Surgical clips to help identify anatomy after a Nissen fundoplication.
Laparoscopic fundoplication has had a remarkable growth in the treatment of gastroesophageal reflux disease. But a failure rate of more than 5% has led to increasing numbers of patients with recurrent symptoms presenting for corrective surgery. A simple technique of placing surgical clips on the sutures used to place the wrap helps identify the anatomy during contrast studies and helps plan for corrective surgery.
Heneghan
Steven J
SJ
Bassett Healthcare, 1 Atwell Rd., Cooperstown, NY 13326, USA. steven.heneghan@bassett.org
Willis
Paul M
PM
Gold
Michael S
MS
D004947:Esophagus / Q000033:anatomy & histology / Q000601:surgery; D018662:Fundoplication / Q000295:instrumentation* / Q000379:methods; D005764:Gastroesophageal Reflux / Q000601:surgery*; D006801:Humans; D012008:Recurrence; D013270:Stomach / Q000033:anatomy & histology / Q000601:surgery; D013525:Surgical Instruments; D013536:Suture Techniques