What is Laparoscopic Nissen Fundoplication?

Laparoscopic nissen fundoplication is a surgical procedure that is often recommended to treat oesophageal disorders such as  gastroesophageal reflux disease. Gastroesophageal reflux disease, also known as GERD, is a condition that occurs when stomach acid flows back into the oesophagus, causing severe heart burn.

Besides heartburn, some other common symptoms include difficulty swallowing, chest pain, regurgitation of food, and the feeling of having a lump in the throat.

How does the procedure work?

During laparoscopic nissen fundoplication, Dr Mosai will make incisions in the abdomen. Very small surgical tools will be inserted into the incisions, along with an endoscope. Dr Mosai will then wrap the stomach around the lower oesophagus in order to reinforce the lower oesophageal sphincter. This helps to prevent acid and other contents of the stomach to move back up into the oesophagus.

The laparoscopic nissen fundoplication procedure generally takes between an hour and 90 minutes to perform.

What does recovery from the procedure involve?

After the procedure is complete, your wounds will be dressed with post-opsites. You may feel some sensitivity at the site of the incisions, but any pain and discomfort will be minimal compared with traditional open surgery.

You will need to avoid strenuous activity and heavy lifting for several weeks. Dr Mosai will advise you when you are able to resume your usual activity. You will also need to eat soft foods for up to six weeks.

You will need to see Dr Mosai for a follow-up consultation at one week and six weeks following treatment. At this point, he will check that you have recovered adequately from the surgery.