Laparoscopic fundoplication has emerged as an effective treatment for gastro-oesophageal reflux disease. The majority of patients who have undergone antireflux surgery report an improvement in reflux symptoms and in quality of life. However, some patients are dissatisfied with the outcome of antireflux surgery, and attempts have been made by surgeons to improve the results of this surgery. Care...

The review raised current problems arising from the use of various surgical methods for treatment gastroesophageal reflux disease and small diaphragmatic hernias. literature search aimed to identify main indications, criteria choosing laparoscopic antireflux surgeries, compare results on frequency relapses complications posterior cruroraphia Nissen fundoplication. Various techniques fundoplicat...

2004;44;256-260 J. Am. Coll. Cardiol. and Carol A. Zaher Steven E. Nissen, Abdulla M. Abdulla, Bijoy K. Khandheria, Michael G. Kienzle, efficiency Working group 6: The role of technology to enhance clinical and educational This information is current as of April 14, 2008 http://content.onlinejacc.org/cgi/content/full/44/2/256 located on the World Wide Web at: The online version of this article,...

A 56-year-old man with a large paraesophageal hiatus hernia, treated in a tforeign clinic with a Nissen fimdoplication (when a lesion of the gastric fornix during laparoscopic dissection has determined conversion to open technique) is admitted 3 weeks after surgery, being diagnosed with an esophageal leekage witch maintains a large subphrenic abscess with sepsis. The patient was cured by draini...

We describe a case of an acute paraoesophageal hernia in the early post-operative period following a laparoscopic Nissen fundoplication. Patient developed intraoperative tension pneumothorax requiring an immediate chest drain and subsequently needed respiratory support of a continuous positive airway pressure (CPAP) ventilation. A short discussion of this rare but deleterious complication and t...