Laparoscopic fundoplication in children with previous abdominal surgery

Endoscopic gastrostomy placement in the child with gastroesophageal reflux: is concomitant antireflux surgery indicated?

“…In this situation, an antireflux procedure can be safely performed in the presence of a gastrostomy [21]. For most cases, this can be achieved without requiring revision of the pre-existent gastrostomy [22,23].…”

Laparoscopic Nissen fundoplication without division of short gastric vessels in children

“…The data in children however have been scarce [18][19][20]. We have previously presented our surgical outcome of LNRF in a small series of children (b30) with previous abdominal surgeries and subsequently in a larger series of 117 children showing encouraging results, albeit with shortterm follow-up (b 2 years) [16,17]. The current report represents a retrospective study of a larger series of 365 children who successfully underwent LNRF for GERD assessing surgical outcome over an 8-year period with longer follow-up.…”

“…Laparoscopic Nissen-Rossetti fundoplication was performed in all patients using a previously described technique [16,17] with minor revisions in technique instituted during the study. In brief, this consisted of dissection of both crura followed by full esophageal mobilization and routine hiatal repair.…”

The Safety of Laparoscopy in Pediatric Patients with Ventriculoperitoneal Shunts

“…Laparoscopic cholecystectomy, gastrostomy, fundoplication, Ladd's procedure, and many urologic procedures all have been demonstrated to be safe without evidence of neurologic complication and low rates of infection. [11][12][13][14][15][16] In a recent comparative series, there was a higher rate of VP shunt infections in pediatric patients who underwent open (7 infections), as opposed to laparoscopic (3 infections), Nissen fundoplications=gastrostomy tubes. 17 In our study, there were 3 infections in the open group and 1 in the laparoscopic group; the difference did not reach statistical significance.…”