Results
Floppy, reflux, heartburn, esophagitis, Floppy–Nissen fundoplication
REFLUX, ESOPHAGITIS, DIFFICULTY IN SWALLOWING
Involved in the study were 80 patients who were assigned to two groups in a randomized controlled manner, with 40 undergoing laparoscopic Floppy–Nissen fundoplication, and 40 undergoing laparoscopic Nissen–Rossetti fundoplication. The mean age of the patients was 40.46 ± 10.396 years, and 42.5% percent were female and 57.5% were male. Of the total, 48.8% had completed higher education, while 51.2% were high school graduates or below. There was no significant difference in the age, sex or educational levels of the two groups (Demographic characteristics.No significant difference was noted in the duration of preoperative symptoms or the duration of preoperative medical treatment between the two groups (Preoperative clinical characteristics.The duration of surgery in both groups was calculated as the time from the minute of anesthesia induction to the time of spontaneous breathing. A comparison of the two groups revealed a statistically significantly shorter operation duration in the Nissen–Rossetti group (Intraoperative and postoperative clinical characteristics.Furthermore, three patients in the laparoscopic Floppy–Nissen group and five patients in the Nissen–Rossetti group developed difficulty in swallowing solid food (Postoperative long-term outcomes.The heartburn levels of the patients differed significantly between the preoperative and postoperative periods (Preoperative and postoperative heartburn characteristics.All 80 patients underwent follow-up endoscopic examinations in our outpatient clinic at postoperative months 2 and 12. Endoscopy at postoperative month 2 revealed no esophagitis in eight patients (10%) (Comparison of endoscopy at postoperative months 2 and 12.In the overall group, 43 patients were very satisfied (53.8%), 31 patients were satisfied (38.8%), five patients were neutral (6.3%) and one patient was dissatisfied (1.3%) with their resulting condition (Distribution of postoperative satisfaction.An examination of the relationship between preoperative symptom duration and satisfaction with the surgery revealed no negative or positive correlation between symptom duration and satisfaction level (Comparison of duration of preoperative symptoms and levels of satisfaction.The overall satisfaction rate (very satisfied and satisfied) was 92.5%, and 92.5% (74/80) of the patients responded ‘yes’ when asked ‘If you developed reflux again, would you undergo this surgery?’, with no statistically significant difference between the two groups (Ppi was recommended for all patients with grade b–c esophagitis in the postoperative period, as well as 5 patients with grade esophagitis who were symptomatic.