TY - JOUR AU - Dr. Biswabasu Das AU - Dr. Sandeep Sahu AU - Dr. Radhakrishna Y AU - Bibhabasu Das PY - 2021/06/01 Y2 - 2024/03/29 TI - Laparoscopic Anterior 180° Partial Fundoplication - Indian Perspective JF - Surgical Review: International Journal of Surgery, Trauma and Orthopedics JA - Surgical Review: Int J Surg Trauma Orthoped VL - 7 IS - 3 SE - Original Article DO - 10.17511/ijoso.2021.i03.01 UR - https://surgical.medresearch.in/index.php/ijoso/article/view/233 AB - Aim: To evaluate Laparoscopic anterior 180° partial fundoplication for its good long-term relief for symptoms of gastroesophageal reflux disease and association with adverse effects.Methods:Study design: Prospectively evaluated case series.Settings: Tertiary care centersPatients: The clinical outcomes were determined for all patients who had undergone a laparoscopic anterior partial fundoplication by us between January 1, 2013 to March 31, 2021.Interventions: Clinical outcome, complications, and follow-up after laparoscopic anterior 180° partial fundoplication was obtained using a structured questionnaire.Results and Discussion: 228 procedures were performed. The outcome at 0 to 8 years (mean, 4 years) follow-up was determined for 195 patients. 1 death was linked to the laparoscopic procedure and 2 patients died during follow-up due to unrelated causes. For 186 patients (95%) with clinical outcome data at late follow-up, gastroesophageal reflux symptoms were significantly improved following surgery and were well controlled in 9 patients (4.5%). In a subset of 85 patients with more than 5 years of follow-up, relief of heartburn was found in 59 patients (69%). Incidence and severity of heartburn were reduced after surgery in 22 patients (26%), decreased dyspepsia in 80 patients (94%). Normal belching was preserved in 84 patients (99%) and almost all patients were able to eat normally.Conclusion: Laparoscopic anterior 180° partial fundoplication is an effective procedure for the surgical treatment of gastroesophageal reflux and is associated with a high rate of patient satisfaction at late follow-up. Compared to Nissen's fundoplication it is as good as control of recurrent reflux as well as reduced adverse effects. The patient goes home in 3-4 days. Hence we recommend it as the procedure of choice for reflux symptoms. ER -