Open AccessLaparoscopic redo fundoplication for intrathoracic migration of wrap
Author(s) -
G. S. Maheshkumar,
Kalpesh Jani,
M. V. Madhankumar,
Chinnusamy Palanivelu
Publication year - 2007
Publication title -
journal of minimal access surgery
Language(s) - English
Resource type - Journals
eISSN - 0972-9941
pISSN - 1998-3921
DOI - 10.4103/0972-9941.37195
Subject(s) - medicine , complication , surgery , reflux , laparoscopic surgery , laparoscopy , general surgery , disease
Laparoscopic fundoplication is fast emerging as the treatment of choice of gastro-esophageal reflux disease. However, a complication peculiar to laparoscopic surgery for this disease is the intrathoracic migration of the wrap. This article describes a case of a male patient who developed this particular complication after laparoscopic total fundoplication. Following a trauma, wrap migration occurred. The typical history and symptomatology is described. The classical Barium swallow picture is enclosed. Laparoscopic redo fundoplication was carried out. The difficulties encountered are described. Postoperative wrap migration can be suspected clinically by the presence of a precipitating event and typical symptomatology. Confirmation is by a Barium swallow. Treatment is by redo surgery.