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Related Experiment Videos

Day-case laparoscopic Nissen fundoplication.

M E Bailey1, W V Garrett, A Nisar

  • 1Minimal Access Therapy Training Unit, Royal Surrey County Hospital, Egerton Road, Guildford GU7 5XX, UK. meb@mattu.org.uk

The British Journal of Surgery
|May 8, 2003
PubMed
Summary
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Day-case laparoscopic fundoplication is a safe and acceptable treatment for gastro-oesophageal reflux disease (GORD). Patients reported high satisfaction and willingness to repeat the procedure, with no major complications observed.

Area of Science:

  • Gastroenterology
  • Surgical Innovation
  • Patient Outcomes

Background:

  • Gastro-oesophageal reflux disease (GORD) management.
  • Assessing day-case laparoscopic fundoplication feasibility.

Purpose of the Study:

  • Evaluate the safety and patient acceptability of same-day discharge laparoscopic fundoplication for GORD.
  • Determine patient satisfaction with information and aftercare.

Main Methods:

  • Prospective study over 18 months.
  • Inclusion of American Society of Anesthesiologists grade I or II patients.
  • Standardized anesthetic, analgesic, and antiemetic protocols.
  • Postoperative pain and nausea assessment via visual analogue scores.

Main Results:

Related Experiment Videos

  • Twenty patients underwent the procedure with no complications.
  • All patients discharged same-day; median discharge time 6.5 hours.
  • No significant difference in pain or nausea scores.
  • High patient satisfaction and willingness to recommend/repeat.

Conclusions:

  • Day-case laparoscopic fundoplication is a feasible surgical option for GORD.
  • The procedure is well-tolerated and accepted by patients.
  • This approach appears safe for selected GORD patients.