Hiatal repair to reduce dysphagia in patients with impaired oesophageal motility having 360° fundoplication: the posterior 'sling' repair

Background: Fundoplication in the presence of oesophageal dysmotility as being concerning for the development of postoperative dysphagia. Many techniques of surgery including partial fundoplication have evolved. Methods: The technique of posterior sling repair of the hiatus avoiding heavy rigid to stitch posterior repair has reduced early dysphagia in our practice. Result: The operative technique with operative illustrations is described. Conclusion: Posterior sling repair of the hiatus during a laparoscopic fundoplication in oesophageal dysmotility is feasible and has reduced postoperative dysphagia.