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Laparoscopic Nissen fundoplication. Initial experience

J Ovaska1, A Rantala, S Laine

  • 1Department of Surgery, Turku University Central Hospital, Finland.

Annales Chirurgiae Et Gynaecologiae
|January 1, 1995
PubMed
Summary
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Laparoscopic Nissen fundoplication is a safe and effective treatment for gastro-oesophageal reflux disease. This study found 94% of patients were symptom-free after three months, with high satisfaction rates.

Area of Science:

  • Gastroenterology
  • Minimally Invasive Surgery

Background:

  • Gastro-oesophageal reflux disease (GERD) significantly impacts patient quality of life.
  • Surgical intervention, such as Nissen fundoplication, is a common treatment for refractory GERD.

Purpose of the Study:

  • To evaluate the safety and efficacy of laparoscopic Nissen fundoplication for GERD treatment.
  • To assess patient outcomes, symptom resolution, and satisfaction post-procedure.

Main Methods:

  • Fifty-two patients underwent laparoscopic Nissen fundoplication.
  • Preoperative and follow-up assessments included oesophagogastroscopy, 24-hour ambulatory pH-recording, and oesophageal manometry.
  • Outcomes measured included operative success, complication rates, hospital stay, sick leave, symptom recurrence, and patient satisfaction.

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Main Results:

  • 94% of patients were free of reflux symptoms at three months post-surgery.
  • Oesophagogastroscopy and 24-hour pH-monitoring showed normal findings in 95% of patients.
  • The procedure demonstrated a low mortality rate, with minor complications in 4 patients; mean hospital stay was 3 days and sick leave 14 days.

Conclusions:

  • Laparoscopic Nissen fundoplication is a safe and efficient surgical option for managing GERD.
  • The procedure achieves high rates of symptom resolution and patient satisfaction.
  • Postoperative dysphagia and gas bloating were the most common, though generally manageable, complaints.