Long-term experience of treating 185 patients with gastroesophageal reflux disease (GERD) by anti-reflux surgery respecting the functional–morphological restoration of the esophagus

Abstract

Through the functional-morphological concept of anti-reflux surgery comprising the restoration of the tension-dependent "stretch closure" of the esophagus, significant long-term improvement in quality of life with a low recurrence rate and perioperative morbidity can be achieved.

Randomized clinical trial of the influence of intraperitoneal local anaesthesia on pain after laparoscopic surgery

“…All operations were carried out by the same team of surgeons; six surgeons carried out the hernia repairs and three the fundoplications. Standard procedures for laparoscopic inguinal hernia repair and fundoplication were used11, 12. In all patients access to the peritoneal cavity was established through a 2‐cm umbilical incision.…”

Minimally invasive surgery for benign esophageal disorders: first 200 cases

“…With some of our previous studies, we have shown that ineffective esophageal motility which is often present in these patients, is not a contraindication for NF, and that recovery of esophageal function will occur in the majority after operation [11]. Esophageal motility recovery after NF was demonstrated in several other studies as well [12,13]. The median duration of dysphagia after LNF in the group of patients operated on due to GERD in our study was 26 days, and in all cases resolved spontaneously.…”

Importance of ineffective esophageal motility in patients with erosive reflux disease on the long-term outcome of Nissen fundoplication

“…First, it is the healing of reflux esophagitis, and the second is the reduction of hiatal hernia and the restoration of esophageal length. It was suggested that reduction of hiatal hernia with an increase in the length of the lower esophagus improves contracting function of the esophageal smooth muscle by a mechanism similar to Starling law in the heart muscle [41,42].…”