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Topic: Nissen fundoplication

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Hiatus hernia

Gastroesophageal reflux disease

Laparoscopic surgery

Gerd

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Bilateral cingulotomy

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	LAPAROSCOPIC NISSEN FUNDOPLICATION
		Nissen fundoplication (NIS sen FUN do pli KA shun) is a procedure that alleviates chronic heartburn in people whose condition cannot be controlled by either lifestyle changes or medication.
		If you are one of these people, Nissen fundoplication offers a good chance of overcoming a condition that affects many areas of life-from what and when you eat, to how well you sleep and what you wear.
		About 40 percent of all patients needing Nissen fundoplication have hiatal hernias, a condition that contributes to the burning sensation that patients may experience in their chest, throat, and jaw.
	www.lapsurgery.com /nissen.htm (0 words)

	Laparoscopic Nissen Fundoplication
		View Webcast of laparoscopic Nissen fundoplication procedure performed by Dr.
		During the fundoplication surgery, the surgeon improves the natural barrier between the stomach and the esophagus by wrapping a part of the stomach known as the gastric fundus around the lower esophagus.
		During the laparoscopic Nissen fundoplication procedure, surgeons use small surgical tools and a laparoscope to repair the muscle that separates the stomach and esophagus.
	www.umm.edu /general_surgery/nissen_fundo.html (1053 words)

	Welcome to the TEF / Vater® Web Site!
		Dr. Nissen was born in Neisse, Schlesien on September 9, 1896, retired in 1967 and died at RiehenBasel on January 22, 1981 at the age of 84.
		Nissen’s life had many ups and downs, and during the rise of Hitler in the 1930’s Dr. Nissen without a doubt knew his fate and in 1933 was to leave his position at the Charité in Germany and end his medical career there.
		Nissen decided to do an operation similar to the one he did years earlier in Turkey on a 28 year-old patient who had bleeding and chronic ulcers of the lower esophagus, called a gastroplication without the resection of the cardia.
	www.tefvater.org /esophageal/fundoplications.html (1540 words)

	Lifespan's A - Z Health Information Library - Hiatal hernia repair
		For an open hiatal hernia repair, a cut is made in the stomach area (abdomen) while the patient is under general anesthesia (asleep, no pain).
		The upper part of the stomach (fundus) may be wrapped around the esophagus (fundoplication) to reduce heartburn due to acid reflux.
		A new procedure called endoluminal fundoplication uses a special scope (endoscope) to place small clips on the inside of the esophagus.
	www.lifespan.org /adam/healthillustratedencyclopedia/1/002925.html (595 words)

	Laparoscopic Nissen: Beth Israel Deaconess Medical Center - Boston, Hospital, video, surgery
		The authors present a video Nissen fundoplication performed laparoscopically, utilizing a technique identical to its open counterpart and emphasizing the principles critical to successful antireflux surgery.
		Nissen fundoplication, known to be an effective treatment for many patients with intractable gastroesophageal reflux, can be performed laparoscopically without modifications or special instruments.
		Laparoscopic fundoplication is rapidly becoming the procedure of choice for surgical correction of gastroesophageal reflux in infants and children.
	www.bidmc.harvard.edu /display.asp?node_id=5850 (463 words)

	Laparoscopic Nissen Fundoplication Surgery
		Fundoplication is done as either an open or a laparoscopic procedure.
		Depending on the type of procedure, the wrap is either sutured to the esophagus itself (as in the Toupet), or it is sutured to the stomach on the other side of the wrap (as in the Nissen).
		Since the operation creates a valve mechanism at the bottom of the esophagus to prevent reflux, it may also cause resistance to the passage of food causing more air to be swallowed than before surgery.
	www.nyp.org /masc/nissen1.htm (764 words)

