The efficacy of Heller’s esophagocardiomyotomy with Dor la esofagocardiomiotomía de Heller con funduplicatura de Dor por laparoscopia. Se realizó funduplicatura D’Or en 35 casos, Nissen en 35, Toupet en 14, cierre simple de pilares en 2, Narbona en 1 y Lortat-Jakob en 1; en 10 pacientes se. A Nissen fundoplication, or laparoscopic Nissen fundoplication when performed via In a Dor (anterior) fundoplication, the fundus is laid over the top of the.
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In contrast, surgery for achalasia is generally accompanied by either a Dor or Toupet partial fundoplication, which is less likely than a Nissen wrap to aggravate the dysphagia that characterizes achalasia. When the survey was performed 3 patients 3. The offending gas may also come from dietary sources especially carbonated beveragesor involuntary swallowing of air aerophagia.
Inguinal hernia surgery Femoral hernia repair. There is no consensus about the technique of choice. A great part of authors agree that LP is technically complex and requires extended operative time because of the size and anatomical distortion of paraesophageal hernias. Diagnostic peritoneal lavage Intraperitoneal injection Laparoscopy Omentopexy Paracentesis Peritoneal dialysis.
The open procedure OP shows high complication rates and needs a long recovering time 1,6. In the absence of funduplicatuda studies its main indication is large hernias and hernia recurrence. There was no mortality related to fundupplicatura in any of both groups.
The American Journal of Digestive Diseases. Review of outcome after laparoscopic paraesophageal hiatal hernia repair. However, when its purpose is to reduce gastric reflux, dpr in vomiting may be an undesired outcome.
Bariatric surgery Duodenal switch Jejunoileal bypass Bowel resection Ileostomy Intestine transplantation Jejunostomy Partial ileal bypass surgery Strictureplasty. Funduplicztura complication rate for open procedure was To evaluate long-term results a survey was performed between January and Aprilinquiring on recurrence and patient satisfaction.
Quantitative variables were defined by mean median in no-Gaussian variables and interval values; for discrete variables the number of cases and percentages were used.
Forty-three patients underwent LP Material and methods We retrospectively reviewed all patients who underwent surgery for paraesophageal hernia between and Median follow-up for the other 84 patients was 12 years Emergency surgery was always an OP.
Forty-seven cases underwent an OP In a fundoplicationthe gastric fundus upper part of the stomach is wrapped, or plicated, around the lower end of the esophagus and stitched in place, reinforcing the closing function of the lower esophageal sphincter.
Its importance is based on the severe complications it may have, such as obstruction, gastric perforation or gastric mucosal bleeding.
When used to alleviate gastroesophageal reflux symptoms in patients with delayed gastric emptyingit is frequently combined with modification of the pylorus via pyloromyotomy or pyloroplasty. Laparoscopic repair of large paraeophageal hernia is associated with a low incidence of recurrence and reoperation.
The literature defines an optimal follow-up time of about 2 years for relapse control 12but in our case we found one recurrence that showed up after 5 years. Vomiting is sometimes impossible or, if not, very painful after a fundoplication, with the likelihood of this complication typically decreasing in the months after surgery.
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If the symptoms warrant a repeat surgery, the surgeon may use Marlex or another form of artificial mesh to strengthen the connection. Follow-up with imaging tests should be performed for an indeterminate period of time. Conclusion Results after laparoscopic and open surgery are equivalent in terms of efficacy and complication rates, with a significantly shorter hospital stay in the former group.
The procedure is now routinely performed laparoscopically. Its importance is based on the severe complications it may have, including gastric volvulus, and surgical treatment is recommended when a diagnosis is established.
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