Management of complications after laparoscopic Nissen's fundoplication: a surgeon's perspective
2009

Managing Complications After Laparoscopic Nissen's Fundoplication

Sample size: 301 publication Evidence: moderate

Author Information

Author(s): Tarun Singhal, Santosh Balakrishnan, Abdulzahra Hussain, Starlene Grandy-Smith, Andrew Paix, Shamsi El-Hasani

Primary Institution: The Princess Royal University Hospital, Bromley Hospitals NHS Trust

Hypothesis

The study aims to recognize complications encountered after laparoscopic Nissen's fundoplication for effective management.

Conclusion

Recognizing complications early in laparoscopic Nissen's fundoplication is crucial to minimize morbidity and mortality.

Supporting Evidence

  • Surgery was completed laparoscopically in all patients except five due to technical difficulties.
  • Complications included major intra-operative bleeding, severe post-operative nausea and vomiting, and recurrent heartburn.
  • Recognizing complications early can prevent the need for emergency surgery.

Takeaway

This study looked at problems that can happen after a specific stomach surgery and how to fix them quickly to help patients feel better.

Methodology

Data from 301 patients who underwent laparoscopic treatment for GORD was collected and analyzed for complications and their management.

Limitations

The study did not require ethics committee approval, which may limit the generalizability of the findings.

Participant Demographics

Average age of patients was 46 years, with a male to female ratio of 1.88:1.

Digital Object Identifier (DOI)

10.1186/1750-1164-3-1

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