	Fundoplication - Digestion and digestive-related information on MedicineNet.com
		Fundoplication is a surgical technique that strengthens the barrier to acid reflux when the sphincter does not function normally.
		During the fundoplication procedure, the part of the stomach that is closest to the entry of the esophagus (the fundus of the stomach) is gathered, wrapped, and sutured (sewn) around the lower end of the esophagus and the lower esophageal sphincter.
		Fundoplication may be done using a large incision (laparotomy or thoracotomy) or a laparoscope, which requires only several small punctures in the abdomen.
	www.medicinenet.com /fundoplication/article.htm (0 words)

	Laparoscopic Nissen Fundoplication
		Laparoscopic Nissen fundoplication is a well proven therapy for gastroesophageal reflux disease, with over 90% of patients being highly satisfied on 8 to 10 year follow-up [7,8].
		Laparoscopic Nissen fundoplication is an effective treatment for gastroesophageal reflux disease.
		Klaus A, Hinder RA, DeVault KR, Achem SR.
	www.ctsnet.org /sections/clinicalresources/thoracic/expert_tech-2.html (1847 words)

	Laparoscopic Antireflux Procedures
		It was initially believed a Laparoscopic Fundoplication fails because of post-operative torsion or a telescoping phenomenon.
		The inferior aspect of the left hepatic lobe is usually adherent to the fundoplication.
		The lateral aspect of the fundoplication is also dissected from the left hepatic lobe and the medial diaphragmatic crus.
	www.laparoscopy.net /reflux/reflux11.htm (424 words)

	Laparoscopic Fundoplication: Laparoscopic Nissen Fundoplication
		The reason to close the crura in front of the nerve is to trap the nerve and to thereby decrease the probability of slippage of the stomach through the fundoplication into the chest.
		The short gastric vessels are clipped and divided or transected using the Harmonic scalpel to mobilize the greater curvature of the stomach beginning approximately 10 cm distal to the angle of His.
		The left limb of the fundoplication should be carefully selected by using a part of the proximal fundus of the stomach close to the divided short gastric vessels to avoid rotational torsion at the cardia.
	www.sodbrennen-therapie.at /e_anti_4.htm (491 words)

	UW CVES: LAPAROSCOPIC NISSEN FUNDOPLICATION
		The Nissen fundoplication is a surgery performed on the stomach and the esophagus.
		Before the widespread use of laparoscopic procedures, the Nissen fundoplication was performed through an incision in the middle of the abdomen, extending from just below the ribs to the umbilicus (belly button).
		The "fundus" (hence the term fundoplication) of the stomach which is on the left of the esophagus and main portion of the stomach is wrapped around the back of the esophagus until it is once again in front of this structure.
	depts.washington.edu /cves/lapnis.html (635 words)

	Laparoscopic Nissen fundoplication for reflux Laparoscopic Surgeon Sydney Australia
		The traditional surgical procedure, known as Nissen fundoplication, involves a large incision, a hospital stay of 6 to 10 days and a recovery period of 6 to 8 weeks.
		Nissen fundoplication involves constructing a new "valve" between the oesophagus and the stomach by wrapping the upper portion of the stomach around the lowest point of the oesophagus — much the way a bun fits around a hot dog.
		Open Nissen fundoplication was introduced by Dr Rudolph Nissen in 1951.
	www.keyholesurgerycentre.com.au /nissen.html (1346 words)

	Reflux1.com - Laparoscopic Nissen Fundoplication
		Nissen fundoplication can be done in most cases today as a microsurgical procedure involving only small incisions, minimal pain and blood loss, and rapid recuperation.
		The length of hospitalization required for laparoscopic Nissen fundoplication is typically 3-4 days with a return to normal activities in as little as two weeks.
		The Nissen fundoplication is perhaps the most widely performed procedure as it has the best results, with 85-90% of patients reporting improvement of their symptoms.
	www.reflux1.com /care/procedure20.cfm/5 (477 words)

