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Nissen Laparoscopic Surgery Case

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56 year old female patient with severe reflux, and grade A oesophagitis resistant to PPI. Work-up by gastroscopy and scanner show no hiatal hernia, no H pylori. Manometry normal. Post-op uneventful. 

Laparoscopic Gastric By-pass After Nissen's...

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Laparoscopic gastric by-pass after Nissen's procedure for gastroesophageal reflux.  

Type 3 hiatal hernia in a female patient

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Type 3 hiatal hernia in a female patient with a BMI of 38, laparoscopic Nissen fundoplication is performed.

Laparoscopic Nissen Fundoplication

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Although the standard Nissen fundoplication has been modified many times, laparoscopic Nissen fundoplication is now considered the standard surgical approach for treatment of severe gastroesophageal reflux...

Robotic Fundoplication with Mesh

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5

Robotic fundoplication with mesh reinforcement for hiatal hernia. Robotic fundoplication with mesh reinforcement is an advanced minimally invasive procedure for the treatment of symptomatic hiatal hernia...

Loose Floppy Nissen Fundoplication

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A loose floppy Nissen fundoplication aims to control gastroesophageal reflux while preserving normal swallowing function. In this technique, a short, tension-free 360-degree wrap of the gastric fundus...

Madany Modification of Tumble Square Knot in...

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Madany modification of tumble square knot can be used nicely to sutre the fundic wrap in nissen fundoplication as you see here in this video.  

Shoe Shine Maneuver in Nissen Fundoplication

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3.5

Shoe shine maneuver in Nissen Fundoplication to ensure adequate mobilization of the gastric fundus to perform the wrap.   

Antireflux Surgery: Intraabdominal Esophageal...

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5

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

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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

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5

A Nissen fundoplication was performed on a patient presenting with daily symptoms.  

GERD Surgery: Laparoscopic Nissen Fundoplication

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Laparoscopic Nissen fundoplication is currently the ‘gold-standard’ for treating GERD in patients who don’t respond completely to medications or can’t take medications for another...

Laparoscopic Hiatal Hernia Repair

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3.67

Video describes laparoscopic technique to large hiatal hernia prostetic repair. Surgeon: Bruno Benini MD (www.chirurgia-laparoscopica.it). 

Antireflux Surgery for GERD Nissen's Fundoplication

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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...

Laparoscopic Redo Nissen Fundoplication in 17-month...

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The video presents laparoscopic redo Nissen fundoplication in 17-month old child. Reoperation was performed 6 months after the initial fundoplication. The reason for recurrence of symptomatic GERD was...

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