Surgery For GERD - Reasons For Laparoscopic Fundoplication Failure
Long-term failure rates after fundoplication have been reported at 30% after 5 years to 63% after 10 years. Hiatal herniation is the most common reason for surgical failure and the need for a repeat fundoplication. Other common reasons for reoperation include breakdown, slippage, and excessive tightness of the wrap.
Surgeon experience can lessen complication risks. Some studies have reported repeat operations after open procedures in between 9% and 30% of cases and 13% after laparoscopy. (Repeat surgery usually has good results.)