Abstract
Gastroesophageal reflux disease is commonly managed using the laparoscopic Nissen fundoplication technique in a large number of pediatric centers worldwide. The procedure is performed with ease using minimal access techniques; however attention has to be paid to the technical aspects to avoid complications. The chapter explains the procedure of laparoscopic Nissen fundoplication and outlines the operation room setup, positioning of the patient, special instruments required for the procedure and the port placement sites. The indications, contraindications, preoperative considerations and technical considerations for laparoscopic Nissen fundoplication have also been listed. Possible procedural variations have been outlined. The surgical procedure has been explained using sequential high quality images.
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Recommended Literature
St Peter SD, Holcomb GW III (2008) Gastroesophageal reflux disease and fundoplication in infants and children. Ann Pediatr Surg (in press)
St Peter SD, Valusek TA, Calkins CM, Shew SB, Ostlie DJ, Holcomb GW III (2007) Use of esophagocrural sutures and minimal esophageal dissection reduces the incidence of postoperative transmigration of laparoscopic Nissen fundoplication wrap. J Pediatr Surg 42:25–29
St Peter SD, Valusek TA, Ostlie DJ, Holcomb GW III (2007) The use of biosynthetic mesh to enhance hiatal repair at the time of redo Nissen fundoplication. J Ped Surg 42:1298–1301
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© 2009 Springer-Verlag Berlin Heidelberg
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St Peter, S., Holcomb, G. (2009). Nissen Fundoplication. In: Saxena, A., Höllwarth, M. (eds) Essentials of Pediatric Endoscopic Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-78387-9_27
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DOI: https://doi.org/10.1007/978-3-540-78387-9_27
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-78386-2
Online ISBN: 978-3-540-78387-9
eBook Packages: MedicineMedicine (R0)