This video demonstrate How to do Safe Laparoscopic Fundoplication - Lecture by Dr R K Mishra. A Nissen fundoplication, or laparoscopic Nissen fundoplication when performed via laparoscopic surgery, is a surgical procedure to treat gastroesophageal reflux disease (GERD) and hiatal hernia.
Laparoscopic Fundoplication is a minimally invasive surgical procedure used to treat gastroesophageal reflux disease (GERD), a condition in which stomach acid flows back into the esophagus, causing heartburn, chest pain, and other symptoms.
During the procedure, the surgeon makes several small incisions in the abdomen and inserts a laparoscope, which is a thin, lighted tube with a camera and lens attached to it, and specialized surgical instruments. The laparoscope provides a magnified view of the surgical site, which is displayed on a monitor in the operating room.
The surgeon then wraps the upper portion of the stomach around the lower esophageal sphincter, which is the ring of muscle at the bottom of the esophagus that prevents stomach acid from flowing back into the esophagus. This creates a new, stronger valve that helps to prevent acid reflux.
Laparoscopic Fundoplication offers several advantages over traditional open surgery, including smaller incisions, less pain, reduced scarring, shorter hospital stays, and faster recovery times. However, as with any surgical procedure, there are also potential risks and complications, such as bleeding, infection, injury to surrounding organs, and difficulty swallowing.
It is important to discuss the risks and benefits of Laparoscopic Fundoplication with a healthcare provider to determine if it is the appropriate treatment option for a particular patient.
Here are the general steps of Laparoscopic Fundoplication:
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Anesthesia: The patient is given general anesthesia to ensure they are asleep and do not feel any pain during the procedure.
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Incisions: The surgeon makes several small incisions in the abdomen to insert the laparoscope and surgical instruments.
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Access: The surgeon uses the laparoscope to locate the esophagus and stomach and gain access to them.
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Dissection: The surgeon dissects the surrounding tissues to create a space for the fundoplication.
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Mobilization: The surgeon mobilizes the upper portion of the stomach and wraps it around the lower esophageal sphincter to create a new valve.
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Fixation: The surgeon uses sutures or surgical staples to fix the wrapped portion of the stomach in place.
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Closure: The surgeon closes the incisions using sutures or surgical staples.
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Recovery: The patient is taken to the recovery room, where they are monitored until they are awake and stable enough to be discharged.
Laparoscopic Fundoplication is a complex surgical procedure that requires specialized training and expertise. The exact steps of the procedure may vary depending on the specific needs of the patient and the experience of the surgeon performing the procedure. It is important to discuss the risks and benefits of Laparoscopic Fundoplication with a healthcare provider to determine if it is the appropriate treatment option for a particular patient.
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