Objective:

To describe a novel symmetrical anterior–posterior partial fundoplication technique aimed at improving surgical outcomes for GERD patients, specifically focusing on safety and effectiveness.

Approach:

Key Findings:

• The technique aims to create a reproducible antireflux barrier while minimizing postoperative dysphagia.
• The study included patients who underwent primary elective procedures, excluding redo or non-elective cases.
• Outcomes assessed included safety (intraoperative complications, ICU admissions) and effectiveness (hiatal hernia recurrence, patient-reported outcomes).

Interpretation:

The authors believe that adherence to the described principles can improve surgical outcomes and reduce complications associated with fundoplication.

Limitations:

• The study is retrospective and observational, which may introduce bias and limit the generalizability of the findings.
• Exclusion of certain patient populations may limit generalizability.

Conclusion:

The symmetrical anterior–posterior partial fundoplication technique may enhance surgical outcomes for GERD patients.

Attribution Notice

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