This video demonstrate Fundoplication is a surgical procedure that helps treat some gastroesophageal conditions. During a fundoplication for gastroesophageal reflux disease (GERD), for example, a surgeon will attach part of the stomach to the lower esophageal sphincter, which helps reduce acid reflux.

Laparoscopic Nissen Fundoplication is a highly advanced minimally invasive surgical procedure used for the treatment of severe Gastroesophageal Reflux Disease (GERD) and related complications. At World Laparoscopy Hospital (WLH), this procedure is performed following international surgical standards with a strong focus on patient safety, surgical precision, and advanced laparoscopic training. WLH is globally recognized as a center of excellence in minimal access surgery, offering world-class patient care along with structured training and research in laparoscopic and robotic surgery.

Understanding GERD and the Need for Surgery

GERD occurs when stomach acid flows back into the esophagus due to weakness of the lower esophageal sphincter (LES). While many patients respond well to medications and lifestyle modification, some require surgical treatment.

Surgery is usually recommended when:

• Medical treatment fails

• Long-term medication is not preferred

• Complications like Barrett’s esophagus or strictures develop

• Extra-esophageal symptoms like cough or asthma occur

• Reflux persists despite therapy

What is Laparoscopic Nissen Fundoplication?

In this procedure, the upper part of the stomach (fundus) is wrapped 360° around the lower esophagus to strengthen the valve and prevent acid reflux.

During laparoscopic surgery:

• 4–6 small incisions are made

• A camera (laparoscope) is inserted

• Fine instruments are used to wrap the stomach around the esophagus

• The procedure usually takes 1–3 hours

Because it is minimally invasive, it offers faster recovery and less postoperative pain compared to open surgery.

Why Choose World Laparoscopy Hospital?

World Laparoscopy Hospital focuses on:

• Advanced laparoscopic surgical expertise

• Competency-based surgical training

• Evidence-based patient care

• Research and innovation in minimal access surgery

• International standard healthcare delivery

WLH integrates clinical care with education and training, ensuring that procedures are performed by highly skilled laparoscopic surgeons using modern technology.

Benefits of Laparoscopic Nissen Fundoplication

Studies show excellent outcomes with this surgery:

• Significant reduction in acid reflux symptoms

• Improved LES pressure and function

• Early return to normal activity (around 2 weeks in some studies)

• Low complication rates and high patient satisfaction

Long-term studies show:

• More than 90% patient satisfaction at long-term follow-up

• Durable reflux control over many years

Some reports show heartburn relief in over 90% of patients even after long-term follow-up.

Safety and Effectiveness

When performed by trained laparoscopic surgeons on properly evaluated patients, fundoplication is considered safe and effective. Proper preoperative assessment such as pH monitoring and manometry improves surgical success.

Possible temporary side effects may include:

• Difficulty swallowing (temporary dysphagia)

• Bloating

• Nausea
  Most of these resolve during recovery.

Recovery After Surgery

Most patients:

• Stay in hospital for a short duration

• Resume normal activity within 1–2 weeks

• Experience major symptom relief

• May gradually return to normal diet

The goal is long-term reflux control and improved quality of life.

Conclusion

Laparoscopic Nissen Fundoplication is a gold-standard surgical treatment for severe GERD when conservative therapy fails. At World Laparoscopy Hospital, the combination of advanced technology, experienced surgeons, and academic excellence ensures high-quality outcomes for patients undergoing anti-reflux surgery.