Overview of Fundoplication Surgery

Laparoscopic Nissen fundoplication Surgery is the Gold Standard procedure for treating Gastroesophageal Reflux Disease or in Short “GERD” worldwide.

Laparoscopic Nissen fundoplication Surgery is the most commonly performed surgical procedure for Gastroesophageal Reflux Disease. Whenever the patient who don’t respond or recover completely with the help of medication and also if the patient can’t take medications for Gastroesophageal Reflux Disease.

Fundoplication is usually done with a minimally invasive (Key-hole) procedure. This Laparoscopic surgical (minimally invasive) procedure is performed through tiny incisions in your tummy. The laparoscopic surgeon wraps the top of the stomach around the lower esophageal sphincter, to tighten the muscle and prevent reflux. The wrapping of the top part of the stomach can be complete or partial.

Person who is suffering from Hiatal Hernia, which is also caused by gastroesophageal reflux disease (GERD), can also be operated with a minimally invasive laparoscopic surgical technique.

Also Read: The Role of Hiatal Hernia in Gastroesophageal Reflux Disease (GERD)

Why is Fundoplication Surgery required for Gastroesophageal Reflux Disease?

Fundoplication surgery is used to treat GERD symptoms caused by acid reflux and hiatal hernia which are not controlled or treated by the medication or if the person is not able to take medication because of side-effects.

Who is the ideal candidate for Fundoplication Surgery for GERD?

Surgery to treat GERD is rarely done on people who are ;

• Old, and have other health conditions/problems.
• Have weak squeezing motions (peristalsis) in the esophagus.
• Have unusual symptoms that might be made worse by surgery.

What are the results of laparoscopic Nissen fundoplication?

Whenever fundoplication surgery is performed by an experienced surgeon, the results of GERD surgery are very excellent.

• Many studies have shown that the quality of life is significantly improved after surgery for GERD
• GERD-related symptoms reliably resolve in a high percentage of patients after surgery.
• There is no need to taking acid-suppression medications.
• Very Satisfactory results (>90%)
• Most of the patients are discharged from the hospital the next day of the surgery and return to a normal lifestyle in 2 to 4 weeks

Why Laparoscopic Surgery is better than Open Surgery?

• Open surgery: A large incision is required, which means a bigger cut, you are most likely to stay several days in the hospital and after surgery you may need 4 to 6 weeks to recover and get back to your work.

• Laparoscopic surgery: In Laparoscopic surgery very small cuts or incision(5 to 10mm) are made, you need to stay only 1 to 2 days in the hospital, and recovery time is very fast compared to open surgery. You can be back to work or normal routine activity after 2 to 3 weeks.

What are the advantages of the laparoscopic method?

Advantages of the laparoscopic surgery,

• Reduced pain
• Short hospital stay 1 to 2 days
• Quick recovery
• Very minimal scarring.

If you have any questions in your mind or have any concerns relating to GERD & related conditions, book an appointment in Gurugram, Delhi NCR, India, You can book an appointment online or connect by phone with us at +91 8882 521 281

Update : 11/01/2025

If someone has Hiatal Hernia chances are he or she may be also be suffering from Gastroesophageal reflux disease or the other way around. It is common, several types of research show Hiatal Hernia is associated with GERD or acid refluxes.

A Hernia is a small bulge that occurs when an internal organ pushes through a weakness in the muscle or surrounding tissue wall.

A Hernia occurs usually between the chest and hips. And Hiatal Hernia occurs when the upper part of the stomach moves up into the chest and pushes through the diaphragm (diaphragmatic hiatus). The diaphragm is the muscle separating the abdomen from the chest.

Gastroesophageal Reflux Disease (GERD) or acid reflux occurs when gastric acid frequently flows back into the tube called the esophagus which connects the mouth and stomach.

What is the Reason for Gastroesophageal Reflux

The reason for Gastroesophageal Reflux happens when the lower esophageal sphincter (LES) is weak or relaxes wrongly. The LES opens during normal digestion to allow food to pass into the stomach and closes to prevent the flow back of food and acidic stomach juices into the esophagus.

A Hiatal Hernia can weaken the LES and increase the risk for Gastroesophageal reflux.

The opening in the diaphragm muscle supports the lower end of the esophagus. Many patients with a Hiatal Hernia will not have problems with heartburn or acid reflux. But having a Hiatal Hernia may allow stomach contents to reflux more easily into the esophagus causing discomfort.

Hiatal Hernias are often asymptomatic. One may not be aware of their condition until the protrusion of the stomach through the hiatus is quite large.

What are the Symptoms?

However, larger Hiatal Hernias are big enough to allow undigested food and stomach acids to reflux into the esophagus. This means that people with Hiatal Hernia are likely to experience the symptoms of GERD. These include:

• Heartburn
• Dysphagia (trouble swallowing)
• Frequent burping
• Sore throat

One must note acid reflux can be caused because of a wide variety of underlying factors other than the Hiatal Hernia. If you have acid refluxes more than twice a week, you must see a doctor. A doctor can diagnose Gastroesophageal Reflux Disease based on a physical examination or other tests.

What is Surgical and Non-Surgical Treatment?

Home Treatment

If someone has this type of Hernia they can have more uncomfortable acid refluxes at night as when someone lies down the acid moves easily into the esophagus.

• One solution is to modify the diet.
• Avoiding fried, fatty foods,
• and limiting caffeine intake can help but this may not be a long-term solution.
• Some anti-acid tablets can relieve symptoms of GERD, However, long term use could result in side effects.

For the vast majority of people with GERD and Hiatal Hernia conditions, symptoms can often be effectively managed with a combination of lifestyle changes and medication. But few patients may require laparoscopic surgery for Hiatal Hernia.

Surgical Treatment

A laparoscopic surgeon can treat Hiatal Hernia by a minimally invasive surgery called fundoplication. This will keep the stomach from bulging through the diaphragm opening and to prevent stomach acid from flowing into the esophagus.

What are the Benefit of laparoscopic Surgery?

• Get relief from symptoms
• Don’t have to continue anti-acid medicines anymore

If you are facing GERD-related symptoms, please visit mirascare, our specialist Laparoscopic surgeon in Delhi NCR Haryana will help you to find the best treatment solution.

Call us at : +91 8882 521 281