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Laparoscopic redo Nissen fundoplication

C T Frantzides1, M A Carlson

  • 1Minimally Invasive Surgery Center, Department of Surgery, Medical College of Wisconsin, Milwaukee 53226, USA.

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
|August 1, 1997
PubMed
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Redo laparoscopic Nissen fundoplication effectively treats failed antireflux procedures. This revisional surgery relieved all patient symptoms, demonstrating its feasibility and efficacy for complex gastroesophageal reflux cases.

Area of Science:

  • Gastroenterology
  • Minimally Invasive Surgery

Background:

  • Primary laparoscopic antireflux procedures can fail, necessitating revisional surgery.
  • Common reasons for primary procedure failure include technical issues and anatomical changes.

Purpose of the Study:

  • To evaluate the feasibility and effectiveness of redo laparoscopic Nissen fundoplication in patients with failed primary antireflux surgery.

Main Methods:

  • Nine patients with failed primary laparoscopic antireflux procedures underwent redo laparoscopic Nissen fundoplication.
  • Preoperative symptoms and endoscopic/radiologic findings were documented.
  • Intraoperative findings and surgical reconstruction details were recorded.
  • Postoperative outcomes, including symptom resolution and diagnostic imaging, were assessed.

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Main Results:

  • All nine patients experienced complete relief of preoperative symptoms, including heartburn and dysphagia.
  • Postoperative esophagram and endoscopy confirmed intact repairs without recurrence of gastroesophageal reflux or stenosis.
  • Patients were discharged within two days, with follow-up ranging from 4 to 14 months.

Conclusions:

  • Reoperative laparoscopic Nissen fundoplication is a feasible and effective treatment option for patients with failed primary antireflux surgery.
  • This revisional approach successfully resolves symptoms and restores anatomical integrity.
  • The procedure offers a safe and effective solution for complex gastroesophageal reflux disease management.