“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.

It all depending on ;

1.The type of hernia you are suffering from ,

2)The surgical technique employed, and

3) The personal characteristics of an individual , including general health, co morbidities and fitness,

Recovery following hernia surgery can vary from person to person.

Here are some broad suggestions for what to anticipate throughout the recuperation process,

Dr. Mir Asif say:

1. Immediate Postoperative

Period when you are still in the hospital I.e. first 12 to 24 hours post surgery :

The majority of hernia surgeries are done as outpatient procedures, allowing you to leave the hospital the same day or at max the next day of the procedure . 

However, some surgeries may call for a brief hospital stay extended from 24 to 48 hours .

• At the surgical site, you can feel some pain, discomfort, and swelling .

• Your health will be closely monitored by our nursing staff for any potential problems like bleeding or infection.

2. Pain Management:

• Following a hernia operation, pain and discomfort are frequent. To manage this, Dr. Mir Asif will recommend painkillers.

• Ibuprofen and other over-the-counter painkillers may also be advised, as the patient is still in hospital intravenous analgesic can be given to mitigate pain and discomfort if required.

3. Diet:

• Following a soft or liquid diet for immediately post procedure and normal high protein diet following first 24 hours after surgery may be recommended ,

Constipation should be avoided as it can put strain on the surgical site.

B) First 5-7 days post surgery        

Diet : keep yourself hydrated and maintain a high protein normal diet

Try and avoid constipation by supplementing food with enough fibre

4. Activity and Rest:

Avoid heavy lifting, vigorous activities, and driving until your surgeon gives you the all-clear, which is normally a few weeks after surgery. It’s crucial to rest and take it easy throughout the early healing period.

5. Wound Care:

   Keep the area around the surgical incision tidy and dry. Dr Mir, gives you Specific instructions on how to care for your wound, including when and how to change dressings.

6. Follow-up Appointments:

• You must appear for follow-up consultations with Dr. Mir after the operation in order for him to check on your recovery and remove any staples or stitches.

7. Return to Work and Normal Activities:

• Returning to work and routine activities can take a variety of times. Depending on the hernia type and surgical technique, it could take a few days to several weeks.

8. Long-Term Recovery(7 days to 6 weeks):

• Despite the fact that the majority of hernia surgery patients fully recover without any issues, it’s crucial to pay attention to your body and adhere to Doctor’s advice at all times.

Additionally, stay away from activities that can overwork your stomach muscles and cause a recurrence.

9. Complications:

Complications can happen even though they are uncommon. If you suffer intense pain, fever, redness, swelling, or discharge from the incision site, call us at +91 8882521281 right away, as these symptoms could indicate an infection or other complications.

Keep in mind that every person’s experience with recovery is different, and it’s essential to adhere to your surgeon’s exact instructions for a secure and effective recovery following hernia surgery. During your recovery, do not be afraid to contact our Mirascare Center if you have any worries or inquiries.

1. Hernia Formation: When an organ or portion of tissue pushes through a tear or opening in the connective or musculoskeletal tissue surrounding it, a hernia forms. In the case of an abdominal hernia, such as an inguinal hernia or a femoral hernia, a section of the intestine may push through the frail abdominal wall.

2. Entrapment: The intestine may get stuck inside the hernia sac once it pokes its way through the abdominal wall. The intestine becomes trapped when the opening it went through shrinks or constricts, preventing it from returning to its normal location in the abdominal cavity.

3. Constriction: The trapped intestinal segment may become severely compressed inside the hernia sac. The size of the hernia opening, the tension in the tissues around it, or motions that increase pressure inside the abdominal cavity are only a few causes of this restriction.

4. Reduced Blood Flow: The constriction may narrow the blood arteries supplying the confined section of intestine with blood. As a result, the blood supply to that region is hampered, which causes ischemia (a lack of oxygen and nutrients).

5. Intestinal Obstruction: If the blood flow to the affected area of the intestine is disrupted, the tissue may begin to bulge or even die. The intestinal lumen may become partially or completely blocked as a result of intestinal swelling. Due to this obstruction, food, liquids, and gas cannot flow through the gut, resulting in symptoms including severe stomach discomfort, bloating, vomiting, and constipation.

An intestinal obstruction caused by a hernia that has not been treated may develop into the more deadly condition of strangling. Strangulation happens when the confined intestine’s blood supply is totally cut off, resulting in tissue death and potentially fatal complications. Therefore, it’s imperative to get medical help right once if you think you have an intestinal obstruction due to a hernia.

Now, Understand : What is intestinal obstruction?

A condition known as intestinal obstruction occurs when there is a partial or total blockage that hinders the normal movement of food, liquids, and gas through the intestines. It can happen in the large intestine (colonic obstruction) or the small intestine (small bowel obstruction). Intestinal blockage might be a medical emergency that needs to be treated right away.

