Nissen Fundoplication is a surgical procedure performed to treat gastroesophageal reflux disease (GERD) and hiatal hernias. This procedure involves wrapping the upper part of the stomach (the fundus) around the lower end of the esophagus to reinforce the lower esophageal sphincter (LES).
The enhanced LES prevents stomach acid from flowing back into the esophagus, thus alleviating symptoms of GERD, such as heartburn and acid reflux.
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Why Nissen Fundoplication is Recommended
This surgery is typically recommended when lifestyle changes and medications have not effectively controlled GERD symptoms, such as persistent heartburn, regurgitation, or chronic cough. It’s especially useful for those who experience severe complications from GERD, including esophagitis or Barrett’s esophagus.
Procedure Details
Nissen Fundoplication is usually performed laparoscopically, meaning it requires only small incisions. Here’s an overview of the steps:
- Preparation: Patients are placed under general anesthesia.
- Laparoscopic Surgery: A few small incisions are made, allowing the surgeon to insert a camera and surgical tools.
- Stomach Wrap: The surgeon wraps the upper portion of the stomach around the esophagus.
- Securing the Wrap: This wrap is secured to prevent acid from flowing back into the esophagus.
Benefits of a Nissen Fundoplication
Most people notice an improvement in acid reflux symptoms after a Nissen fundoplication. Relieving GERD keeps you more comfortable and reduces the chance of developing Barrett’s esophagus. Barrett’s esophagus raises the risk of esophageal cancer.
People who have laparoscopic Nissen fundoplication also benefit from:
- Faster recovery.
- Less pain.
- Shorter hospital stay.
Nissen Fundoplication Recovery
Nissen Fundoplication is a surgical procedure used to treat gastroesophageal reflux disease (GERD) by wrapping the top of the stomach around the lower esophagus to strengthen the esophageal sphincter and prevent acid reflux. Here’s a general guide to what recovery might involve:
1. Immediate Post-Operative Recovery
- Hospital Stay: Usually, patients stay in the hospital for 1-3 days post-surgery.
- Pain Management: Expect some pain and discomfort around the incision site. Pain medications are often prescribed.
- Activity: You’ll be encouraged to walk and move around soon after surgery to promote blood circulation.
2. First Week After Surgery
- Diet:
- A liquid or very soft diet is typically recommended. Gradually progress from clear liquids to full liquids and then soft foods as tolerated.
- Avoid carbonated drinks, alcohol, and foods that are hard to swallow or may cause gas and bloating.
- Medications: Take all prescribed medications as directed, which may include pain relievers and medications to reduce acid production.
- Restrictions: Avoid heavy lifting, strenuous activity, and bending or twisting motions that put pressure on the abdomen.
3. 2-4 Weeks After Surgery
- Gradual Diet Expansion: Begin incorporating soft and then solid foods, depending on tolerance.
- Symptoms: Mild bloating, gas, or difficulty swallowing may occur but should gradually improve.
- Exercise: Light activities and walking are encouraged, but avoid strenuous exercises until cleared by your doctor.
4. Long-Term Recovery (1-3 Months)
- Normal Diet: Most patients can return to a normal diet over time, though spicy or acidic foods may need to be limited initially.
- Activity: Gradually resume regular activities, but only return to full exercise regimens when approved by your surgeon.
- Follow-Up: Routine follow-up appointments are essential to monitor healing and address any complications or dietary issues.
Tips for a Smooth Recovery:
- Eat Smaller, Frequent Meals: Large meals can increase discomfort.
- Avoid Tight Clothing: This can reduce abdominal pressure and aid digestion.
- Stay Hydrated: Drinking plenty of water helps digestion and reduces bloating.
- Take Time Chewing Food: This can help with any initial swallowing difficulties.
When To Call the Doctor
When should I see my healthcare provider?
If acid reflux symptoms return after surgery, speak with your healthcare provider.
After surgery, you may also notice some swelling around your incision. Call your healthcare provider if you experience:
- Bleeding.
- Excessive swelling.
- Fever.
- Flushed or hot skin around the incision.
- Vomiting.
