Can you tell me about laparoscopic anti reflux surgery for heartburn and or hiatal hernia?

Acid reflux surgery: A nissen fundoplication is a surgery for gerd or acid reflux. The main components of the surgery are repair of a hiatal hernia, if present, followed by wrapping of the upper part of the stomach (the fundus) around the esophagus. This repairs the valve between the esophagus and stomach and prevents reflux. Other options are available such as tif or linx.

Laparoscopy: In general terms, the operation uses 5 small incisions, takes 2-4 hours depending on a variety if factors, is associated with a 1-2 night stay in the hospital, and a 1-2 week recovery period regarding postop pain. There is usually difficulty swallowing for 3-6 weeks afterward as well. Preop tests will determine if its right for you, and there will be occasional reflux afterward, but markedly improved.

Yes: There are several options, and they should be performed when the reflux is truly a disease manifest by organ damage or unacceptable lifestyle modifications. There are also some endoscopic procedures. See a general or thoracic surgeon experienced in anti-reflux procedures for a thorough consultation. Hope this helps!

Yes: For hiatal hernia, the stomach is brought back into the abdomen and the defect of the crus muscles around the esophagus are brought together and possible mesh reinforcement. For just reflux without the hernia, the stomach is wrapped around itself called a fundoplication. Best part is the symptoms are gone almost immediately.