Error Traps and Safety Steps When Performing a Laparoscopic Nissen Fundoplication
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In brief
In brief
Expert technical review identifying critical error traps and safety steps in laparoscopic Nissen fundoplication to prevent common complications like wrap migration and postoperative stricture. Focuses on quality improvement strategies and precise operative technique to minimize reoperation rates in pediatric antireflux surgery.
Written by the GCMD Library team from the article.
Publication date: Available online 25 April 2019
Source: Seminars in Pediatric Surgery
Author(s): George W. Holcomb, Shawn D. St. Peter
Abstract
Quality and safety have come to the forefront of the current healthcare environment over the past 10 years. Although all surgeons feel they perform safe operations with quality outcomes, these variables are being increasingly measured in today's healthcare world. The purpose of this article is to describe our thoughts about the error traps and safety steps when performing a laparoscopic Nissen fundoplication. Hopefully, adherence to these technical points will help prevent the need for a second operative procedure due to transmigration of the fundoplication wrap or the need for esophageal dilation postoperatively.