surgery according to Medline Plus Medical Encyclopedia, is intended to assist in correcting a problem with the muscles at the bottom of the oesophagus or the tube from the mouth to the stomach. Gastroesophageal reflux disease happens when problems or complications occur in this part of the body.
Laparoscopic fundoplication is a procedure which can be done with keyhole or laparoscopic surgery. It allows the repair of the muscle around the lower oesophagus. The upper stomach is also used to wrap around the lower oesophagus to complete the surgery.
Anti-reflux surgery is done for severe heartburn in which a person experiences a daily burning pain behind the chest bone for a few months. Surgery is especially indicated if the pain persists despite medication and lifestyle changes. These symptoms occur if the muscles between the oesophagus and stomach of the patients are not tight enough. This allows acid to come up to the oesophagus, causing the pain.
For people who have in mind the plan of undergoing this procedure, there are certain things to expect before, on the day and after the scope. Before the procedure, the patient will be required to fast for 8 hours prior to the laparoscopic fundoplication procedure. He will likewise be required to stop any prescription of aspirin or other blood thinning medications with a doctor’s advice. All regular medications will be stopped as well, unless absolutely necessary under a doctor’s supervision. He will also be required to be prepared to have an average hospital stay between two to three days following the procedure.
On the day of the procedure which is usually performed under general anesthesia, small incisions will be made on the belly for the laparoscope. The length of surgery varies from patient to patient in which the surgeon will advise the patient on the specific details.
After the procedure, the patient will be allowed a few days for recovery. He will be advised to avoid heavy lifting for at least a week, and of course, to follow any other instructions given by his surgeon.
Dr. Ganesh Ramalingam
Specialist in General Surgery
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