The patient should educated preoperatively as to what to expect after surgery. They should also be instructed to eat slowly postoperatively and encouraged to drink lukewarm water to relieve severe symptoms. Most of these complications are now rare. In addition, they should use an incentive Spiro-meter every hour while awake for the first four days after surgery as they are prone to develop severe atelectasis. Our failures associated with this procedure were few, but taught us valuable lessons.
Most recurrences occur secondary to a post-operative torsion of the fundoplication.
This torsion will decrease the length of the fundoplication thus decreasing the post-operative LES resting pressure. Mean Operating Time 1Hr.46min. Symptomatic when off medical management. The Laparoscopic Anti-Reflux procedures are becoming widely used procedures as the laparoscopic skills of most surgeons have dramatically improved over the past decade. However, innovative endoscopic techniques are being introduced with interesting early outcome results.