[Morbidity factors in Nissen's procedure].

Area of Science:

• Gastroenterology and Surgical Procedures
• Reflux Management

Context:

• Review of 96 adult patients undergoing abdominal Nissen's fundoplication for gastro-esophageal reflux between 1975 and 1986.
• Includes patients with advanced esophagitis (stage III) and peptic stenosis, and those with prior reflux surgery.

Purpose:

• To evaluate the outcomes of the abdominal approach to Nissen's operation for gastro-esophageal reflux.
• To identify technical factors that may minimize morbidity associated with the procedure.

Summary:

• The study reports a mortality rate of 0.9% and a morbidity rate of 14% in 96 adult patients.
• Morbidity rates were comparable between primary and re-operated patients, suggesting the procedure's safety in complex cases.
• Analysis of technical aspects aims to improve surgical outcomes.

Impact:

• Provides insights into the safety and efficacy of Nissen's fundoplication for severe gastro-esophageal reflux disease.
• Highlights potential areas for technical refinement to reduce surgical complications.
• Contributes to the understanding of surgical management for refractory reflux conditions.