Laparoscopic versus open nissen fundoplication: Outcome of surgery in monozygotic twins

Jose M Martinez, Amy Halverson, David K. Magnuson, Jonathan M. Sackier

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Differences in outcome and cost of laparoscopic and open surgery are continuously being evaluated. Two-year-old monozygotic twin boys with a previous history of prematurity, severe gastroesophageal reflux disease, and intractable reactive airway disease were each scheduled to undergo a laparoscopic Nissen fundoplication (LNF) on the same day. Current medications for both patients included albuterol, cromolyn sodium, dexamethasone, ranitidine, and metoclopramide. In the first case, the laparoscopic procedure was converted to an open Nissen fundoplication (ONF) to gain expeditious control of bleeding from a short gastric vessel close to the spleen. The second patient underwent LNF without complication. Operative time for each patient was 3.5 h. The postoperative length of stay for each patient was 6 days (ONF) and 4 days (LNF). The total hospital charges were $21,931 (ONF) and $19,108 (LNF). The first patient (ONF) was readmitted later on the day of discharge (postoperative day 6) for vomiting and was discharged after 24 h with no further treatment. The subsequent course of each patient was similar. At a 6-week follow-up visit, both patients were tolerating a regular diet with weight gain and dramatic improvement in pulmonary symptoms.

Original languageEnglish
Pages (from-to)323-326
Number of pages4
JournalJournal of Laparoendoscopic and Advanced Surgical Techniques - Part A
Volume7
Issue number5
StatePublished - Oct 1 1997
Externally publishedYes

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Fundoplication
Monozygotic Twins
Hospital Charges
Cromolyn Sodium
Metoclopramide
Ranitidine
Albuterol
Operative Time
Gastroesophageal Reflux
Laparoscopy
Dexamethasone
Weight Gain
Vomiting
Length of Stay
Stomach
Spleen
Hemorrhage
Diet
Costs and Cost Analysis
Lung

ASJC Scopus subject areas

  • Surgery

Cite this

Laparoscopic versus open nissen fundoplication : Outcome of surgery in monozygotic twins. / Martinez, Jose M; Halverson, Amy; Magnuson, David K.; Sackier, Jonathan M.

In: Journal of Laparoendoscopic and Advanced Surgical Techniques - Part A, Vol. 7, No. 5, 01.10.1997, p. 323-326.

Research output: Contribution to journalArticle

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