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Related Concept Videos

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...

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Technical Considerations and Approach to Redo Foregut Surgery
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Laparoscopic rossetti fundoplication.

J Mouiel1, N Katkhouda, S Mills

  • 1Professor of Surgery, University of Nice, Sophia Antipous, Nice, France, Chief, Department of Digestive Surgery, Video-Laparoscopy and Transplantations, St. Roch Hospital, Nice, France.

Surgical Technology International
|February 16, 2011
PubMed
Summary
This summary is machine-generated.

The Rossetti modification of Nissen fundoplication is the preferred surgical option for severe gastroesophageal reflux disease (GERD) unresponsive to medication. Laparoscopic fundoplication offers a reliable and effective surgical approach for GERD treatment.

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Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Minimally Invasive Surgery

Background:

  • Gastroesophageal reflux disease (GERD) significantly impacts quality of life.
  • Medical management is often insufficient for refractory GERD.
  • Surgical intervention, specifically anti-reflux surgery, is indicated in select cases.

Purpose of the Study:

  • To highlight the Rossetti modification of Nissen fundoplication as the surgical treatment of choice for medically refractory GERD.
  • To emphasize the efficacy and reproducibility of laparoscopic fundoplication.

Main Methods:

  • The study focuses on the Rossetti modification of Nissen fundoplication, a specific surgical technique.
  • Laparoscopic approach is detailed, building on prior experience with open anti-reflux surgery.
  • Authors' routine use of laparoscopy since 1989, informed by vagotomy experience, is noted.

Main Results:

  • Fundoplication, particularly the Rossetti modification, is effective for GERD.
  • Laparoscopic fundoplication is reliable, effective, and reproducible.
  • The technique has been routinely performed since 1989.

Conclusions:

  • The Rossetti modification of Nissen fundoplication is the operation of choice for refractory GERD.
  • Laparoscopic fundoplication is a proven, reliable, and effective surgical treatment for GERD.