• Skip to main content
  • Skip to header right navigation
  • Skip to site footer

Log in
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
www.sages.org

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Awards
    • Who Is SAGES?
    • Leadership
    • Our Mission
    • Advocacy
    • Committees
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Committee Rosters
      • SAGES Past Presidents
  • Meetings
    • SAGES NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2026 Scientific Session Call for Abstracts
      • 2026 Emerging Technology Call for Abstracts
    • CME Claim Form
    • SAGES Past, Present, Future, and Related Meeting Information
    • SAGES Related Meetings & Events Calendar
  • Join SAGES!
    • Membership Application
    • Membership Benefits
    • Membership Types
      • Requirements and Applications for Active Membership in SAGES
      • Requirements and Applications for Affiliate Membership in SAGES
      • Requirements and Applications for Associate Active Membership in SAGES
      • Requirements and Applications for Candidate Membership in SAGES
      • Requirements and Applications for International Membership in SAGES
      • Requirements for Medical Student Membership
    • Member Spotlight
    • Give the Gift of SAGES Membership
  • Patients
    • Join the SAGES Patient Partner Network (PPN)
    • Patient Information Brochures
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find A SAGES Surgeon
  • Publications
    • Sustainability in Surgical Practice
    • SAGES Stories Podcast
    • Patient Information Brochures
    • Patient Information From SAGES
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • MesSAGES – The SAGES Newsletter
    • COVID-19 Archive
    • Troubleshooting Guides
  • Education
    • Wellness Resources – You Are Not Alone
    • Avoid Opiates After Surgery
    • SAGES Subscription Catalog
    • SAGES TV: Home of SAGES Surgical Videos
    • The SAGES Safe Cholecystectomy Program
    • Masters Program
    • Resident and Fellow Opportunities
      • MIS Fellows Course
      • SAGES Robotics Residents and Fellows Courses
      • SAGES Free Resident Webinar Series
      • Fluorescence-Guided Surgery Course for Fellows
      • Fellows’ Career Development Course
    • SAGES S.M.A.R.T. Enhanced Recovery Program
    • SAGES @ Cine-Med Products
      • SAGES Top 21 Minimally Invasive Procedures Every Practicing Surgeon Should Know
      • SAGES Pearls Step-by-Step
      • SAGES Flexible Endoscopy 101
    • SAGES OR SAFETY Video Activity
  • Opportunities
    • Fellowship Recognition Opportunities
    • SAGES Advanced Flexible Endoscopy Area of Concentrated Training (ACT) SEAL
    • Multi-Society Foregut Fellowship Certification
    • Research Opportunities
    • FLS
    • FES
    • FUSE
    • Jobs Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • OWLS/FLS
You are here: Home / Abstracts / REVISION OF DOR TO NISSEN FUNDOPLICATION WITH COLLIS GASTROPLASTY AND PLACEMENT OF BIOABSORBABLE MESH

REVISION OF DOR TO NISSEN FUNDOPLICATION WITH COLLIS GASTROPLASTY AND PLACEMENT OF BIOABSORBABLE MESH

Ellen Wicker, DO, Evan Liggett, MD, Carlos Lodeiro, BS, Benjamin Clapp, MD. Texas Tech HSC Paul Foster School of Medicine

Introduction: Recurrence after fundoplications is a common surgical problem. Revision of foregut surgery can be very difficult and requires a clear understanding of the previous operation. Currently used fundoplications include the Nissen, Dor and Belsey fundoplications among others. For the surgeon faced with revising a fundoplication, a working knowledge of all of the previous operations is essential. Esophageal lengthening procedures can also be necessary during these revisions.  

Description of Video: This video is a case report of a 60-year-old female who underwent a Dor fundoplication 10 years prior. She had a history of GERD, and her fundoplication was complicated by esophageal perforation by the bougie. The surgeon repaired the esophageal perforation but performed a Dor to reinforce this repair. She subsequently had a recurrence of her GERD and hiatal hernia. Repeat endoscopy and upper GI showed a paraesophageal hernia with a partially intact wrap. The video shows the operative approach of converting the Dor to a Nissen fundoplication with an esophageal lengthening procedure and repair of the hiatal hernia with a bio-absorbable mesh. The video highlights some of the technical pearls of this operation including takedown of the previous fundoplication, exposure of both diaphragmatic crura, mediastinal dissection and the importance of intra-operative endoscopy.

Discussion: Revision of foregut surgery is technically challenging. These cases can be approached with a laparoscopic technique by surgeons with an appropriate skill level. It is important that the surgeon reads the previous operative notes, reviews preoperative studies such as upper GIs and should personally perform pre-operative endoscopy. A working knowledge of the common fundoplication techniques and the anatomy of the foregut is essential.

Conclusions: Revisions of fundoplications are technically challenging and complex cases. These operations can be done safely laparoscopically and the surgeon should consider using a bio-absorbable mesh to reinforce their repair.


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 91767

Program Number: V297

Presentation Session: Video Loop Day 3

Presentation Type: VideoLoop

123

Share this:

  • Click to share on X (Opens in new window) X
  • Click to share on Facebook (Opens in new window) Facebook
  • Click to share on LinkedIn (Opens in new window) LinkedIn
  • Click to share on Pinterest (Opens in new window) Pinterest
  • Click to share on WhatsApp (Opens in new window) WhatsApp
  • Click to share on Reddit (Opens in new window) Reddit
  • Click to share on Pocket (Opens in new window) Pocket
  • Click to share on Mastodon (Opens in new window) Mastodon
  • Click to share on Threads (Opens in new window) Threads
  • Click to share on Bluesky (Opens in new window) Bluesky

Related


sages_adbutler_leaderboard

Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064

1-310-437-0544

[email protected]

Monday – Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Bluesky
  • X
  • Instagram
  • Facebook
  • YouTube

Copyright © 2025 · SAGES · All Rights Reserved

Important Links

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals