Laparoscopic Nissen Fundoplication
The laparoscopic fundoplication was first developed in the early 1990’s. When it was first introduced, it was revolutionary. The standard open fundoplication at that time was being performed through a 10 inch incision in the middle of the abdomen making a large incision between the ribs or by making a large incision in between the ribs and accessing the esophagus through the chest. The open procedure was poorly tolerated. With the advent of laparoscopy, a well-tolerated anti-reflux procedure was first made available.
Gopal Grandhige, MD