Transabdominal Nissen Fundoplication

  • Carol E. H. Scott-ConnerEmail author
  • Jameson L. Chassin


Transabdominal Nissen fundoplication provides a 360° wrap around the distal esophagus. It has been supplanted by laparoscopic techniques, and is primarily used now when the laparoscopic approach is not feasible. This chapter describes the technique, pitfalls, and complications associated with this procedure.


Hiatus Hernia Gastroesophageal Junction Esophagogastric Junction Gastric Fundus Splenic Injury 
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Further Reading

  1. Draaisma W, Rijnhart-de Jong HG, Broeders IA, Smout AJ, et al. Five-year subjective and objective results of laparoscopic and conventional Nissen fundoplication: a randomized trial. Ann Surg. 2006;144:34.CrossRefGoogle Scholar
  2. Horgan S, Pohl D, Bogetti D, Eubanks T, Pellegrini C. Failed antireflux surgery: what have we learned from reoperations? Arch Surg. 1999;134:809.PubMedCrossRefGoogle Scholar
  3. Kauer WK, Peters JH, DeMeester TR, et al. A tailored approach to antireflux surgery. J Thorac Cardiovasc Surg. 1995;110:141.PubMedCrossRefGoogle Scholar
  4. Leonardi HK, Crozier RE, Ellis FH. Reoperation for complications of the Nissen fundoplication. J Thorac Cardiovasc Surg. 1981;81:50.PubMedGoogle Scholar
  5. Luostarinen ME, Isolauri JO. Randomized trial to study the effect of fundic mobilization on long-term results of Nissen fundoplication. Br J Surg. 1999;86:614.PubMedCrossRefGoogle Scholar
  6. Ohnmacht GA, Deschamps C, Cassivi SD, et al. Failed antireflux surgery: results after reoperation. Ann Thorac Surg. 2006;81:2050.PubMedCrossRefGoogle Scholar
  7. Peillon C, Manouvrier JL, Labreche J, et al. Should the vagus nerves be isolated from the fundoplication wrap? A prospective study. Arch Surg. 1994;129:814.PubMedCrossRefGoogle Scholar
  8. Peters MJ, Muktat A, Yunus RM, et al. Meta-analysis of randomized clinical trials comparing open and laparoscopic anti-reflux surgery. Am J Gastroenterol. 2009;104:1548.PubMedCrossRefGoogle Scholar
  9. Polk Jr HC. Fundoplication for reflux esophagitis: misadventures with the operation of choice. Ann Surg. 1976;183:645.PubMedCrossRefGoogle Scholar
  10. Rieger NA, Jamieson GG, Britten-Jones R, Tew S. Reoperation after failed antireflux surgery. Br J Surg. 1994;81:1159.PubMedCrossRefGoogle Scholar
  11. Rogers DM, Herrington JL, Morton C. Incidental splenectomy associated with Nissen fundoplication. Ann Surg. 1980;191:153.PubMedCrossRefGoogle Scholar
  12. Salminen PT, Hiekkanen HI, Rantala AP, Ovaska JT. Comparison of long-term outcome of laparoscopic and conventional Nissen fundoplication: a prospective randomized study with an 11-year follow-up. Ann Surg. 2007;246:201.PubMedCrossRefGoogle Scholar
  13. Stirling MC, Orringer MB. Surgical treatment after the failed antireflux operation. J Thorac Cardiovasc Surg. 1986;92:667.PubMedGoogle Scholar
  14. Urschel JD. Complications of antireflux surgery. Am J Surg. 1993;166:68.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Carol E. H. Scott-Conner
    • 1
    Email author
  • Jameson L. Chassin
    • 2
  1. 1.Department of Surgery, Roy J. and Lucille A. Carver College of MedicineUniversity of IowaIowa CityUSA
  2. 2.Department of SurgeryNew York University School of MedicineNew YorkUSA

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