What is a lap Nissen procedure?
Nissen fundoplication, also referred to as a Lap Nissen, is a laparoscopic procedure performed for patients with gastroesophageal reflux disease (GERD). Many patients with reflux can be treated with medicines to decrease acid production in the stomach.
How is fundoplication surgery performed?
During fundoplication surgery, the upper curve of the stomach (the fundus) is wrapped around the esophagus and sewn into place so that the lower portion of the esophagus passes through a small tunnel of stomach muscle.
How is laparoscopic antireflux surgery performed?
Laparoscopic anti-reflux surgery (commonly referred to as Laparoscopic Nissen Fundoplication) involves reinforcing the “valve” between the esophagus and the stomach by wrapping the upper portion of the stomach around the lowest portion of the esophagus – much the way a bun wraps around a hot dog.
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.
What is GERD surgery called?
Laparoscopic antireflux surgery (also called Nissen fundoplication) is used in the treatment of GERD when medicines are not successful. Laparoscopic antireflux surgery is a minimally-invasive procedure that corrects gastroesophageal reflux by creating an effective valve mechanism at the bottom of the esophagus.
How effective is laparoscopic antireflux surgery?
LL In the short term (ie, 1–2 years), antireflux surgery is extremely effective if it meets specific, high-quality criteria (eg, it is performed by an experienced surgeon in a high-volume, expert center). More than 90% of these patients will be satisfied with their symptom control over a period of 1–2 years.
Can you burp after fundoplication?
Burping after Nissen fundoplication is not common either. Patients may have small burps results from small amount of air trapped above the wrap. However, “big burps” after Nissen fundoplication may indicate wrap failure. Gastroparesis is not common at all following Nissen fundoplication performed by expert hands.
What are the steps of laparoscopy?
The procedure is performed in the following way:
- The surgeon makes a small cut (incision) below the belly button.
- A needle or hollow tube called a trocar is inserted into the incision.
- A tiny video camera (laparoscope) is then placed through the trocar and is used to see the inside of your pelvis and abdomen.
What are the most common side effects from a laparoscopic Nissen fundoplication?
Fundoplication surgery can cause you to feel bloated and make it hard to swallow. These side effects may last for 30 days or longer, and some side effects may require a second surgery to fix. Serious side effects, such as infection and heart attack, may be more common with surgery than with medicine.
What you should know about Nissen surgery?
WHAT YOU NEED TO KNOW: A laparoscopic Nissen fundoplication is surgery to treat gastroesophageal reflux disease (GERD). During this surgery, the top part of your stomach is wrapped around the lower part of your esophagus. This prevents stomach acid from moving up into your esophagus.
What to expect following Nissen fundoplication?
Nissen Fundoplication: What to Expect at Home. Your Recovery. You may be sore and have some pain in your belly for several weeks after surgery. If you had laparoscopic surgery, you also may have pain near your shoulder for a day or two after surgery.
What are the indications for Nissen surgery?
What are the indications for Nissen surgery. Individuals who do not want long-term medication treatment or would not comply with treatment may be considered for surgery. Those with atypical manifestations can be considered for surgery including respiratory symptoms, hoarseness, sore throat, or dental erosions.