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Laparoscopic Antireflux Procedures

Sages Guidelines
OR Set-up
Lap Nissen-360
Lap Toupet-270
w Esophageal Length.
Redo LapNissen
Technical Analysis
Surg. Performance

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Laparoscopic Antireflux Procedures
Major References
  1. New Developments in Laparoscopy: PJ Quilici - USSC Press; 1992

  2. Outcomes of Laparoscopic Fundoplication for gastroesophageal reflux disease and paraesophagheal hernia - Experience with 1000 consecutive cases. M Terry et al. Surg Endosc (2001) 15:691-699

  3. The floppy Nissen Fundoplication: effective long term control of pathological reflux - PE Donahue et al. Arch Surg 120: 663-668

  4. Dysphagia after laparoscopic antireflux surgery. JG Hunter et al. Ann Surg 224:51-57

  5. A physiologic approach to laparoscopic fundoplication for gastroesophageal reflux disease. Ann Surg 223: 673-687

  6. Mesh Crural Repair of large paraesophageal hernias: Hui T et al: Am Surg 67-12:1170-1174

  7. Clinical efficacity of the Toupet technique performed by laparoscopic surgery: medium tern follow-up in 122 cases. Pozo F et al: SURG ENDO2001-15-10:1171-1174

  8. Laparoscopic reoperative antireflux surgery:  Awad Z et al: SURG ENDO 2001-15-12:1401-1407

  9. Late Outcomes after laparoscopic surgery for gastro-esophageal reflux: Liu J. et al: Arch Surg / Vol137, Apr2002: 397-401



Procedural Videos
> Lap Nissen: 360 Deg. Simple - Full

> Lap Nissen: 360  Deg. Complicated

> Lap Nissen: Using the EndoStich Instrument.

> Lap Nissen: Taking down the short gastric vessels with the UltraShears instruments

> Lap Nissen: Management of Iatrogenic Splenic Tear

> Lap Toupet: 270 Deg. Full

> Reinforced Lap Nissen: 360 Deg. Full

> Lap Nissen with closure of large Paraesophageal Hernia

> LapNissen with Esophageal Lengthening

> Lap Nissen: Revision of Failed Lap Nissen

> Lap Nissen: Revision of Open Nissen Fundoplication

> Lap Nissen with Hepatic Shoulder


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