Surgical treatment for Reflux
Surgery is an option when medicine and lifestyle changes do not work. Surgery may also be a reasonable alternative to a lifetime of drugs and discomfort.
This surgery is performed under general anaesthesia.
If a combination of lifestyle changes and drug therapy does not remedy reflux symptoms, a Fundoplication can be a very effective surgical procedure to correct reflux. This procedure involves wrapping the upper portion of the stomach around the base of the oesophagus to reinforce the strength of the lower oesophageal sphincter. Until recently, the procedure required a large abdominal incision. A hospital stay of 2-3 days is usually required, and the time to full recovery and return to work is 2 weeks.
A laparoscopic Fundoplication is a minimally invasive approach that involves specialized video equipment and instruments that allow a surgeon to perform the procedure through five tiny incisions, most of which are less than a half-centimetre in size. One advantage of this method is a brief hospitalization. Other advantages include less pain (less of a need for pain medication), fewer and smaller scars, and a shorter recovery time.
Laparoscopic Fundoplication is a safe and effective treatment of GORD. However, in rare cases the laparoscopic approach is not possible because it becomes difficult to visualize or handle organs effectively. In such instances, the traditional incision may need to be made to safely complete the operation