Laparoscopic Nissen Fundoplication Case Study
Laparoscopic Nissen fundoplication is surgery to relieve heartburn and other problems caused by gastric fluids flowing up into your esophagus. The esophagus is the tube that carries food and liquid from your throat to your stomach. Normally, the muscle that sits between your stomach and your esophagus (lower esophageal sphincter or LES) keeps stomach fluids in your stomach.
In some people, the LES does not work properly, and stomach fluids flow up into the esophagus. This can happen when part of the stomach bulges through the LES (hiatal hernia). The backward flow of stomach fluids can cause a type of severe and long-standing heartburn called gastroesophageal reflux disease (GERD). You may need this surgery if other …show more content…
It will be used to give you fluids and medicines during the procedure.
• You will be given a medicine that makes you go to sleep (general anesthetic).
• Your abdomen will be cleaned with a germ-killing solution (antiseptic).
• The surgeon will make a small incision in your abdomen and place a tube through the incision.
• Your abdomen will be filled with a gas to help the surgeon see your organs more easily and to make more space to work.
• The surgeon will insert the laparoscope through the incision. The scope has a camera that will send pictures to a monitor in the operating room.
• Several other small incisions may be made in your abdomen for the other instruments needed during the procedure.
• Another instrument (dilator) will be passed through your mouth and down your esophagus into the upper part of your stomach. The dilator will prevent your LES from being closed too tightly during surgery.
• The surgeon will pass the top portion of your stomach behind the lower part of your esophagus and wrap it all the way around. This will be sutured into place.
• If you have a hiatal hernia, it will be repaired during this