Nissen surgery, or Nissen fundoplication, is a common procedure performed to treat severe gastroesophageal reflux disease (GERD). This is one of several types of gastrointestinal surgeries that help manage issues related to the digestive system. Nissen surgery works by strengthening the valve between the oesophagus and the stomach, preventing acid from moving back up into the oesophagus. In this blog, we will discuss what Nissen surgery is, why it’s done, what to expect during the procedure, and the recovery process.
What is Nissen Surgery?
Nissen surgery is a type of anti-reflux surgery designed to treat GERD, a condition in which stomach acid frequently flows back into the oesophagus. This condition causes discomfort, including heartburn, and can lead to other complications, like inflammation or damage to the oesophagus lining.
In the Nissen procedure, the surgeon wraps the top part of the stomach (the fundus) around the lower part of the oesophagus, creating a stronger barrier to stop acid from escaping the stomach. The surgery is usually done laparoscopically, meaning that small cuts are made in the abdomen, and a thin, flexible camera and tools are used to complete the surgery. This minimally invasive surgery helps reduce recovery time and lowers the risk of complications.
Why is Nissen Surgery Done?
Nissen surgery is recommended for individuals who suffer from severe GERD that doesn’t improve with lifestyle changes or medications. It is also used when GERD causes other problems, such as ulcers, inflammation, or esophagitis. Some people may also have a hiatal hernia, where part of the stomach pushes up into the chest through an opening in the diaphragm, and Nissen surgery can help correct that issue too.
Patients who undergo this surgery often report significant relief from heartburn and other GERD symptoms. It also reduces the need for long-term medication use, which can have side effects over time.
What Happens During the Surgery?
During Nissen surgery, the patient is put under general anaesthesia. The surgeon makes several small incisions in the abdomen and uses a laparoscope, a small tube with a camera, to guide the procedure. The surgeon then wraps the upper part of the stomach around the lower end of the oesophagus and secures it in place. This tightens the valve between the stomach and the oesophagus, which prevents acid from rising into the oesophagus.
The surgery usually takes about 2-3 hours. Because it’s minimally invasive, patients experience less pain and recover faster than with open surgery. Laparoscopic surgery also leaves smaller scars.
Recovery After Nissen Surgery
After Nissen surgery, most patients can go home within a day or two, but full recovery may take several weeks. During the first few days, patients are advised to eat a liquid or soft-food diet to give the oesophagus time to heal. Gradually, solid foods can be reintroduced.
It’s normal to experience some bloating or difficulty swallowing right after surgery, but these symptoms usually improve within a few weeks. Patients are encouraged to avoid heavy lifting and strenuous activities during the recovery period. Regular follow-up appointments with the doctor are important to monitor healing and ensure the surgery is successful.
Is Nissen Surgery Right for You?
If you suffer from severe GERD or have a hiatal hernia, and medications aren’t providing enough relief, Nissen surgery could be a good option. The procedure has a high success rate in reducing symptoms and improving the quality of life for many patients. However, like any surgery, it comes with potential risks, such as difficulty swallowing or bloating, so it’s important to discuss the benefits and risks with your doctor.
Patients who benefit the most from this surgery are those whose daily lives are significantly impacted by GERD symptoms. It can provide long-lasting relief and reduce the need for continuous medication.
Nissen surgery is an effective treatment for GERD and other related conditions like hiatal hernia. It is a minimally invasive procedure that can greatly improve the quality of life for those who suffer from chronic acid reflux. Recovery is usually smooth, with most patients returning to their regular activities within a few weeks. If you’re considering Nissen surgery, talk to your doctor to see if it’s the right choice for you.
