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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">bmjour</journal-id><journal-title-group><journal-title xml:lang="ru">Байкальский медицинский журнал</journal-title><trans-title-group xml:lang="en"><trans-title>Baikal Medical Journal</trans-title></trans-title-group></journal-title-group><issn pub-type="epub">2949-0715</issn><publisher><publisher-name>Irkutsk State Medical University</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.57256/2949-0715-2023-2-11-19</article-id><article-id custom-type="elpub" pub-id-type="custom">bmjour-55</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>Научные обзоры литературы</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>Scientific literature reviews</subject></subj-group></article-categories><title-group><article-title>КЛАССИЧЕСКИЕ И АЛЬТЕРНАТИВНЫЕ МЕТОДЫ ХИРУРГИЧЕСКОГО ЛЕЧЕНИЯ ГРЫЖ ПИЩЕВОДНОГО ОТВЕРСТИЯ ДИАФРАГМЫ (ОБЗОР ЛИТЕРАТУРЫ)</article-title><trans-title-group xml:lang="en"><trans-title>CLASSIC AND ALTERNATIVE METHODS OF SURGICAL TREATMENT OF HIATAL HERNIA (REVIEW OF THE LITERATURE)</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7741-4987</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Дамбаев</surname><given-names>Георгий Цыренович</given-names></name><name name-style="western" xml:lang="en"><surname>Dambaev</surname><given-names>Georgy T.</given-names></name></name-alternatives><bio xml:lang="ru"><p>доктор медицинских наук, профессор, член-корр. РАН, заслуженный деятель науки РФ, заведующий кафедрой госпитальной хирургии с курсом сердечно-сосудистой хирургии </p></bio><email xlink:type="simple">dambaev@vtomske.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9414-6283</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Полонянкин</surname><given-names>Александр Сергеевич</given-names></name><name name-style="western" xml:lang="en"><surname>Polonyankin</surname><given-names>Alexander S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>врач-хирург клиники госпитальной хирургии им. А.Г. Савиных</p></bio><email xlink:type="simple">anaximandr1417@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1540-7949</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Куртсеитов</surname><given-names>Нариман Энверович</given-names></name><name name-style="western" xml:lang="en"><surname>Kurtseitov</surname><given-names>Nariman E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>доктор медицинских наук, доцент, профессор кафедры госпитальной хирургии с курсом сердечно-сосудистой хирургии </p></bio><email xlink:type="simple">nariman.tomsk@gmail.com</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6573-4940</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Вусик</surname><given-names>Александр Николаевич</given-names></name><name name-style="western" xml:lang="en"><surname>Vusik</surname><given-names>Alexander N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>доктор медицинских наук, профессор, профессор кафедры госпитальной хирургии с курсом сердечно-сосудистой хирургии </p></bio><email xlink:type="simple">alena.vusik75@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9497-1013</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Соловьев</surname><given-names>Михаил Михайлович</given-names></name><name name-style="western" xml:lang="en"><surname>Solovyov</surname><given-names>Mikhail M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>доктор медицинских наук, доцент, профессор кафедры госпитальной хирургии с курсом сердечно-сосудистой хирургии </p></bio><email xlink:type="simple">sol.tomsk@gmail.com</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Скиданенко</surname><given-names>Василий Васильевич</given-names></name><name name-style="western" xml:lang="en"><surname>Skidanenko</surname><given-names>Vasily V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>кандидат медицинских наук, доцент, заведующий клиникой госпитальной хирургии им. А.Г. Савиных</p></bio><email xlink:type="simple">kaf.gosp.hirurg@ssmu.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Хамраева</surname><given-names>Нигина Эркиновна</given-names></name><name name-style="western" xml:lang="en"><surname>Khamraeva</surname><given-names>Nigina E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>ординатор-хирург кафедры госпитальной хирургии с курсом сердечно-сосудистой хирургии </p></bio><email xlink:type="simple">nigishka-love@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Тухтарбаев</surname><given-names>Асилбек Бахтиярович</given-names></name><name name-style="western" xml:lang="en"><surname>Tukhtarbaev</surname><given-names>Asilbek B.