✦ GOLD STANDARD ANTI-REFLUX SURGERY

Laparoscopic Nissen Fundoplication

Q: Will I be able to stop my acid medications?

Most patients (over 90%) are able to stop or significantly reduce acid medications after Nissen fundoplication. The wrap recreates the body's natural anti-reflux barrier.

Q: Will I be able to eat normally?

For the first 4–6 weeks, a graded diet from liquids to soft foods to normal solids is followed. Most patients return to a fully normal diet, though carbonated drinks and fast eating are best avoided initially.

Q: Are there any side effects?

Some patients experience temporary difficulty swallowing, mild bloating, or inability to belch easily in the first few weeks. These usually settle over 1–3 months. A well-calibrated wrap minimises these issues.

Q: How long does the wrap last?

Long-term results are excellent — the wrap typically lasts a lifetime in most patients. Healthy weight, avoiding smoking, and good eating habits help maintain durable results.

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.

90–120 min PROCEDURE

1–2 Days HOSPITAL STAY

>90% SYMPTOM RELIEF

1–2 Weeks RETURN TO WORK

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.

Suitable for patients with severe GERD not controlled by medication, those experiencing significant side effects from long-term acid suppression, large hiatus hernias, recurrent regurgitation, or complications such as oesophagitis or Barrett's oesophagus.

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

90–120 minDURATION

1–2 DaysHOSPITAL STAY

>90%SYMPTOM RELIEF

3–4 WeeksFULL RECOVERY

Who Needs This Treatment?

→Effective long-term cure for severe acid reflux
→Eliminates the need for daily acid suppression medication
→Repairs associated hiatus hernia in the same sitting
→Keyhole technique with very small scars
→Quick recovery and return to normal life
→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

Common Questions

Frequently Asked Questions

Will I be able to stop my acid medications?+

Will I be able to eat normally?+

Are there any side effects?+

How long does the wrap last?+

Not sure which treatment is right for you?

Book a consultation with Dr. Tejasree Vengala and get a personalised treatment plan.

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