Laparoscopic Fundoplication
Laparoscopic Fundoplication: A Comprehensive Overview
If you have been experiencing long-standing acidity or acid reflux (GERD) that affects your daily life, you should consider surgery. Let us introduce you to laparoscopic (scarless) fundoplication. This advanced, minimally invasive procedure is expertly performed by Dr. Naresh Singhi, the leading GI surgeons at Apollo Endoscopy & Robotic Obesity Centre, Mumbai Mumbai.
What is GERD and Why Is It Important?
Gastroesophageal reflux disease (GERD) is a chronic condition where stomach acid frequently flows back into the esophagus (food pipe), causing symptoms like heartburn and regurgitation. Understanding GERD is crucial because, if left untreated, it can lead to serious complications, including esophagitis, Barrett's esophagus, and even esophageal cancer.

What is Laparoscopic Fundoplication?
Laparoscopic fundoplication is a minimally invasive surgical procedure aimed at treating GERD. During this procedure, the upper part of the stomach (the fundus) is wrapped around the lower esophagus to strengthen the lower esophageal sphincter, preventing acid reflux. This technique is favoured for its reduced recovery time and less postoperative discomfort.
Why Surgery is Better Than Long-Term Medication for GERD?
Surgery can often be a more effective solution for gastroesophageal reflux disease (GERD) than long-term medication. Here are some reasons why:
- Permanent Relief: Surgery, like laparoscopic fundoplication, addresses the root cause of GERD, providing lasting relief and reducing medication dependence.
- Improved Quality of Life: Many patients experience a significant decrease in symptoms, allowing them to enjoy daily activities without discomfort.
- Avoiding Side Effects: Long-term medication can lead to side effects, while surgery minimizes the need for ongoing drug use.
- Faster Recovery: Laparoscopic procedures involve smaller incisions, leading to less pain and quicker recovery.
- Lower Complication Risks: Surgery reduces the risk of complications from untreated GERD, such as esophagitis or Barrett’s esophagus.
In summary, surgery offers a comprehensive solution for GERD, enhancing overall health and quality of life.
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Who Needs Laparoscopic Fundoplication?
Candidates for laparoscopic fundoplication typically include:
- Patients with severe GERD not responding to medications.
- Individuals with complications such as Barrett’s esophagus or esophagitis.
- Those experiencing lifestyle limitations due to GERD symptoms.
If you’re struggling with chronic reflux issues, consulting a GI specialist in Mumbai or a best laparoscopic surgeon in Mumbai, like Dr. Naresh Singhi, can help determine if this surgery is right for you.
What to Expect Before Surgery?
Before the procedure, your surgeon will conduct a thorough evaluation, which may include:
- Medical History Review: Understanding your health and any medications you’re taking.
- Diagnostic Tests: These might include endoscopy or manometry to assess esophageal function.
How Is Laparoscopic Fundoplication Done?
The procedure typically lasts 2 hours and is performed under general anesthesia. Here’s a brief overview of the steps:
- Small Cuts (Incisions): Several small cuts (incisions), approx. 5-10mm in size are made in the abdomen.
- Laparoscope Insertion: A laparoscope (a small camera) is inserted to guide the surgery.
- Fundoplication: The upper stomach is wrapped around the esophagus to create a new valve that prevents acid reflux.
This approach allows for precision and a quicker recovery.
Recovery After Laparoscopic Fundoplication
Recovery from laparoscopic fundoplication usually takes about 1-2 weeks. During this time, you can expect:
- Pain Management: Your doctor will provide pain relief options.
- Dietary Adjustments: You’ll start with clear liquids and gradually reintroduce solid foods.
- Follow-Up Appointments: These are essential to monitor your recovery, dietary adjustments and manage any issues.
Are There Risks and Complications?
As with any surgery, there are risks involved, including:
- Difficulty swallowing
- Gas bloating
Discussing these risks with your healthcare provider is important to ensure you’re fully informed.
How Will Life Be After Laparoscopic Fundoplication?
After recovery, many patients experience significant relief from GERD symptoms. However, it’s essential to adopt a healthy lifestyle, which includes:
- Dietary Changes: Avoiding trigger foods and eating smaller meals.
- Regular Exercise: Maintaining a healthy weight can help prevent symptom recurrence.
How Much Does Laparoscopic Fundoplication Cost?
The cost of laparoscopic fundoplication varies based on several factors, including the hospital, surgeon fees, and insurance coverage. Many health insurance plans cover this procedure, especially when deemed medically necessary. For those seeking the best GI surgeon in Mumbai, Dr. Naresh Singhi offers a competitive cost while ensuring high-quality care.
Technological Advances in Laparoscopic Surgery
Recent advancements in surgical techniques, including robotic-assisted surgery, have improved the precision and outcomes of laparoscopic fundoplication. These innovations continue to evolve, promising better results and experiences for patients undergoing GERD treatment.
Conclusion
Laparoscopic fundoplication offers a promising solution for individuals suffering from GERD. By understanding the procedure, its benefits, and what to expect, you can make an informed decision about your health at Apollo Endoscopy & Robotic Obesity Centre, Mumbai. If you’re considering this surgery, consult with experts like Dr. Naresh Singhi, one of the best laparoscopic surgeons in Mumbai, to discuss your options.
FAQ’s
Recovery typically takes about 3-5 days, with many patients returning to normal activities within this time frame.
Yes, most insurance plans cover the cost of a laparoscopic and robotic fundoplication, especially if it’s medically necessary.
Patients should focus on a balanced diet, avoiding trigger foods, and eating smaller, more frequent meals.
Most patients are good candidates, but a thorough medical evaluation is necessary to assess individual risks.
While medications can manage symptoms, laparoscopic fundoplication offers a potential long-term solution by addressing the underlying cause of GERD.
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