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[Laparoscopic ligamentum teres-plasty]

W Kunz1, J Usmiani, D K Wilker

  • 1Chirurgische Klinik, Bethesda Krankenhaus Wuppertal.

Zentralblatt Fur Chirurgie
|January 1, 1995
PubMed
Summary

This study shows ligamentum teres plasty is an effective treatment for difficult gastroesophageal reflux disease. Laparoscopic surgery offers advantages over traditional open procedures for this condition.

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Area of Science:

  • Gastroenterology
  • Surgical Innovation
  • Medical Devices

Background:

  • Gastroesophageal reflux disease (GERD) poses challenges, especially therapy-resistant cases.
  • Conventional surgical options may have limitations.
  • Minimally invasive techniques are increasingly explored for complex conditions.

Purpose of the Study:

  • To evaluate the efficacy of ligamentum teres plasty for therapy-resistant GERD.
  • To compare outcomes between conventional laparotomy and laparoscopic approaches.
  • To assess the simplicity and complication rates of the procedure.

Main Methods:

  • A cohort of 40 patients with therapy-resistant GERD was studied.
  • 18 patients underwent conventional ligamentum teres plasty via laparotomy.
  • 22 patients were treated with a laparoscopic approach.

Main Results:

  • Ligamentum teres plasty demonstrated efficiency in treating GERD.
  • Laparoscopic surgery presented advantages compared to laparotomy.
  • The procedure is characterized by relative simplicity and a low complication rate.

Conclusions:

  • Ligamentum teres plasty is an effective treatment for refractory GERD.
  • Laparoscopic approach offers benefits for patients undergoing this procedure.
  • The technique is suitable due to its simplicity and low complication profile.

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