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fundoplication laparoscopy nissen

Mhd Belal Alsabek, Shawqi Arafat, Alaa Aldirani
BACHGROUND: Since the first laparoscopic cholecystectomy report in situs inversus totalis in 1991, the safety of this procedure has still been questionable. A few surgeons were preferred to perform an open cholecystectomy due to technical difficulties as well as various anatomical varieties that can be faced during surgery. CASE PRESENTATION: We report a case report of a 50 years old patient came with epigastric pain that radiated to her left shoulder, intermittent nausea, vomiting and bloating after some meals...
September 22, 2016: International Journal of Surgery Case Reports
Fizan Abdullah, Jose H Salazar, Colin D Gause, Samir Gadepalli, Thomas W Biester, Kenneth S Azarow, Mary L Brandt, Dai H Chung, Dennis P Lund, Frederick J Rescorla, John H T Waldhausen, Thomas F Tracy, Mary E Fallat, Michael D Klein, Frank R Lewis, Ronald B Hirschl
IMPORTANCE: The number of practicing pediatric surgeons has increased rapidly in the past 4 decades, without a significant increase in the incidence of rare diseases specific to the field. Maintenance of competency in the index procedures for these rare diseases is essential to the future of the profession. OBJECTIVE: To describe the demographic characteristics and operative experiences of practicing pediatric surgeons using Pediatric Surgery Board recertification case log data...
August 1, 2016: JAMA Surgery
Juan C Rodríguez-Sanjuán, Marcos Gómez-Ruiz, Soledad Trugeda-Carrera, Carlos Manuel-Palazuelos, Antonio López-Useros, Manuel Gómez-Fleitas
Laparoscopic surgery is applied today worldwide to most digestive procedures. In some of them, such as cholecystectomy, Nissen's fundoplication or obesity surgery, laparoscopy has become the standard in practice. In others, such as colon or gastric resection, the laparoscopic approach is frequently used and its usefulness is unquestionable. More complex procedures, such as esophageal, liver or pancreatic resections are, however, more infrequently performed, due to the high grade of skill necessary. As a result, there is less clinical evidence to support its implementation...
February 14, 2016: World Journal of Gastroenterology: WJG
Prashant Sukharamwala, Anthony Teta, Sharona Ross, Franka Co, Giannina Alvarez-Calderon, Kenneth Luberice, Alexander Rosemurgy
Laparoendoscopic single site (LESS) surgery is a more recent advance in the progression of minimally invasive surgery. This study was undertaken to assess lessons learned after our first 250 LESS fundoplications for gastroesophageal reflux disease (GERD). All patients undergoing LESS fundoplications were prospectively followed from 2008 to 2014. Patients scored the frequency/severity of their symptoms before/after LESS fundoplication using a Likert scale (0 = never/not bothersome to 10 = always/very bothersome)...
September 2015: American Surgeon
B Gys, T Gys, Th Lafullarde
BACKGROUND: In this study we assessed feasibility, weight loss results and recurrence of Gastro-Oesophageal Reflux Disease (GORD) in patients undergoing laparoscopic Roux-en-Y Gastric Bypass (RYGB) after previous anti-reflux surgery. METHODS: Retrospective analysis of prospectively collected data was performed for patients undergoing laparoscopic RYGB after previous anti-refux surgery between 1/1/2000 and 1/1/2015. Weight loss was assessed using %Excess Weight Loss (%EWL) and every patient was compared with two matched control subjects...
July 2015: Acta Chirurgica Belgica
A Y Razumosky, A B Alhasov, S H M Bataev, E V Yekimovskaya
Gastroesophageal reflux is very common in children and often leads to reflux-esophagitis, peptic esophageal strictures, Barrett's esophagus. If the conservative treatment fails a patient needs surgical treatment as well as those who suffer from complications and hiatal hernia. The most popular operation is laparoscopic Nissen fundoplication with the efficiency of more than 80%. However, the main challenge is redo fundoplications. Hiatal hernia and operation technique are considered to be the most probable risk-factors...
2015: Experimental & Clinical Gastroenterology
Akiko Sakoda, Hiroshi Matsufuji
Three types of congenital diaphragmatic hernias( Bochdalek hernia, Morgagni hernia, and esophageal hiatus hernia) are described with case presentation. In the Bochdalek hernia, the most common type of congenital diaphragmatic hernia, abdominal contents pass into the thorac bia diaphragmatic defect, limiting the space available for the developing lungs. Resulting lung hypoplasia, many infants experience severe respiratory distress within minutes of birth and may require resuscitation and stabilization of cardio-pulmonary function prior to surgery...
