By Jon C. Gould, W. Scott Melvin

The overall health care provider was once first brought to laparoscopy approximately twenty years in the past. In those prior 20 years, there was an evolution within the symptoms, methods, and results for the surgical operation of many stipulations and ailments. the controversy concerning the optimum strategy keeps. regardless of the entire advances which were made throughout the 'evolution of the laparoscopic revolution', there's nonetheless development to be made. This factor will research the historical past of the minimally invasive surgical method of quite a few stipulations, ongoing components of controversy, and destiny instructions.

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8%, with studies characterized by small numbers and short-term follow-up. These series, however, include objective followup with EGD or UGI in the majority of patients, allowing for complete early assessment of results. Do recurrences matter? Many causal factors are proposed, including tension on the crural repair, large hiatal defects, attenuated muscle fibers at the hiatus, and inappropriate diaphragmatic stressors in the early postoperative period [89]. In a review, Author Oelschlager, et al [78] Strange [79] Wisbach, et al [80] Ringley, et al [81] Oelschlager, et al [82] Lee, et al [83] St.

Endoscopy 2004;36:682–9. [37] Cadiere GB, Rajan A, Rqibate M, et al. Endoluminal fundoplication (ELF)devolution of EsophyX, a new surgical device for transoral surgery. Minim Invasive Ther Allied Technol 2006;15:348–55. 958 SMITH [38] Mahmood Z, McMahon BP, Arfin Q, et al. Endocinch therapy for gastro-oesophageal reflux disease: a one year prospective follow up [see comment]. Gut 2003;52:34–9. [39] Tam WC, Holloway RH, Dent J, et al. Impact of endoscopic suturing of the gastroesophageal junction on lower esophageal sphincter function and gastroesophageal reflux in patients with reflux disease [see comment].

Improvement in quality of life measures following laparoscopic antireflux surgery. Gastroenterology 1995;108:A244. [11] Sontag SJ. Gastroesophageal reflux and asthma. Am J Med 1997;103:84S–90S. [12] Hunter JG, Smith CD, Branum GD, et al. Laparoscopic fundoplication failures: patterns of failure and response to fundoplication revision. Ann Surg 1999;230:595–604 [discussion: 604–6]. [13] Smith CD, McClusky DA, Rajad MA, et al. When fundoplication fails: redo? Ann Surg 2005;241:861–9 [discussion: 69–71].

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