A Comprehensive View About Nissen Fundoplication - India
Medical tourism offers Nissen fundoplication in India at economical and affordable price. The prominent reasons for the having any medical treatment or Nissen fundoplication in India are the low cost of treatment, the availability of best medical infrastructure, and the world class expertise required to treat various medical ailments. All these reasons drive the abroad patients to select India as a destination for their medical treatment or surgery. Medical tourism can be broadly defined as the provision of 'cost effective' private medical care in collaboration with the tourism industry for patients needing surgical and other forms of specialized treatments. The process of health care tourism is jointly facilitated by the corporate sector involved in medical and health care as well as the tourism industry - both private and public. Nissen fundoplication in India is done with the help of most advanced techniques available for the treatment.
What is Nissen fundoplication?
Nissen fundoplication is a surgical procedure to treat gastroesophageal reflux disease (GERD) and hiatus hernia. In GERD it is usually performed when medical therapy has failed, but with paraesophageal hiatus hernia, it is the first-line procedure. The Nissen fundoplication is total (360), but partial fundoplications known as Belsey fundoplication (270 anterior transthoracic), Dor fundoplication (anterior 180-200) or Toupet fundoplication (posterior 270) are also alternative procedures with somewhat different indications.
How is Nissen fundoplication performed?
Two surgical techniques are employed to perform Nissen fundoplication:
Open surgery
Laparoscopic surgery
Share: General anesthesia is used to render the patient unconscious. Once the anesthesia has taken effect, the upper abdomen is cleaned with an antiseptic solution to lessen the risk for infection. In open surgery of Nissen fundoplication, the surgeon makes a 6- to 10-inch incision in the middle of the abdomen, from just below the ribs to the umbilicus (belly button). If the patient has a hiatal hernia, that is repaired first. The esophageal hiatus is tightened with a couple of stitches to prevent herniation of the fundoplication and then the surgeon performs the procedure of Nissen fundoplication. The upper portion of the stomach (the fundus), which is on the left side of the esophagus, is pulled behind and wrapped around the lower portion of the esophagus and then sutured to the portion of the stomach that has moved into the fundus's original position. This creates a "valve" that acts like the LES to prevent stomach acid from refluxing into the esophagus.
In the laparoscopic procedure of Nissen fundoplication, the surgeon makes five small incisions in the abdomen. A laparoscope, a miniature telescope attached to a video camera, is inserted through one incision. This allows the surgeon to see the interior of the abdominal cavity. The surgical instruments are inserted through the other incisions. If the patient has a hiatal hernia, that is repaired first. The esophageal hiatus is tightened with a couple of stitches to prevent herniation of the fundoplication and then the surgeon performs the procedure of Nissen fundoplication. The fundoplication is performed in the same fashion as in open surgery. Laparoscopic surgery of Nissen fundoplication allows for a faster recovery period, less postoperative pain, a shorter hospital stay, and a much smaller scar. Whether or not a patient is eligible for laparoscopy depends on several factors and is made on an individual basis. In some circumstances, open surgery is safer.
Recovery after Nissen fundoplication
Generally, a patient who has undergone Nissen fundoplication through laparoscopic procedure can drink and eat sooner. A patient who has undergone open surgery may not be able to drink until the next morning. From the PACU, the patient is taken to their hospital room to continue recovery until they are discharged from the hospital. Patients who have undergone the laparoscopic procedure of Nissen fundoplication recover faster and experience less pain at the incision site. Sometimes the pain can be relieved with an over-the-counter remedy, such as Tylenol. The average hospital stay is 2 to 3 days, but many patients go home the next day.
Those who have undergone open surgery of Nissen fundoplication may be in the hospital for 6 to 10 days. They feel pain at the incision site and usually need a narcotic pain reliever. Patients usually can get out of bed and take a few steps by the next day. It is important to get up and walk as soon as possible to help blood circulation return to normal and thus avoid complications such as blood clots. Full recovery from open surgery of Nissen fundoplication takes 6 to 8 weeks. The 6- to 10-inch long incision must be kept dry until it begins to heal. Sponge baths are recommended during this period. The abdominal scar may fade as time passes.
Complications after Nissen fundoplication
Potential complications associated with the surgical procedure of Nissen fundoplication, the anesthesia, and the body's inability to recover includes:
Breakdown of the fundoplication
Chronic swallowing problems
Infection
Injury to the stomach or esophagus during the procedure
Internal bleeding
Severe problems with bloating and belching
The surgeon should be notified of worsening pain, bleeding, drainage, or swelling around the incision site; abdominal pain not related to cramping or flatulence; and swallowing and bloating problems that persist longer than several months.
Share: Why India?
Medical tourism can be broadly defined as the provision of 'cost effective' private medical care in collaboration with the tourism industry for patients needing surgical and other forms of specialized treatment. Nissen fundoplication in India is done under the best hands, scheduled conveniently, and at surprisingly reasonable costs. The process of healthcare tourism is jointly facilitated by the corporate sectors involved in medical and healthcare as well as the tourism industry - both private and public. Many countries have developed links for speedy treatments in India including Nissen fundoplication for their nationals on account of the fact that in these countries one has to wait for extended period of time to undergo operation. The lower cost also includes significantly longer post-operative care in the hospital itself. The costs are usually a lot lower than even the deductible that most insurance company"s levy on a patient.
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by: rrohit