July 2015: Kyobu Geka. the Japanese Journal of Thoracic Surgery
Jessica L Reynolds, Joerg Zehetner, Phil Wu, Shawn Shah, Nikolai Bildzukewicz, John C Lipham
BACKGROUND: The efficacy and safety of magnetic sphincter augmentation (MSA) with the LINX device (Torax Medical) has been reported in several short-and long-term studies, rivaling historic results of laparoscopic Nissen fundoplication (LNF), but with fewer side effects. However, there have been no studies comparing patients with similar disease to validate these results. STUDY DESIGN: We conducted a retrospective analysis of 1-year outcomes of patients undergoing MSA and LNF from June 2010 to June 2013...
July 2015: Journal of the American College of Surgeons
Vanderlei Martinelo, Fernando Augusto Mardiros Herbella, Marco G Patti
Intrathoracic stomach is a rare finding. The real value of the high-resolution manometry (HRM) in the preoperative evaluation of these patients has not yet being fully tested. This study aims to evaluate: 1) the HRM pattern of patients with an intrathoracic stomach; and 2) HRM findings as predictors for prosthetic reinforcement of the hiatus. We reviewed 33 patients (27 women, mean age 66 years) with an intrathoracic stomach who underwent HRM. Fifteen patients did the HRM as part of preoperative workup and were operated on in our institution...
April 2015: American Surgeon
L Alecu, M Bărbulescu, B Ursuţ, V Braga, I Slavu
INTRODUCTION: Epiphrenic diverticula (ED) represent about 20% of oesophageal diverticula. They are considered to be pulsion diverticula, characterized by out pouchings of the oesophageal mucosa originating in the distal 10 cm of the oesophagus and are frequently associated with spastic oesophageal dysmotility. The most frequent clinical manifestations of ED are dysphagia, regurgitations and chest pain. Only symptomatic diverticula should be treated by surgery. The surgical procedure can be performed minimally invasively by robotic approach and consists of diverticulectomy,hiatus calibration and an antireflux procedure, usually adding an esophagomiotomy as well...
January 2015: Chirurgia
Sv Toshev, G Todorov, M Sokolov, G Velev, K Angelov, P Gribnev, A Koichev, N Haiat
Anti-reflux laparoscopic operations replaced conventional surgery and are now widely available, because of the advantages of this type of surgery. One of the main reasons for the high complications rate in this type of operations is the lack of experience of the surgeons, although recently in the reports of most leading authors complications and increased mortality rate is due to the older patients undergoing this type of surgery. The main causes of death were gastrointestinal hemorrhage, necrosis with perforation of the esophagus or stomach, cardiac arrest, respiratory and inflammatory complications, and pulmonary thromboembolism...
2014: Khirurgiia
N Gad El-Hak, M Mostafa, E Hamdy, M Haleem
INTRODUCTION: Gastroesophageal reflux disease (GERD) is a common upper GIT disorder. The choice of surgical management options is debatable between laparoscopic Nissen fundoplication (LNF) and Toupet fundoplication (LTF) especially in cases with esophageal dysmotility. PATIENTS AND METHODS/AIMS: 102 patients with chronic GERD divided into 2 groups. Group (1): Patients with good peristalsis (n=70) done LNF. Group (2): Patients with poor peristalsis (n=32) patients done LTF to compare the outcome...
October 2014: Hepato-gastroenterology
Shiva Seetahal, Augustine Obirieze, Edward E Cornwell, Terrence Fullum, Daniel Tran
BACKGROUND: This study seeks to investigate the outcomes of laparoscopic procedures in patients with previous open abdominal surgery. METHODS: Using data from the National Surgical Quality Improvement Program (2005 to 2009), we identified patients who had undergone laparoscopic cholecystectomy, Nissen fundoplication, Heller myotomy, splenectomy, Roux-en-Y, sleeve gastrectomy, gastric band, appendectomy, or colectomy. Patients were then classified as to whether adhesiolysis (AD) was also carried out...
April 2015: American Journal of Surgery
Carlos García-Hernández, Lourdes Carvajal-Figueroa, Sergio Landa-Juárez
INTRODUCTION: Anecdotal reports have demonstrated the feasibility of needle aspiration to deflate a distended bowel, but we do not know of any prospective study that has evaluated this technique. We designed a controlled study to evaluate the use of the selective transperitoneal needle aspiration of a bowel loop (STAB) in infants. MATERIALS AND METHODS: Candidates were patients of less than 6 months of age, scheduled for laparoscopic Nissen fundoplication, in whom severe colonic distension was observed...
