Journal of Surgery

ISSN: [Jurnalul de chirurgie]
ISSN: 1584-9341

Open Access

Bogdan Moldovan

Surgery Clinic "Sf.Constantin" Private Hospital, Braşov Transilvania University, Braşov, Faculty of General Medicine Str.Iuliu Maniu No 49, Braşov,

  • Surgical Techniques
    Left Side First Approach in Nissen Procedure for Gastroesophageal Reflux Disease; How We Do It
    Author(s): Bogdan Moldovan, Pocreata D, Fodor D and Nicolescu CBogdan Moldovan, Pocreata D, Fodor D and Nicolescu C

    Introduction Gastroesophageal reflux disease (GERD) is a major public health problem. The "gold standard" in the surgical treatment of this condition is the laparoscopic technique called Nissen fundoplication. Aim This paper presents a safer alternative of the laparoscopic Nissen fundoplication, with special focus on the most difficult moment of the intervention, the creation of a retroesophageal passage. Material and method (presentation of the surgical technique) The conventional Nissen technique consists of the dissection of the esogastric junction in a clockwise direction, right to left: right pillar, hiatus, left pillar, retroesophageal passage, skeletonization of the fornix and reconstruction of the valve. We decided to perform a technique inspired from laparoscopic sleeve gastrectomy, whi.. Read More»

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Citations: 205

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