Laparoscopic Nissen Fundoplication in Children.

Laparoscopic fundoplication (LF) is considered when medical treatments for gastroesophageal reflux have failed. However, the definition of failure is largely subjective and clinician dependent. Laparoscopy has revolutionized the surgical management of the disease and has become the preferred approach by most surgeons. There are two main laparoscopic anti-reflux fundoplications that are currently performed; the "total wrap" technique, such as a Nissen fundoplication and the modified Nissen-Rossetti fundoplication, and the "partial wrap" technique. However, choosing the optimal fundoplication procedure remains controversial. Laparoscopic Nissen anti-reflux procedure has replaced the open approach to become the standard surgical procedure for the treatment of medical resistant gastro-oesophageal reflux disease (GERD) and hiatus hernia. Complications after laparoscopic fundoplication include hiatal hernia, slipped wrap, recurrent GERD, persistent dysphagia, and gas bloat syndrome. Therefore, this study aimed to review a short term outcomes of laparoscopic Nissen fundoplication as a treatment of GERD and hiatus hernia in children. [ABSTRACT FROM AUTHOR]