Reoperation for symptomatic intrathoracic migration of a fundoplication: valve repositioning and reinforced crural repair
Epublication WebSurg.com, May 2014;14(05). URL: http://websurg.com/doi/vd01en4175
Intrathoracic migration of the fundoplication is one of the most common causes of failure after antireflux surgery. When the patient develops symptoms related to the volume of intramediastinal hernia, the only option is to reoperate. Such redos are complex and necessitate a thorough and painstaking approach to the potential underlying mechanisms causing intrathoracic migration, namely the length of the esophagus and cruroplasty.