Thal fundoplication: A simple and safe operative treatment for gastroesophageal reflux

Long-Term Outcome of Laparoscopic Nissen Fundoplication Compared with Laparoscopic Thal Fundoplication in Children

“…5,7,16,17 The reason for choosing the Thal fundoplication was because the Thal is a partial wrap, it is widely performed and was reported to be a simple and safe operative treatment for GOR in children with fewer perioperative complications and better long-term outcomes. 18,19 In this study, we observed a significantly higher rate of "absolute" failure after a Thal fundoplication (15.9%) compared with a laparoscopic Nissen fundoplication (5.9%). At the time of revisional surgery there were 6 pure wrap failures in the Thal group compared with 2 in the Nissen group, 5 hiatus hernias in the Thal group compared with 2 in the Nissen group, and 1 additional "functional" wrap failure in the Thal group necessitating the need for a second antireflux operation.…”

Long-term outcome of laparoscopic Nissen-Rossetti fundoplication versus Thal fundoplication in children with esophageal hiatal hernia: a retrospective report from two children’s medical centers in Shanghai

“…It has been widely performed as a simple and safe surgical treatment for children; the Thal procedure had fewer perioperative complications and better long-term outcomes than other procedures. [20] The postoperative esophageal stricture rate decreased in the Thal group, but slight GERD appeared more frequently in this group during follow-up, which was significantly higher than that in the Nissen-Rossetti group (P=0.003). However, in the patients studied, the symptoms of GERD disappeared gradually during the follow-up period.…”

Laparoscopic Nissen Fundoplication Versus Thal Fundoplication in Children: Comparison of Short-Term Outcomes

“…2 The reason for choosing the Thal fundoplication as a comparison was because the Thal is a partial wrap, it is widely performed, and it was reported to be a simple and safe operative treatment for GOR in children with fewer perioperative complications and better long-term outcomes. 7,8 Fundoplication is a major surgical intervention. Although laparoscopy has reduced the surgical trauma of the procedure itself, it still carries an appreciable complication rate, particularly when combined with a gastrostomy.…”