Error traps and safety steps when performing a laparoscopic Nissen fundoplication

Semin Pediatr Surg. 2019 Jun;28(3):160-163. doi: 10.1053/j.sempedsurg.2019.04.019. Epub 2019 Apr 25.

Abstract

Quality and safety have come to the forefront of the current healthcare environment over the past 10 years. Although all surgeons feel they perform safe operations with quality outcomes, these variables are being increasingly measured in today's healthcare world. The purpose of this article is to describe our thoughts about the error traps and safety steps when performing a laparoscopic Nissen fundoplication. Hopefully, adherence to these technical points will help prevent the need for a second operative procedure due to transmigration of the fundoplication wrap or the need for esophageal dilation postoperatively.

Keywords: Error traps; Human error; Laparoscopic Nissen fundoplication; Quality and safety; Technical considerations.

Publication types

  • Review

MeSH terms

  • Child
  • Fundoplication / methods
  • Fundoplication / standards*
  • Humans
  • Laparoscopy / methods
  • Laparoscopy / standards*
  • Medical Errors*
  • Pediatrics / methods
  • Pediatrics / standards*