Laparoscopic Nissen repair: indications, techniques and long-term benefits

Langenbeck's Archives of Surgery
K H FuchsI Hammer

Abstract

The Nissen fundoplication or total 360 degrees fundoplication is probably the most frequently used anti-reflux procedure throughout the world. With the advent of laparoscopic surgery the popularity among surgeons to perform a laparoscopic Nissen fundoplication has even increased. The purpose of this paper is to provide an overview of the experience of laparoscopic Nissen fundoplication over the past 15 years. We performed an extensive review of the literature in order to ascertain the representative papers. In addition, available consensus papers, especially with regard to indication and technique, were assessed. Indication for a laparoscopic Nissen fundoplication should depend on documentation of the presence of disease as well as objective testing of the functional disorders and the complications. The technique of Nissen fundoplication is discussed controversially. Consensus exists with regard to floppiness of the wrap, necessary closure of the crurae and the use of a calibration method during the performance of the wrap. The laparoscopic technique creates a learning curve, which needs to be respected. Large prospective series in recent years have shown a complication rate between 5% and 10%, depending on the definition of th...Continue Reading

References

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Citations

Sep 4, 2008·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·M FeinK-H Fuchs
Aug 22, 2012·JSLS : Journal of the Society of Laparoendoscopic Surgeons·S A Khan, L Stephens
May 3, 2014·Surgical Endoscopy·Karl Hermann FuchsUNKNOWN European Association of Endoscopic Surgery (EAES)
Oct 16, 2008·Surgical Endoscopy·Mohammed BawahabEstifanos Debru
Aug 14, 2010·World Journal of Surgery·Urs ZinggGlyn G Jamieson
May 23, 2008·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·M FeinK-H Fuchs
Feb 1, 2006·The Journal of Arthroplasty·Ryan Scott LabovitchErik Hansen

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