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Nissen Fundoplication is used to treat severe Gastro-oesophageal Reflux Disease (GERD) when medications fail to provide adequate relief. It works by wrapping the fundus (upper part of the stomach) around the lower oesophagus to strengthen the anti-reflux barrier between the stomach and oesophagus. Large hiatal hernias, medication-resistant persistent GERD, and reflux-related problems such oesophagitis (inflammation), Barrett's oesophagus (in certain cases), oesophageal strictures (narrowing), and reflux-related chronic cough or recurrent aspiration are frequently advised.
Consult your doctor if you have severe heartburn despite long-term medication use, regurgitation of food or acid, dysphagia (difficulty swallowing), persistent cough or worsening asthma due to reflux, reflux-related chest pain after cardiac causes are ruled out, frequent hoarseness or throat discomfort, and complications such as reflux ulcers or Barrett's oesophagus.
Prior to surgery, patients undergo a clinical assessment and medical history review, followed by investigations such as upper gastrointestinal endoscopy, 24-hour pH monitoring, oesophageal manometry, and barium swallow study in select cases, as well as routine tests such as LFT, RFT, CBC, chest X-ray, and ECG. Before surgery, patients are recommended to abstain from alcohol and tobacco, stop taking blood thinners (if prescribed), and fast for six to eight hours.
Nissen fundoplication is typically carried out laparoscopically under general anaesthesia. The surgeon makes tiny keyhole incisions, repairs any hiatal hernia, and then completely wraps the fundus (upper portion of the stomach) around the lower oesophagus to strengthen the anti-reflux barrier. The incisions are closed while the patient is monitored, and the wrap is secured to prevent reflux.
Usually, the procedure takes one to two hours. The duration of surgery can also differ based on the patient's anatomy, past abdominal procedures, and the existence of comorbidities.
Nissen fundoplication is safe, but there are a few potential risks:
- Infection and bleeding
- Initial difficulty swallowing (temporary dysphagia)
- Gas-bloat syndrome (increased bloating, trouble belching)
- Vomiting or nausea
- Failure or loosening of the wrap (rare)
- Symptoms of reflux returning
- Damage to the spleen, oesophagus, or stomach (rare)
- Risks associated with anaesthesia
Fundoplication provides multiple benefits, including long-term relief of GERD symptoms, a reduction in the requirement for long-term acid-suppressive drugs, increased quality of life, prevention of reflux-related oesophageal injury, and better control of aspiration symptoms and persistent cough.
Postoperative recovery usually comprises a one to three-day hospital stay, as well as breathing exercises and early walking to aid with recuperation. Over the course of several weeks, a structured dietary progression is followed, progressing from liquids to a soft diet and finally to a regular diet.
Nissen fundoplication has a high success rate; 85–95% of patients attain symptom control, and in carefully selected situations, the long-term results are outstanding. Overall outcomes are mostly determined by the surgeon's experience and skill as well as a thorough pre-surgical assessment.
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VPS Lakeshore Hospital
Kochi, India
VPS Lakeshore Hospital located in Kochi, India is accredited by NABH. Also listed below are some of the most prominent infrastructural details:
- Advanced hi-tech healthcare facility
- Innovative diagnostic & therapeutic medical technologies
- Diagnostic endoscopy of nose, esophagoscopy, Laryngoscopy, Bronchoscopy
- Cardiac department- Coronary Artery Bypass Grafting, Total Arterial Coronary Revascularization, Heart Valve Repairs and
- Replacements, Surgery for Heart Failure, Intracardiac Repair of Congenital Anomalies of the Heart, Surgery for Atrial Fibrillation
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- 24 hour rapid TAT team equipped with four specialists have increased survival and decreased patient morbidity
- Joint preservation techniques include autologous chondrocyte implantation
- Cutting edge operation theaters & world-class transplant ICUs
- Urology department: 3D Laparoscopy, Minimally Invasive Surgery, Ureteroscopy, RIRS, Endourology: PCNL
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Acibadem Bakirkoy Hospital
Istanbul, Turkey
Acibadem Bakirkoy Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- This hospital has as many as 102 beds with intensive care beds (27), operating theatres (7).
- There is also one heliport in the hospital that is used for the purpose of emergency transfer within the hospital.
- The operating theatres as well as inpatient facilities have been upgraded vis. a vis. technology and infrastructure in the year 2008 and 2009 and both outpatient as well as inpatient were upgraded as recently as in the year 2017.
- A very well developed Neonatal Intensive care unit.
- Some popular specialties and departments of Acibadem Bakirkoy Hospital, Istanbul, Turkey are Cardiology, Dermatology, Endocrinology, Family medicine, Gastroenterology, Nephrology, Neurology and Oncology.
Acibadem Hospital Taksim
Istanbul, Turkey
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Acibadem Hospital Taksim located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- With 93 beds, 6 operating theatres, Acibadem Hospital, Taksim, Istanbul, Turkey is a well equipped healthcare facility.
- It has exceptional infrastructure which is at par with the best in the world.
- The ICU of this hospital comprises 10 beds, which is inclusive of isolation room beds (2).
- Also, when we talk of Neonatal ICU, it consists of 7 beds inclusive of an isolation room bed.
- Robot-assisted Surgery and Radiology departments are a sign of the technological advancement in the hospital.
- The Physical Medicine and Rehabilitation department ensures a seamless transition through the recovery period.
