Comparison of postoperative results of laparoscopic nissen and nissen-rossetti fundoplication Comparison of nissen and nissen-rossetti fundoplication

Aim: Nissen fundoplication, which is performed laparoscopically, is the most frequently preferred surgical technique worldwide in the treatment of gastroesophageal reflux disease (GERD). This technique has subtypes such as Nissen and Nissen-Rossetti. This study aimed to investigate and compare the effects of Nissen and Nissen-Rossetti techniques of Nissen fundoplication, which is the most preferred technique by surgeons in the surgical treatment of GERD, on patients in the postoperative period. Material and Methods: Patients, who were operated on for GERD with laparoscopic Nissen fundoplication (LNF) and laparoscopic Nissen-Rossetti fundoplication (LNRF) techniques in the general surgery clinic of a tertiary care hospital between January 2011 and May 2016 were divided into two groups, and preoperative, intraoperative, and postoperative findings were examined in detail, and these patients were contacted. Results: In this study, 44 (47%) patients underwent LNF surgery, and 49 (53%) patients underwent LNRF surgery. When dyspepsia and other reflux symptoms in patients in the postoperative period were investigated, in the postoperative 4th week and postoperative 6th month, there was no significant difference between the LNF and LNRF groups. Discussion: Although there is no obvious superiority of the two techniques over each other, the determining factor regarding the method to be chosen should be the opinion of the surgeon and the perioperative findings as a result of the evaluation made by the surgeon on the patient. It would be appropriate for the surgeon to choose the most suitable technique according to the patient.