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Scripta Scientifica Medica

Non surgical disease as a motive for difficult operative approach in laparoscopic surgery

Valentin Ignatov, Krasimir Ivanov, St. Sterev, Nikola Kolev, Anton Tonev, D. Hristov, Rossen Madjov

Abstract

Laparoscopic antireflux surgery is the gold standard procedure for treatment of patients with reflux esophagitis. The purpose of this study is to report personal experience by a rare case from our practice with many concomitant diseases in laparoscopic antireflux surgery, analyzing the clinical and functional outcomes of this procedure and review of the literature. We report a woman with a long standing anamnesis for hiatal hernia, with impossibility for laparoscopic approach because of multi pleconcomitant diseases as Schoerman syndrome - deforming spondylarthrosis, progressing astenoadynamy, attaining to impossibility to move, chronic kidney insufficiency, heart insufficiency, chronic anemia. The laparoscopic approach was found as flexible and adaptive enough to the different anatomical variations. Smooth early and late postoperative period, under protection of substitutional therapy.

Scripta Scientifica Medica 2007; 39(2):165-168


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DOI: http://dx.doi.org/10.14748/ssm.v39i2.492

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About The Authors

Valentin Ignatov
Medical University of Varna
Bulgaria

Department of General and Operative Surgery

Krasimir Ivanov
Medical University of Varna
Bulgaria

Department of General and Operative Surgery

St. Sterev
Medical University of Varna
Bulgaria

Department of General and Operative Surgery

Nikola Kolev
Medical University of Varna
Bulgaria

Department of General and Operative Surgery

Anton Tonev
Medical University of Varna
Bulgaria

Department of General and Operative Surgery

D. Hristov
St. Marina University Hospital of Varna
Bulgaria

Department of General and Operative Surgery

Rossen Madjov
Medical University of Varna
Bulgaria

Department of Surgery

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