✦ GERD / HIATAL HERNIA · LAPAROSCOPIC

Laparoscopic Fundoplication

Q: Is laparoscopic fundoplication as effective as open surgery?

Multiple randomised trials confirm equivalent anti-reflux outcomes with the additional benefits of smaller incisions, shorter stay, and faster recovery.

Q: Can I still vomit after fundoplication?

The fundoplication may make vomiting difficult initially. This resolves gradually while the wrap allows normal swallowing.

Q: What is the difference between Nissen and Toupet fundoplication?

Nissen is a 360° full wrap — the strongest anti-reflux barrier. Toupet is a 270° partial wrap used when manometry shows reduced oesophageal motility.

Keyhole anti-reflux surgery — permanent cure for GERD through minimally invasive wrap of the lower oesophageal sphincter.

60–120 Min TREATMENT DURATION

2–3 Days CARE SETTING

Laparoscopic APPROACH

2–3 Weeks RECOVERY TIMELINE

What is Laparoscopic Fundoplication?

Laparoscopic fundoplication is the minimally invasive surgical cure for GERD. Through 5 small keyhole incisions, the gastric fundus is wrapped around the lower oesophageal sphincter, permanently restoring the anti-reflux valve and preventing acid reflux into the oesophagus. Dr. Tagore Mohan Grandhi performs laparoscopic fundoplication. Over 90% of patients are free from reflux symptoms and daily medications in the long term, with a hospital stay of just 1–2 days and return to work in 2–3 weeks.

Suitable for patients with chronic GERD failing or requiring long-term PPIs, symptomatic hiatal hernias, and patients preferring a permanent surgical cure over lifelong medication.

How the Procedure Works

Pre-operative Workup

Endoscopy grades oesophagitis and assesses hiatal hernia. Manometry determines Nissen vs Toupet wrap type. 24-hour pH confirms pathological reflux.

Laparoscopic Access

Five small incisions (5–12 mm). Gastro-oesophageal junction visualised under laparoscopic magnification.

Crural Repair

Diaphragmatic crura identified and sutured to reduce the hiatus and repair the associated hiatal hernia.

Fundic Wrap

Gastric fundus mobilised by dividing short gastric vessels. Passed posterior to oesophagus — Nissen or Toupet wrap secured with sutures.

Recovery

Liquids day one, soft diet for 4–6 weeks. Return to work in 1–2 weeks. Reflux symptoms typically resolve immediately post-operatively.

Outcomes

60–120 MinTREATMENT DURATION

2–3 DaysCARE SETTING

LaparoscopicAPPROACH

2–3 WeeksRECOVERY TIMELINE

Who Needs This Treatment?

→5 keyhole incisions — significantly less pain than open fundoplication
→1–2 day hospital stay versus 3–5 days for open surgery
→Return to work in 1–2 weeks versus 6–8 weeks after open surgery
→90%+ long-term reflux cure — equivalent to open fundoplication

Laparoscopic fundoplication gives patients the best of both worlds — permanent reflux cure and rapid recovery. Most stop their acid medications within days of surgery and never look back.

— Dr. Tagore Mohan Grandhi, Senior Consultant Gastrointestinal Surgeon, Lux Hospitals, Hyderabad

Common Questions

Frequently Asked Questions

Is laparoscopic fundoplication as effective as open surgery?+

Can I still vomit after fundoplication?+

What is the difference between Nissen and Toupet fundoplication?+

Not sure which treatment is right for you?

Book a consultation with Dr. Tagore Grandhi and get a personalised treatment plan.

WhatsApp Us ← Back to Treatments