Surgery Clinic "Sf.Constantin" Private Hospital, Braşov Transilvania University, Braşov, Faculty of General Medicine Str.Iuliu Maniu No 49, Braşov,
Romania
Surgical Techniques
Left Side First Approach in Nissen Procedure for Gastroesophageal Reflux Disease; How We Do It
Author(s): Bogdan Moldovan, Pocreata D, Fodor D and Nicolescu CBogdan Moldovan, Pocreata D, Fodor D and Nicolescu C
Introduction
Gastroesophageal reflux disease (GERD) is a major public health problem. The "gold standard" in the surgical treatment of this condition is the laparoscopic technique called Nissen fundoplication.
Aim
This paper presents a safer alternative of the laparoscopic Nissen fundoplication, with special focus on the most difficult moment of the intervention, the creation of a retroesophageal passage.
Material and method (presentation of the surgical technique)
The conventional Nissen technique consists of the dissection of the esogastric junction in a clockwise direction, right to left: right pillar, hiatus, left pillar, retroesophageal passage, skeletonization of the fornix and reconstruction of the valve. We decided to perform a technique inspired from laparoscopic sleeve gastrectomy, whi.. Read More»
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