Laparoscopic Nissen Fundoplication
Modern keyhole surgery to create a 360° wrap of the upper stomach around the lower oesophagus — the gold standard for severe acid reflux and GERD, providing long-lasting relief from medication.
What is Laparoscopic Nissen Fundoplication?
Laparoscopic Nissen Fundoplication is the gold-standard surgical treatment for severe gastro-oesophageal reflux disease (GERD), particularly in patients with persistent symptoms despite medication, large hiatus hernias, or complications such as oesophagitis or Barrett's oesophagus. Through 4–5 keyhole incisions, the upper part of the stomach (fundus) is wrapped 360° around the lower oesophagus, recreating an effective anti-reflux barrier. As an experienced laparoscopic surgeon in Hyderabad, Dr. Tejasree Vengala performs Nissen fundoplication at Lux Hospitals, Hyderabad, with most patients enjoying lasting relief from medication.
How the Procedure Works
Anaesthesia & Preparation
Surgery is performed under general anaesthesia. The abdomen is prepared and draped, and a urinary catheter is placed.
Port Placement
Four to five small incisions of 5–10 mm are made in the upper abdomen for the camera and working instruments.
Hiatus Hernia Reduction
Any hiatus hernia is gently reduced back into the abdomen, and the lower oesophagus is mobilised carefully.
Crural Repair & Wrap Formation
The diaphragmatic crura are repaired around the oesophagus, and the upper stomach is wrapped 360° behind and around the lower oesophagus.
Wrap Fixation & Recovery
The wrap is secured with sutures. Patients usually start liquids the same evening and are discharged within 1–2 days.
Outcomes
Who Needs This Treatment?
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Effective long-term cure for severe acid reflux
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Eliminates the need for daily acid suppression medication
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Repairs associated hiatus hernia in the same sitting
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Keyhole technique with very small scars
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Quick recovery and return to normal life
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Improves quality of life dramatically in well-selected patients
When patients have lived with severe reflux for years, fundoplication is a life-changing operation — they suddenly sleep flat, eat freely and stop fearing every meal. The key is selecting the right patient, repairing the hiatus carefully, and creating a wrap that is neither too tight nor too loose.
— — Dr. Tejasree Vengala, Consultant Proctologist & Laparoscopic Surgeon, Lux Hospitals, Hyderabad
Laparoscopic Nissen Fundoplication Cost in Hyderabad
The cost of laparoscopic Nissen fundoplication in Hyderabad depends on the severity of gastroesophageal reflux disease (GERD), presence of hiatal hernia, complexity of the procedure, investigations required, surgical approach, and the care needed before and after surgery.
For patients requiring minimally invasive surgical treatment to strengthen the lower oesophageal sphincter and control reflux, the approximate cost ranges between ₹1,50,000 and ₹2,80,000.
| Procedure | Approximate Cost Range |
|---|---|
| Laparoscopic Nissen Fundoplication | ₹1,50,000 – ₹2,80,000 |
The final cost may vary depending on your individual condition, findings during evaluation, presence of hiatal hernia, surgical requirements, and whether any additional procedures are required.
Factors That Influence Laparoscopic Nissen Fundoplication Cost
The overall cost may depend on:
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Severity of GERD: The duration and severity of reflux symptoms, response to medications, and findings from evaluation may influence treatment planning and surgical complexity.
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Presence of hiatal hernia: If a hiatal hernia repair is required along with fundoplication, the complexity and overall cost may vary.
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Pre-operative evaluation: Required tests such as upper GI endoscopy, pH monitoring, manometry, imaging when needed, blood tests, and medical assessments before surgery may affect the overall cost.
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Surgical approach: The cost may vary depending on the laparoscopic technique, operative complexity, and requirement for specialised equipment.
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Additional procedures: If hernia repair, adhesiolysis, or other gastrointestinal procedures are required along with fundoplication, the cost may vary.
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Hospital stay and post-operative care: The duration of admission, medicines, dietary guidance, activity restrictions, and follow-up requirements may influence the final estimate.
Is Laparoscopic Nissen Fundoplication Covered by Insurance?
Laparoscopic Nissen fundoplication may be covered by health insurance when it is performed for a medically necessary GERD or related condition. Coverage depends on your insurance policy, inclusions, exclusions, and approval process.
Our insurance support team can assist you with checking your policy coverage, required documentation, cashless approval process, and insurance-related queries before surgery.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Tejasree Vengala
Consultant Proctologist & Laparoscopic Surgeon
During consultation, Dr. Tejashree Vengala, General & Laparoscopic Surgeon in Hyderabad, will evaluate your symptoms, medical history, and investigation reports to determine whether laparoscopic Nissen fundoplication is suitable for you. She will explain the procedure, expected recovery, and guide you regarding the estimated cost based on your individual condition and treatment requirements.
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