This review demonstrates that although technically challenging, redo laparoscopic fundoplication can be an effective tool in the operative management of clinically significant problems after primary fundoplication.
A majority of cholecystectomy specimens cannot pass through an endoscopic overtube. Preoperative ultrasound findings can predict successful specimen extraction. An IGS or a gallstone 10 mm or larger should be considered a relative contraindication to transgastric NOTES cholecystectomy.
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