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<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.2 20190208//EN" "http://jats.nlm.nih.gov/publishing/1.2/JATS-journalpublishing1.dtd">
<article article-type="research-article" dtd-version="1.2" xml:lang="ru" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink"><front><journal-meta><journal-id journal-id-type="issn">2687-0940</journal-id><journal-title-group><journal-title>Challenges in modern medicine</journal-title></journal-title-group><issn pub-type="epub">2687-0940</issn></journal-meta><article-meta><article-id pub-id-type="doi">10.52575/2687-0940-2026-49-1-68-76</article-id><article-id pub-id-type="publisher-id">278</article-id><article-categories><subj-group subj-group-type="heading"><subject>SURGERY</subject></subj-group></article-categories><title-group><article-title>&lt;strong&gt;Modern Minimally Invasive Method of Treating a Rare Complication after Laparoscopic Refundoplication with Alloplasty&lt;/strong&gt;</article-title><trans-title-group xml:lang="en"><trans-title>&lt;strong&gt;Modern Minimally Invasive Method of Treating a Rare Complication after Laparoscopic Refundoplication with Alloplasty&lt;/strong&gt;</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><name-alternatives><name xml:lang="ru"><surname>Bagatelya</surname><given-names>Zurab A.</given-names></name><name xml:lang="en"><surname>Bagatelya</surname><given-names>Zurab A.</given-names></name></name-alternatives></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="ru"><surname>Klimashevich</surname><given-names>Alexander V.</given-names></name><name xml:lang="en"><surname>Klimashevich</surname><given-names>Alexander V.</given-names></name></name-alternatives><email>klimashevich78@mail.ru</email></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="ru"><surname>Karpov</surname><given-names>Alexey A.</given-names></name><name xml:lang="en"><surname>Karpov</surname><given-names>Alexey A.</given-names></name></name-alternatives></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="ru"><surname>Korzheva</surname><given-names>Irina Yu.</given-names></name><name xml:lang="en"><surname>Korzheva</surname><given-names>Irina Yu.</given-names></name></name-alternatives></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="ru"><surname>Yudin</surname><given-names>Maksim Yu.</given-names></name><name xml:lang="en"><surname>Yudin</surname><given-names>Maksim Yu.</given-names></name></name-alternatives><email>doctor.judin@gmail.com</email></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="ru"><surname>Ozerova</surname><given-names>Daria S.</given-names></name><name xml:lang="en"><surname>Ozerova</surname><given-names>Daria S.</given-names></name></name-alternatives></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="ru"><surname>Bocharnikov</surname><given-names>Dmitry S.</given-names></name><name xml:lang="en"><surname>Bocharnikov</surname><given-names>Dmitry S.</given-names></name></name-alternatives></contrib></contrib-group><pub-date pub-type="epub"><year>2026</year></pub-date><volume>49</volume><issue>1</issue><fpage>0</fpage><lpage>0</lpage><self-uri content-type="pdf" xlink:href="/media/journal-medicine/2026/1/АПМ_2026_Том_49__1_68-76.pdf" /><abstract xml:lang="ru"><p>Surgical treatment of patients with hiatal hernias most often involves laparoscopic fundoplication. According to various literature sources, this method has a recurrence rate of 10 % to 50 %. The complications characteristic of antireflux surgery include pneumothorax, gastroesophageal or hepatosplenic injuries, and dysphagia. The use of various mesh implants in refundoplication is a controversial issue, and cases of treatment of complications resulting from the use of various mesh implants in recurrent antireflux surgery have been described very rarely. A combined and multidisciplinary approach allows for the management of various complications, often in a minimally invasive manner.