Hiatal Hernia: Systematic Review for Medical Students During Internship
Authors
Miguel Pereira Goulart Neto1, Isadora Medrado Goulart1, Matheus Alves de Souza1, Natália Inácio Beltramini1, Miriam Pardini Gomes2, Dimoriani Cristina Pinheiro1, João Pedro de Souza Argerin3, Luis Fernando Ricci Boer4, Leonardo Faidiga5, Fernando Batigalia6 and Rogério Rodrigo Ramos7 1Universidade Brasil, Fernandópolis, Brazil; 2Universidade do Oeste Paulista, Presidente Prudente, Brazil; 3Resident in Medicine at the Medical Residency Program in General Surgery at Universidade Brasil, Fernandópolis, Brazil; 4Resident in Medicine at the Medical Residency Program in Orthopedics and Traumatology, Medical School of São José do Rio Preto (FAMERP), São José do Rio Preto, Brazil; 5Clinical Physician and General Surgeon at Hospital School of the Santa Casa Misericórdia in Fernandópolis, Preceptor and Supervisor of the General Surgeryinternship at the Medicine Course at Universidade Brasil, Fernandópolis, Brazil; 6Department of Human Anatomy, Postgraduate Program in Health Sciences and Specialist in General Surgery and Gastroenterology, Medical School of São José do Rio Preto, Brazil; 7Department of HumanAnatomy and the Residency Program in Anatomy Surgery for Residents, Universidade Brasil, Fernandópolis, Brazil
The present study shows evidence of clinical and surgical aspects of Hiatus Hernia, as a means to improve anatomical and surgical knowledge of resident and medical students who are enrolled inthe disciplines of Morphophysiology, Semiology, Clinical Examination, and Hospital Internship. The aim of this research was to conduct a systematic study of the clinical aspects and surgical intervention of hiatal hernia. Systematic review was conducted in the Cochrane Library, Pubmed, and Virtual Health Library databases. In this research, 200 studies were found and submitted to the eligibility analysis, later, 156 studies were selected for a more careful evaluation of which 24 were chosen and discussed in this paper, following the rules of systematic review - PRISMA. The prospects of laparoscopic repair have revolutionized the field of clinical surgery. However, initial training must be taken into account by the medical team, since surgical intervention demands considerably more time concerning surgical training during medical school. Laparoscopic repair is indicated for cases of Hiatus Hernias combined with gastroesophageal reflux. However, before this surgical procedure, it is important to perform a complete anamnesis, physical examination, and to have a good understanding of complementary exams. Thus, the doctors, clinical residents, or interns need to have learned all the anatomic, clinical, and therapeutic knowledgerelated to the surgical procedures of hiatal hernias, since these factors are considered prerequisites for surgery.
