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Laparoscopic fundoplication
1Kennestone Hospital, Marietta, Georgia.
Surgical Technology International
|May 8, 2015
Summary
Gastroesophageal reflux disease (GERD) management has advanced with improved medications and minimally invasive laparoscopic anti-reflux surgery. This approach offers benefits like reduced recovery time and cost savings for patients.
Area of Science:
- Gastroenterology
- Surgical Innovation
Background:
- Gastroesophageal reflux disease (GERD) is a prevalent foregut disorder.
- Advances in instrumentation and techniques have elucidated GERD's complexity.
- Effective pharmacotherapeutics have been developed, treating most patients medically.
Purpose of the Study:
- To present experience with laparoscopic anti-reflux surgery.
- To detail the workup, technique, and results of this surgical approach.
- To introduce a novel laparoscopic anti-reflux procedure.
Main Methods:
- Review of patient workup for anti-reflux surgery.
- Description of laparoscopic anti-reflux surgical techniques.
- Presentation of outcomes and a new procedure.
Main Results:
- Laparoscopic anti-reflux surgery provides significant patient benefits.
- Reduced postoperative morbidity and faster return to activities are observed.
- Overall cost savings are achieved through this minimally invasive approach.
Conclusions:
- Laparoscopic anti-reflux surgery is a viable option for medically refractory GERD.
- Improved pharmacology has reduced surgical rates, but surgical complications also play a role.
- The presented laparoscopic techniques and new procedure aim to enhance outcomes.
