Abstract:

Laparoscopic Nissen fundoplication is indicated in patients with documented gastroesophageal reflux disease who are refractory to maximal medical therapy or who develop a complication of reflux. The laparoscopic approach is a technically demanding procedure which requires extensive two handed tissue dissection and advanced suturing and knotting skills. Our experience with over 400 laparoscopic antireflux procedures over the last three years has highlighted several technical aspects which facilitate the procedure.

Authors:

J.K. Champion, M.D., F.A.C.S., Mercer University School of Medicine, Macon, GA; J. Barry McKernan, M.D., Ph.D., F.A.C.S., Emory University School of Medicine, Atlanta, GA

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