{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T10:54:34Z","timestamp":1789988074268,"version":"4.0.1"},"reference-count":49,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2009,4,1]],"date-time":"2009-04-01T00:00:00Z","timestamp":1238544000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"published-print":{"date-parts":[[2009,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>The aim of this study was to evaluate the mechanisms of failure after laparoscopic fundoplication and the results of revision laparoscopic fundoplication.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Laparoscopic Nissen fundoplication has become the most commonly performed antireflux procedure for the treatment of gastroesophageal reflux disease, with success rates from 90 to 95%. Persistent or new symptoms often warrant endoscopic and radiographic studies to find the cause of surgical failure. In experienced hands, reoperative antireflux surgery can be done laparoscopically. We performed a retrospective analysis of all laparoscopic revision of failed fundoplications done by the principle author and the respective fellow within the laparoscopic fellowship from 1992 to 2006.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A review was performed on patients who underwent laparoscopic revision of a failed primary laparoscopic fundoplication.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Laparoscopic revision of failed fundoplication was performed on 68 patients between 1992 and 2006. The success rate of the laparoscopic redo Nissen fundoplication was 86%. Symptoms prior to the revision procedure included heartburn (69%), dysphagia (8.8%), or both (11.7%). Preoperative evaluation revealed esophagitis in 41%, hiatal hernia with esophagitis in 36%, hiatal hernia without esophagitis in 7.3%, stenosis in 11.74%, and dysmotility in 2.4%. The main laparoscopic revisions included fundoplication alone (41%) or fundoplication with hiatal hernia repair (50%). Four gastric perforations occurred; these were repaired primarily without further incident. An open conversion was performed in 1 patient. Length of stay was 2.5\u2009\u00b1\u20091.0 days. Mean follow-up was 22 months (range, 6\u201342), during which failure of the redo procedure was noted in 9 patients (13.23%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Laparoscopic redo antireflux surgery, performed in a laparoscopic fellowship program, produces excellent results that approach the success rates of primary operations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/lap.2008.0245","type":"journal-article","created":{"date-parts":[[2009,2,13]],"date-time":"2009-02-13T17:31:31Z","timestamp":1234546291000},"page":"135-139","source":"Crossref","is-referenced-by-count":37,"title":["Laparoscopic Revision of Failed Fundoplication and Hiatal Herniorraphy"],"prefix":"10.1177","volume":"19","author":[{"given":"Constantine T.","family":"Frantzides","sequence":"first","affiliation":[{"name":"Northwestern University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atul K.","family":"Madan","sequence":"additional","affiliation":[{"name":"University of Miami"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark A.","family":"Carlson","sequence":"additional","affiliation":[{"name":"University of Nebraska Medical Center and The Omaha VA Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tallal M.","family":"Zeni","sequence":"additional","affiliation":[{"name":"St. Mary Mercy Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John G.","family":"Zografakis","sequence":"additional","affiliation":[{"name":"Surgery for Northeast Ohio Centers of Excellence"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ronald M.","family":"Moore","sequence":"additional","affiliation":[{"name":"Plantation Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mick","family":"Meiselman","sequence":"additional","affiliation":[{"name":"Northwestern University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Minh","family":"Luu","sequence":"additional","affiliation":[{"name":"Northwestern University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Georgios D.","family":"Ayiomamitis","sequence":"additional","affiliation":[{"name":"Department of Surgery, Manchester Royal Infirmary, Manchester, United Kingdom."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2009,4]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"Detailed Diagnoses Procedures. 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