	Laparoscopic Antireflux Procedures
		Consequently, with a normal Nissen of 2.0 to 2.5 cm in length, adequate resting LES pressure will be restored in most patients.
		Laparoscopic Nissen Fundoplication in the Pediatric Patient Population:
		The concept of reinforcing the fundoplication is not recent.
	www.laparoscopy.net /reflux/reflux12.htm (377 words)

	Minimally Invasive Surgery - Laporoscopic Nissen Fundoplication
		Nissen fundoplication (NIS sen FUN do pli KA shun) is a procedure that alleviates chronic heartburn in people whose condition cannot be controlled by either lifestyle changes or medication.
		First performed by Dr. Rudolph Nissen in 1951, Nissen fundoplication has traditionally been performed as an open surgery procedure requiring an incision of 6 to 10 inches long.
		In a small percentage of cases-about one in 50 (about 2 percent) - the surgeon is unable to complete the Nissen fundoplication laparoscopically, and must revert to the open procedure.
	www.hmc.psu.edu /mis/services/nissen.htm (734 words)

	Nissen Fundoplication & Acid Reflux Disease - surgerychannel
		The esophageal hiatus is tightened with a couple of stitches to prevent herniation of the fundoplication and then the surgeon performs the procedure.
		The upper portion of the stomach (the fundus), which is on the left side of the esophagus, is pulled behind and wrapped around the lower portion of the esophagus and then sutured to the portion of the stomach that has moved into the fundus's original position.
		The fundoplication is performed in the same fashion as in open surgery.
	www.surgerychannel.com /nissen (0 words)

	Clinical Trial: Clinical Trial Comparing Open and Laparoscopic Nissen Fundoplication in Children
		The purpose of this study is to determine whether short- and long-term outcomes are different between open and laparoscopic Nissen fundoplication performed in children younger than 2 years of age.
		Nissen fundoplication is a commonly performed procedure in infants and children with gastroesophageal reflux and a variety of other medical conditions including respiratory compromise, severe neurologic impairment, failure to thrive and swallowing dysfunction.
		Randomized controlled trials in adults have shown that laparoscopic fundoplication is a safe procedure that results in lower morbidity, shorter hospital length of stay and similar 5-year recurrence rates when compared to an open procedure.
	www.clinicaltrials.gov /ct/show/NCT00382850?order=9 (480 words)

	Laparoscopic Surgery for GERD
		The operation for treatment of GERD, fundoplication, involves constructing a new "valve" between the esophagus and the stomach by wrapping the upper portion of the stomach (the fundus) around the lowest port of the esophagus.
		For patients who have other problems contributing to or accompanying their GERD, such as a swallowing disorder, a shortened esophagus, or gastric outlet obstruction, there are variations to this surgery so that there is a better overall control of symptoms.
		The type of operation is chosen based on the severity of reflux and complications involved, as well as the function of the esophagus.
	www.columbiasurgery.org /divisions/surgical/gerd.html (1221 words)

	Laparoscopy Hospital - How to do laparoscopic fundoplication ?
		Toupet fundoplication (TF), a 270 degrees posterior wrap, has fewer complications, and its outcome in compared with Nissen Fundoplication is favourable both in children as well as adults
		The 360 degrees Nissen fundoplication (NF) has been the standard operation for Gastro Esophageal Reflux (GER), but is associated with substantial rates of recurrence, "gas bloat," gagging, and dysphagia.
		most surgeon believe that the Toupet fundoplication (TF), a 270 degrees posterior wrap originally described in conjunction with myotomy for achalasia, has fewer complications, and its long-term outcome in compared with Nissen Fundoplication is favorable both in children as well as adults.
	www.laparoscopyhospital.com /lap_fundo.htm (1769 words)

	Gastroesophageal Reflux Disease
		In this study, the outcomes in 198 patients treated with the laparoscopic Nissen fundoplication was evaluated for up to 32 months after surgery to ascertain whether similar positive results could be obtained.
		Patients underwent standard Nissen fundoplications identical in every detail to open procedures except that the procedures were carried out by the laparoscopic route.
		Five patients required conversion to open Nissen fundoplication, which was due to hemodynamic instability secondary to presumed pneumothorax in three patients and colotomy and a distal esophageal perforation in the other two patients.
	www.foxhall.com /gerd.htm (1834 words)

