Ten patients presenting with hiatus hernia and gastro-oesophageal refl
ux underwent laparoscopic Nissen-Rossetti fundoplication. All patients
had either medical treatment failure or invalidating reflux. At prese
nt, complete fundoplication is the most effective surgical treatment o
f gastro-oesophageal reflux. The laparoscopic procedure was rigorously
identical with the habitually used <<open>> procedure, the only diffe
rence being the abdominal access. No laparotomy was necesssary in our
patients, and no major complication was observed. The follow-up showed
good clinical results. Laparoscopy has been reported to decrease post
-operative pain and ventilatory disorders. Morover, this minimally inv
asive surgical technique enables rapid resumption of social and profes
sional activities.