Laparoscopic Nissen Versus Toupet Fundoplication for Gastroesophageal Reflux Management in Patients With Hiatal Hernia: A Patient- and Assessor-Blinded Randomized Controlled Trial
This randomized controlled trial compares laparoscopic Nissen fundoplication and laparoscopic Toupet fundoplication in patients undergoing surgical treatment for hiatal hernia associated with gastroesophageal reflux disease. Participants will be randomly assigned to one of two surgical groups. The study will evaluate postoperative pain, health-related quality of life, hospital stay, recurrence of reflux symptoms, gas-bloat symptoms, operative time, fundoplication time, and postoperative complications.
• Patients aged 18 to 90 years
• Patients diagnosed with primary hiatal hernia by fibrogastroscopy and/or barium swallow examination
• Patients with symptoms of gastroesophageal reflux disease
• Patients scheduled for elective laparoscopic hiatal hernia repair with fundoplication
• Patients able to provide informed consent