Document Detail

Laparoscopic revision of failed antireflux operations.
MedLine Citation:
PMID:  11120629     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: A small number of patients fail fundoplication and require reoperation. Laparoscopic techniques have been applied to reoperative fundoplications. We reviewed our experience with reoperative laparoscopic fundoplication. METHODS: Reoperative laparoscopic fundoplication was undertaken in 28 patients, 19 F and 9 M, of mean age 56 years +/- 12. Previous antireflux procedures included 19 open and 12 laparoscopic antireflux operations. RESULTS: Symptoms were heartburn (90%), dysphagia (35%), and atypical symptoms (30%%). The mean interval from antireflux procedure to revision was 13 months +/- 4.2. The mean DeMeester score was 78+/-32 (normal 14.7). Eighteen patients (64%) had hiatal breakdown, 17 (60%) had wrap failure, 2 (7%) had slipped Nissen, 3 (11%) had paraesophageal hernias, and 1 (3%) had an excessively tight wrap. Twenty-five revisions were completed laparoscopically, while 3 patients required conversion to the open technique. Complications occurred in 9 of 17 (53%) patients failing previous open fundoplications and in 4 of 12 patients (33%) failing previous laparoscopic fundoplications and included 15 gastrotomies and 1 esophagotomy, all repaired laparoscopically, 3 postoperative gastric leaks, and 4 pneumothoraces requiring tube thoracostomy. No deaths occurred. Median length of stay was 5 days (range 2-90 days). At a mean follow-up of 20 months +/- 17, 2 patients (7%) have failed revision of their fundoplications, with the rest of the patients being essentially asymptomatic (93%). CONCLUSIONS: The results achieved with reoperative laparoscopic fundoplication are similar to those of primary laparoscopic fundoplications. Laparoscopic reoperations, particularly of primary open fundoplication, can be technically challenging and fraught with complications.
F M Serafini; M Bloomston; E Zervos; J Muench; M H Albrink; M Murr; A S Rosemurgy
Related Documents :
17981189 - Randomized clinical trial of mesh versus non-mesh primary inguinal hernia repair: long-...
24476989 - Commercially available topical platelet-derived growth factor as a novel agent to accel...
24799109 - Evaluation of maxillary growth: is there any difference using relief incision during pa...
21377649 - Low weight-for-age z-score and infection risk after the fontan procedure.
17161089 - Immediate laparoscopic cholecystectomy for acute cholecystitis: no need to wait.
21443789 - Differentiation of parenteral anticoagulants in the prevention and treatment of venous ...
16820609 - Perioperative increases in serum creatinine are predictive of increased 90-day mortalit...
21499919 - Emergency ureteroscopic lithotripsy in acute renal colic caused by ureteral calculi: a ...
20798249 - Percutaneous treatment of thrombosed arteriovenous fistulas: clinical and economic impl...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of surgical research     Volume:  95     ISSN:  0022-4804     ISO Abbreviation:  J. Surg. Res.     Publication Date:  2001 Jan 
Date Detail:
Created Date:  2001-02-02     Completed Date:  2001-02-02     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0376340     Medline TA:  J Surg Res     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  13-8     Citation Subset:  IM    
Copyright Information:
Copyright 2001 Academic Press.
Department of Surgery, University of South Florida, Tampa, Florida 33601, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Fundoplication / methods*
Gastroesophageal Reflux / surgery*
Length of Stay
Middle Aged
Postoperative Complications

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Radiofrequency ablation treatment of refractory carcinoid hepatic metastases.
Next Document:  Alpha-tocopherol succinate inhibits growth of gastric cancer cells in vitro.