American journal of surgery
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Randomized Controlled Trial Comparative Study Clinical Trial
Prospective randomized trial comparing Nissen to Nissen-Rossetti technique for laparoscopic fundoplication.
It has been suggested that division of the short gastric vessels (SGV) provides a more floppy Nissen fundoplication, for the treatment of reflux disease. The aim of the study was to assess whether Nissen fundoplication with division of SGV is associated with improved clinical outcome and laboratory findings. ⋯ Division of the SGV at laparoscopic Nissen fundoplication for GERD does not improve clinical outcome and laboratory findings, while it is associated with prolongation of the operating time and increased incidence of gas-bloating syndrome.