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Best Hospital for Open Nissen Fundoplication GERD Surgery in Hyderabad
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- Shorter Hospital Stay
- Pre & Post-Operative Care
- All Insurance Accepted
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Advanced Open Nissen Fundoplication GERD Surgery
If you have gastroesophageal reflux disease (GERD) you are among millions with this disease around the world. Open Nissen Fundoplication GERD Surgery offers an effective treatment option for severe cases. Surgical intervention becomes essential if medications fail to control symptoms. This surgical technique creates a wrap (using your stomach's upper portion) around the lower oesophagus. The wrap strengthens the valve that blocks stomach acid from moving upward.
Why CARE Group Hospitals is Your Top Choice for Open Nissen Fundoplication GERD Surgery in Hyderabad
CARE Hospitals is known for its surgical excellence in Hyderabad and in India. The hospital has an exceptional team of specialists with years of experience in digestive, liver and pancreatic disorders with advanced endoscopic procedures.
The surgical gastroenterology department at CARE Hospitals wants to provide affordable yet high-quality care through a team-based approach. The team works closely with medical gastroenterology, oncology, radiation, surgery, anaesthesia, pathology and microbiology departments to give complete treatment. This integration and seamless flow of care between different departments give each patient care based on their specific condition.
Innovative Surgical Breakthroughs at CARE Hospital
CARE Hospitals combines modern technologies to improve our surgical capabilities:
- Advanced laparoscopic and robotic-assisted surgical systems for minimally invasive procedures
- High-definition 3D imaging helps precise surgical navigation during fundoplication
- Specialised surgical arms offer extreme flexibility to access difficult anatomical areas
- Advanced intraoperative monitoring systems ensure optimal safety
- Modern suturing devices create secure and durable repairs
These technological advances help surgeons perform Open Nissen Fundoplication GERD Surgery with greater precision. Patients achieved better outcomes and faster recovery times.
Best Open Nissen Fundoplication GERD Surgery Doctors in India
Indications for Open Nissen Fundoplication GERD Surgery
Doctors recommend Open Nissen Fundoplication when GERD symptoms persist even after medication and lifestyle changes.
Surgery becomes necessary in several situations:
- Patients who have hiatal hernias that need repair alongside GERD treatment
- Cases with repeated aspiration pneumonia or reflux-related asthma
- People who haven't responded to maximal medical therapy
- Younger patients who want to avoid long-term medication due to potential side effects and costs
Types of Open Nissen Fundoplication GERD Surgery Procedures
Doctors perform different types of fundoplication procedures based on how they wrap the stomach around the oesophagus. The most common types include:
- Nissen 360-degree wrap: The surgeon wraps the fundus completely around the oesophagus. This prevents burping or vomiting
- Toupet 270-degree posterior wrap: This partial wrap covers about two-thirds of the oesophagus. The valve allows burping when needed
- Watson 180-degree anterior wrap: The fundus covers half the front of the oesophagus and connects to the diaphragm tissue
Pre-surgery Preparation
Medical teams need several test results before surgery to confirm the diagnosis and eliminate other conditions. These tests include pH impedance testing, motility tests, endoscopy, and sometimes barium swallow studies. Patients should:
- Stop eating and drinking after midnight before surgery
- Stay away from smoking for weeks beforehand
- Stop taking certain medications temporarily
- Make sure someone can drive them home
Nissen Fundoplication Surgical Procedure
The surgery takes 2-4 hours. After anaesthesia induction, the surgeon creates a 3-4 inch incision from below the breastbone to above the belly button during open surgery. In minimally invasive surgery, the surgeon creates a few small incisions to insert a laparoscope (a thin tube with a camera) and surgical instruments. The stomach's fundus wraps around the lower oesophagus with secure sutures, which strengthens the sphincter function.
Once the procedure is complete, doctors seal the incisions with stitches or special tape for surgery.
Post-surgery Recovery
Patients usually spend 1-3 days in the hospital. They start with clear liquids and progress to full liquids before moving to soft foods. Recovery takes 2-3 weeks with laparoscopic surgery and 4-6 weeks with open procedures. Many patients experience temporary dysphagia, but this usually goes away.
Complications
Patients might face complications like:
- Infection
- Pneumothorax
- Bleeding
- Oesophageal perforation
- Gas bloat syndrome
- Dysphagia
- Dumping syndrome
Wound and respiratory complications occur more frequently with open surgery than with laparoscopic approaches.
Benefits of Open Nissen Fundoplication GERD Surgery
Research shows that the majority of patients stay symptom-free after 10 years. The surgery controls acid reflux and related symptoms effectively. Many patients can stop taking their medications afterwards.
