Minimal Dissection Reduces Herniation After Pediatric Fundoplication
Major Finding: The risk of postop fundal wrap herniation is greatly reduced when the esophagus is not freed from the phrenoesophageal membrane during pediatric fundoplication.
Data Source: Prospective, randomized trial involving 177 children.
Disclosures: Dr. St. Peter said he has no conflicts of interest; the study received no outside funding.
Thus far, they have enrolled 35 patients in a randomized trial aiming for a total enrollment of 120 patients. Half will get the sutures; the other half will not. But all the children will leave the OR with their esophageal attachments intact.
"The second we closed the study, that was the last time we took down a membrane," Dr. St. Peter said.
He and Dr. Moss said they have no conflicts of interest. The trial received no outside funding.
