Report on 40 patients suffering from a therapy resistant gastroesophageal reflux disease. Conventional ligamentum-teres-plastic was performed on 18 patients, while 22 patients were treated laparoscopically as minimal invasive procedure. Both techniques are described and the advantages of the laparoscopy versus the conventional laparotomy are explained. As a result the ligamentum-teres-plastic is an efficient treatment for gastroesophageal reflux disease and distinguishes itself because of its relative simplicity and a low complication rate.
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