
It was not until the early 1900s when radiologic studies became ubiquitous that hiatal hernia was recognized as a pathologic entity. Early attempts at repair centered on hernia reduction and hiatal closure without fundoplication. Because the underlying defect of the lower esophageal sphincter (LES) was not repaired, surgery failed to control symptoms, and the procedure was not widely embraced.
In 1951, Philip Allison and Norman Barrett established the causal relationship among hiatal hernia, gastroesophageal reflux, and erosive esophagitis. Allison described the crural sling and clasp musculature as the anatomic correlate to the LES and the primary mechanism that prevents pathologic reflux. His method to restore the antireflux mechanism included reduction of the herniated cardia with suture fixation to the abdominal surface of the diaphragm followed by loose closure of the hiatus. Unfortunately, his attempts at surgical repair fell short and he had a long-term recurrence rate of 49% at 20 years.
In 1939, Rudolf Nissen improvised a fundoplication to protect an esophagogastric anastomosis in a young man with a penetrating esophageal ulcer. During follow-up, Nissen noted that the patient's reflux symptoms were eradicated. Some years later, and disappointed with contemporary hiatal hernia repairs, Nissen performed a fundoplication on a man with an incarcerated paraesophageal hernia. The clinical outcome was excellent. He published the first descript
ion of this procedure in 1956, thereby ushering in the modern era of antireflux surgery."http://www.nature.com/gimo/contents/pt1/full/gimo56.html
o/t, Hi robichris, welcome to Healingwell-gerd. Your barrettswessex website has been very informative over the years. Thank you.
Perhaps you could start a new topic to introduce yourself?
All the best