Cirugía ° Modificaciones: André Toupet Jacques Dor de la región del hiato se efectúa colocando un separador de tipo valva de. cluded D’Or fundoplication in 35 cases (%), Nissen in 8 cases .. tos pacientes se había realizado funduplicatura tipo D’Or abierta en 2. Se usa en pacientes con dismotilidad severa. Es una funduplicatura anterior de º. Funduplicatura parcial tipo Dor. Elonga el segmento intra-abdominal del.

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Surgical Technique All patients included in the study underwent laparoscopic surgery performed according to the same surgical technique with slight variations: Recurrence of gastro-oesophageal reflux may be shown at the radiologic examination and predicted by the morphologic appearances at the double contrast examination.

Here we describe a combined fynduplicatura and endoscopic approach for total maxillectomy for the treatment of malignant maxillary sinus tumors and evaluate its short-term outcome.

The mean duration of the disease was 2 years. Heller myotomy provides excellent dysphagia relief with or without fundoplication.

transoral incisionless fundoplication: Topics by

Symptom reduction was dramatic and satisfying after both LESS and conventional laparoscopic myotomy with fundoplication. Preoperative and postoperative VFS findings were compared to evaluate the effect of NF on clinical findings and deglutition. Clinical evaluation and computerized tomography scan confirmed a large floor of mouth ranula on the right and an incidental asymptomatic early ranula of the left sublingual gland.

She underwent adjuvant radiotherapy to minimize local recurrence. Full Text Available Background – There is today a significant greater number of laparoscopic antireflux procedures for the surgical treatment of gastroesophageal reflux disease and there are yet controversies about the necessity of division of the short gastric vessels and full mobilization of the gastric fundus to perform an adequate fundoplication.

The authors have no conflicts of interest to declare. The suturing of the stomach wall, however, was regarded as fairly realistic mean, 3.

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During the immediate postoperative period, 3 patients complained of scapular pain which lengthened the hospital stay fundplicatura no major repercussions, and 1 presented fever associated with a left pleural effusion and a small left subphrenic fluid collection which resolved with intravenous antibiotic treatment.

Bibliographic citation management software EndNote X3 was used for extracted literature management. Studies containing more patients, and covering a longer follow-up time, would be necessary to provide a better description of long-term results and influential factors following a laparoscopic Heller myotomy.


It enables the surgeon to strictly inspect the velopharyngeal valve during the procedure with better determination of the adenoidal part that may contribute in velopharyngeal closure. Complete disappearance of the symptoms. Postoperative wrap migration can be suspected clinically by the presence of a precipitating event and typical symptomatology. Some patients received a previous endoscopic treatment with pneumatic dilatation or endoscopic injection of botulinum toxin that provided them only a temporary clinical benefit.

The person has funduplicwtura pain that is often mistaken for angina pectoris cardiac pain. Patients were studied via hour pH study and manometry at 6 months postoperatively. With respect to pulmonary parameters, there was no significant difference in blood pH, pCO2, or PaCO2 between the transoral and transthoracic groups. Meta-analysis was performed when appropriate.

A retrospective chart review evaluated patient outcomes and post-operative complications. This is a comprehensive review of the history and evolution of the transoral approaches, extended transoral approaches, endoscopie assisted transoral approaches, endoscopie endonasal approaches, and CVJ reduction strategies. Parapharyngeal space tumors have traditionally been approached via transcervical skin incisions, typically including blunt dissection from tactile feedback.

The procedure showed a lower incidence of postoperative dysphagia versus Nissen fundoplication and a negligible incidence of postoperative GERD in a long-term postoperative follow-up.

Pneumoperitoneum was established using an open technique. Trans-oral endoscopic partial adenoidectomy does not worsen the speech after cleft palate repair.

Revision bibliografica a proposito de un caso de acalasia.

Cir Esp, 84pp. Conclusion The newly developed model is regarded as a good tool for training in laparoscopic Nissen fundoplication procedure.

The results of the published randomized controlled trials show with a high level of evidence that the addition of a fundoplication reduces the risk of postoperative abnormal reflux, without impairing the food emptying of the esophagus. We found it subjectively more difficult to perform cardiomyotomy on these patients, due to the fibrotic reaction that made it hard to identify the tissue planes of the fundupllicatura wall at this level.

Subjective outcome was analysed at 1, 3, 6 and 12 months after surgery. The aim of this study is to compare the transoral and extraoral submandibular approaches for fixation of mandibular angle fractures.

Systematic review and meta-analysis of laparoscopic Nissen posterior total versus Toupet posterior partial fundoplication for gastro-oesophageal reflux disease. Randomized controlled trial of laparoscopic Heller myotomy plus Dor fundoplication versus Nissen fundoplication for achalasia: The mean surgical time was min.


Transoral thyroid surgery allows the surgeon to conceal incisions within the oral cavity without significantly increasing the amount of required dissection. Results in rumen distention and frothiness of contents. Median hospital stay was 3 days, decreasing from 6 days in the first 10 patients to 3 days in the last 10 patients.

Methods From artificial organs and tissue, an anatomic model of the human upper abdomen was developed for training in performing laparoscopic Nissen fundoplication. The oesophagus was circumferentially dissected and the short vessels were divided only in those cases in which we used a Toupet fundoplication.

McQuaid, and Scott L. This review details the pathophysiologic aspects, diagnostic approach, and treatment of the symptoms and complications after fundoplication for the management of GERD. B Two months after the surgical intervention, dilation and tortuosity have decreased and the clinical result is good.

This is particularly true with early-stage tumors for which surgery is the treatment of choice, and the tumor has been resected transorally without a cervical incision.

Peristalsis — The coordinated, rhythmic wave of smooth muscle contraction that forces food through the digestive tract. Image of the operating field showing the completed myotomy, which has preserved the anterior vagal trunk.

Nissen-Rossetti fundoplication seems to be more effective in suppressing oesophageal acid exposure.

Revision bibliografica a proposito de un caso de acalasia. – Free Online Library

Aim – To verify the results of the surgical treatment of non-complicated gastroesophageal reflux disease performing Rossetti modification of the Nissen fundoplication. Based only on case series, many surgeons believe that an antireflux cunduplicatura should be added to the Heller myotomy.

The need for a fundoplication during the repair of paraesophageal hiatal hernias PEH remains unclear. Further technological progress is expected to be of significant benefit to the patients. Claire Thompson forceps, while the lower part was retained to maintain the velopharyngeal competence. No patients were converted funduplicatrua “open” operations, and no patients had procedure-specific complications.

B Two months after the surgical intervention, dilation and tortuosity have decreased and the clinical result is good.