Laparoscopic Hiatal Hernia Repair With Concomitant Transoral Incisionless Fundoplication

ABSTRACT Patients with gastroesophageal reflux disease and a large hiatal hernia can have life‐disrupting symptoms, such as heartburn, regurgitation, cough, and hoarseness. Gastroesophageal reflux disease symptoms are often treated with proton pump inhibitors and occasionally treated with surgery. T...

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Bibliographic Details
Published in:AORN journal 2023-03, Vol.117 (3), p.149-158
Main Author: Pype, DeAnn L.
Format: Article
Language:English
Subjects:
Antacids
Catheters
concomitant transoral incisionless fundoplication (cTIF)
Contraindications
Dysphagia
Endoscopy
Esophagus
EsophyX device
Fundoplication - methods
Gastroenterology
Gastroesophageal reflux
Gastroesophageal Reflux - surgery
gastroesophageal reflux disease (GERD)
Gastrointestinal surgery
Herniorrhaphy
hiatal hernia repair
Hiatal hernias
Histamine
Humans
Laparoscopy
Patients
proton pump inhibitor (PPI)
Proton Pump Inhibitors
Quality of Life
Stomach
Surgery
Treatment Outcome
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Summary:ABSTRACT Patients with gastroesophageal reflux disease and a large hiatal hernia can have life‐disrupting symptoms, such as heartburn, regurgitation, cough, and hoarseness. Gastroesophageal reflux disease symptoms are often treated with proton pump inhibitors and occasionally treated with surgery. The last decade has seen the development of a new procedure—laparoscopic hiatal hernia repair with concomitant transoral incisionless fundoplication. When transoral incisionless fundoplication is performed immediately after a laparoscopic hiatal hernia repair, it may enable the discontinuation of proton pump inhibitors and improve a patient's quality of life. This article explores the development of the transoral incisionless fundoplication procedure as well as its concomitant use after hiatal hernia repair at all stages of perioperative care. Also included is a hypothetical case study that illustrates the perioperative nursing care of a patient undergoing this procedure.
ISSN:0001-2092
1878-0369
DOI:10.1002/aorn.13881