Laparoscopic Nissen Fundoplication
Cost: $6,281 USD
Hospitalization duration: 2 days
What is Laparoscopic Nissen Fundoplication?
Laparoscopic Nissen fundoplication is a surgery performed to treat severe gastroesophageal reflux (GERD). This condition occurs when stomach contents back up into the esophagus, causing symptoms such as heartburn, pain, and in some cases damage to the esophagus. Nissen fundoplication helps prevent reflux by strengthening the lower esophageal sphincter by wrapping the upper part of the stomach around the lower esophagus, creating a more effective valve.
This procedure is performed laparoscopically, meaning the surgeon uses small incisions to insert surgical instruments and a camera, allowing for a less invasive procedure with less pain and a quicker recovery than open surgery.
Includes
- Medical Team
The surgery is performed by a team specialized in gastrointestinal and laparoscopic surgery, ensuring a safe and precise procedure to treat gastroesophageal reflux.
- Laboratory
Includes complete pre-surgical studies to evaluate the patient’s general health and ensure that he or she is in optimal condition for the intervention.
- Office
Chest imaging examination by means of a telescopic chest x-ray, used to rule out respiratory or cardiac problems that may affect the safety of the procedure and the use of anesthesia.
- Preoperative evaluation by Internal Medicine + EKG
A detailed evaluation performed by an internist and an electrocardiogram (EKG) to confirm that the patient is in adequate condition for surgery.
- Postoperative visits
Follow-up after surgery to monitor recovery, ensure proper healing of the incisions and verify that the reflux symptoms have disappeared.
Preparing for surgery
For laparoscopic Nissen fundoplication, your medical team may recommend:
- Fasting for at least 8 hours before surgery.
- Discontinuation of certain medications, particularly anticoagulants, as directed by the medical team.
- Avoiding foods that cause reflux in the days leading up to the surgery, as well as following the surgeon’s specific dietary recommendations to facilitate stomach preparation.
Recovery
Recovery from laparoscopic Nissen fundoplication is relatively quick due to the minimally invasive approach. Typical recommendations include:
- Avoid strenuous physical activities for at least 4 to 6 weeks to allow for proper healing.
- Follow a liquid and then soft diet for the first few weeks after surgery to adjust to changes in your stomach and prevent discomfort.
- Take pain medication as needed to manage any discomfort or pain in the incision area.
Most patients can resume their daily activities in one or two weeks, although they must follow the diet and medical recommendations until the adaptation process is complete.
Risks and Complications
Laparoscopic Nissen fundoplication is a safe procedure, but there are some potential risks and complications, such as:
- Difficulty swallowing (dysphagia), which may be temporary while the body adjusts to the change.
- Abdominal distension due to gas buildup in the stomach, which usually improves over time.
- Injuries to the esophagus or stomach, which are rare and preventable with a careful approach.
The medical team provides detailed instructions to minimize these risks and ensure a smooth recovery.