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Laparoscopic Nissen procedure in children
1Mother and Child Hospital at Presbyterian/St Luke's Medical Center, Denver, CO, USA.
Insights
Nissen fundoplication is a common anti-reflux surgery for children with conditions like respiratory issues or failure to thrive. Minimally invasive techniques are now the preferred surgical approach for this pediatric procedure.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Surgery
- Surgical Innovation
Background:
- Fundoplication is a frequent surgical procedure in pediatric populations.
- The Nissen fundoplication is the most common anti-reflux surgery for children.
- Indications include respiratory compromise, failure to thrive, neurologic impairment, and severe esophagitis.
Purpose of the Study:
- To review the indications and surgical approaches for Nissen fundoplication in pediatric patients.
- To highlight the growing acceptance and efficacy of minimally invasive techniques.
Main Methods:
- Review of current surgical practices and literature regarding pediatric fundoplication.
- Analysis of the adoption trends of minimally invasive surgical techniques.
Main Results:
- Nissen fundoplication is widely performed for various pediatric conditions.
- Minimally invasive surgical techniques have gained significant acceptance over the past decade.
- These minimally invasive approaches are increasingly considered the standard of care.
Conclusions:
- Minimally invasive Nissen fundoplication is a well-accepted and effective anti-reflux procedure in pediatric surgery.
- The technique of choice for pediatric fundoplication should now be minimally invasive surgery.
Abstract:
Fundoplication is among the most frequently performed procedures in infants and children. The Nissen fundoplication is the most commonly performed anti-reflux procedure done in the pediatric population. The broad indications include respiratory compromise, failure to thrive, neurologic impairment, and severe esophagitis. Over the last decade the application of a minimally invasive surgical technique to this procedure has received widespread acceptance among adult and pediatric surgeons and should now be considered the technique of choice.