BOB Ped Surg 2023 - Mohamad Qinawy, PAPSA - Presentation

We professors and colleagues, I am Mohammed Dene, lecturer of pediatric surgery, Cairo University, Egypt. It's my honor to participate in this great international Best of the best event. They present a comparative study between laborphic medicine fun debilitation versus Hell no procedure for treatment of ve ocular reflux disease in children. All of us know that missing from duplication is the most commonly adopted procedure all over the world. However, the post-operative procedure and the bloating frequently encountered raises the necessity for a more facic design. The current GERD represents a significant clinical problem. It has been reported, reported to occur in up to 15% of children requiring re-operation. Our study is a prospective single blinded randomized comparative study that was conducted at the time period from October 2018 to April 2020. The study included 40 patients which were divided into two groups. They listen and then is. Regarding the hoppert setup, it will, it is similar, it is similar between the two operations like the, the conventional anti-reflux nascent medication, as we can see. The steps. will be shown in this video. The early steps of dissection. It's the similar between between two operations in the two operations. Then we do of that. Cool. With non-absorbable sutures, the, the first step of I know is fixation of the distal abdominal esophagus to the lo session. It's not absorbable suture. 26. 1 or 2 sutures. To maintain The abdominic Esophagus inside the abdomen. I'm happy with this for the interruption. Then We The situation of the angle. We established the anglos by suturing the fundus of the stomach. To the length of the esophagus. Keep running 200 suture. An abs. We use equipment or silk suture. It's running too. Till we reach the frame. Uh, give me, which is the friend. The next last suture incorporates the stomach. The finish of the ligament, the cooler. And approximate part of the abdominal esophagus. Then we fix the fundus of the stomach to the frame with 1 or 2 sutures. Then You fix this. To the hiatus. To the esophagus fix it inside the ab. Take care here not to injure the biggest. And finally, we do air in circulation to test for guardia confidence. The further included patients suffering from GERD, with failure of medical treatment. Patients with symptomatic hiatus, patients presenting with optic stricture. Patients presenting with life-threatening symptoms like acne. We execluded recurrent cases join Paus hernia and power to the. OK Regarding the interrupted interoperative data, the operative time was significantly longer in the Helles new group when compared to the missing group. Regarding the early post-traumatic assessment, bloating was found to be lower in the hell no. 3 cases versus 15 cases in the next. Thera was found to be lower in the is no group, 2 cases versus 7 cases from the group. Also early vomiting was encountered. More in the new group, 6 cases versus 2 cases in the rest. The instinct for decision. was found to be insignificant in both groups regarding late post-operative assessment. But it was a short duration in the group. No bloating was found in any snow. Who While 11 cases from the suffered from bloating. Recurrent vomiting and need for drugs feel horrible. It was found in 8 cases and there is no 6 cases innocent. There were 3 recurrent health new cases versus 2 missing cases. The recurrent cases of hell no. We found in the 1st 10 cases, which was attributed to the learning curve which increased gradually. To conclude, there is no procedure offers an effective alternative to less from theation with no bloating and much less dysphagia, and so early return to the normal eating pattern. Further studies with larger sample size, longer follow-up was needed for a more validated results. Thank you for your attention.