Laparoscopic Posterior Partial Fundoplication Versus Total Fundoplication in Anti-reflux Surgery: A Comparative Study

Abstract

AbstractThe aim of the present study was to evaluate advantages of partial posterior fundoplication (PPF) compared with traditional total fundoplication (TF). The study included 90 patients with GERD at El-Minia University Hospital between January 2019 and January 2023, divided randomly into group A: PPF (no. 45 patients) and group B: TF (no. 45 patients). All included patients had endoscopic hiatal hernia and various degrees of esophagitis. Postoperative follow-up included satisfaction questionnaire, degree of heartburn questionnaire, frequent belching, inability to belch, bloating, diarrhea, vomiting, abdominal pain, and endoscopic evaluations. Heartburn improved in all patients (p = 0.000). Shorter operative time was observed in group B (p = 0.007). There is no significant difference in overall satisfaction level between the two groups (p = 0.5). Surgical treatment is the favorite option for the treatment of GERD. PPF has the advantage of shorter operative time and can be safely used with outcomes similar to that of TF.