Fig. Laparoscopy Fundoplication
Symptoms & Diagnosis
Laparoscopic fundoplication is a procedure to treat the diseases like hiatal hernia and gastroesophageal reflux disease (GERD). The fundoplication surgery procedures consist of Nissen Fundoplication which is total 360o, partial fundoplication which 270o anterior, Belsey which is 270o anterior transthoracic, Dor which is 180-200o anterior, Lind which is 300o posterior and Toupet fundoplications which is 270o posterior.
The symptoms includes severe abdominal pain, heart burn or chest pain, bleaching or bloating, difficulty in swallowing, chronic cough, and pneumonia.
To diagnosis the GERD upper endoscopy is done. The esophagus is biopsied to diagnose any pre-malignant changes have occurred. Whereas hiatal hernia are diagnosed with the help of swallow test by an upper GI barium which can be observed by the esophagus and stomach x-ray. The diagnosis of the GERD can be determined with a 24 hours pH test.
Treatment and Recovery:
The surgery involves in tightening the opening in the diaphragm through which the esophagus enters the abdomen and wrapping part of the stomach partially or completely around lower esophagus. For hiatal hernia, the surgery is performed through minimally invasive laparoscopic approach. A tine incision is made.
The patients are asked not to eat anything before 8 hours of surgery. The recovery of the patient undergoing the surgery is very fast. As the minimally invasive technique is used, the advantage to the patient is less blood loss, the incision is not big so post-operative scar will also be small, less time of hospital stay and faster recovery. The patient is more likely to get discharged after 2 to 3 days of the surgery.