Watch this detailed video on Laparoscopic Nissen Fundoplication with Dr. R.K. Mishra at World Laparoscopy Hospital. Learn about the step-by-step minimally invasive procedure for treating GERD and hiatal hernia, performed by one of the leading laparoscopic surgeons. This educational video is perfect for medical students, surgical trainees, and anyone interested in advanced laparoscopic surgery.

Laparoscopic Nissen fundoplication is a surgical procedure that alleviates gastroesophageal reflux disease (GERD) symptoms when lifestyle changes or anti-reflux medications have not controlled symptoms. The procedure was first performed in 1951 as an open-surgical procedure. Patients were hospitalized for 7 to 10 days after the procedure. Today, the Nissen fundoplication is performed in approximately 90 minutes. A majority of the time the patient is in the hospital overnight and is discharged the morning after surgery. Laparoscopic Nissen fundoplication is one of the popular surgery performed by general surgeon. Almost 90% of all the fundoplication in whole world is now performed via laparoscopic surgery. It is a surgical procedure to treat gastroesophageal reflux disease (GERD) and hiatal hernia. In GERD, it is usually performed when medical therapy has failed; but, with a Type II (paraesophageal) hiatus hernia, it is the first-line procedure. The Nissen fundoplication is total (360°), but partial fundoplications known as Thal (270° anterior), Belsey (270° anterior transthoracic), Dor (anterior 180–200°), Lind (300° posterior), and Toupet fundoplications (posterior 270°) are alternative procedures with somewhat different indications and outcomes. In this procedure, the top part of the stomach (approximately 5 percent) is wrapped around the esophagus to form an additional valve to keep stomach contents from flowing up into the esophagus. The patient has five or six incisions, about ¼-inch each, in the abdomen. Post-operation, after arousing from the anesthesia, the patient is given liquids to drink, advancing then to a soft diet. It is a successful treatment in about 95 percent of the patients who have surgery.

Gastroesophageal reflux disease (GERD) is a common condition where stomach acid flows back into the esophagus, causing heartburn, regurgitation, and long-term complications if untreated. For patients whose symptoms do not respond to medications, Laparoscopic Nissen Fundoplication offers a minimally invasive, highly effective surgical solution.

At the forefront of advanced laparoscopic surgery, Dr. R.K. Mishra, a pioneer in minimally invasive techniques, has been performing Laparoscopic Nissen Fundoplication with exceptional precision and patient care at the World Laparoscopy Hospital, Gurugram.

What is Laparoscopic Nissen Fundoplication?

Laparoscopic Nissen Fundoplication is a minimally invasive procedure designed to strengthen the lower esophageal sphincter (LES), preventing acid reflux. The surgery involves wrapping the upper part of the stomach (the fundus) around the lower esophagus, restoring its natural barrier function.

Performed laparoscopically, the surgery uses small incisions, a camera, and specialized instruments, offering patients several benefits:

• Minimal pain and scarring

• Faster recovery and shorter hospital stay

• Lower risk of complications compared to open surgery

• Quick return to daily activities

Why Choose Surgery Under Dr. R.K. Mishra?

Dr. R.K. Mishra, an internationally acclaimed laparoscopic surgeon, is known for his expertise in complex gastrointestinal procedures. His approach to Laparoscopic Nissen Fundoplication emphasizes:

• Precision Surgery: Using advanced laparoscopic techniques for optimal results.

• Patient-Centric Care: Individualized preoperative evaluation and post-surgery follow-up.

• Minimally Invasive Expertise: Reduced recovery time and improved outcomes.

• Comprehensive Management: Addressing not only the symptoms but also preventing long-term complications of GERD.

Indications for Laparoscopic Nissen Fundoplication

Patients may be considered for this surgery if they have:

• Severe or persistent GERD symptoms

• Esophagitis or Barrett’s esophagus

• Hiatal hernia contributing to reflux

• Inadequate response to medical therapy

The Surgical Procedure

Laparoscopic Nissen Fundoplication involves the following key steps:

1. Small Incisions: Several 0.5–1 cm incisions are made in the abdomen.

2. Insertion of Laparoscope: A tiny camera provides a magnified view of the surgical area.

3. Fundus Mobilization: The upper stomach is mobilized carefully around the esophagus.

4. Esophageal Wrap: The stomach is wrapped around the lower esophagus to strengthen the LES.

5. Closure: Instruments are removed, and small incisions are closed.

Patients typically experience minimal post-operative discomfort and can resume normal activities within 1–2 weeks.

Conclusion

Laparoscopic Nissen Fundoplication performed by Dr. R.K. Mishra represents a modern, safe, and effective solution for GERD and related conditions. With his expertise, patients benefit from a minimally invasive procedure, reduced complications, and faster recovery, ensuring a better quality of life.

For those struggling with severe acid reflux or considering long-term treatment options, consulting Dr. R.K. Mishra at World Laparoscopy Hospital, Gurugram, can provide expert guidance and world-class surgical care