February 2015: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
Xiaoyan Feng, Anna Morandi, Martin Boehne, Tawan Imvised, Benno M Ure, M Ure Benno, Joachim F Kuebler, Martin Lacher
BACKGROUND AND PURPOSE: Three-dimensional (3D) imaging, a recent technical innovation in laparoscopic surgery, has been postulated to enhance depth perception and facilitate operations. However, it has never been evaluated in conditions where the focus is close to the optical system. Thus, it is unclear whether 3D cameras can improve laparoscopic surgical performance in neonates and infants. We tested 3D versus two-dimensional (2D) vision during laparoscopic surgery in rabbits, mimicking the size of a neonatal patient...
May 2015: Surgical Endoscopy
Ailbhe M McDermott, Kah Hoong Chang, Kelly Mieske, Peter F McAnena, Brian Kinirons, Abdelaly Abeidi, Brian H Harte, Michael J Kerin, Oliver J McAnena
BACKGROUND: Postoperative pain remains a significant challenge following laparoscopy. Aerosolized intraperitoneal local anesthetic (AILA) is a novel method to deliver local anesthetic. The aim was to evaluate aerosolized ropivacaine in pain management following laparoscopic Nissen fundoplication (LNF) and cholecystectomy (LC). METHODS: This prospective randomized double-blinded placebo-controlled trial enrolled consecutive patients undergoing LNF and LC. The treatment group (TG) received intraperitoneal ropivacaine (5 mL 1 % Naropin(®)) at CO2 insufflation via the AeroSurge(®) aerosolizer device through the camera port...
July 2015: World Journal of Surgery
Dominic Papandria, Seth D Goldstein, Jose H Salazar, Jacob T Cox, Kimberly McIltrot, F Dylan Stewart, Meghan Arnold, Fizan Abdullah, Paul Colombani
AIMS: The surgery of gastroesophageal reflux disease (GERD) is common in modern pediatric surgical practice. Any differences in perioperative and long-term clinical outcomes following laparoscopic (LN) or open Nissen (ON) fundoplication have not been comprehensively described in young children. This randomized, prospective study examines outcomes following LN versus ON in children<2 years of age. METHODS: Four surgeons at a single institution enrolled patients under 2 years of age that required surgical management of GERD, who were then randomized to LN or ON between 2005 and 2012...
February 2015: Journal of Pediatric Surgery
I M Shapey, S Agrawal, A Peacock, P Super
INTRODUCTION: Laparoscopic partial fundoplication for gastro-oesophageal reflux disease (GORD) is reported to have fewer side effects when compared to Nissen fundoplication, but doubts remain over its long term durability in controlling reflux. The aim of this study was to assess outcome of symptoms for all patients presenting with GORD undergoing routine laparoscopic subtotal Lind fundoplication. MATERIALS & METHODS: All patients undergoing laparoscopic fundoplication between August, 1999 and November, 2007 performed by a single surgeon were included in the study...
January 2015: International Journal of Surgery
Hans F Fuchs, Christian A Gutschow, Sebastian Brinkmann, Till Herbold, Marc Bludau, Wolfgang Schröder, Elfriede Bollschweiler, Arnulf H Hölscher, Jessica M Leers
BACKGROUND/AIMS: The effect of laparoscopic antireflux surgery on esophageal motility is incompletely understood, and any indication for this procedure in patients with motility disorder is disputed in literature. We evaluated the influence of laparoscopic Nissen fundoplication on impaired esophageal motility. METHODS: In this pathological manometric study, we divided the patients into two groups preoperatively: the hypomotility group (mean amplitude of esophageal contraction wave <40 mm Hg; HYPO group, n = 11) and the normal group (mean amplitude of esophageal contraction wave >40 mm Hg; NORM group, n = 43)...
2014: Digestive Surgery
Awais Ashfaq, Hyun K Daniel Rhee, Kristi L Harold
AIM: To evaluate the feasibility and outcomes of laparoscopic Nissen fundoplication after failed transoral incisionless fundoplication (TIF). METHODS: TIF is a new endoscopic approach for treating gastroesophageal reflux disease (GERD). In cases of TIF failure, subsequent laparoscopic fundoplication may be required. All patients from 2010 to 2013 who had persistence and objective evidence of recurrent GERD after TIF underwent laparoscopic Nissen fundoplication. Primary outcome measures included operative time, blood loss, length of hospital stay and complications encountered...
December 7, 2014: World Journal of Gastroenterology: WJG
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