BACKGROUND AND OBJECTIVES Adult laparoscopic Nissen fundoplication has been steadily growing since its introduction to the United States in the 1990s. Its advantage over the traditional open approach is manifold. Application of laparoscopic fundoplication to children is slowly but surely following this trend. This study evaluates our initial experience with pediatric laparoscopic Nissen fundopl...

HYPOTHESIS Prosthetic crural closure does not adversely influence esophageal body motility. In most patients, postoperative increased dysphagia resolves spontaneously during the first months after surgery. DESIGN Prospective randomized trial. We compared patients who underwent laparoscopic Nissen fundoplication with simple sutured hiatal closure and those who underwent laparoscopic Nissen fun...

To cite: Patel RV, Jackson P, De Coppi P, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2013202764 DESCRIPTION A case of giant hiatal hernia (HH) associated with severe gastro-oesophageal reflux disease (GORD) treated by laparoscopic Nissen fundoplication and gastrostomy in an infant with situs inversus totalis (SIT) is reported highlighting the challenge...

BACKGROUND Postoperative intrathoracic wrap migration is the most frequent morphological complication after laparoscopic antireflux surgery. Previous authors have studied the use of prosthetic materials for hiatal closure to prevent recurrence of hiatal hernia and/or postoperative intrathoracic wrap herniation. HYPOTHESIS Patients with prosthetic hiatal closure have a higher rate of short-ter...

In the Chapter VI of a book by Heinrich Nissen, entitled Das Templum, 1869, we can find author claiming Nolan Street Pompeii had been aligned according to sunrise on summer solstices. Here discuss how Nissen justified his thought. We will see in particular point view about orientation as rebuked Hyginus. discussion, also mention observations made Ferdinando Castagnoli Nissen's Templum and Stefa...

BACKGROUND Laparoscopic fundoplication is increasingly performed in pediatric surgery. Many types of fundoplication are performed, each has advantages and disadvantages. To date there has been no prospective randomized study to determine the optimal laparoscopic technique in children. The aim of the study was to compare the long-term outcomes and control of symptoms after laparoscopic Nissen fu...

The changes produced by the Nissen fundoplication were measured in 12 patients, who required surgery to control their reflux oesophagitis. The gastro-oesophageal junction of each patient was studied before and three months after operation by station pullthrough manometry and prolonged pH monitoring of the distal oesophagus. All patients were free from reflux symptoms post-operatively. The Nisse...