The open Belsey Mark IV fundoplication (BMIV) is performed via a left posterolateral thoracotomy. The goal is to return the “high-pressure zone” of the cardia, otherwise known as the lower gastroesophageal sphincter (LES) to its normal anatomical position below the diaphragm.

What is Belsey fundoplication?

The open Belsey Mark IV fundoplication (BMIV) is performed via a left posterolateral thoracotomy. The goal is to return the “high-pressure zone” of the cardia, otherwise known as the lower gastroesophageal sphincter (LES) to its normal anatomical position below the diaphragm.

What is laparoscopic fundoplication surgery?

Laparoscopic Nissen fundoplication is a minimally invasive procedure which is done to restore the function of the lower esophageal sphincter (the valve between the esophagus and the stomach) by wrapping the stomach around the esophagus.

What is a toupet fundoplication?

Laparoscopic Toupet fundoplication is a surgical procedure performed for the treatment of GERD. The procedure strengthens the valve between the esophagus and the stomach, preventing the backflow of acid.

What is Belsey Mark?

Background. The Belsey Mark IV operation has been used for the management of hiatal hernia for over 40 years, but with the introduction of laparoscopic techniques its role has become questionable. To determine the current role of this procedure we present a contemporary series of patients.

What is Saints Triad?

Saint’s triad is the concurrence of hiatus hernia, cholelithiasis and colonic diverticulosis. It was named after the British-South African general surgeon, Charles Frederick Morris Saint (1886–1973) 2.

Is fundoplication surgery painful?

You may be sore and have some pain in your belly for several weeks after surgery. If you had laparoscopic surgery, you also may have pain near your shoulder for a day or two after surgery. It may be hard for you to swallow for up to 6 weeks after the surgery.

What is a normal DeMeester score?

An overall score, known as DeMeester score, is calculated using a special formula; this value should not exceed 14.7 in normal subjects. Both catheter and wireless pH monitoring allow quantification of esophageal acid exposure and assessment of the temporal relationship between symptoms and acid reflux events [55].

What is the Belsey Mark IV fundoplication?

The Belsey Mark IV repair or antireflux fundoplication is a classic procedure that has proven to be a successful and durable antireflux operation. Over a 15-year period, Ronald Belsey performed clinical trials to develop and refine the operation, culminating in 4 iterations, with the fourth or Mark IV being the final and most successful.

Is the Belsey Mark IV operation still useful for hiatal hernia?

[…] The Belsey Mark IV operation has been used for the management of hiatal hernia for over 40 years, but with the introduction of laparoscopic techniques its role has become questionable. To determine the current role of this procedure we present a contemporary series of patients.

When was Belsey Mark IV (bmiv) invented?

The classic 1961 paper by Skinner and Belsey resulted in the widespread adoption of a surgical technique they named Belsey Mark IV (BMIV), the development of which had begun 20 years earlier.

What is the Belsey approach to endometriosis?

The Belsey approach is a procedure that can be useful as an alternative in selected cases when there are co-morbidities complicating the transabdominal (laparoscopic) approach.