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Thomasville Medical Center

Laparoscopic Nissen fundoplication

Thomasville Medical Center Services Heartburn services Laparoscopic Nissen fundoplication

Laparoscopic Nissen fundoplication is a surgical procedure that alleviates gastroesophageal reflux disease (GERD) symptoms when lifestyle changes or anti-reflux medications have not controlled symptoms.

The procedure was first performed in 1951 as an open-surgical procedure. Patients were hospitalized for 7 to 10 days after the procedure. Today, the Nissen fundoplication is performed in approximately 90 minutes. A majority of the time the patient is in the hospital overnight and is discharged the morning after surgery.

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Office hours are Monday-Friday, 8 a.m. to 4:30 p.m.
How the procedure works

The purpose of the surgery is to fix a hiatal hernia, if present, and to form a valve around the lower esophagus to keep stomach contents from flowing back into the esophagus.

In this procedure, the top part of the stomach (approximately 5 percent) is wrapped around the esophagus to form an additional valve to keep stomach contents from flowing up into the esophagus. The patient has five or six incisions, about ¼-inch each, in the abdomen. Post-operation, after arousing from the anesthesia, the patient is given liquids to drink, advancing then to a soft diet. It is a successful treatment in about 95 percent of the patients who have surgery.

Am I a candidate?

Patients are carefully screened prior to having a Nissen fundoplication. Not all heartburn sufferers are candidates for the surgery. The first step is to realize that heartburn and acid reflux are serious and can have a negative impact on daily living.