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- Title
Laparoscopic Revision of Failed Fundoplication and Hiatal Herniorraphy.
- Authors
Frantzides, Constantine T.; Madan, Atul K.; Carlson, Mark A.; Zeni, Tallal M.; Zografakis, John G.; Moore, Ronald M.; Meiselman, Mick; Luu, Minh; Ayiomamitis, Georgios D.
- Abstract
Objective: The aim of this study was to evaluate the mechanisms of failure after laparoscopic fundoplication and the results of revision laparoscopic fundoplication. Background: Laparoscopic Nissen fundoplication has become the most commonly performed antireflux procedure for the treatment of gastroesophageal reflux disease, with success rates from 90 to 95%. Persistent or new symptoms often warrant endoscopic and radiographic studies to find the cause of surgical failure. In experienced hands, reoperative antireflux surgery can be done laparoscopically. We performed a retrospective analysis of all laparoscopic revision of failed fundoplications done by the principle author and the respective fellow within the laparoscopic fellowship from 1992 to 2006. Methods: A review was performed on patients who underwent laparoscopic revision of a failed primary laparoscopic fundoplication. Results: Laparoscopic revision of failed fundoplication was performed on 68 patients between 1992 and 2006. The success rate of the laparoscopic redo Nissen fundoplication was 86%. Symptoms prior to the revision procedure included heartburn (69%), dysphagia (8.8%), or both (11.7%). Preoperative evaluation revealed esophagitis in 41%, hiatal hernia with esophagitis in 36%, hiatal hernia without esophagitis in 7.3%, stenosis in 11.74%, and dysmotility in 2.4%. The main laparoscopic revisions included fundoplication alone (41%) or fundoplication with hiatal hernia repair (50%). Four gastric perforations occurred; these were repaired primarily without further incident. An open conversion was performed in 1 patient. Length of stay was 2.5 ± 1.0 days. Mean follow-up was 22 months (range, 6–42), during which failure of the redo procedure was noted in 9 patients (13.23%). Conclusion: Laparoscopic redo antireflux surgery, performed in a laparoscopic fellowship program, produces excellent results that approach the success rates of primary operations.
- Subjects
FUNDOPLICATION; HIATAL hernia; LAPAROSCOPY; GASTROESOPHAGEAL reflux; ESOPHAGEAL surgery
- Publication
Journal of Laparoendoscopic & Advanced Surgical Techniques, 2009, Vol 19, Issue 2, p135
- ISSN
1092-6429
- Publication type
Article
- DOI
10.1089/lap.2008.0245