Laparoscopic
Fundoplication &  Hiatal Hernia Repair

Laparoscopic Fundoplication

Laparoscopic Nissen fundoplication is now considered the standard surgical approach for treatment of severe gastroesophageal reflux disease (GERD).

The pathophysiology of GERD is not due to acid overproduction but rather mechanical dysfunction centered around the lower esophageal sphincter (LES).

Furthermore, the mainstay of GERD treatment, proton pump inhibitors (PPIs), have come under scrutiny because of worrisome side effects.

Laparoscopic magnetic sphincter augmentation of the LES has been proposed as an additional surgical option. Like Nissen fundoplication, it relies on 360° buttressing of the LES, but it may cause fewer long-term adverse effects.

In appropriately selected patients, laparoscopic reflux surgery may be more cost-effective than lifelong medical treatment.

Laparoscopic Nissen fundoplication may have advantages over the traditional open approach, including improved cosmesis, reduced morbidity, shorter hospital stay, decreased respiratory complications, and faster recovery.

Laparoscopic Hernia Repairs

Hernia is lump which occurs from the weakness in the wall of tummy. There are different types of hernia depending on affected location like inguinal, femoral, umbilical, para-umbilical. Incisional hernia arises from the previously operated incision site.

Hernia arise a result of strain in the abdomen like persistent coughing,excessive straining in toilet,excessive weight,lifting heavy loads. Patient presents with lump in inguinal region, pain or ache over the swelling which gradually worsens with activity. If left untreated may result in obstruction or strangulation. Diagnosed most of the time clinically.

Laparoscopy hernia repair gives an excellent outcome for inguinal hernia 2 small 0.5 cm cuts and one 1 cm cut made over lower part of abdomen. Preperitoneal plane created with co2,contents reduced ,mesh placed .(TEPP).Can be done through intra abdominal route (TAPP). Umbilical hernia and incisonal hernia can be treated quite comfortably through laparoscopic mesh repair.Faster recovery and return to work early and less worry of infection make lap as choice over open surgery.