Fundoplication (Open)
Open anti-reflux surgery — wrapping the stomach fundus around the LES to permanently cure GERD.
What is Fundoplication (Open)?
Fundoplication is the surgical cure for Gastroesophageal Reflux Disease (GERD). The upper stomach (fundus) is wrapped around the lower oesophageal sphincter (LES), restoring the anti-reflux barrier and preventing acid from flowing back into the oesophagus. The open approach is used for complex or revision cases.
Dr. Tagore Mohan Grandhi performs fundoplication. Pre-operative oesophageal manometry guides the choice between a 360° Nissen wrap or a 270° Toupet partial wrap. Over 90% of patients are free from reflux and medications long-term.
Suitable for patients with GERD failing long-term PPI therapy, those with Barrett's oesophagus, or those who prefer a permanent surgical cure over lifelong medication.
How the Procedure Works
Pre-operative Workup
Upper GI endoscopy grades oesophagitis and hiatal hernia. Oesophageal manometry and 24-hour pH monitoring performed. Manometry guides wrap selection.
Hiatal Dissection
Upper midline incision. Gastro-oesophageal junction mobilised. Hiatal hernia reduced and hiatus closed with non-absorbable sutures.
Fundic Wrap
Gastric fundus wrapped posteriorly around the LES — Nissen 360° or Toupet 270° based on manometry — and secured with non-absorbable sutures.
Closure
Wound closed in layers. The patient commenced on liquid diet day one, progressing to soft diet over 4–6 weeks.
Follow-up
Endoscopy at 3 months. pH monitoring if symptoms persist. Annual long-term review to confirm durable reflux control.
Outcomes
Who Needs This Treatment?
- →Restores the anti-reflux barrier — 90%+ long-term freedom from reflux
- →Eliminates the need for daily proton pump inhibitor medications
- →Simultaneously repairs the associated hiatal hernia in the same operation
- →Open approach provides optimal control for complex or revision cases
GERD is not just heartburn — it is a daily burden affecting sleep, diet, and quality of life. Fundoplication gives patients a permanent cure. Most are free from reflux and medications within weeks.
— Dr. Tagore Mohan Grandhi, Senior Consultant Gastrointestinal Surgeon, Lux Hospitals, Hyderabad
Open Fundoplication Cost in Hyderabad
The cost of Open Fundoplication in Hyderabad depends on factors such as the severity of GERD, previous abdominal surgeries, complexity of the procedure, investigations required, and post-operative care needed.
For patients requiring an open surgical approach, especially in complex cases such as previous surgeries or challenging abdominal conditions, the approximate cost of Open Fundoplication ranges between ₹1,20,000 and ₹2,20,000.
| Procedure | Approximate Cost Range |
|---|---|
| Open Fundoplication | ₹1,20,000 – ₹2,20,000 |
The final cost may vary depending on your individual condition, surgical findings, hospital stay, and additional treatment requirements.
Factors That Influence Open Fundoplication Cost
The overall cost may depend on:
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Severity of GERD: The extent of acid reflux symptoms, complications, and response to previous treatments can influence treatment planning.
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Previous abdominal surgeries: Patients with prior abdominal procedures may require additional evaluation and surgical planning, which can affect the overall cost.
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Pre-operative evaluation: Required investigations, endoscopy findings, medical assessments, and anaesthesia evaluation may contribute to the treatment estimate.
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Hospital stay and recovery care: The duration of admission, medications, post-operative monitoring, and follow-up consultations may influence the final cost.
Is Open Fundoplication Covered by Insurance?
Open Fundoplication may be covered by health insurance when performed for a medically necessary condition. Coverage depends on your insurance policy, inclusions, and approval process.
Our insurance support team can assist you with checking your policy coverage, required documentation, cashless approval process, and insurance-related queries before surgery.
- 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 evaluate your GERD symptoms, medical history, and investigation reports to determine whether Open Fundoplication is suitable for your condition. He will explain the procedure, expected outcomes, recovery process, and provide an estimated cost based on your individual treatment requirements.
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