What kind of anesthesia is used for fundoplication?
The Nissen fundoplication is now almost exclusively performed laparoscopically, even in infants. As such, there is a low likelihood of large blood loss or severe postoperative pain. General anesthesia with endotracheal intubation is the preferred anesthetic technique.
Where are incisions for Nissen fundoplication?
Before the widespread use of laparoscopic procedures, surgeons performed the Nissen fundoplication through an incision in the middle of the abdomen, extending from just below the ribs to the navel.
Can you have a second Nissen fundoplication?
A redo surgical fundoplication (or stomach wrap), however, can be challenging and complicated for even very experienced surgeons due to the presence of scar tissue. Consequently, a revision surgery carries increased potential to damage the esophagus, stomach, and surrounding structures such as nearby nerves.
What is the difference between Nissen and Toupet fundoplication?
Laparoscopic Nissen fundoplication (LNF) is the most common surgical procedure for the surgical management of gastro-esophageal reflux disease (GERD). Laparoscopic Toupet fundoplication (LTF) has been reported to have a lower prevalence of postoperative complications yet still obtain a similar level of reflux control.
What causes fundoplication failure?
A slipped Nissen fundoplication may be the result of a technical error in which the fundoplication is incorrectly placed over the stomach or may be due to slippage of the stomach up through an intact wrap. A tight wrap occurs because of poor surgical technique or the misdiagnosis of achalasia.
How effective is toupet fundoplication?
Postoperative follow-up after 4 months included clinical interview, endoscopy, 24-h pH study and esophageal manometry. Results: Interviews showed that 88% (Nissen) and 90% (Toupet) of the patients, respectively, were satisfied with the operative result.
What is a toupet fundoplication?
Laparoscopic Toupet fundoplication is a surgical procedure performed for the treatment of GERD. The procedure strengthens the valve between the esophagus and the stomach, preventing the backflow of acid.