	Health Services \| Triad Heartburn Treatment Center \| Laproscopic Nissen Fundoplication
		Today, The Laparoscopic Nissen Fundoplication is done in approximately 90 minutes.
		Nissen Fundoplication is a surgical procedure that alleviates GERD symptoms when lifestyle changes or anti-reflux medications have not controlled symptoms.
		Patients are carefully screened prior to having a Laparoscopic Nissen Fundoplication.
	www.thomasvillemedicalcenter.org /health_services/heartburn_treatment_center/laproscopic_nissen_fundoplication/index.html (288 words)

	Lap Nissen Fundoplication (Site not responding. Last check: )
		In a presentation at the annual meeting of the Society of American Gastrointestinal Endoscopic Surgeons (SAGES), held here, Dr. Philip R. Schauer said that 26 of the 62 patients having Nissen fundoplications at the University of Pittsburgh Medical Center from May 1996 to March 1997 met the strict preoperative selection criteria for outpatient surgery.
		None had previously undergone upper GI surgery or had a large hiatal hernia, and all were to have just the laparoscopic Nissen fundoplication and no other procedure.
		Schauer compared their costs with those for 12 patients matched to the study group who had had Nissen fundoplications just before the research project began.
	www.upmc.edu /minsurg/LapNissen.htm (573 words)

	Intuitive Surgical - Nissen Fundoplication
		Antireflux surgery, including the Nissen Fundoplication, is well-established as an effective and durable therapy for gastroesophageal reflux disease and its complications.
		The da Vinci Nissen Fundoplication, the surgeon wraps a portion of the stomach, known as the gastric fundus, around the lower esophageal sphincter, creating a mechanical barrier designed to prevent the flow of acid into the esophagus.
		Advantages of the da Vinci Nissen Fundoplication for the surgeon include superb visualization of esophagogastric anatomy, enhanced dexterity for complex re-do operations and increased control for precise crural and fundoplication stitches made through a minimal incision.
	www.intuitivesurgical.com /clinical/generalsurgery/nissen.aspx (0 words)

	What is the Nissen Fundoplication?
		The "fundus" (hence the term fundoplication) of the stomach (top portion of the stomach) is wrapped around the back of the esophagus until it is once again in front.
		The portion of the fundus that is now on the right side of the esophagus is sutured to the portion on the left side to keep the wrap in place.
		There can also be another procedure done at the same time as the fundoplication for children with Delayed Gastric Emptying (DGE) this is called a pyloriplasty and it helps the stomach empty faster.
	www.fundofamilies.com /description.htm (461 words)

	Search > Laparoscopic Nissen fundoplication - Surgical Videos on WeBSurg - Laparoscopic surgery on WeBSurg, the ...
		This video demonstrates a standard laparoscopic Nissen fundoplication with full mobilization of the esophagus through the hiatus, division of short gastric vessels, posterior repair of crural defect, creation of 360 degree floppy Nissen fundoplication.
		Laparoscopic 360 degree fundoplication for GERD with posterior fixation of the valve
		Laparoscopic floppy Nissen fundoplication for GERD with calibration of the valve
	www.websurg.com /ref/doi-vd01en1378e.htm (325 words)

	GERD Surgery
		Nissen fundoplication was developed and named after a German Surgeon, Rudolf Nissen, born 1896.
		Fundoplication surgery using a laparoscopic technique is being done more often.
		If you are considering the surgery, you may want to consult a gastroenterologist (a doctor who specializes in digestive diseases) to evaluate your GERD symptoms or to get an opinion on whether surgery is necessary.
	www.nexiumresearch.com /gerd_surgery.html (0 words)

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