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Utilizing a 3D Printed Laparoscopic Nissen Fundoplication Model to Shorten a Resident's Learning Curve
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Laparoscopic Nissen fundoplication: predicting outcome from peri-operative evaluation
B J Manning1, R Salman, P Gillen
1Dept of Surgery, Our Lady of Lourdes Hospital, Drogheda, Co Louth.
Irish Journal of Medical Science
|July 29, 2006
Summary
Laparoscopic Nissen fundoplication is effective for gastroesophageal reflux (GER). However, predicting long-term outcomes for a small patient group remains challenging, with female patients more prone to symptom recurrence.
Area of Science:
- Gastroenterology and Surgical Procedures
Background:
- Laparoscopic Nissen fundoplication is a recognized treatment for gastroesophageal reflux (GER).
- Uncertainty exists regarding the long-term durability and optimal patient selection for this procedure.
Purpose of the Study:
- To evaluate a single surgeon's experience with laparoscopic Nissen fundoplication.
- To identify factors influencing the long-term success of the surgery.
Main Methods:
- A retrospective review of 124 patients undergoing laparoscopic Nissen fundoplication over five years.
- Patient outcomes were assessed using a detailed questionnaire.
Main Results:
- 89% of patients reported satisfaction with the surgical outcome.
- 8.8% experienced significant symptom recurrence, with longer time since surgery and female gender being associated factors.
- Pre-operative, intra-operative, and post-operative parameters did not predict outcomes.
Conclusions:
- Laparoscopic Nissen fundoplication is a safe and effective GER treatment.
- Predicting poor long-term outcomes based solely on pre-operative or peri-operative factors is difficult.
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