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Gastroenterologie 21. Dezember 2015

Hiatal repair to reduce dysphagia in patients with impaired oesophageal motility having 360° fundoplication: the posterior ‘sling’ repair

Background: Fundoplication in the presence of oesophageal dysmotility as being concerning for the development of postoperative dysphagia. Many techniques of surgery including partial fundoplication have evolved.

Methods: The technique of posterior sling repair of the hiatus avoiding heavy rigid to stitch posterior repair has reduced early dysphagia in our practice.

Result: The operative technique with operative illustrations is described.

Conclusion: Posterior sling repair of the hiatus during a laparoscopic fundoplication in oesophageal dysmotility is feasible and has reduced postoperative dysphagia.

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