Laparoscopic vs. Open Antireflux Surgery (and/or Hiatal Hernia Repair)
- Very small incisions (5)
- Fast recovery time (one or two night hospital stay, depends on the case)
- Minimal postoperative pain
- Lower morbidity rate
- Lower hospital stay
- Return to normal activity and return to work in shorter period of time (complete recovery in 5 to 7 days)
- Decreased risk of wound infection and hernia formation
- Minimal scarring
Outcomes/Complications
Results of laparoscopic antireflux surgery are encouraging with low rates of perioperative morbidity and mortality. Conversion rate from laparoscopic to open procedure is higher in inexperienced hands; the conversion rate in Dr. Rosales’ experience is less than 5%. Perioperative complications requiring reoperation such as stomach (wrap) migration or esophageal perforation occur in less than 1%.
The overall satisfaction rates regarding symptoms after the procedure range from 90 to 100% and a significant improvement in quality of life a few weeks after having the procedure.
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