“Fundoplication surgery is a treatment employed to address gastro-oesophageal reflux disease (GERD), a disorder characterised by the recurrent regurgitation of stomach acid into the oesophagus, resulting in discomfort.” Dr Mir Asif, Renowned General and Laparoscopic Surgeon in Delhi NCR & Director of MIRASCARE Multi speciality Clinic, Gurugram

This operation is also conducted to rectify hiatal hernias, in which a segment of the stomach protrudes through the diaphragm into the thoracic cavity.

How Fundoplication Works?

The procedure entails encircling the upper section of the stomach (the fundus) around the lower oesophagus. This reinforcement establishes a valve mechanism that inhibits the reflux of stomach acid and contents into the oesophagus.

Types of Fundoplication

1. Nissen Fundoplication (360-degree wrap): The stomach is wrapped completely around the esophagus. It’s the most common and effective type.

2. Partial Fundoplication (270-degree or less wrap):

• Toupet Fundoplication: A 270-degree posterior wrap.
• Dor Fundoplication: A 180–200-degree anterior wrap.

These partial wraps are used when a full wrap might lead to complications like difficulty swallowing.

Indications for Fundoplication Surgery

• Chronic GERD not managed by medications or lifestyle changes.
• Complications of GERD, such as esophagitis or Barrett’s esophagus.
• Due to Large hiatal hernias patient cause severe symptoms.
• Persistent regurgitation or aspiration.

Our Surgical Process at MIRASCARE Centre, Gurgaon

• Laparoscopic Fundoplication (Minimally Invasive): Dr. Mir Asif’s expertise in this minimally invasive surgery, which involves small incisions and quicker recovery times, is impressive.
• Open Fundoplication: This is very traditional method compared to above Laparoscopic Fundoplication , Performed through a larger abdominal incision, typically reserved for complex cases.

What are Benefits of this Surgery

• Significant reduction or elimination of GERD symptoms.
• Prevention of esophageal damage.
• Improved quality of life.

Risks and Side Effects

Like many other surgeries, this surgery has some side effects, but not very long-term (depending upon the person-to-person recovery process).

• Difficulty swallowing (temporary or long-term).
• Gas-bloat syndrome (inability to burp or vomit).
• Recurrence of GERD symptoms in some cases.
• Surgical complications like bleeding or infection.

What is the Recovery time?

• Most patients recover within 2–4 weeks after the surgery performed successfully.
• Dietary modifications, such as starting with liquids and gradually introducing solid foods, are essential during the healing process.

If you’re considering fundoplication surgery, consulting a gastroenterologist or surgeon experienced in GERD management can help determine if it’s the right option for you.

Please message or WhatsApp your query to +91 8882521281 or Leave your Contact Number.

Why choose Dr. Mir Asif Rehman for fundoplication surgery in Gurgaon?

Dr. Mir Asif is an accomplished general surgeon with over 19 years of experience, demonstrating a strong track record in performing a wide range of surgical procedures and effectively treating advanced conditions. Dr. Mir Asif excels in advanced laser surgeries and possesses expertise in both basic and advanced laparoscopic surgeries. Dr. Mir Asif is dedicated to delivering specialised, dependable, and affordable quality health care to every patient he serves.

He has performed nearly 7500 different laparoscopic and laser surgeries. He excels in both basic and advanced laparoscopic surgeries.

1. Expertise in Minimally Invasive Surgery

Dr. is well-known for his skill in laparoscopic and minimally invasive surgical techniques, which ensure that his patients have less pain, heal faster, and have less scars.

2. Extensive Experience

Extensive Experience of Doctor , with over 19 years of experience in general and gastrointestinal surgery, has effectively treated a number of patients who are suffering from complicated GERD (gastro-oesophageal reflux disease) and related conditions that necessitate fundoplication surgery.

3. Comprehensive Pre- and Post-Operative Care

Doctor is known for his personalised care; he guides patients through their diagnosis, surgical procedures, and recovery process to ensure the best possible outcomes.

4. State-of-the-Art Facilities

Doctor conducts surgeries in leading hospitals in Gurgaon, using cutting-edge technologies and equipment to improve safety and precision.

5. Patient-Centric Approach

Dr. Mir alaways believes in a compassionate and transparent approach, explaining the procedure, benefits, risks, and expected results to help patients make informed decisions.

6. Excellent Track Record

His high success rates and positive patient testimonials reflect his dedication to excellence in surgical care.

7. Convenient Location

Mirascare Centre, based in Gurgaon, Dr. Mir Asif, is easily accessible to patients from Delhi, NCR, and other regions, including international patients seeking world-class surgical expertise.

If you’re considering fundoplication surgery for GERD or hiatal hernia, Dr. Mir Asif Rehman combines advanced surgical skills with personalized care to ensure a seamless experience.

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