husfeldt hernia repair indications and results a followup study ninetyseven consecutive patients with hiatal hernia were operated upon with a modified husfeldt hernia repair during a tenyear period thirtytwo of the patients had severe reflux complications such as ulcerative oesophagitis oesophageal stricture and shortened oesophagus ninety patients were carefully followed up postoperatively the mean duration of followup was 5 years analysis of the postoperative results in relation to the type of hernia showed no difference between sliding and combined hernia recurrence of hernia unsatisfactory clinical results and gastrooesophageal reflux were recorded more often in patients with severe reflux complications the main cause of unsatisfactory results in these patients was found to be a shortened oesophagus the method proved to be a reliable procedure for surgical treatment of not only uncomplicated hernias but also cases complicated by oesophageal stricture if the stricture was not associated with shortened oesophagus it is considered that a shortened oesophagus is a contraindication for employment of the husfeldt method