Acibadem Maslak Hospital
Istanbul, Turkey
Acibadem Maslak Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- Beds are 210 in number including 27 intensive care beds with 15 sterile operation rooms, and 9 advanced-level rooms
- Smart building technology of the hospital
- Number of doctors in this hospital are 170.
- Thyroid Clinic, Stroke Center, Obesity Clinic, Reproductive Health Center, and a fully equipped radiotherapy center are all the additional facilities present in the Acibadem Maslak Hospital, Istanbul, Turkey.
- There is also a seamlessly operating International Patient Center which enables functions like registrations, orientations, admissions, presenting medical information to International patients, appointments, visa, travel, transfer and accomodation arrangements.
- Translation and interpreter services are available as is multilingual staff.
- The hospital has moved with the times and all its systems are electronically upgraded.
Acibadem Fulya Hospital
Istanbul, Turkey
Acibadem Fulya Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- The hospital has cutting edge infrastructure and all latest amenities.
- Equipment like Whole body MR scanner, 4D Ultrasound system for Breast Cancer screening, 3D Imaging and Navigation System for Prostate Biopsy, Posturography (Balance) Device, and EBUS.
- Everything that makes healthcare delivery a 360* process is present in Acibadem Fulya Hospital, Istanbul, Turkey like diagnostic services, insurance, language interpretation services, travel and lodging arrangements.
- Clinic Laboratory, Dialysis, Gastrointestinal Endoscopy Laboratory, Pulmonary Function Laboratory, Radiology and Sleep Laboratory are also present.
- Intensive Care Units (ICU) are also available in the Acibadem Fulya Hospital, Istanbul, Turkey.
- There are many popular specialties and departments present in Acibadem Fulya Hospital, Istanbul, Turkey, which is a multidisciplinary healthcare organisation. Some are Cardiology, Neurology, Cardiology, Cardiovascular Surgery, Dermatology, Ear, Nose and Throat (Otolaryngology) etc.
Medeor 24X7 Hospital
Dubai, United Arab Emirates
Medeor 24X7 Hospital located in Dubai, United Arab Emirates is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- Radiology Department- fully equipped and offers advanced diagnostic imaging technologies such as the 1.5 tesla MRI, high end 160 CT Scan and dual detector X ray
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Medeor 24X7 International Hospital, Al Ain
Abu Dhabi, United Arab Emirates
Medeor 24X7 International Hospital, Al Ain located in Abu Dhabi, United Arab Emirates is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- All rooms are equipped with necessary amenities like TV, fridge, adjustable beds, telephone, etc.
- Prefabricated Operation Theatres
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- Operation theatres
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- Physical, cultural and spiritual needs have been taken into consideration, with separate waiting areas for men and women
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- 24*7 Emergencies
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Medical Park Gebze Hospital
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Medical Park Gebze Hospital located in Kocaeli, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
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Clinique Internationale Marrakech
Marrakesh, Morocco
Apart from in-detail treatment procedures available, Clinique Internationale Marrakech located in Marrakesh, Morocco has a wide variety of facilities available for International Patients. Some of the facilities which are provided by them are Accommodation, Airport Transfer, Choice of Meals, SIM, TV inside room. Also listed below are some of the most prominent infrastructural details:
- A resuscitator for cardiac conditions
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- 250 healthcare personnel with over 50 doctors
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- Clinique Internationale Marrakech, Marrakesh, Morocco provides latest diagnostic and treatment related facilities present
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Parkside Private Hospital
London, United Kingdom
Apart from in-detail treatment procedures available, Parkside Private Hospital located in London, United Kingdom has a wide variety of facilities available for International Patients. Some of the facilities which are provided by them are Accommodation, Airport Transfer, Choice of Meals, Interpreter, SIM, TV inside room. Also listed below are some of the most prominent infrastructural details:
- Patient bedrooms with ensuite facilities like TV, internet access, direct dial phone, etc.
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+99Process Involved for Nissen Fundoplication
- GERD diagnosis and severity assessment
- Testing prior to surgery (manometry, pH monitoring, endoscope)
- Planning for surgery
- Method (fundoplication ± correction of a hiatal hernia)
- Recuperation after surgery and diet advancement
- Monitoring to manage reflux symptoms
- Severe GERD
- Reflux with hiatal hernia
- Esophageal reflux
- Barrett's oesophagus (in certain instances)
- Aspiration or coughing due to reflux
- Laparoscopic Nissen Fundoplication (the most common).
- Nissen Fundoplication is open.
- Fundoplication with robotic assistance
- In certain situations, partial fundoplication (Toupet/Dor)
In {country}, for medical treatment:
- Verifiable proof of identity (passport or visa for foreign patients)
- Diagnostic reports (manometry, pH analysis, endoscopy)
- Consent forms for anaesthesia and surgery
- Documentation related to insurance (if appropriate)
Patients may be eligible if:
- Despite taking medication, GERD symptoms continue.
- The patient has Barrett's changes, strictures, and oesophagitis as reflux consequences.
- There is a large hiatal hernia.
- The patient would rather have surgery than take medication for life.
- The patient is ready for surgery and anaesthesia.
- Hiatal hernia repair
- Endoscopy (follow-up and diagnostic)
- Dilatation of the oesophagus (if stricture is present)
- Long-term or permanent management of reflux
- Oesophagitis healing
- Decreased long-term GERD complications
- Reduced reliance on acid suppressants
After a successful fundoplication
- Regurgitation and heartburn considerably lessen
- Reflux lessens at night.
- After the initial recuperation, swallowing gradually gets better.
- Better quality of life and sleep
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