title: [Laparoscopic correction of recurrent gastro-esophageal reflux following laparoscopic fundoplication (4 cases)].
abstract: A series of 98 laparoscopic fundoplications, included 7 cases (7.1%) of recurrent gastro-oesophageal reflux. Six of these cases occurred within 12 months of surgery. Four were successfully treated by a second laparoscopic procedure. The mean interval between the initial and corrective operations was 10 months. Factors related to failure were: technical errors, operative inexperience, obesity and the size of the hiatus hernia (when crural closure was not performed). Laparoscopic re-operation to was relatively easy and without mortality but had an increased risk of pleural effusions. The mean length of hospital stay for re-operations was identical to that of initial operations (4 days). No further recurrences were noted after a mean follow-up of one year (280-475 days). We conclude that early failures following laparoscopic fundoplication can be effectively dealt with laparoscopic surgery.
authors.affiliation: Service de Chirurgie Générale et Digestive, Hôpital Jean-Verdier, Bondy.
authors.forename: G
authors.initials: G
authors.lastname: Champault
authors.forename: C
authors.initials: C
authors.lastname: Barrat
authors.forename: N
authors.initials: N
authors.lastname: Rizk
authors.forename: J M
authors.initials: JM
authors.lastname: Catheline
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D018662:Fundoplication / Q000009:adverse effects* / Q000379:methods; D005764:Gastroesophageal Reflux / Q000209:etiology / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D012086:Reoperation