Open Toupet and Dor partial fundoplications

Partial fundoplications are generally indicated in patients with impaired esophageal motility. Early results of partial fundoplications are good to excellent, but several series have shown a higher recurrence rate by 2 years. Partial fundoplications avoid overcompetence and early postoperative dysphagia. Dor and Toupet fundoplications aim to achieve an increase of pressure in the LES region and a long extra-abdominal segment of esophagus. The LES pressure created by the Dor fundoplications are lower than pressures created by the Nissen or Belsey repairs. It remains controversial whether avoiding early postoperative dysphagia (by performing a partial fundoplication) justifies a potentially higher recurrence rate of late postoperative reflux