If you are interested in learning more about Nissen fundoplication, then you’ve come to the right place. In this article, we’ll discuss the procedure’s risks and recovery.
This surgery involves surgically reconstructing the lower esophageal sphincter, or LARS. In some cases, it may be necessary to repair a hiatal hernia as well. Nissen fundoplication is the most common technique used to treat this condition
What is Nissen Fundoplication Surgery?
Patients who have persistent GERD symptoms can have Nissen fundoplication, or a similar procedure, performed to repair the esophagus. This surgical procedure involves wrapping a portion of the stomach around the lower esophagus and closing the incisions. Patients can then stop taking medication for heartburn.
The recovery period after Nissen fundoplication is longer than that of other reflux surgeries. Patients are typically on a liquid or semi-solid diet for two weeks. By eight weeks, they are back to a normal diet and are free of any restrictions. During recovery, patients should take at least two weeks off from work.
Laparoscopic Nissen fundoplication uses a laparoscope and small surgical instruments to complete the procedure. These advantages make it far less painful than traditional open surgery and decrease the length of hospital stay. Smaller incisions also mean less risk of infection.
In most cases, a laparoscopic Nissen fundoplication requires only one day in the hospital and one to two weeks for recovery. This procedure can be performed on patients with mild to moderate acid reflux problems.
GERD is a common disorder affecting approximately one in five adults in the United States. Fortunately, Nissen fundoplication surgery is a minimally invasive procedure that has helped thousands of patients.
Nissen fundoplication, also known as Lap Nissen, is a surgical procedure that tightens the valve between the esophagus and the stomach. This tightening of the valve prevents the acid from regressing into the esophagus, reducing GERD symptoms.
What is Nissen Fundoplication Surgery?
If you’ve been wondering how to do Nissen fundoplication, you’re not alone. Millions of people worldwide suffer from acid reflux. Fortunately, there are several different surgical procedures for this condition.
The primary goal is to correct the reflux condition by wrapping the upper part of the stomach around the lower esophagus. The operation may also be performed on patients with a hiatus hernia, if the condition is severe enough.
The procedure requires four to five small incisions in the abdominal wall and inserts a laparoscope with a camera to wrap the upper part of the stomach around the lower esophagus. The patient is placed on a liquid diet, and may be required to refrain from performing strenuous activities or lifting.
In a Nissen fundoplication, the upper part of the stomach is wrapped around the lower portion of the esophagus. Depending on the extent of the esophagus and stomach, four or five small incisions are made. The surgeon then inserts a laparoscope into the abdominal cavity, which features a camera.
The surgeon then wraps the upper portion of the stomach around the lower esophagus using images obtained from the camera. In some patients, temporary nasogastric tubes are placed to drain digestive fluids from the stomach while the procedure heals.
Once the surgery is complete, you’ll need to stay in the hospital for a few days to recuperate. Your surgeon will provide you with intravenous fluids until you’re ready to return home.
Recovery time will depend on the type of Nissen fundoplication procedure you have. Some people need a second operation in two to three years. Another potential risk is infection at the incision site. Ultimately, your surgeon will decide whether Nissen fundoplication is right for you.
Nissen Fundoplication Recovery
After Nissen fundoplication, the recovery period is longer than for any other type of surgery. Before surgery, you will be given preoperative antibiotics and venous thromboembolism prophylaxis. Before the operation, you must refrain from eating after midnight.
A large incision is made on the abdomen. The esophagus will be closed with staples. A temporary nasogastric tube will be inserted into the stomach to drain the digestive juices.
During the first few days after surgery, you will be on a clear liquid diet. After that, you will need to stick to a Nissen soft diet.
You need to prepare foods that will be easy to swallow and stay away from carbonated beverages. This is because they can irritate the lining of the esophagus, making it difficult for you to eat or drink. Once your surgeon has finished the surgery, you may then be able to eat and drink normally.
The main risks of Nissen fundoplication include bleeding, infection, leakage from the esophagus, and chest infection. Some people may experience mild bloating or cramping for a few weeks after surgery. However, these symptoms will disappear within two to three months.
If you are considering undergoing Nissen fundoplication, change your diet to help relieve symptoms and return to normal activity. While you may not be able to eat certain foods right after surgery, you will be able to eat smaller portions of food more frequently.
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Nissen Fundoplication After Surgery
One of the major risks of undergoing a Nissen fundoplication is that the esophageal sphincter can slip, causing a range of symptoms including bloating and difficulty swallowing.
The 360-degree Nissen wrap style is the most common fundoplication, but it can also cause swallowing difficulties and a higher risk of dysphagia. Around 10% of patients have problems one year after surgery and may need a second operation.
