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Author Spotlight: Recent Advancements in Reoperative Foregut Surgery

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Simple Instrument Modification to Aid in Laparoscopic Gastric Wraps for Posterior Fundoplications.

¹Department of Surgery, McLaren Greater Lansing, Lansing, MI.

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|April 3, 2023

Summary

This summary is machine-generated.

A modified O'Reilly esophageal retractor simplifies laparoscopic Nissen fundoplication. Drilling a hole allows securing the gastric fundus for better positioning during antireflux surgery.

Keywords:

Fundoplication Laparoscopic Nissen O'Reilly retractor

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Area of Science:

Surgical Innovation
Gastroenterology
Minimally Invasive Surgery

Background:

Laparoscopic Nissen fundoplication is a standard antireflux procedure.
Accurate positioning of the gastric fundus is crucial for successful fundoplication.
Existing retractors may present challenges in securing the gastric fundus during the procedure.

Purpose of the Study:

To describe a simple modification to the O'Reilly esophageal retractor.
To enhance the ability to secure and position the gastric fundus during laparoscopic posterior gastric wraps.
To improve the efficiency and outcomes of antireflux surgery.

Main Methods:

A 3-mm hole was drilled into the distal end of the O'Reilly esophageal retractor's articulating arm.
The modified retractor was used to secure the freed gastric fundus with a suture via the drilled hole.
The gastric fundus was then retracted posteriorly to the gastroesophageal junction.

Main Results:

The modification allows for secure fixation of the gastric fundus to the retractor.
This facilitates precise posterior positioning of the gastric fundus at the gastroesophageal junction.
The modified retractor aids in holding the fundus in place for fundoplication suture placement.

Conclusions:

The described modification offers a simple and effective solution for gastric fundus manipulation.
This technique can improve the ease and accuracy of laparoscopic posterior gastric wraps.
The modified retractor is a valuable tool for antireflux procedures.