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2012, Number 1

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Rev Mex Cir Endoscop 2012; 13 (1)

270° posterior fundoplication. Has it tested and proved its effectiveness?

Ortiz PRJ, Orozco OP, Hernández PR, Navarro VL, Jean SE

Language: Spanish
References: 11
Page: 24-28
PDF size: 40.08 Kb.


ABSTRACT

The study included the analysis and revision of 457 patients with GERD diagnosis, having practiced 467 surgeries being 462 laparoscopic procedures and 5 open procedures, from January 1994 to November 2011. In 100% of the patients the surgery performed was a 270° posterior fundoplication (Toupet), 100% had endoscopy prior to surgery; 93.7% had manometry, 64.2% pH-metry and 15.3% X ray studies. The complications were: 11 pneumothorax, 1 gastric perforation that appeared 8 days after surgery, 11 hematomas in the surgical wounds, 2 mild bleedings of the abdominal wall, and 1 mayor bleeding from epigastric vessel, 2 hernias that appeared from the 10 mm trocar entry site. The mortality was 0%, the recurrence of symptoms was 1.09% (5 patients), 38 required multiple surgeries (8.3%). The better knowledge of GERD and the necessary studies allows a better diagnosis around the world. Of the different surgical techniques that are practiced around the world, the posterior 270° fundoplication (Toupet surgery) is an excellent option that proved not having long term disadvantages when compared to the NISSEN technique, and to have less adverse complications on the short term.


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