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Transumbilical totally laparoscopic single-port Nissen fundoplication: a new method of liver retraction: the Istanbul technique.

Hamzaoglu I, Karahasanoglu T, Aytac E, Karatas A, Baca B - J. Gastrointest. Surg. (2010)

Bottom Line: Mustafa Kemal Atatürk, founder of the Turkish Republic, had guarded many German scientists of a Jewish descent before the Second World War.Dr. Rudolf Nissen was one of the outstanding surgeons who had served in the Turkish university hospitals.The retraction technique of the liver and the optical system were the most important factors, which made the Nissen fundoplication possible via single port.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Cerrahpasa Medical School, Istanbul University, Istanbul, Turkey. ihhamzaoglu@yahoo.com

ABSTRACT

Introduction: Mustafa Kemal Atatürk, founder of the Turkish Republic, had guarded many German scientists of a Jewish descent before the Second World War. Dr. Rudolf Nissen was one of the outstanding surgeons who had served in the Turkish university hospitals. He had created an antireflux procedure which is named after his own name while he was working in our clinic, the Cerrahpaşa Hospital. From a laparoscopic approach, the Nissen fundoplication was the gold standard intervention for the surgical treatment of gastroesophageal reflux disease (GERD). Currently, video laparoscopic surgery is evolving quickly with the guidance of new technology. Single-port (SP) laparoscopic transumbilical surgery is one of the newest branches of advanced laparoscopy.

Discussion: Simple or complex manipulations may be performed with SP laparoscopic transumbilical surgery. The advantages, which are gained from conventional laparoscopy, can be invigorated by an SP laparoscopic approach. The retraction technique of the liver and the optical system were the most important factors, which made the Nissen fundoplication possible via single port. Here, we report that totally laparoscopic transumbilical SP Nissen fundoplication procedure was performed in three patients for sliding hiatal hernia with GERD.

Conclusion: Totally laparoscopic transumbilical SP Nissen fundoplication is a safe and feasible technique for the surgical treatment of GERD.

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Related in: MedlinePlus

Photograph of the patient 1 week after the operation.
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Fig3: Photograph of the patient 1 week after the operation.

Mentions: There were three patients who underwent transumbilical totally laparoscopic SP Nissen fundoplication. One of these also had a SP laparoscopic cholecystectomy. Patients' characteristics were shown in Table 1. Mean operative time was 190 min (180–210 min). Operative time was longer in the patient who underwent cholecystectomy. Mean blood loss was 30 ml (20–50 ml). No drain was used. The patients started a soft oral diet 12 h after the surgery and were discharged uneventfully on postoperative day 2. Umbilical scar was almost invisible 1 week after the operation (Fig. 3).Table 1


Transumbilical totally laparoscopic single-port Nissen fundoplication: a new method of liver retraction: the Istanbul technique.

Hamzaoglu I, Karahasanoglu T, Aytac E, Karatas A, Baca B - J. Gastrointest. Surg. (2010)

Photograph of the patient 1 week after the operation.
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2872018&req=5

Fig3: Photograph of the patient 1 week after the operation.
Mentions: There were three patients who underwent transumbilical totally laparoscopic SP Nissen fundoplication. One of these also had a SP laparoscopic cholecystectomy. Patients' characteristics were shown in Table 1. Mean operative time was 190 min (180–210 min). Operative time was longer in the patient who underwent cholecystectomy. Mean blood loss was 30 ml (20–50 ml). No drain was used. The patients started a soft oral diet 12 h after the surgery and were discharged uneventfully on postoperative day 2. Umbilical scar was almost invisible 1 week after the operation (Fig. 3).Table 1

Bottom Line: Mustafa Kemal Atatürk, founder of the Turkish Republic, had guarded many German scientists of a Jewish descent before the Second World War.Dr. Rudolf Nissen was one of the outstanding surgeons who had served in the Turkish university hospitals.The retraction technique of the liver and the optical system were the most important factors, which made the Nissen fundoplication possible via single port.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Cerrahpasa Medical School, Istanbul University, Istanbul, Turkey. ihhamzaoglu@yahoo.com

ABSTRACT

Introduction: Mustafa Kemal Atatürk, founder of the Turkish Republic, had guarded many German scientists of a Jewish descent before the Second World War. Dr. Rudolf Nissen was one of the outstanding surgeons who had served in the Turkish university hospitals. He had created an antireflux procedure which is named after his own name while he was working in our clinic, the Cerrahpaşa Hospital. From a laparoscopic approach, the Nissen fundoplication was the gold standard intervention for the surgical treatment of gastroesophageal reflux disease (GERD). Currently, video laparoscopic surgery is evolving quickly with the guidance of new technology. Single-port (SP) laparoscopic transumbilical surgery is one of the newest branches of advanced laparoscopy.

Discussion: Simple or complex manipulations may be performed with SP laparoscopic transumbilical surgery. The advantages, which are gained from conventional laparoscopy, can be invigorated by an SP laparoscopic approach. The retraction technique of the liver and the optical system were the most important factors, which made the Nissen fundoplication possible via single port. Here, we report that totally laparoscopic transumbilical SP Nissen fundoplication procedure was performed in three patients for sliding hiatal hernia with GERD.

Conclusion: Totally laparoscopic transumbilical SP Nissen fundoplication is a safe and feasible technique for the surgical treatment of GERD.

Show MeSH
Related in: MedlinePlus