Page 5 - Laparoscopic Journal - WJOLS

WJOLS

Laparoscopic Nissen-Rossetti Fundoplication: Possibility Toward Day Care Antireflux Surgeries
pain/discomfort, and anxiety/depression. Thus, high- ConCLUSion
lighting that an approach toward day care fundoplication Laparoscopic Nissen-Rossetti fundoplication is effec -
had begun whilst the possibility of day care cholecys- tive for the treatment of GERD with severe grade or
tectomy had already become evident and been brought symptoms. It can be offered to the patient as day care
into practice. procedure also but with proper selection criteria. More
Simple acceptances of a procedure to be performed studies can be done prospectively and with appropriate
as day care needs to have no increased morbidity and blinding to prove the efficacy of this procedure as a day
mortality compared to in-patient procedure, high success care option for antireflux surgery.
rate of same day discharge and satisfied patients. Good
pain relief can be brought in by local infiltration of the ACKnoWLEDGMEnTS
diaphragm as well as port site wounds supplemented by
14
NSAIDs or likewise. The authors acknowledge the efforts taken by the clinical
Recently, new interventions to treat GERD have been staff at the hospital for their kind support for the cases
developed like the magnetic sphincter positioned around operated and care given. We acknowledge the efforts of
15
the distal esophagus laparoscopically. Here post- the doctors, anesthesiologist and surgical team for their
operative pain is almost negligible since the dissection contribution and efforts for successful recovery of the
is minimal. Thus, pain relief becomes a major criterion patient. Finally, we acknowledge the patients without
for deciding the feasibility of the surgical procedure to whom this study would have not been possible and thank
be considered as a day care procedure. them for their kind informed consent.
The Nissen-Rossetti fundoplication differs from the
usual Nissen fundoplication in not having the divide the REFEREnCES
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World Journal of Laparoscopic Surgery, May-August 2015;8(2):35-38 37