Outcomes following revisional fundoplication procedures are very good in the hands of experienced surgeons. Minimally invasive approaches with laparoscopy or robotic surgical systems are feasible with low conversion rates. Proper patient selection and evaluation are essential. Morbidity, length of stay, and operative time all tend to increase in revisions. This is especially true as the number of prior fundoplication attempts increases. GERD outcomes, quality of life, and patient satisfaction are excellent. Outcomes appear to be durable with recurrence rates slightly higher than recurrence rates following primary fundoplication.
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