Fundoplication surgery : a clinical guide to optimizing results

Fundoplication surgery : a clinical guide to optimizing results / Ralph W. Aye, John G. Hunter, editors.

This book is intended for surgeons wanting to take their antireflux practice to an advanced level. It focuses on what experts do in real life, highlights pitfalls in skillful patient selection and fundoplication surgical technique, and addresses how to handle the curve balls. It also provides recomm...

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Bibliographic Details
Other Authors: Aye, Ralph W. (Ralph Williams), Hunter, John G.
Format: eBook
Language:English
Published: Cham : Springer, ©2016.
Subjects:
Fundoplication.
Surgery.
surgery (health care function)
General surgery.
MEDICAL > Surgery > General.
Fundoplication
Online Access:Click for online access
Table of Contents:
  • Preface; Contents; Contributors; Chapter 1: Anatomy of the Reflux Barrier in Health, Disease, and Reconstruction; Introduction; The Elusive Lower Esophageal Sphincter; Evidence of a Sphincter; Components of the Reflux Barrier; LES Length and Pressure; Angle of His; Crural Diaphragm; Phrenoesophageal Ligament; The Reflux Barrier in Disease; Reconstruction of the Reflux Barrier; Challenges to Optimal Restoration of the Reflux Barrier; Summary; References; Chapter 2: Surgical Management of GERD: Recommendations for Patient Selection and Preoperative Work-Up; Introduction
  • Surgical Indications Patient Selection; Preoperative Evaluation; History and Physical; Upper Endoscopy; Video Esophagram; Ambulatory pH Monitoring; Esophageal Manometry; Impedance Testing; Computerized Tomography; Gastric Emptying Study; Conclusion; References; Chapter 3: Identification and Management of a "Short Esophagus" and a Complex Hiatus; Introduction; Identifying the Short Esophagus; Management of the Short Esophagus; Outcome with a Collis Gastroplasty; Conclusion; References; Chapter 4: Difficult Diaphragmatic Closure; Introduction; Tension at the Esophageal Hiatus
  • Two Types of Tension: Axial and Radial Contributing Factors to Radial Tension at the Esophageal Hiatus; Operative Management of Difficult Diaphragmatic Closure; Autologous Tissue Flaps; Falciform Ligament; Left Triangular Ligament; Methods to Reduce Hiatal Tension; Diaphragmatic Relaxing Incisions: Operative Technique; Laterality of the Relaxing Incision; Use of Mesh to Reinforcement Diaphragmatic Relaxing Incisions; Reduction in Hiatal Tension Using Pleurotomy and Diaphragmatic Relaxing Incisions; Clinical Effectiveness of Diaphragmatic Relaxing Incisions
  • Gastropexy for the Unclosable Hiatus Conclusions; References; Chapter 5: Laparoscopic Nissen Fundoplication: Pitfalls and Pearls in Going from Learning Curve to Expert; Patient Positioning and Equipment; Annotated Steps of the Operation; Abdominal Access and Port Placement; Pitfalls and Pearls; Hiatal Dissection; Pitfalls and Pearls; Mobilization of the Fundus; Pitfalls and Pearls; Crural Closure; Pitfalls and Pearls; Fundoplication; Pitfalls and Pearls; Completing the Operation; References; Chapter 6: Alternatives to Nissen Fundoplication: The Hill Repair and the Nissen-Hill Hybrid
  • IntroductionAdvantages of the Hill Repair; Principles of Repair; Hill Repair Technique; Manometry Catheter and Bougie Dilator Placement; Patient Positioning and Port Placement; Hiatal Dissection and Closure; Hill Sutures: Anatomical Landmarks; Hill Sutures: Placement; Hill Sutures: Fixation and Manometric Measurements; Completion of the Repair; Postoperative Care; Results of the Hill Repair; The Nissen-Hill Hybrid Repair; Nissen-Hill Hybrid Technique; Nissen Configuration; Placement of Hill Sutures; Modified Hybrid Repair; Nissen Construction

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