Laparoscopic Posterior Partial Fundoplication Versus Total Fundoplication in Anti‑Reflux Surgery: A Comparative Study

Abstract

The present investigation set out to compare the benefits of partial posterior fundoplication (PPF) to those of standard total fundoplication (TF). Ninety GERD patients from El-Minia University Hospital between January 2019 and January 2023 were enrolled in the research. They were randomly assigned to two groups: group A, consisting of forty-five PPF patients, and group B, consisting of forty-five TF patients. Each of the patients in the group had an endoscopic hiatal hernia and varied degrees of esophagitis. Postoperative follow-up comprised endoscopic examinations, a satisfaction survey responses a heartburn severity questionnaire, bloating, diarrhoea, vomiting, stomach pain, and the ability or inability to belch frequently. All patients' heartburn decreased (p = 0.000). Shorter operative time was observed in group B (p = 0.007). There is no significant difference in overall satisfaction level between the two groups (p = 0.5). Surgical treatment is the favorite option for the treatment of GERD. PPF has the advantage of shorter operative time and can be safely used with outcomes similar to that of TF.