How is fundoplication surgery on the esophagus performed?

Fundoplication is a common laparoscopic procedure designed to alleviate the symptoms of GERD. In this video, Sharmila Anandasabapathy, MD, a gastroenterologist at The Mount Sinai Medical Center, explains how a fundoplication is performed.
Lyall A. Gorenstein, MD
Thoracic Surgery (Cardiothoracic Vascular)
Fundoplication is done as either an open or a laparoscopic procedure. The open procedure involves an incision of about 8 inches in the abdomen, while the laparoscopic approach is a minimally invasive technique producing 4 to 5 half inch incisions.  The laparoscopic approach offers many advantages over the open technique, such as a quicker recovery and less postoperative complications,

During the operation, the surgeon raises the liver to expose the junction between the stomach and the esophagus. A space is created behind the esophagus and the fundus of the stomach and freed from its attachment to the spleen. The fundus is then pulled behind the esophagus and secured in place. Depending on the type of procedure, the wrap is either sutured to the esophagus itself, or it is sutured to the stomach on the other side of the wrap.

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