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Perioperative management - Laparoscopic Toupet fundoplication

general and visceral surgery
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Anatomy Perioperative management Technique Complications Evidence Total Video

  1. Indications

    • Refractory GERD
    • GERD not completely controlled by medication
    • Patient desire against lifelong proton pump inhibitors
    • Upside-down stomach

  2. Contraindications

    • No specific contraindications, if surgery is clearly indicated

  3. Preoperative diagnostic work-up

    • Gastroscopy
    • Precise patient history

    Optional:

    • pH-metering
    • Manometry
    • Gastric films

  4. Special preparation

    • Enema on the eve of surgery

  5. Informed consent

    • General risks of surgery
    • Postoperative dysphagia
    • More air remaining in the alimentary tract
    • Injury to the spleen
    • Injury to the esophagus / stomach
    • Denervation syndrome / diarrhea
    • Pneumothorax
    • Possible recurrence
Anesthesia

General anesthesia in pneumoperitoneum ... - Operations in general, visceral and transplant surgery

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