Following surgery, the esophagus and stomach are required to heal. A soft diet is recommended for the first couple of days, and the patient may be prescribed antacids and other nutritional supplements.
The patient may experience difficulty swallowing soft foods for six to eight weeks after surgery. Nissen fundoplication after surgery can be performed through either a small or large incision, depending on the surgeon’s experience and training.
The laparoscopic Nissen fundoplication has the potential to completely eliminate reflux symptoms. The outcomes of laparoscopic Nissen fundoplication after surgery were similar to open Nissen fundoplication. In addition, laparoscopic Nissen fundoplication does not compromise the control of reflux.
In fact, a recent study showed that 90% of patients were satisfied with the long-term results of the procedure. Although the following information isn’t comprehensive, it’s still a good indicator of the success of the surgery.
Nissen Fundoplication Cost in US and UK
The costs of Nissen fundoplication surgery vary significantly from region to region. In the United Kingdom, the procedure costs around 5,000 GBP. In the US, the procedure costs $10,000 to $15,000. The procedure has a high success rate and the majority of patients remain symptom-free for over 10 years.
In addition, 90 percent of patients rate the long-term outcome of the procedure as good to excellent. Although this surgery is known to have a very low rate of complications, a tightened valve at the top of the stomach can result in belching, bloating, and flatulence.
Patients who undergo the Lap Nissen fundoplication surgery are able to eliminate their daily heartburn medicines. However, the procedure is still one of the most invasive GERD surgeries. Post-surgical bloating and other side effects can last for eight weeks after the procedure.
It is recommended that patients undergo this surgery only when all other medical options have failed. However, patients should remember that bloating and other symptoms may remain for months or even years.
Laparoscopic Nissen fundoplication is performed by a single surgeon who is highly experienced. This procedure is a popular surgical choice for patients with GERD and can lead to significant cost savings over medical therapy.
The procedure is often performed at a local hospital or outpatient clinic, and the procedure is generally successful. Moreover, laparoscopic Nissen fundoplication pricing is similar to the costs of open surgery, which has been largely discredited.
Nissen Fundoplication in Istanbul, Antalya or Izmir
For reflux patients, drug therapy can be long-term and very tiring. Therefore, Nissen Fundoplication may be preferred as a surgical technique. With its low morbidity and mortality rate, this surgery is a successful surgical technique. The most options for this surgery are in Istanbul. You can get support from many world-renowned surgeons for Istanbul Nissen Fundoplication.
If you want to be treated for reflux with your holiday, some surgeons also perform this surgery in Antalya. You can start your treatment by doing research beforehand for Antalya Nissen Fundoplication. The number of options in the Nissen Fundoplication area is also high in İzmir. If Izmir Nissen is preferred for Fundoplication, you can visit and carry out the treatment process.
How Much Does Nissen Fundoplication Cost in Turkey?
The average cost of a nissen fundoplication surgery with Dr. Hasan Erdem Obesity Clinic in Istanbul, Turkey is $3.100 or in pounds 2.600, while the cost for the surgery is $12.000 or in pounds 7.000 in the UK and the USA. So, you can see that the patients who desire to get nissen fundoplication surgery at more affordable price choose Turkey.
When these prices are compared to other countries which such as the UK or the USA that offer the nissen fundoplication surgery, it is easy to see the difference, which Turkey provides with its international experience and medical service, as well as surgery packages that include a variety of other services in addition to the procedure such as airport transfers, translation, and more.
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FAQ
While the procedure has many benefits, the risks of Nissen fundoplication are not small. The procedure can result in some discomfort, including esophageal stricture, gas, and diarrhea. Some patients may experience problems swallowing after the procedure, so the surgery is not a permanent solution to the problem.
However, if medications don’t relieve the symptoms, surgery may be the best option. However, the risks of Nissen fundoplication are far more substantial than those of other esophageal procedures.
While the laparoscopic Nissen fundoplication is a common surgical treatment for GERD, it is not without risks. Although 90% of patients will experience a good clinical response, complications can occur in up to 30% of patients.
These complications can be due to anatomical abnormalities, altered esophageal function, or anatomical changes. However, if the symptoms persist, Nissen fundoplication may be a better option for the patient.
The rate of adverse postoperative complications associated with laparoscopic Nissen fundoplication is low compared to other surgeries, but the postoperative complications are well-known. Identifying the risk factors of Nissen fundoplication could improve the selection of patients for the procedure.
Researchers conducted a retrospective study of 126 patients to assess the risks of the surgery. They compared patient demographics, postoperative symptoms, and outcomes.
