Redo Surgery: Dor (Anterior) Fundoplication Following Trans-Oral Incision-Less Fundoplication (TIF)

Introduction: As the demand for minimally invasive approaches increases, patients can choose from a spectrum of risk-benefit profiles. For symptomatic reflux disease laparoscopic fundoplication remains the gold standard treatment. Yet with the advent of trans-oral incision-less fundoplication (TIF), some may attempt this as a first procedure where initial tests suggest the absence of a hiatal hernia, as it does not involve invasive surgery. Thus, the market for surgeons willing and able to take on redo anti-reflux work will only grow, as well as the need to understand and plan for these operations. This video illustrates one such case.