[Reoperations following laparoscopic fundoplication]

Rozhl Chir. 2004 Oct;83(10):503-5.
[Article in Czech]

Abstract

During an eight-year-period, 623 laparoscopic fundoplications were conducted in the Surgical Clinic in Olomouc. Out of the total number, 14 of them were reoperations and 4 reoperations were conducted on patients, primarily operated in other clinics. 9 patients were reoperated for dislocations of the rim transhiatally into the mediastinum, respectively aborally to the gastric fundus. 4 patients were operated for oesophageal constricions in the hiatus region and 2 patients for haemoperitoneum caused by haemorrhaging from a wound after the port removal. The remaining 3 patients had the reoperation indicated for a biliary reflux in the oesophageus, the rim loosening or for a non-standard primary procedure, conducted to treat the oesophageal reflux disorder in another clinic. This study discusses causes of individual complications and their treatment alternatives. The authors point-out prevention of complications based on following certain principles during the laparoscopic fundoplication procedures.

Publication types

  • English Abstract

MeSH terms

  • Fundoplication*
  • Gastroesophageal Reflux / surgery*
  • Humans
  • Laparoscopy*
  • Postoperative Complications
  • Reoperation