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Antireflux Surgery pp 81–88Cite as

Complete Fundoplications: Indications and Technique

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Abstract

Rudolf Nissen discovered in 1956 that a fundoplication prevented reflux. Subsequently, with better understanding of the pathophysiology of gastroesophageal reflux disease (GERD) and its association with not only hiatal hernias, but the mechanical functions of the lower esophageal sphincter (LES), the original procedure has been modified and refined to offer a patient-friendly, reproducible, and highly effective anti-reflux treatment. After the first report in 1991, the laparoscopic approach to fundoplication has rapidly replaced the conventional open procedure. The impact of a surgeon’s experience and hospital volume on the results of laparoscopic Nissen fundoplication has been well established and correlates well with intra- and post-operative complication rates, the short-term results concerning reflux control as well as long-term clinical outcomes. This chapter contains a description of the operative details of the Nissen procedure as practiced around the world, evidence-based confirmation of certain key technical points as well as the major indications for the procedure.

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Authors and Affiliations

  1. Department of Surgery, Sahlgrenska University Hospital, Dehr Dubbsgatan, Goteburg, 413 45, Sweden

    Cecilia Engström MD, PhD

  2. Gastrocentrum Surgery, Karolinska University Hospital, Stockholm, S141 86, Sweden

    Lars Lundell MD, PhD

Authors
  1. Cecilia Engström MD, PhD
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  2. Lars Lundell MD, PhD
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Corresponding author

Correspondence to Lars Lundell MD, PhD .

Editor information

Editors and Affiliations

  1. GI and MIS Surgery, The Oregon Clinic Providence Portland Medical Center, Portland, Oregon, USA

    Lee L. Swanstrom

  2. GI and MIS Surgery, The Oregon Clinic Providence Portland Medical Center, Portland, Oregon, USA

    Christy M. Dunst

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Engström, C., Lundell, L. (2015). Complete Fundoplications: Indications and Technique. In: Swanstrom, L., Dunst, C. (eds) Antireflux Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1749-5_9

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  • DOI: https://doi.org/10.1007/978-1-4939-1749-5_9

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-1748-8

  • Online ISBN: 978-1-4939-1749-5

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