Reoperative laparoscopic fundoplication for the treatment of failed fundoplication

Papasavas, Pavlos; Yeaney, Woodrow W.; Landreneau, Rodney J.; Hayetian, Fernando; Gagné, Daniel J.; Caushaj, Philip F.; Macherey, Robin S.; Bartley, Susan; Maley, Richard H.

doi:10.1016/j.jtcvs.2004.04.037

Cited by 32 publications

(25 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…5,[16][17][18][19][20][21][22]26,27,30,31,[45][46][47][48][49] The aggregate of published evidence suggests that revision laparoscopic fundoplication and hiatal herniorraphy is effective, but technically challenging; thus, these revisional procedures should probably be performed in specialty centers. More important, however, are lessons learned in minimizing failure after primary operation.…”

Section: Resultsmentioning

confidence: 99%

“…5,[16][17][18][19][20][21][22][23] Others have noted issues with the hiatal disruption during laparoscopic revision fundoplication. 8,16,18,19,22,[24][25][26][27][28][29][30][31][32][33][34] Herniation of the wrap, whether due to short esophagus or inadequate repair of the hiatus, is a primary mechanism of failure after minimally invasive fundoplication. We feel that this is almost always secondary to an inadequate repair of the esophageal hiatus or insufficient esophageal mobilization, as opposed to a shortened esophagus.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Laparoscopic Revision of Failed Fundoplication and Hiatal Herniorraphy

Frantzides

Madan

Carlson

et al. 2009

Journal of Laparoendoscopic & Advanced Surgical Techniques

View full text Add to dashboard Cite

Objective: The aim of this study was to evaluate the mechanisms of failure after laparoscopic fundoplication and the results of revision laparoscopic fundoplication. Background: Laparoscopic Nissen fundoplication has become the most commonly performed antireflux procedure for the treatment of gastroesophageal reflux disease, with success rates from 90 to 95%. Persistent or new symptoms often warrant endoscopic and radiographic studies to find the cause of surgical failure. In experienced hands, reoperative antireflux surgery can be done laparoscopically. We performed a retrospective analysis of all laparoscopic revision of failed fundoplications done by the principle author and the respective fellow within the laparoscopic fellowship from 1992 to 2006. Methods: A review was performed on patients who underwent laparoscopic revision of a failed primary laparoscopic fundoplication. Results: Laparoscopic revision of failed fundoplication was performed on 68 patients between 1992 and 2006. The success rate of the laparoscopic redo Nissen fundoplication was 86%. Symptoms prior to the revision procedure included heartburn (69%), dysphagia (8.8%), or both (11.7%). Preoperative evaluation revealed esophagitis in 41%, hiatal hernia with esophagitis in 36%, hiatal hernia without esophagitis in 7.3%, stenosis in 11.74%, and dysmotility in 2.4%. The main laparoscopic revisions included fundoplication alone (41%) or fundoplication with hiatal hernia repair (50%). Four gastric perforations occurred; these were repaired primarily without further incident. An open conversion was performed in 1 patient. Length of stay was 2.5 Ϯ 1.0 days. Mean follow-up was 22 months (range, 6-42), during which failure of the redo procedure was noted in 9 patients (13.23%). Conclusion: Laparoscopic redo antireflux surgery, performed in a laparoscopic fellowship program, produces excellent results that approach the success rates of primary operations. 135

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Laparoscopic Revision of Failed Fundoplication and Hiatal Herniorraphy

Frantzides

Madan

Carlson

et al. 2009

Journal of Laparoendoscopic & Advanced Surgical Techniques

View full text Add to dashboard Cite

show abstract

“…This includes procedures such as a Collis-Nissen for short esophagus, revision of failed fundoplications (laparoscopic or open), and repair of giant or recurrent hiatal hernias. Reports by Hunter, Anvari, Rosemurgy [10] and others [3,9] have demonstrated that these procedures can be undertaken safely with success rates of up to 95%. There also are a few small series in the pediatric population, including those by Tan and Wulkan [13] and Espisito et al [2], that show favorable results, as compared with open redo fundoplication.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic redo Nissen fundoplication in infants and children

Rothenberg

2006

Surg Endosc

View full text Add to dashboard Cite

From January 1994 to December 2004, 118 patients with recurrent gastroesophageal reflux disease (GERD) after fundoplication underwent laparoscopic redo Nissen fundoplication. The patients ranged in age from 6 months to 19 years (mean, 7 years), and weighed from 6.4 to 85 kg. Of the 118 patients, 64 had previous open fundoplications, 53 had previous laparoscopic fundoplications, and 19 had more than one previous fundoplication. All the procedures had been successfully completed laparoscopically. The average operative time was 100 min. The intraoperative complication rate was 1.1%. The average time to full feeding was 1.8 days, and the average hospital stay was 2.2 days. The postoperative complication rate was 3.6%. The wrap failure rate during an average follow-up period of 48 months was 6%. Laparoscopic redo Nissen fundoplication for a failed antireflux procedure is a safe and effective procedure. It has the same benefits as a primary laparoscopic Nissen for GERD, with low morbidity and a quicker recovery. Early follow-up evaluation suggests that the long-term outcome is superior to that associated with open redo fundoplication.

show abstract

“…The application of the inclusion and exclusion criteria using information available in the published abstracts left 35 articles for a full review. From this pool, the final 17 articles were selected [9,[12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27]. An additional review of the references in these final 17 articles yielded no additional publications for inclusion in the analysis.…”

Section: Search Yieldmentioning

confidence: 99%