Overview
Gastroesophageal reflux disease (GERD) is a digestive disorder that affects the lower esophageal sphincter (the muscular ring connecting the esophagus with the stomach). Laparoscopic antireflux surgery (also called Nissen fundoplication) is used in the treatment of GERD when medicines are not successful.
- This surgery involves reinforcing the valve between the oesophagus & the stomach. It wraps the upper portion of the stomach around the lower portion of the oesophagus.
- In this laparoscopic surgery, the surgeon uses small incisions of 1/4 to 1/2 inch to enter the abdomen through the trocars. CO2 gas is used in this surgery to expand the abdomen which helps the surgeon to see in depth and work.
- The laparoscopic surgery is performed by connecting a tiny video camera attached to the surgical tool called a Laparoscope, which is inserted through a small incision, it gives a magnified view of the patient’s internal organs on a connected screen.
- Here the entire surgery is performed “inside” using narrow instruments that are passed through the trocars.