Toupet Fundoplication
A 270° partial wrap of the upper stomach around the lower oesophagus — effective alternative to Nissen fundoplication, with less risk of post-operative swallowing difficulties.
What is Toupet Fundoplication?
Toupet Fundoplication is a 270° partial wrap of the upper stomach around the back of the lower oesophagus, performed laparoscopically. It is an effective alternative to the standard 360° Nissen wrap, particularly for patients with weak oesophageal motility, where a full wrap may cause swallowing difficulties. The Toupet wrap provides excellent control of acid reflux while reducing the risk of side effects such as bloating and gas-bloat syndrome. Dr. Tejasree Vengala performs laparoscopic Toupet fundoplication at Lux Hospitals, Hyderabad, in carefully selected patients.
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 Mobilisation
Any hiatus hernia is reduced, and the lower oesophagus is mobilised carefully. The diaphragmatic crura are repaired.
270° Posterior Wrap
The upper part of the stomach is wrapped 270° around the back of the lower oesophagus and secured with sutures, creating a partial wrap.
Closure & Recovery
The small incisions are closed with absorbable sutures. Patients start liquids the same evening and are discharged in 1–2 days.
Outcomes
Who Needs This Treatment?
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Effective control of acid reflux
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Lower risk of post-operative swallowing difficulties
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Better tolerated in patients with weak oesophageal motility
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Patients can usually belch and vomit if needed
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Combined with hiatus hernia repair in the same sitting
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Keyhole technique with quick recovery
Choosing between Nissen and Toupet is rarely a yes-or-no decision — it is a careful matching of the wrap to the patient. A weaker oesophagus benefits from a partial wrap, and the result is a patient who controls reflux without struggling to swallow.
— — Dr. Tejasree Vengala, Consultant Proctologist & Laparoscopic Surgeon, Lux Hospitals, Hyderabad
Toupet Fundoplication Cost in Hyderabad
The cost of Toupet fundoplication in Hyderabad depends on the severity of gastroesophageal reflux disease (GERD), presence of hiatal hernia, oesophageal function, complexity of the procedure, investigations required, and the care needed before and after surgery.
For patients requiring partial posterior fundoplication to reduce acid reflux while preserving oesophageal function, the approximate cost ranges between ₹1,50,000 and ₹2,80,000.
| Procedure | Approximate Cost Range |
|---|---|
| Toupet 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 approach, and whether any additional procedures are required.
Factors That Influence Toupet Fundoplication Cost
The overall cost may depend on:
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Severity of GERD: The duration and severity of reflux symptoms, response to medical treatment, and oesophageal findings may influence treatment planning and surgical complexity.
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Presence of hiatal hernia: If hiatal hernia repair is required along with Toupet fundoplication, the overall cost may vary.
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Pre-operative evaluation: Required tests such as upper GI endoscopy, oesophageal manometry, pH monitoring, 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 specialised equipment requirements.
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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 Toupet Fundoplication Covered by Insurance?
Toupet 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 Toupet 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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