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A Nissen fundoplication, or laparoscopic Nissen fundoplication when performed via laparoscopic surgery, is a surgical procedure to treat gastroesophageal reflux disease (GERD) and hiatal hernia. In GERD, it is usually performed when medical therapy has failed; but, with a Type II (paraesophageal) hiatus hernia , it is the first-line procedure.
In bariatric surgery, hernias are repaired laparoscopically anteriorly, rather than posteriorly as in the fundoplication procedure. This general laparoscopic procedure was introduced by Sami Salem Ahmad from Germany. The Nissen fundoplication procedure was first performed by Rudolph Nissen in 1955. [citation needed]
A Collis gastroplasty is a surgical procedure performed when the surgeon desires to create a Nissen fundoplication, but the portion of esophagus inferior to the diaphragm is too short. Thus, there is not enough esophagus to wrap. A vertical incision is made in the stomach parallel to the left border of the esophagus.
A hiatal hernia or hiatus hernia [2] is a type of hernia in which abdominal organs (typically the stomach) slip through the diaphragm into the middle compartment of the chest. [1] [3] This may result in gastroesophageal reflux disease (GERD) or laryngopharyngeal reflux (LPR) with symptoms such as a taste of acid in the back of the mouth or heartburn.
Named after the Major League Baseball pitcher who was the first professional athlete to undergo the procedure, in 1974. [8] Toupet fundoplication: Andre Toupet: Upper gastrointestinal surgery: Fundoplication with 270° posterior wrap: Laparoscopy Hospital article: Trendelenburg's operation [9] Friedrich Trendelenburg: Cardiothoracic surgery
Leading up to the surgery on Feb. 7, Robinson re-shared a series of supportive messages from his friends on his Instagram story marking the milestone moment in his health journey.
“They can soften clots, help the lining of the nose heal and make it easier to breathe through the nose after a nosebleed,” says Dr. Edwards. You Might Also Like 67 Best Gifts for Women That ...
Coagulation disorders and dense adhesions (scar tissue) from previous abdominal surgery may pose added risk for laparoscopic surgery and are considered relative contra-indications for this approach. Intra-abdominal adhesion formation is a risk associated with both laparoscopic and open surgery and remains a significant, unresolved problem. [34]