The surgery is relatively safe with morbidity of less than 1%. Like any major surgery, fundoplication also has a risk for complications that are usually treatable or transient. Some common complications are: Bleeding.
How long does laparoscopic Nissen fundoplication surgery take?
The operation usually takes 60 -90 minutes. In a small number of cases the operation cannot be completed by keyhole surgery. The keyhole surgery is then abandoned and converted to an open operation; this requires a larger incision of 6 -10 inches in your abdomen.
How long is recovery from Nissen fundoplication?
After open surgery, you may need 4 to 6 weeks to get back to work or your normal routine. If the laparoscopic method is used, you will most likely be in the hospital for only 2 to 3 days. A general anesthetic is used. You will have less pain after surgery, because there is no large incision to heal.
Will I be able to vomit after Nissen fundoplication?
The Nissen fundoplication is the most common anti-reflux operation performed. Gas bloat and inability to vomit after repair may be severe, but infrequently require reoperation; in contrast, other complications can be very debilitating or life-threatening.
Can you vomit with a Nissen?
Vomiting is sometimes impossible or, if not, very painful after a fundoplication, with the likelihood of this complication typically decreasing in the months after surgery. In some cases, the purpose of this operation is to correct excessive vomiting.
What is Nissen fundoplication for GERD?
Nissen Fundoplication. A NIssen fundoplication is the definitive surgical treatment for GERD where medical therapy has failed and to acheive a permanent solution to the problem of acid reflux backup into the stomach.
How is Gerd treated with laparoscopic surgery?
Laparoscopic anti-reflux surgery for GERDmay involve a procedure to reinforce the lower esophageal sphincter, called Nissen fundoplication. In this procedure, the surgeon wraps the top of the stomach around the lower esophagus after reducing the hiatal hernia, if present.
What is the surgical procedure for fundoplication?
Surgical Procedure. Nissen Fundoplication is performed under general anesthesia. The procedure may be done as day surgery either in the hospital or outpatient surgery centers. When the procedure is done laparoscopically, the surgeon uses a needle to inject a harmless gas into the abdominal cavity near the belly button.