Laparoscopic Fundoplication
Keyhole anti-reflux surgery — permanent cure for GERD through minimally invasive wrap of the lower oesophageal sphincter.
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
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
Laparoscopic Fundoplication Cost in Hyderabad
The cost of Laparoscopic Fundoplication in Hyderabad depends on factors such as the severity of GERD, diagnostic findings, procedure requirements, and post-operative care.
For patients with persistent GERD symptoms despite medical treatment, the approximate cost of Laparoscopic Fundoplication ranges between ₹1,50,000 and ₹2,80,000.
| Procedure | Approximate Cost Range |
|---|---|
| Laparoscopic Fundoplication | ₹1,50,000 – ₹2,80,000 |
The final cost may vary depending on your individual condition, surgical approach, hospital stay, and follow-up requirements.
Factors That Influence Laparoscopic Fundoplication Cost
The overall cost may depend on:
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Severity and duration of GERD: Long-standing reflux symptoms, complications, or failure of medication-based treatment may influence surgical planning.
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Diagnostic evaluation: Tests such as endoscopy, pH monitoring, imaging, and other assessments may affect the overall cost.
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Surgical requirements: The complexity of the procedure, anaesthesia, hospital stay, and post-operative monitoring may influence the final estimate.
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Post-surgery care: Follow-up visits, dietary guidance, and recovery support may contribute to the overall treatment cost.
Is Laparoscopic Fundoplication Covered by Insurance?
Laparoscopic Fundoplication may be covered by insurance when it is performed for medically indicated GERD treatment. Coverage depends on your policy terms and insurer approval.
Our insurance support team can assist you with policy verification, documentation requirements, and cashless approval procedures.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Tagore Grandhi
Orthopaedic & Joint Replacement Surgeon
During consultation, Dr. Tagore Mohan Grandhi, Bariatric & GI Surgeon at Lux Hospitals, will assess your symptoms, diagnostic reports, and treatment history to determine whether Laparoscopic Fundoplication is appropriate. He will guide you through the procedure, recovery expectations, and provide a personalised cost estimate based on your condition.
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