Gastroesophageal Reflux Disease
  Laparoscopic Antireflux Surgery
   
  “Heartburn is a common problem in the Western world. Approximately 7% of the population experience symptoms of heartburn daily. An abnormal esophageal exposure to gastric juice is probably present in 20-40% of this population, meaning this people have GERD.”
   
   
 
Surgical Procedures  >   Laparoscopic Antireflux Surgery  >   Surgical Technique    
 

Surgical Technique (Simplified)

Under general anesthesia, a 5 mm abdominal incision is made at the left subcostal region (below the ribcage), CO2 is introduced to the cavity, then 4 more incisions are made in the abdomen (one of 10mm and the rest of 5mm) to introduce the rest of the instruments; the junction between the esophagus and stomach is dissected in its whole circumference previous ligation of some vessels that attach the upper part of the stomach is done, we look for a hiatal hernia, if present, we reapair it (See Laparoscopic Hiatal Hernia Repair). We proceed to do the 360° stomach wrap around the esophagus fixing it with suture material, incisions are closed with suture and the procedure is completed.

     
   
     
     
 
Incisions for Laparoscopic Antireflux Surgery
 
   
     

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