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Journal of Minimal Access Surgery
Medknow Publications
ISSN: 0972-9941 EISSN: 0972-9941
Vol. 3, No. 3, 2007, pp. 111-113
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Bioline Code: ma07025
Full paper language: English
Document type: Research Article
Document available free of charge
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Journal of Minimal Access Surgery, Vol. 3, No. 3, 2007, pp. 111-113
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Laparoscopic redo fundoplication for intrathoracic migration of wrap
Maheshkumar, G. S.; Jani, Kalpesh; Madhankumar, M. V. & Palanivelu, C.
Abstract
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.
Keywords
Laparoscopic fundoplication, laparoscopic redo fundoplication, wrap migration
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