The Surgical Edge

Surgical Doctor

Step into the world where precision meets innovation. The Surgical Edge is your go-to medical podcast for in-depth reviews and insightful discussions on a wide range of medical conditions, diseases, and the latest advancements in surgical techniques and healthcare technology. Hosted by medical professionals and enthusiasts, each episode dives into the science behind diagnoses, explores evolving treatment protocols, and highlights cutting-edge tools shaping the future of medicine. Whether you're a medical student, healthcare worker, or curious mind, The Surgical Edge keeps you informed, inspired, and on the pulse of modern medicine. Stay sharp. Stay current. Stay on The Surgical Edge. Disclaimer: Only for educational purpose.  Please follow the latest medical or surgical guidelines, local hospital and trust policies for real life practice. These contents are not clinical advice in any way or form and are completely for educational purposes. 

  1. 5d ago

    Choosing Nissen or Toupet Fundoplication - Balancing Barrier vs Bolus

    Send us Fan Mail To choose the appropriate surgery between Nissen and Toupet fundoplication, a structured preoperative assessment is essential to match the procedure to the patient's specific physiology and symptoms. The following tests are required: High-Resolution Manometry: This is a critical test used to evaluate esophageal body motility and exclude major motor disorders. It helps determine if a patient has ineffective motility or weak peristaltic reserve. While Nissen is favored for those with good esophageal peristalsis, Toupet is preferred when motility is impaired. pH Testing: This testing is used to confirm pathologic reflux and provide objective evidence of abnormal acid exposure. It is particularly important for patients being considered for a Nissen fundoplication, which is often selected for classic GERD with strong objective reflux evidence. Upper Endoscopy: This procedure is used to define mucosal disease and rule out complications such as strictures or Barrett’s esophagus. It also provides endoscopic evidence of reflux, which supports the decision for a Nissen wrap. Barium Swallow: This imaging test provides detailed information regarding hernia anatomy, esophageal clearance, and any structural narrowing. It is especially useful in cases involving large hiatal hernia repairs where the surgeon must decide on the extent of the wrap. Listen in to explore more.  Don’t forget to check out out YouTube and Facebook page to enjoy more engaging contents.  DISCLAIMER: This content is for reference only and you must follow local/standard guidelines in clinical practice Like, share and subscribe.  Support the show Quick discussion and review of topics that interests you.

    19 min

About

Step into the world where precision meets innovation. The Surgical Edge is your go-to medical podcast for in-depth reviews and insightful discussions on a wide range of medical conditions, diseases, and the latest advancements in surgical techniques and healthcare technology. Hosted by medical professionals and enthusiasts, each episode dives into the science behind diagnoses, explores evolving treatment protocols, and highlights cutting-edge tools shaping the future of medicine. Whether you're a medical student, healthcare worker, or curious mind, The Surgical Edge keeps you informed, inspired, and on the pulse of modern medicine. Stay sharp. Stay current. Stay on The Surgical Edge. Disclaimer: Only for educational purpose.  Please follow the latest medical or surgical guidelines, local hospital and trust policies for real life practice. These contents are not clinical advice in any way or form and are completely for educational purposes.