Insurance Assistance for Open Nissen Fundoplication GERD Surgery
Medical insurance policies generally cover Nissen fundoplication surgery. Contact your insurance providers for a more detailed understanding of your policy. You should also verify your insurance coverage early to avoid unexpected costs, since most policies cover this medically necessary procedure.
Second Opinion for Open Nissen Fundoplication GERD Surgery
A second opinion helps validate your diagnosis and shows you other treatment options. This becomes especially important when you have complex cases or questions about the suggested surgical approach.
Conclusion
Open Nissen Fundoplication GERD Surgery provides lasting relief to patients who don't deal very well with severe acid reflux. CARE Hospital excels at this procedure across Hyderabad. Our skilled experts head up a team from various fields. They work together to develop treatment plans tailored to each patient's needs.
Doctors recommend surgery when medications can't control symptoms, particularly for patients with hiatal hernias or reflux-related breathing problems. The success rates are impressive, with the majority of patients remaining symptom-free even after ten years. Many patients can stop taking their daily medications once they recover from surgery.
CARE Hospital combines surgical expertise with innovative technology. Their detailed approach addresses both immediate symptoms and quality of life issues. This helps patients feel comfortable and confident after years of dealing with reflux problems.
Open Nissen Fundoplication GERD Surgery Hospitals in India
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CARE Hospitals, Banjara Hills, Hyderabad
CARE Hospitals Outpatient Centre, Banjara Hills, Hyderabad
CARE Hospitals, HITEC City, Hyderabad
CARE Hospitals Outpatient Centre, HITEC City, Hyderabad
Gurunanak CARE Hospitals, Musheerabad, Hyderabad
CARE Hospitals, Nampally, Hyderabad
CARE Hospitals, Malakpet, Hyderabad
CARE Hospitals, Bhubaneswar
Ramkrishna CARE Hospitals, Raipur
CARE Hospitals, Ramnagar, Visakhapatnam
CARE Hospitals, Health City, Arilova
Frequently Asked Questions
Open Nissen Fundoplication wraps the upper part of your stomach (fundus) around the lower oesophagus. This surgical technique reinforces the valve between these organs to prevent acid reflux. The surgeon makes one large incision in your abdomen, unlike laparoscopic approaches. Your body creates a stronger barrier that stops stomach acid from flowing back up, which treats GERD effectively after medications fail.
Your abdomen will feel sore for several weeks after surgery. Some patients experience shoulder discomfort during the first couple of days. The healthcare team manages pain with medication during your hospital stay and gives you painkillers to use at home. The pain from open surgery usually improves within a week.
The surgery takes 1-3 hours under general anaesthesia. Several factors affect the duration:
- Your surgeon's experience
- The case complexity
- Your health condition
- The presence of a hiatal hernia that needs repair
Possible complications include:
- Infection where incisions are made
- Bleeding
- Damage to nearby organs
- Pneumothorax
- Temporary difficulty swallowing (dysphagia)
- Gas-bloat syndrome (trouble belching)
- Nausea and vomiting
- GERD symptoms returning
Recovery typically spans 4-6 weeks. Patients stay in the hospital for 2-3 days. Many people have trouble swallowing at first, but this resolves within three months. Normal activities resume in 2-3 weeks. Strenuous activities should wait for about six weeks.
Your preparation includes:
- Taking required tests (endoscopy, oesophageal manometry, pH monitoring)
- Avoiding food and drinks after midnight before surgery
- Stopping blood thinners and anti-inflammatory medications
- Quitting smoking to reduce complications
You will meet your surgeon to discuss risks, benefits and options. This meeting includes reviewing your medical history and having physical examinations. General anaesthesia will be administered on the surgery day. The anesthesiologist places a small catheter in your vein for medications during the procedure. The medical team performs final checks and prepares you for surgery.
The surgeon creates one large incision in your abdomen. Your upper stomach gets wrapped around the lower oesophagus and secured with stitches. Any hiatal hernia present will be fixed during the same procedure. Permanent sutures close the hiatus to prevent herniation. You remain under general anaesthesia throughout the surgery.
The right preparation will give a better outcome from your fundoplication surgery. Nurses will review your medical history and current medications at your pre-assessment appointment. You will get specific instructions about:
- No food or drinks after midnight before your operation
- Stop taking certain medicines the night before surgery
- Complete smoking cessation before the procedure
Yes! You will see your doctor 2-3 weeks after leaving the hospital. Your healthcare team will track how well you are healing. Your doctor might change your large pills to liquid medicine since swallowing big tablets becomes difficult.
Your healing depends on avoiding certain activities:
- Don't lift anything heavier than 5kg for three months
- Stay off two-wheelers for at least one month
- Don't sleep on your stomach for several months
- Skip heavy exercises like weight lifting for 3-6 months
- Avoid contact sports for 3-4 months
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