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Total versus partial posterior fundoplication in the surgical repair of para-oesophageal hernias: randomized clinical trial.

Analatos A, Linblad M, Ansorge C, Lundell L, Thorell A, Hakanson BS.

BJS Open 2022; 6: zrac034.

In the study that included 70 patients, after six months, dysphagia scores were lower in the partial fundoplication group and quality of life was improved compared with total fundoplication. Radiological recurrence occurred in 47 and 46 per cent of patients, respectively.

Comment: Recurrence rates seem high in both groups, but the partial procedure seems superior.

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