Laparoscopic Toupet Fundoplication

  • C. Zornig


Toupet described his technique of fundoplication in 1963 [1]. He had little clinical experience, but saw the importance of a partial wrap to avoid postoperative dysphagia. He recommended closure of the hiatus only in case of large hernias and never divided the short gastric vessels. If we talk about a Toupet procedure today, we mean a posterior partial fundoplication. In contrary to his original technique we have learned that hiatal closure is important to avoid recurrent hernia and that the wrap can be tailored more nicely, if the short gastric vessels are divided. This modern adaptation of Toupet’s operation is a very successful tool to treat gastrooesophageal reflux disease.


Laparoscopic Fundoplication Short Gastric Vessel Partial Fundoplication Postoperative Dysphagia Lower Oesophageal Sphincter 
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© Springer-Verlag/Wien 2006

Authors and Affiliations

  • C. Zornig
    • 1
  1. 1.Department of SurgeryIsraelitisches Krankenhaus HamburgGermany

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