Nissen Fundoplication Surgery is a procedure to treat gastroesophageal reflux disease (GERD). GERD occurs when stomach contents reflux and enter the lower end of the esophagus (LES) due to a relaxed or weakened sphincter. GERD is a treatable disease and serious complications may occur if left untreated.
Nissen’s fundoplication Procedure:
The Nissen’s fundoplication (fundo) is a surgical technique that strengthens the sphincter (LES). When performing a fundoplication, the part of the stomach that is closest to the entry of the esophagus (the fundus of the stomach) is gathered, and wrapped around the lower end of the esophagus and esophageal sphincter, where it is then sutured (sewn) into place. This surgery may be performed through a large, open abdominal incision or endoscopically, through 5 smaller incisions.
Nissen Fundoplication is performed as day surgery either in the hospital or outpatient surgery center usually with the patient under general anesthesia.
The surgeon uses a needle to inject a harmless gas into the abdominal cavity near the belly button to expand the viewing area of the abdomen giving the surgeon a clear view and room to work. The surgeon makes a small incision in the upper abdomen and inserts a tube called a trocar through which the laparoscope is introduced into the abdomen. Additional small incisions may be made for a variety of surgical instruments to be used during the procedure.
With the images from the laparoscope as a guide, your surgeon wraps the upper part of the stomach, the fundus, around the lower esophagus to create a valve, suturing it in Place. The hole in the diaphragm through which the esophagus passes is then tightened with Sutures. The hole in the diaphragm through which the esophagus passes is then tightened with Sutures. The laparoscope and other instruments are removed and the gas released. The tiny incisions are closed and covered with small bandages. Laparoscopy is much less traumatic to the muscles and soft tissues than the traditional method of surgically opening the abdomen with long incisions (open techniques).
After surgery, your surgeon will give you guidelines to follow. Common post-operative guidelines following laparoscopy include the following:
Risks & Complications
Specific complications for Nissen Fundoplication include: