A comparative Study between Laparoscopic Nissen and Toupet Fundoplication in Management of Hiatus Hernia

Abstract

Background: Gastroesophageal reflux disease (GERD) is a frequent clinical disorder characterized by the reflux of gastric constituents into the esophagus or oropharynx via lower esophageal sphincter (LES), leading to complications and/or injury to esophageal tissue fatal enough to disrupt a patient's life and necessitating long-term management with medicines and lifestyle changes. Aim of the work:To evaluate and contrasting the surgical results of a 270° wrap (Toupet, T) versus a 360° wrap (Nissen, N) in patients with gastroesophageal reflux disease (GERD) in accordance with symptom alleviation, therapeutic response, and postoperative complications like dysphagia, gas bloat disorder, and recurrence. Patients and methods: Laparoscopic antireflux surgery was performed on a sum of 20 individuals with extreme GERD and/or hiatal hernia. Participants were separated into two groups: group I underwent Nissen fundoplication, with ten patients, and group II underwent Toupet fundoplication, with ten patients. Age, gender, BMI, functional esophageal test before surgery, symptom alleviation, post-operative complications, and inpatient duration were all similar across the two groups.Results: Toupet fundoplication (TF) was related with considerably reduced postoperative dysphagia than Nissen fundoplication in patients with GERD and concurrent preoperative esophageal dysmotility (NF). Conclusion:The findings of this research show that laparoscopic fundoplication is a secure and effective management for GERD. Despite the fact that laparoscopic Nissen fundoplication is regarded the benchmark for anti-reflux surgeries, our research found that Toupet Fundoplication (TF) is linked with considerably reduced postoperative dysphagia in GERD patients than Nissen Fundoplication (NF).