Complications - Laparoscopic Toupet fundoplication

  1. Intraoperative complications

    • Splenic injury
    • Avoid this by circumspect dissection
    • Treat by appropriate coagulation measures, with splenectomy as last resort.
    • Injury of the esophagus / gastric wall
    • Avoid this by circumspect dissection
    • Suture the defect and possibly check by intraoperative endoscopy
    • Pneumothorax
    • Injury to the parietal peritoneum of the mediastinum
    • At the end of the procedure ventilate the lungs well manually with the trocars open; chest films not required.


Postoperative complications

DysphagiaTreatment: Radiography/endoscopy; stepping down the diet, possibly endoscopic bougienageIn

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