Posted on : 12/04/2022 Views : 20
Fundoplication Laparoscopy Surgery - Solution for GERD Issues
If you have long-standing gastrointestinal issues, such as GERD (acid reflux) or a hiatus hernia, and your symptoms are not alleviated by medications or other methods, your doctor may recommend fundoplication as a treatment option for you. It can help to reduce acid reflux as well as your symptoms. One of the best laparoscopic surgeons in Jayanagar has helped us to understand the fundoplication procedure in detail. In this blog, you will get to know more about the same.
Understanding the procedure- Fundoplication
Fundoplication is a common surgical procedure used to treat gastrointestinal problems such as GERD (acid reflux) and hiatus hernia.
The surgery is performed through small incisions while the surgeon monitors the procedure on a video monitor. During surgery, the fundus (the top of the stomach) is wrapped around the bottom of the oesophagus (food pipe). A fundoplication is also known as a 'wrap.'
This fixes the valve (sphincter) at the lower end of the oesophagus that isn't working properly in patients with GERD. This increases the pressure in the oesophagus. As a result, acid reflux will be significantly reduced.
What are the types of fundoplication surgeries performed in India?
As per our experts practising in laparoscopic surgery hospital in Bangalore, the three main types of fundoplication surgeries can be performed depending on the needs of the patient.
All of these operations are done laparoscopically. Among the procedures are:
- The 360-degree wrap- The fundus is wrapped all the way around the bottom of your oesophagus to tighten the sphincter. This prevents you from vomiting or burping, which can aggravate your GERD.
- The 270-degree posterior wrap- here the fundus wraps around the backside, or posterior, of the bottom of your oesophagus at a 270-degree angle. This acts as a valve, allowing you to easily release gas through burps or vomit when necessary.
- The 180-degree anterior wrap- The oesophagus just below the diaphragm is rebuilt at 180 degrees anterior wrap. The fundus is then wrapped halfway around the front, or anterior, of the lower oesophagus and attached to a piece of surgical mesh.
Benefits of fundoplication surgery:
- The patient's overall quality of life has improved.
- Following surgery, symptoms have significantly decreased and are manageable.
- More than 90% of patients are pleased with their surgery.
- Most of the patients have stopped taking antacid medicines after surgery.
How the surgery is performed?
The fundoplication procedure is performed under general anaesthesia.
During the procedure, your doctor will insert intravenous (IV) tubes into your veins to control fluids and provide an anaesthetic. You will not feel any pain throughout the procedure.
The steps for each type of fundoplication differ slightly. Each of them can take two to four hours and employs a similar technique. Here's a rundown of what a fundoplication procedure entails:
- The skin and peritoneum, a layer of tissue that surrounds your stomach, are cut several times.
- A thin, illuminated tube containing a camera and microscopic surgical equipment is inserted through the ports (cuts).
- The tissues of your fundus wrap around your lower oesophagus.
- Dissolvable sutures are used to secure the fundus to your oesophagus.
- Any gas present in the abdomen is expelled.
- Moreover, all surgical instruments have been removed.
- To close the incisions, dissolvable stitches are used.
When should you seek medical care after surgery?
You should stay in touch with your healthcare provider even after the surgery and contact-
- If you notice any swelling after surgery
- Bleeding around the incision
- Fever due to infection
Apart from the above-mentioned signs, if you feel that the acid reflux symptoms have returned after surgery, contact your surgeon as soon as possible.
Conclusion- if you or someone you know is suffering from the same, and still taking antacids or medicines, consult our best doctors in Bangalore for a second opinion.