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Anterior 180° Partial Fundoplication—How I Do It

Journal of Gastrointestinal Surgery volume 16, pages 2297–2303 (2012)Cite this article

Abstract

Laparoscopic Nissen fundoplication is the standard operation for the surgical control of gastro-oesophageal reflux in many centres. However, in some patients, it can be followed by troublesome side effects, and to minimise the risk of these, partial fundoplications have been recommended. One approach is to construct an anterior 180° partial fundoplication. Randomised trials and a large outcome study have confirmed that in most patients, this approach achieves effective reflux control, as well as a reduced incidence of side effects. In this paper, we describe our approach to this procedure. The procedure entails full dissection of the oesophageal hiatus, hiatal repair with posteriorly placed sutures and then construction of an anterior 180° partial fundoplication using three sutures to attach the anterior gastric fundus to the oesophagus and right hiatal pillar, and two further sutures between the fundus and the apex of the hiatus.

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Affiliations

  1. Flinders University Department of Surgery, Flinders Medical Centre, Bedford Park, Adelaide, South Australia, 5042, Australia

    Piers A. C. Gatenby, Tim Bright & David I. Watson

Authors
  1. Piers A. C. Gatenby
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  2. Tim Bright
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  3. David I. Watson
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Correspondence to David I. Watson.

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Gatenby, P.A.C., Bright, T. & Watson, D.I. Anterior 180° Partial Fundoplication—How I Do It. J Gastrointest Surg 16, 2297–2303 (2012). https://doi.org/10.1007/s11605-012-1954-y

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  • DOI: https://doi.org/10.1007/s11605-012-1954-y

Keywords

  • Gastroesophageal reflux
  • Fundoplication
  • Laparoscopy