Risks include dysphagia (usually transient), gas-bloat, wrap loosening (5–10% over years), and rarely conversion to open surgery. Serious complications like oesophageal injury are very rare in experienced hands.

✦ Laparoscopic Nissen Fundoplication

Laparoscopic Nissen Fundoplication

Q: Will I be able to eat normally afterwards?

After a 4–6 week soft diet phase to allow healing, most patients return to a normal diet. Some find they cannot belch or vomit normally for the first few months — this usually settles.

Q: What about gas-bloat syndrome?

Up to 20% of patients experience gas bloating, increased flatulence, or difficulty belching after Nissen wrap. Most cases resolve over 6 months. Toupet (270°) wrap can be considered if these are likely to be problematic.

Q: When can I stop my reflux medications?

Most patients stop PPIs immediately after surgery. Some take a short course post-op while the wrap heals. Long-term, 85–90% of patients remain off acid-suppressing medication after successful surgery.

The upper stomach (fundus) is wrapped 360° around the lower oesophagus to create a one-way valve — the gold-standard surgical cure for severe GERD.

90–150 min PROCEDURE

2–3 Days HOSPITAL STAY

85–90% SUCCESS RATE

2–3 Weeks RECOVERY

What is Laparoscopic Nissen Fundoplication?

Laparoscopic Nissen fundoplication is the gold-standard surgical treatment for severe gastro-oesophageal reflux disease (GERD) and large hiatal hernias. Through five small keyhole ports, the hiatal hernia (if present) is repaired, the lower oesophagus is mobilised, and the upper stomach (fundus) is wrapped 360° around the lower oesophagus. This creates a one-way valve that prevents acid reflux while still allowing food to pass. Dr. Abhishek performs Nissen fundoplication at Lux Hospitals for patients tired of lifelong PPI medication or with PPI-resistant reflux.

How the Procedure Works

Anaesthesia & Pneumoperitoneum

General anaesthesia is given; CO2 insufflation creates working space; five small ports are placed.

Hiatal Hernia Repair

The hernia sac is reduced; oesophagus is mobilised; crural defect is closed with non-absorbable sutures.

Fundic Mobilisation

Short gastric vessels are divided to fully mobilise the fundus for tension-free wrap.

360° Wrap

The fundus is brought behind the oesophagus and wrapped 360° around it; secured with three sutures.

Closure

Ports are removed under vision; small skin incisions are closed with absorbable sutures.

Outcomes

90–150 minDURATION

2–3 DaysHOSPITAL STAY

85–90%SUCCESS RATE

Who Needs This Treatment?

→Definitive cure for GERD — no more lifelong PPIs
→Repairs hiatal hernia simultaneously
→Long-term symptom relief in 85–90% of patients
→Five small keyhole incisions — minimally invasive
→Prevents progression to Barrett's oesophagus
→Resolves regurgitation that medications cannot fix

Nissen fundoplication transforms patients who have lived with severe reflux for years — they wake up able to lie flat, eat dinner late, and stop taking acid-suppressing medication forever. It's a genuinely life-changing operation.

— Dr. Abhishek Katha, Consultant General & Advanced Laparoscopic Surgeon, Lux Hospitals, Hyderabad

Common Questions

Frequently Asked Questions

Will I be able to eat normally afterwards?+

What about gas-bloat syndrome?+

When can I stop my reflux medications?+

What are the risks?+

Not sure which treatment is right for you?

Book a consultation with Dr. Abhishek Katha and get a personalised treatment plan.

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