Laparoscopic Plication of Perforated Duodenal Ulcer Laparoscopic plication is an easy way to manage a simple small anterior perforation of a duodenal ulcer. SCORE™, the Surgical Council on Resident Education,…
Plication of Perforated Duodenal Ulcer Small anterior perforations of duodenal ulcers are treated by Graham patch plication, which may sometimes be performed laparoscopically (see Chapter 52). Larger perforations may require…
Laparoscopic Gastrostomy and Jejunostomy These procedures are useful either as incidental procedures during other laparoscopic operations (e.g., gastrostomy performed in association with laparoscopic repair of paraesophageal hernia) or when other…
Gastrostomy and Jejunostomy Gastrostomy may be performed for feeding or for decompression. The simplest open technique for creation of a gastrostomy is the Stamm procedure. Percutaneous endoscopic gastrostomy (PEG), an…
Management of Esophageal Perforation Awide spectrum of strategies exists for management of esophageal perforation. Location (cervical, thoracic, or abdominal), nature of injury (iatrogenic, emetogenic), nature of esophageal tissue (normal or…
Laparoscopic Esophagomyotomy Laparoscopic esophagomyotomy uses the magnification and precise dissection of minimally invasive surgery to divide the hypertrophied distal esophagus associated with esophageal achalasia. This operation has largely supplanted the…
Laparoscopic Paraesophageal Hernia Repair Hui Sen Chong Samy Mokhtar Maklad Paraesophageal hiatus hernias allow the stomach or other viscera to ascend through the hiatus into the mediastinum (see Chapter 52,…
Laparoscopic Nissen Fundoplication and Hiatal Hernia Repair Isaac Samuel Patients with gastroesophageal reflux disease (GERD) who have failed medical therapy have developed complications of GERD (Barrett’s esophagus, peptic stricture) or…
Open Paraesophageal Hernia Repair Kevin A. Bridge Hui Sen Chong The vast majority of patients with paraesophageal hernias are asymptomatic. However, for those who are symptomatic despite medical treatment, surgical…
Hiatal Hernia Repair The purpose of hiatal hernia repair is to generate a functional lower esophageal sphincter mechanism that will effectively prevent reflux of gastric contents into the esophagus but…