Symptoms of intestinal obstruction can vary depending on the location and severity of the blockage. Common symptoms may include:

• Abdominal pain or cramping: The pain may be intermittent or constant and can be severe.
• Distention and bloating: The abdomen may become swollen and visibly distended.
• Nausea and vomiting: Due to the blockage, the stomach may become full, leading to feelings of nausea and eventual vomiting.
• Inability to pass gas or have a bowel movement: The blockage prevents the normal passage of gas and stool.
• Lack of appetite and weight loss: Reduced appetite and unintentional weight loss may occur due to the obstruction and associated symptoms.

If intestinal obstruction is not treated, it can result in consequences like dehydration, electrolyte imbalances, infection, tissue death (necrosis), and intestine perforation. These issues could endanger your life.

The underlying cause and the degree of the obstruction will determine the course of treatment. It could entail non-surgical procedures such bowel rest, medication, or decompression by nasogastric tube insertion. Surgical surgery may be required to remove the blockage or repair the damaged portion of the intestine in more severe cases or if problems develop.

Need immediate medical attention for a hernia condition?

For top-notch treatment and the greatest after-care assistance, consult Dr. Mir Asif Rehman, MD, DNB, general surgery, general surgeon, laparoscopic surgeon, and proctologist at Mirascare Multispeciality Clinic.

Hernias will not go away by themselves there is no medical, herbal or alternative remedy available for hernia. Surgery is the only way to repair your hernia condition. A hernia repair returns the organ or structure to its proper place and fixes the weakened area of muscle or tissue with the help of a mesh.

Getting a surgery done is a big decision for any individual who is suffering from this condition. It usually is tempting to put it off. Before you decide not to get the surgery done, you must understand the risks and benefits of your decision. Here are some important things to consider and discuss with your hernia specialist while making the decision.

How is the Hernia affecting your life?

The first thing to observe is whether or not you are experiencing any symptoms. Not everyone feels symptoms with a hernia, especially if you have small defect/defects. The most common symptom to occur with hernia is pain. Other symptoms can be feeling of heaviness, lump and fullness in the belly or groin area. Whether you are facing any symptoms or not, a hernia can affects your daily activities and the office work.

Delaying surgery may cause long time away from your work and fun, which you could be doing otherwise.

If you have any above-mentioned symptoms, especially pain, your doctor is likely to recommend surgery.

What if you don’t have any symptoms or they are minimal?

If you don’t have symptoms or symptoms are minimal even then surgery is recommended as complication arising from hernia can be dangerous and sometimes life threatening.

What are the Risks of Waiting and not getting the surgery done sooner?

Hernias can become incarcerated: 

One of the possible serious risk of not fixing a hernia is that it can become trapped outside the abdominal wall—or get incarcerated.

Strangulation:

After hernia gets trapped outside the abdomen wall this can cut off the blood supply to the hernia and obstruct the bowel, resulting in a strangulation. This requires urgent surgical repair.

Avoiding an emergency situation is the main reason not to delay hernia surgery.

Hernias grow. 

The most common scenario is that your hernia will continue to grow and weaken the surrounding tissues as the time passesby and this condition is very likely to increase your hernia symptoms, including pain, and may cause lifestyle changes. Smaller hernias are easier to repair than larger hernias.

We at Mirascare, along with our doctor’s would recommend upfront surgery instead of delaying, which can potentially prevent your symptoms from getting worse and avoids serious life threating complication. It can also help you avoid losing work or missing daily activities.

Hernias require surgery in time:

Even if you aren’t having symptoms, you may still want to consider having surgery sooner rather than later.

Hernia Surgery is rather unavoidable in most of the cases. Research shows that most people with hernia conditions have surgery within 10 years. Always Keep in mind that delaying surgery until your hernia is larger and the muscles are weaker may make surgery and recovery more difficult and reoccurrence more likely.

Your overall health may change. 

Your age is the most important factor while determine whether waiting is a risk for you. Your overall health or physical shape may change over years and usually not for good. This will also affect your surgery and post recovery time.

Having surgery at a younger age and when the hernia is small will yield a better outcome and with lesser complications. Or even if you are elderly hernia repair is still beneficial as it averts life threating complications and will be recommended by the surgeons.

Making the right Decision for Hernia treatment

In today’s busy life any Surgery is inconvenient. Making the right choice or decision at the right time and not to delay your hernia repair will be beneficial for you.

You can schedule your surgery at your convenience with the help of our hernia specialist’s. We will guide you whether you are a right candidate for laparoscopic hernia surgery or not, After Laparoscopic Hernia surgery you’ll be back to routine activity and work sooner compare to Open Surgery. Surgery should be easier on you and recovery will likely be smoother at a younger age and with a smaller hernia.

If you have any questions in your mind or have any concerns relating to Hernia & 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