Pérez-Lorenzana H, Licona-Islas CM, Martinez-Hernandez MN, Zaldivar-Cervera J, Mora-Fol JR, Flores-Plascencia AE, Huacuz-Herrera LM

Language: Spanish
References: 14
Page: 156-160
PDF size: 477.77 Kb.

ABSTRACT

Introduction: Fundoplication is the third most common intra-abdominal procedure in the Pedi­atric Surgical Centers. In the pediatric population is most common morbidity related to persistent symptoms associated with reflux, conditioned by the migration of the fundoplication within the dia­phragmatic hiatus or intrathoracic, and a valve inefficient or incomplete sometimes associated with dysphagia intractable . Many of them required reoperation for correction of these complications.
Material and Methods: In our hospital a retrospective study over a period of five years of all pa­tients undergoing refunduplicatura management failure in previous surgical treatment, we assessed age, sex, weight, type of first surgery, reason the first surgery, signs of failure of surgery, time interval between surgeries, type of technique used, findings, complications, procedures attachments transsur­gical time, intraoperative blood loss, intraoperative, hospital stay, early feeding and post assessment refunduplicatura .
Results: A total of 27 patients, the main reason for surgery was Gastroesophageal Reflux Disease, and the technique of Nissen surgical procedure in 92.5% of cases, the manifestations of failure were persistent vomiting, discomfort and heartburn . The largest study conducted to support the fault was the upper GI series. The findings were displaced fundoplication, hiatal hernia, dehiscence of the fun­doplication, paraesophageal hernia, esophageal perforation and gastric perforation. Only 2 patients remained with vomiting and dysphagia.
Discussion: following up on patients undergoing antireflux operation over a period of two years with radiological studies allow us to recognize the complications inherent in the first surgery. The re­funduplicatura may be feasible for minimally invasive despite previous surgery is opened, the benefit of reoperation in both cases, either open or laparoscopic, with a satisfactory outcome.

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