Open Nissen Fundoplication: Procedure, Benefits, and Risks

Open Nissen Fundoplication is a surgical procedure used to treat gastroesophageal reflux disease (GERD) by strengthening the lower esophageal sphincter. This procedure can help alleviate symptoms like heartburn, regurgitation, and chest pain caused by GERD.

If medication and lifestyle changes have not provided relief, Open Nissen Fundoplication may be recommended by your healthcare provider.

Indications of Open Nissen Fundoplication

Open Nissen Fundoplication is typically recommended for patients with severe GERD symptoms that are not adequately controlled with medication or lifestyle changes.

  • Chronic reflux symptoms such as heartburn and regurgitation
  • Esophagitis or inflammation of the esophagus
  • Barrett's esophagus, a condition that increases the risk of esophageal cancer
  • Persistent cough or hoarseness due to GERD
  • Complications of GERD like strictures or ulcers

Steps involved in Open Nissen Fundoplication Surgery

During Open Nissen Fundoplication surgery, the surgeon will make an incision in the abdomen to access the stomach and esophagus.

The procedure involves wrapping the top portion of the stomach (fundus) around the lower esophagus to create a new valve that prevents stomach acid from flowing back into the esophagus.

The surgeon will then secure the wrap in place to ensure it stays in position.

Who will perform Open Nissen Fundoplication Surgery?

Open Nissen Fundoplication surgery is typically performed by a skilled general surgeon with specialized training in anti-reflux procedures. It is essential to choose a surgeon who has experience in performing this type of surgery to ensure the best possible outcome.

Your healthcare provider will refer you to a surgeon who is qualified to perform Open Nissen Fundoplication.

Preparing for Open Nissen Fundoplication Surgery

Before undergoing Open Nissen Fundoplication surgery, your healthcare provider will provide you with specific instructions to prepare for the procedure.

  • Fasting for a certain period before surgery
  • Stopping certain medications that may interfere with the surgery
  • Undergoing pre-operative tests like blood work and imaging studies
  • Discussing any concerns or questions with your healthcare provider

Recovery after Open Nissen Fundoplication surgery

After Open Nissen Fundoplication surgery, you will be closely monitored in the hospital to ensure a smooth recovery. The healthcare team will provide pain management, monitor for any complications, and help you gradually resume eating and moving around.

It is essential to follow post-operative instructions carefully to promote healing and reduce the risk of complications.

Before and After Open Nissen Fundoplication surgery

Before Open Nissen Fundoplication surgery, your healthcare provider will discuss the expected outcomes, risks, and benefits of the procedure. It is essential to have realistic expectations and understand the potential changes in your diet and lifestyle post-surgery.

After surgery, you may experience some discomfort, but most patients report significant improvement in their GERD symptoms and quality of life. Follow-up appointments will be scheduled to monitor your progress and address any concerns.

 

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Frequently Asked Questions

What are the common side effects after Nissen fundoplication?

Common side effects after Nissen fundoplication include difficulty swallowing, bloating, and increased flatulence.

How long does the surgery take to perform?

The surgery usually takes around 1-2 hours to complete.

Will I experience difficulty swallowing after the surgery?

You may have some difficulty swallowing after surgery, but it is usually temporary and improves as you recover.

How long is the hospital stay after Nissen fundoplication?

After Nissen fundoplication surgery, you may stay in the hospital for 1 to 3 days to monitor your recovery and ensure there are no complications.

What can I expect during recovery?

During recovery, you can expect some pain, swelling, and bruising, which will improve gradually. It's important to follow your healthcare provider's instructions on wound care, activity restrictions, and pain management to promote healing.

Will I be able to eat normal foods after the surgery?

Yes, you should be able to eat normal foods after the surgery once your body has fully recovered.

Are there any long-term risks or complications to be aware of?

Long-term risks or complications of this condition include chronic pain, joint damage, and difficulty with mobility. Regular follow-ups with your healthcare provider can help monitor and manage these potential issues.

How soon can I return to work or regular activities?

You can usually return to work or regular activities within a few days to a week after a minor surgical procedure, but it may take longer for more complex surgeries. Be sure to follow your healthcare provider's recommendations for a safe and smooth recovery.

Can the procedure fail and symptoms return?

While the procedure's goal is to provide lasting relief, there is a chance that symptoms may return over time. It's essential to follow up with your healthcare provider for ongoing care and evaluation.

Is there any need for post-surgery follow-up visits?

Yes, post-surgery follow-up visits are essential to monitor your healing progress, check for any complications, and ensure a smooth recovery.