Antireflux Surgery
Cruroplasty in Antireflux Surgery Geometry Not...
This video demonstrates the key principles of laparoscopic cruroplasty (hiatoplasty) in the surgical treatment of gastroesophageal reflux disease and hiatal hernia. Emphasis is placed on achieving adequate...
Antireflux Surgery: Intraabdominal Esophageal...
In anti-reflux surgery (such as Nissen, Toupet, Dor), a key principle is that at least 2.5–3 cm of the esophagus should lie intra-abdominally, without tension, after complete mediastinal mobilization...
Laparoscopic Nissen Fundoplication
Medical treatment with proton pump inhibitors (PPIs) heals esophagitis and suppresses heartburn in over 90% of patients. Despite the fact that effective maintenance therapies do exist, patients often...
Laparoscopic Nissen Fundoplication
Current evidence suggests that laparoscopic fundoplication is more effective than medical therapy for the short- and medium-term treatment of gastroesophageal reflux disease. In contrast to medical therapy...
Conversion Nissen Fundoplication to Roux-en-Y...
I present you here a very challenging case. History of Nissen fundoplication by laparoscopy perfomed 11 years ago with failure and valve reconstruction by laparotomy with a hiatal mesh. Reintervention...
Antireflux Surgery in a Complete Situs Inversus...
The patient presented a symptomatic gastroesophageal reflux disease. The preoperative assessement revealed and a hiatal hernia, an oesophageal hypomotility but also a complete situs inversus anatomy....
Antireflux Surgery for GERD Nissen's Fundoplication
Video case: 40 yr f with severe gastroesophageal reflux for 2 yrs, resistant to conservative treatment. CT scan showed intercrural distance of 3 cm, OGD scopy-Hills grade 3 reflux. Post operatively symptom...
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