Laparoscopic redo fundoplication for intrathoracic migration of wrap

Laparoscopic fundoplication is fast emerging as the treatment of choice of gastro-esophageal reflux disease. However, a complication peculiar to laparoscopic surgery for this disease is the intrathoracic migration of the wrap. This article describes a case of a male patient who developed this partic...

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Bibliographic Details
Published in:Journal of minimal access surgery 2008-03, Vol.3 (3)
Main Authors: Maheshkumar, G. S, Jani, Kalpesh, Madhankumar, M. V, Palanivelu, C
Format: Article
Language:English
Subjects:
Laparoscopic fundoplication, laparoscopic redo fundoplication, wrap migration
Online Access:Get full text
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Description
Summary:Laparoscopic fundoplication is fast emerging as the treatment of choice of gastro-esophageal reflux disease. However, a complication peculiar to laparoscopic surgery for this disease is the intrathoracic migration of the wrap. This article describes a case of a male patient who developed this particular complication after laparoscopic total fundoplication. Following a trauma, wrap migration occurred. The typical history and symptomatology is described. The classical Barium swallow picture is enclosed. Laparoscopic redo fundoplication was carried out. The difficulties encountered are described. Postoperative wrap migration can be suspected clinically by the presence of a precipitating event and typical symptomatology. Confirmation is by a Barium swallow. Treatment is by redo surgery.
ISSN:0972-9941