Reflux is a disease that can be seen at any age. For this reason, Nissen Fundoplication surgery can be applied at any age. If the specialist physician deems it appropriate, the surgery can be planned immediately. However, surgery may not be suitable for patients over 60. In this case, Nissen Fundoplication surgery can be decided by making a detailed evaluation.
Nissen fundoplication is the most effective and safe solution for reflux patients. Surgical procedures remain the only option if non-surgical treatments against reflux problems are unsuccessful. The most common and successful method for reflux surgery is the Nissen fundoplication. The most successful clinics in Turkey also apply this technique. Nissen fundoplication is the most effective and safest anti-reflux technique used in clinics. There are physicians with experience in this field and fully equipped operating theaters in Turkey. Therefore, you can have Nissen fundoplication surgery in Turkey reliably.
The most successful and effective treatment recommended for patients with reflux problems is Nissen fundoplication. This technique is applied at high costs by the most distinguished clinics in countries such as European countries and America. The most successful clinics in Turkey use the Nissen fundoplication technique. Compared to other countries in Turkey, Nissen is much affordable for fundoplication. The most crucial reason why Nissen fundoplication surgery is affordable in Turkey is the exchange rate. The Turkish lira has lost a lot of value in the last year. The dollar and euro depreciation has caused the Nissen fundoplication surgery to be very affordable in Turkey.
A Nissen fundoplication is a type of surgery that is used to treat GERD.
There are a number of studies that report the effectiveness of a Nissen fundoplication. Some indicate an 85% satisfaction rate at five years, while others report a 90% satisfaction rate at ten years. Despite these high rates, the durability of the surgery remains uncertain.
This surgery tightens the junction between the esophagus and the stomach to reduce acid reflux. It is a very common surgery.
You can find many payment options for the operation in Turkey and the clinic will offer you payment facilities.
You can choose to pay by bank transfer, credit card or cash, many patients make bank transfers during their clinic visits.
It is both a safe and fast option.
Are you preparing to have Nissen Fundoplication but wondering if the operation is covered by insurance?
Unfortunately, this operation is not covered by insurance, but don't worry, thanks to the reasonable prices offered to you by the clinics in Turkey, the operation will not need to be covered by insurance.
Before undergoing Nissen fundoplication, patients should consult with a qualified doctor and have appropriate evaluations. Preventing infection is essential. They should also limit their intake of carbonated beverages and food that irritates the esophagus lining.
There is no financing available in Turkey for the Nissen Fundoplication operation, but do not worry, if you want an affordable operation and want to receive treatment at European standards, Turkey is the perfect place for you.
Be sure that you will visit a clinic where you will have your operation both safely and cost-effectively without the need for financing among all the tourist places you can see in your life.
The Nissen Fundoplication is an effective treatment for GERD. It is considered a safe surgical procedure. However, it has complications and a mortality rate. These complications include dysphagia, dumping syndrome, gas bloat syndrome, excessive scarring, vagus nerve injury, and achalasia.
Although the Nissen Fundoplication operation is not risky in Turkey, the rate has been accepted as 0.3%.
The cause of death was observed as postoperative heart failure, and the medical history of the patients showed that they had heart disease.
In the clinic where the operation is performed in Turkey, the surgeons will examine all the tests and the patient's medical history to ensure that the operation does not go wrong.
When evaluating for the operation, the surgeon will first ask for the necessary tests and analyzes and inform the patient after checking them, then the anesthesiologist will check whether the patient is allergic or immune to anesthesia.
As a result of all these evaluations, the surgeon will tell the patient about the complications that may occur during and after the operation and start the operation.
The chance of something going wrong during the operation is 0.3%.
Most patients who undergo the surgery experience a decrease in GERD symptoms. However, some individuals may experience recurrent symptoms. These may occur due to anatomic abnormalities or esophageal function changes. In addition, some patients may require a second surgery.
The amount of time spent in the hospital after the surgery depends on the type of surgery. Some patients may stay in the hospital for one night while others may need to stay for a week or more.
If you are interested in all-inclusive packages, you may be wondering whether the packages include air tickets.
Unfortunately, plane tickets are not included in the all-inclusive packages, but don't worry, VIP transfer service, post-operative consultation and all your tests from your hospitalization are included in the all-inclusive packages, and some all-inclusive packages even offer hotel accommodation.
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Dr. Mehmet GENÇTÜRK
Anastasiya Keskin
Dyt. Hafize KOVANCI
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Dyt. Neslihan DEMİR
Dyt. Nayat Kebabcı
Tuğçe Kızılkaya
Reference:
Patti, M. G., & Herbella, F. A. (2010). Fundoplication after laparoscopic Heller myotomy for esophageal achalasia: what type?. Journal of Gastrointestinal Surgery, 14, 1453-1458
