How Long Does A Nissen Fundoplication Surgery Take

• Definition
  • What is laparoscopic Nissen fundoplication?
• GERD
  • Why is laparoscopic Nissen fundoplication performed?
• Steps
  • How is a laparoscopic Nissen fundoplication performed?
• Recovery
  • How long does it take to recover from a fundoplication?
  • How long does a laparoscopic Nissen fundoplication last?
• Complications
  • What are the risks and complications of a laparoscopic Nissen fundoplication?
• Heart
  • How Long Does a Laparoscopic Nissen Fundoplication Last? Center

What is laparoscopic Nissen fundoplication?

Laparoscopic Nissen fundoplication is a surgical process to strengthen the esophageal muscle and cure astringent GERD.

Laparoscopic Nissen fundoplication is a minimally invasive process to treat severe gastroesophageal reflux affliction (GERD). Laparoscopic Nissen fundoplication helps to strengthen the lower esophageal sphincter muscle past reducing the potential for breadbasket acid to move back up into the esophagus. In a Nissen fundoplication the top role of the tum (fundus) is wrapped 360 degrees around the lower esophagus and sutured.

Nissen fundoplication is named after Dr. Rudolf Nissen, who first designed the procedure in the 1950s, equally a treatment for astringent reflux esophagitis (inflammation of the esophagus). Information technology is now a common treatment for severe GERD and often accompanied past a repair of hiatal hernia, which is common in GERD patients.

Why is laparoscopic Nissen fundoplication performed?

GERD is a condition in which the stomach acid flows backward up into the esophagus, irritating the lining and causing symptoms such as

• Heartburn
• Chest hurting
• Burning at the dorsum of the pharynx
• Acidic gustatory modality in the rima oris
• Chronic hoarseness, cough and sore throat

GERD is caused by dysfunction of the lower esophageal sphincter muscle. In a healthy person, this musculus acts as a valve that opens to let food laissez passer into the stomach and closes to forbid the tum contents coming back into the esophagus.

Laparoscopic Nissen fundoplication is performed to strengthen the sphincter muscle to prevent acid reflux. The procedure is performed in situations such as:

• Medications, diet and lifestyle changes do not provide relief
• Requirement of long-term treatment with medications
• Complications from GERD such as
• Barrett'southward esophagus (abnormal cells in the esophagus)
• Peptic stricture (narrowing of esophagus)
• Development of GERD-associated hoarseness, cough or asthma
• Evolution of hiatal hernia
• Chronic esophagitis

How is a laparoscopic Nissen fundoplication performed?

Nissen fundoplication is a ordinarily performed laparoscopic surgery. The surgeon performs the procedure using tiny surgical instruments inserted through a flexible tube (laparoscope). Surgeons access the breadbasket through 5 tiny incisions made in the upper intestinal region. The surgeon is guided past images transmitted from a lighted camera in the laparoscope inserted through one of the incisions.

Laparoscopic Nissen fundoplication is performed under general anesthesia in an operation room. The procedure may have up to iii hours.

Preparation

Prior to the procedure a patient may be required to

• Undergo concrete examination, blood, urine and imaging tests
• Undergo esophagogastroduodenoscopy exam to examine the upper gastrointestinal tract, along with a biopsy
• Undergo esophageal manometry test to examination the muscular office of the esophagus
• Undergo impedance monitoring test to evaluate the motility of food down the esophagus
• Undergo a gastric emptying study
• Undergo 24-hour monitoring for pH value (acerbity) assessment
• Drink only clear liquids for 24-48 hours earlier the procedure, according to the doctor'southward advice.
• Avoid eating or drinking anything for viii hours prior
• Bank check with the doctor before taking any regular medications
• Inform the doctor of whatever allergies

Process

• An anesthesiologist administers anesthesia and monitors the patient'south vital functions during the procedure.
• The patient will be intubated to assist animate.
• The patient will have an Iv line for medication.
• The surgeon makes five tiny incisions in the upper abdominal area.
• The surgeon inflates the abdomen with carbon dioxide for improved visibility.
• Using tiny instruments inserted through the incisions, the surgeon grasps the fundus portion of the breadbasket.
• The surgeon then wraps the fundus over the lower esophageal sphincter and sutures it.
• If a hiatal hernia is present, the surgeon repairs the hernia.
• The surgeon arrests any bleeding nowadays and lets the gas out.
• The instruments are removed, and the incisions are closed with dissolvable sutures.
• The patient is brought out of anesthesia, administered painkillers and monitored in the recovery room for a few hours.

QUESTION

GERD is the back up of tummy acrid into the esophagus. Come across Answer

How long does it take to recover from a fundoplication?

A laparoscopic Nissen fundoplication may require hospital stay of two days. Nigh people are able to resume normal activities subsequently 2 or iii weeks. The patient may have to exist on a soft nutrient or liquid diet until the esophagus heals, and avoid heavy lifting and strenuous activities.

How long does a laparoscopic Nissen fundoplication last?

For a majority of patients, laparoscopic Nissen fundoplication is reported to have resulted in lasting relief. The procedure improves quality of life and is superior to being on lifelong medication. A small percentage of people may have persisting symptoms. Some may have to repeat the surgery due to complications from the fundoplication or other underlying conditions.

What are the risks and complications of a laparoscopic Nissen fundoplication?

Laparoscopic Nissen fundoplication is a surgical solution for serious GERD, but at that place are a few risks associated with the process, which include:

Early complications

Side effects of anesthesia such as

• nausea
• headache
• confusion

Risks of surgery such as

• wound infection
• pneumonia
• bleeding
• blood clots
• damage to internal organs, blood vessels or nerves
• Pain and/or difficulty with swallowing (dysphagia)
• Stomach fullness or discomfort later eating
• Gas and bloating
• Plummet of lung (pneumothorax)
• Infection and sepsis
• Late complications
• Persistent gas and bloating
• Persistent dysphagia
• Lack of relief from GERD symptoms
• Scar formation leading to adhesions
• Incisional hernia
• Requirement of redo procedures due to complications

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Medically Reviewed on 4/29/2020

References

Medscape Medical Reference

Source: https://www.medicinenet.com/how_long_laparoscopic_nissen_fundoplication_last/article.htm

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