Laparoscopic Fundoplication

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Laparoscopic Fundoplication

Laparoscopic fundoplication is a keyhole procedure performed for patients with severe acid reflux, Barrett’s oesophagus and symptomatic hiatus hernias that no longer respond to medicines. It is done to prevent acid from the stomach passing the wrong way into the oesophagus. The operation is predominantly laparoscopic, very rarely conversion to open surgery may be necessary.

Procedure of Laparoscopic Fundoplication

The procedure involves narrowing the defect through which the oesophagus enters into the stomach as well as wrapping the upper part of the stomach around the lower oesophagus to recreate the valve at the lower end of oesophagus. The wrap itself may be complete or partial depending on the situation.

The surgery takes about 1.5 to 2 hours and is carried out under general anaesthesia.

Overnight hospital stay is necessary, although some patients can go home on the same day.

There are restrictions to food intake for the first few weeks after this procedure. Sloppy and pureed food is advised for 6 weeks following the surgical operation. Your provider will give dietary advice will before you go home. Anti acid medicines can be stopped immediately after the surgical procedure.

  • 1. You’ll be put to sleep under general anesthesia before the liver surgery. If you’re having open surgery, you may also have a transversus abdominis plane nerve block, which will help with pain management after you wake up.
  • 2. If you’re having open surgery, your professional will make one long incision across abdomen to open your abdominal cavity and having laparoscopic surgery, your surgeon will make 4 to 6 “keyhole” incisions, which they’ll use to place the camera and surgical instruments to do the operation.
  • 3. Your surgeon will identify the section of your liver that needs to be taken out.
  • 4. Your surgeon will finely dissect tissue of liver, isolating the blood vessels and bile ducts. They use ultrasonic energy devices to dissect liver and control bleeding.
  • 5. If you’re having laparoscopic or robotic surgery, your surgeon may make an additional 2- to 5-inch incision for the resected liver. The size of the incision depends on the tumour size and how much liver is removed from the body.
Risks of liver surgery
  • Infection
  • Bleeding
  • Bile leakage
  • Kidney failure
  • Liver failure
  • Pleural effusion