ABSTRACT
The repair of diaphragmatic hiatal hernia began with reduction of the hernia and reapproximation of the crura. Over time it was appreciated that solely this approach failed to relieve the associated symptoms of gastroesophageal reflux disease (GERD). Increased knowledge of the pathophysiology of GERD led to the development of a surgically created antireflux valve. These procedures included the Nissen fundoplication, the Belsey partial fundoplication, and the Hill repair.
