From: Management of complications after laparoscopic Nissen's fundoplication: a surgeon's perspective
â–ª Dense fibro-fatty peri-oesophageal and omental tissue |
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â–ª Extreme omental and intra-abdominal adiposity |
â–ª Large, floppy liver making retraction difficult and risky |
â–ª Severe epigastric port site bleeding |
â–ª Dense fibrotic adhesions between stomach, liver and anterior abdominal wall following previous highly selective vagotomy |