Mastering Anti-Reflux Surgery: Step-by-Step Guide to Nissen & Toupet Fundoplication
In this step-by-step guide, we'll walk you through mastering anti-reflux surgery with Nissen & Toupet Fundoplication techniques. Perfect for surgeons and medical professionals looking to enhance their skills in reflux surgery.
In this detailed surgical demonstration, we walk you through the step-by-step procedures of both Nissen fundoplication and Toupet fundoplication, two of the most common techniques used to treat gastroesophageal reflux disease GERD. These minimally invasive procedures are designed to restore the function of the lower esophageal sphincter, reducing acid reflux and its associated symptoms.
The video begins with a comprehensive overview of the surgical setup, tools, and patient positioning, ensuring that every aspect of the surgery is thoroughly explained. For the Nissen fundoplication, we demonstrate the 360-degree wrap of the stomach around the lower esophagus, providing complete reinforcement of the sphincter. This method is ideal for patients with severe reflux and normal esophageal motility. The step-by-step guide covers the dissection of the esophageal hiatus, mobilization of the stomach, and creation of the wrap, with clear explanations of each maneuver and its importance.
Next, we transition to the Toupet fundoplication, which involves a 270-degree partial wrap. This technique is often used in patients with weakened esophageal motility to ensure that swallowing remains unimpeded while still providing adequate reflux control. The video outlines the key differences between the two procedures, including the positioning of the stomach and esophagus and the technical considerations for tailoring the surgery to the patient's specific needs.
Throughout the demonstration, we provide close-up views of the surgical field, highlight potential challenges, and offer expert tips for achieving optimal outcomes. This video is an essential resource for surgeons looking to refine their technique and for medical students aiming to understand the intricacies of these important anti-reflux surgeries.
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