Abstract
The Thal fundoplication is a 180–270° anterior wrap. The basic dissection is similar to that of any other fundoplication, except that it does not require a posterior window or posterior mobilisation of the oesophagus and requires less dissection of the crus. It achieves the same surgical objectives as other types of fundoplication, i.e., ensuring an intra-abdominal oesophagus, creating an acute angle at the gastro-oesophageal junction, and creating a high-pressure zone around the lower oesophagus [1]. Thal fundoplication has an equivalent success rate in neurologically normal children but has a higher failure rate in neurologically impaired children when compared with the Nissen fundoplication. It also results in less postoperative dysphagia [2].
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References
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Ashour, K., Lee, A.C.H., Grant, H.W. (2017). Laparoscopic Thal Fundoplication. In: McHoney, M., Kiely, E., Mushtaq, I. (eds) Color Atlas of Pediatric Anatomy, Laparoscopy, and Thoracoscopy. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-53085-6_18
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DOI: https://doi.org/10.1007/978-3-662-53085-6_18
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