</p></abstract><trans-abstract xml:lang="en"><p>Surgical treatment of patients with hiatal hernias most often involves laparoscopic fundoplication. According to various literature sources, this method has a recurrence rate of 10 % to 50 %. The complications characteristic of antireflux surgery include pneumothorax, gastroesophageal or hepatosplenic injuries, and dysphagia. The use of various mesh implants in refundoplication is a controversial issue, and cases of treatment of complications resulting from the use of various mesh implants in recurrent antireflux surgery have been described very rarely. A combined and multidisciplinary approach allows for the management of various complications, often in a minimally invasive manner.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>hiatal hernia</kwd><kwd>mesh implant</kwd><kwd>biological implant</kwd><kwd>abscess</kwd><kwd>recurrent hernia</kwd><kwd>laparoscopic fundoplication</kwd><kwd>antireflux surgery</kwd></kwd-group><kwd-group xml:lang="en"><kwd>hiatal hernia</kwd><kwd>mesh implant</kwd><kwd>biological implant</kwd><kwd>abscess</kwd><kwd>recurrent hernia</kwd><kwd>laparoscopic fundoplication</kwd><kwd>antireflux surgery</kwd></kwd-group></article-meta></front><back><ref-list><title>Список литературы</title><ref id="B1"><mixed-citation>Borodkin I.N., Demin D.B., Lyashchenko S.N., Fajzulina R.R., Savin D.V. Complications of Laparoscopic Interventions for Hiatal Hernias. Endoscopic Surgery. 2022; 28(1): 57&amp;ndash;64 (in Russian). doi: 10.17116/endoskop20222801157</mixed-citation></ref><ref id="B2"><mixed-citation>Geerts J.H., de Haas JWA., Nieuwenhuijs V.B. 2024 Lessons Learned from Revision Procedures: A Case Series Pleading for Reinforcement of the Anterior Hiatus in Recurrent Hiatal Hernia. Surg Endosc. May; 38(5): 2398&amp;ndash;2404. doi: 10.1007/s00464-024-10703-3. Epub 2024 Apr 2. PMID: 38565689; PMCID: PMC11078792.</mixed-citation></ref><ref id="B3"><mixed-citation>K&amp;ouml;ckerling F., Zarras K., Adolf D., Kraft B., Jacob D., Weyhe D., Schug-Pass C. 2020. What Is the Reality of Hiatal Hernia Management? -A Registry Analysis. Front Surg. Oct 22; 7: 584196. doi: 10.3389/fsurg.2020.584196. PMID: 33195390; PMCID: PMC7642514.</mixed-citation></ref><ref id="B4"><mixed-citation>Muramatsu R., Nobuoka T., Ito T., Ogawa T., Korai T., Takemasa I. 2022 Laparoscopic Mesh Repair and Toupet Fundoplication for Parahiatal Hernia Complicated by Sliding Hiatal Hernia: A Case Report. Int J Surg Case Rep. Nov; 100: 107664. doi: 10.1016/j.ijscr.2022.107664. Epub 2022 Sep 14. PMID: 36270209</mixed-citation></ref><ref id="B5"><mixed-citation>Nickel F., M&amp;uuml;ller P.C., Cizmic A., H&amp;auml;berle F., Muller M.K., Billeter A.T., Linke G.R., Mann O., Hackert T., Gutschow C.A., M&amp;uuml;ller-Stich B.P. 2023. Evidence Mapping on How to Perform an Optimal Surgical Repair of Large Hiatal Hernias. Langenbecks Arch Surg. Dec 21; 409(1): 15. doi: 10.1007/s00423-023-03190-y. PMID: 38123861; PMCID: PMC10733223.</mixed-citation></ref><ref id="B6"><mixed-citation>Panici Tonucci T., Aiolfi A., Bona D., Bonavina L. 2024. Does Crural Repair with Biosynthetic Mesh Improve Outcomes of Revisional Surgery for Recurrent Hiatal Hernia? Hernia. Oct; 28(5): 1687&amp;ndash;1695. doi: 10.1007/s10029-024-03023-x. Epub 2024 Mar 29. PMID: 38551795; PMCID: PMC11450103.</mixed-citation></ref><ref id="B7"><mixed-citation>Singhal V.K., Md Suleman A., Senofer N., Singhal V.V. 2024. Current Trends in the Management of Hiatal Hernia: A Literature Review of 10 Years of Data. Cureus. Oct 20; 16(10): e71921. doi: 10.7759/cureus.71921. PMID: 39564064; PMCID: PMC11575107.</mixed-citation></ref><ref id="B8"><mixed-citation>Smith R.E., Sharma S., Shahjehan R.D. 2024. Hiatal Hernia. Jul 17. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan&amp;ndash;. PMID: 32965871.</mixed-citation></ref><ref id="B9"><mixed-citation>Yadlapati R., Gyawali C.P., Pandolfino J.E. 2022. CGIT GERD Consensus Conference Participants. AGA Clinical Practice Update on the Personalized Approach to the Evaluation and Management of GERD: Expert Review. Clin Gastroenterol Hepatol. May; 20(5): 984&amp;ndash;994.e1. doi: 10.1016/j.cgh.2022.01.025. Epub 2022 Feb 2. Erratum in: Clin</mixed-citation></ref></ref-list></back></article>