The clinical case presented in this article illustrates one of the serious iatrogenic complications Nissen fundoplication: diaphragmatic eventration. A 65-year-old patient was diagnosed with recurrent paraesophageal hiatal hernia. Intraoperatively, it treated as Laparoscopic refundoplication, suturing diaphragm defect performed. discharged satisfactory condition on 5th day.

INTRODUCTION Barrett's esophagus (BE) is a state in which the distal portion of esophageal mucosa becomes lined with cylindrical epithelium as a result of adaptive remodeling. It is widely accepted that the metaplastic lesions result from chronic irritation with gastric and/or duodenal contents in the course of reflux disease. For many years, research centered on the risk factors of BE and resu...

Esophagogastric fistula is a rare complication following Nissen fundoplication, with symptoms usually developing within weeks to 3 years postoperatively.1-3 Proposed mechanisms include recalcitrant reflux, erosion of sutures with Teflon pledgets, and damage associated with repeat procedures.1-3 Past reports describe management of the esophagogastric fistulae with antireflux medications, dilatio...

The paper presents a comparative characteristic of the results surgical treatment 27 patients with hiatal hernias using Rampal–Narbona cardiorespexy technique and 16 who underwent laparoscopic Nissen– Rosetti fundoplication cruroraphy. Cardioterespexy according to Rampal-Narbona consists in use lig. Teres hepatis aim forming angle His, fixing cardiac part stomach esophagus abdominal cavity. The...

BACKGROUND Laparoscopic Nissen fundoplication is an effective technique for the symptomatic relief of the manifestations of gastroesophageal reflux disorder but is associated with a 0.8-1% rate of gastroesophageal perforation. Early detection and repair of these injuries is critical to patient outcome, but occult injuries occur and may be missed. Gastric insufflation technique evaluates the int...

The Nissen fundoplication is well established as the surgical treatment for medically refractory gastroesophageal reflux (GER) in childhood. Recurrent GER following fundoplication is a challenging problem with a reported incidence ranging from 0% to 12%. From January 1974 to January 1989, 286 children have been treated for GER with Nissen fundoplication and gastrostomy tube placement at the Uni...