TRANSORAL INCISIONLESS FUNDOPLICATION WITH ESOPHYX-Z 2.0 FOR THE TREATMENT OF GASTROESOPHAGEAL REFLUX AFTER LAPAROSCOPIC HERNIA REPAIR (CTIF). FIRST PROCEDURE IN EUROPE

A laparoscopic repair of diaphragmatic crura is done under general anesthesia. Inmediatly after the hernia repair is completed the EsophyX-Z is introduced through the mouth and advanced into the stomach under direct visualization with the scope inside the device. Then in a retroflexed position an helical retractor is directed towards the Z line, where the tissue is nailed and pulled into the mold, while the device is rotated. Each shot releases two fasteners, which produces the apposition of esophageal and fundic tissue. This process is repeated to create a partial fundoplication of 270 degrees (20 fasteners).

Publication History

Article published online:
14 April 2022