Posted by Hernia MD on May 12, 2009, 9:24 pm, in reply to "Re: Hernia Md: Results of Endosocopy after Nissen Fundoplicaton"
24.62.30.X
failure causes include a disrupted wrap from failed sutures, a wrap that slides into the chest, a short esophagus, and a twisted or scarred wrap. There are some other causes as well. A Hill repair is a specific suture repair that was popular before the Nissen repair. A new repair will have the best success if the hiatus is repaired properly and the dissection is adequate to allow a tension free wrap. Also, if the esophagus is short, a lengthening procedure must be done.
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