</given-names></name></name-alternatives><bio xml:lang="ru"><p>ординатор-хирург кафедры госпитальной хирургии с курсом сердечно-сосудистой хирургии </p></bio><email xlink:type="simple">tlesovs97@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Талгат</surname><given-names>Акерке</given-names></name><name name-style="western" xml:lang="en"><surname>Talgat</surname><given-names>A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>ординатор-хирург кафедры госпитальной хирургии с курсом сердечно-сосудистой хирургии </p></bio><email xlink:type="simple">talgat.akerke.akunya@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Котова</surname><given-names>Виолетта Николаевна</given-names></name><name name-style="western" xml:lang="en"><surname>Kotova</surname><given-names>Violetta N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>ординатор-хирург кафедры госпитальной хирургии с курсом сердечно-сосудистой хирургии </p></bio><email xlink:type="simple">viokot@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБОУ ВО СибГМУ Минздрав России</institution></aff><aff xml:lang="en"><institution>Siberian State Medical University of the Ministry of Health of Russia</institution></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГБОУ ВО СибГМУ Минздрава России</institution></aff><aff xml:lang="en"><institution>Siberian State Medical University of the Ministry of Health of Russia</institution></aff></aff-alternatives><pub-date pub-type="collection"><year>2023</year></pub-date><pub-date pub-type="epub"><day>10</day><month>06</month><year>2023</year></pub-date><volume>2</volume><issue>2</issue><fpage>11</fpage><lpage>19</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Дамбаев Г.Ц., Полонянкин А.С., Куртсеитов Н.Э., Вусик А.Н., Соловьев М.М., Скиданенко В.В., Хамраева Н.Э., Тухтарбаев А.Б., Талгат А., Котова В.Н., 2023</copyright-statement><copyright-year>2023</copyright-year><copyright-holder xml:lang="ru">Дамбаев Г.Ц., Полонянкин А.С., Куртсеитов Н.Э., Вусик А.Н., Соловьев М.М., Скиданенко В.В., Хамраева Н.Э., Тухтарбаев А.Б., Талгат А., Котова В.Н.</copyright-holder><copyright-holder xml:lang="en">Dambaev G.T., Polonyankin A.S., Kurtseitov N.E., Vusik A.N., Solovyov M.M., Skidanenko V.V., Khamraeva N.E., Tukhtarbaev A.B., Talgat A., Kotova V.N.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.bmjour.ru/jour/article/view/55">https://www.bmjour.ru/jour/article/view/55</self-uri><abstract><p>Статья содержит исторический экскурс в хирургию пищевода, описана история зарождения трансхиатального доступа в средостение, что явилось ключом к операциям на дистальном отделе пищевода, приводится обзор методик хирургического лечения грыж пищеводного отверстия диафрагмы. Методы были разделены на две группы: одна из них представляет себе способы, которые выполняются длительное время, это фундопликации по Nissen, Dor, Toupet, Черноусову, зарекомендовавшие себя как эффективные и проверенные временем, вторая группа включила в себя относительно недавно разработанные и внедренные в клиническую практику операции, такие как операция Stretta, трансоральная эндоскопическая фундопликация, кардиотереспластика, установка LINX-системы. В статье приведены исторические факты, дано краткое описание каждого метода, преимущества и недостатки. Анализ показал, что некоторые неклассические способы могут быть использованы, но каждый метод должен применяться избирательно и индивидуально. Учитывая, что стопроцентная эффективность методов до сих пор не достигнута, поиск новых методов остается актуальным. </p></abstract><trans-abstract xml:lang="en"><p>The article contains a historical excursion into esophageal surgery, describes the history of the origin of transchiatic access to the mediastinum, which was the key to operations on the distal esophagus, and provides an overview of surgical procedures for the hernia of the esophageal orifice of the diaphragm. The methods were divided into two groups: one of them imagines methods that are performed for a long time, these are fundoplications according to Nissen, Dor, Toupet, Chernousov, who have proven themselves as effective and time-tested, the second group included relatively recently developed and implemented operations in clinical practice, such as Operation Stretta, transoral endoscopic fundoplication  cardioteresplasty, installation of a LINX system. The article provides historical facts, a brief description of each method, advantages and disadvantages. The analysis showed that some non-classical methods can be used, but each method must be applied selectively and individually. Given that one hundred percent effectiveness of methods has not yet been achieved, the search for new methods remains relevant.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>диафрагмальная грыжа</kwd><kwd>кардиотереспластика</kwd><kwd>круглая связка печени</kwd><kwd>лапароскопические операции</kwd><kwd>хирургия пищевода</kwd></kwd-group><kwd-group xml:lang="en"><kwd>diaphragmatic hernia</kwd><kwd>cardioteresplasty</kwd><kwd>round ligament of liver</kwd><kwd>laparoscopic operations</kwd><kwd>esophageal surgery</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Задорожный А.А., Демидов А.В., Скиданенко В.В. Хирургическая клиника им. А.Г. 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