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Laparoscopic Revision Fundoplication of Transoral Fundoplication
Reginald Bell^*
SurgOne Foregut Institute, Englewood, CO

Transoral fundoplication creates a full-thickness fusion of the distal esophagus to the fundus using small H-shaped polypropylene fasteners. With laparoscopic revision surgery there is potential for leak related to the treatment of these full-thickness fasteners.
There have been reports that laparoscopic revision of a TF is associated with complications of postoperative leak and abscess. These complications a due to tension on or difficulties treating the fasteners, or unfamiliarity with the surgical changes of TF.
This video illustrates a systematic approach to laparoscopic revision that has been used in over 25 procedures without any adverse outcome.

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Back to 2014 Annual Meeting Abstracts