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It is estalished that after surgical intervention the clinical manifestations of hiatal hernias are enhanced throughout the first year. The abdominal operation aggravates reflux-esophagitis. The limitations of indications to the operation based on the absence of visible in fibroesophagogastroscopy morphological changes are not always justified. Failure of supported antireflux mechanism even in uncomplicated forms of hiatal hernias in combination with abdominal cavity organs diseases involving surgical treatment is the indication to associative operative intervention, hernias elimination and correction of associative abdominal pathology.

Currently, ultrasound (ultrasound) is given great attention in the recognition of acute surgical diseases of the abdominal cavity. This is due to its safety, non-invasiveness, short and easy for the patient period of study, and most importantly, high information content and the possibility of dynamic control with its help without significant adjustments to the patient's condition.

One of the common and difficult-to-treat complications after surgery for esophageal hernia is its narrowing, accompanied by dysphagia and severe pain syndrome. Surgical treatment of esophageal hernia includes fundoplication and suturing of the esophageal opening of the diaphragm on a probe under the control of the surgeon's fingers inserted into the esophageal opening. The data obtained in this case cannot be used for objective estimation of the degree of narrowing of the esophageal opening of the diaphragm necessary for hernia repair and sufficient for normal functioning of the esophageal-gastric transition, because individual anatomical features of the fingers and their orientation are highly variable for each particular surgeon.