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Technical Considerations and Approach to Redo Foregut Surgery
Published on: September 22, 2023
Systematic review of day-case laparoscopic fundoplication
1The Academic Unit of Surgical Gastroenterology, Homerton University Hospital NHS Trust, London, United Kingdom.
Background:
The aim of the current study is to review published literature on day-case laparoscopic fundoplication in adults.
Data Sources:
Medline, Embase, and Cochrane library was searched by using the medical subjects headings "ambulatory surgical procedures" and "fundoplication" with further free text search and cross references. All articles on planned day-case laparoscopic fundoplication that described patient selection criteria, same-day discharge, complications, and readmissions were reviewed.
Conclusions:
Thirteen cohort studies were included in this review. Ten were on planned same-day discharge with a 93% (739 out of 792) success, 4% (34) complication, and 5% (39) readmission rate. Three studies were on planned 23 hour discharge with a 98% (571 out of 583) success, 4% (25) complications, and 1% (5) re-admission rate. Nausea, pain, fatigue, and pneumothorax were the commonest causes for overnight admission. Dysphagia and pain were the main reasons for readmission. Most patients were satisfied with day-case laparoscopic fundoplication.

