✦ GERD / HIATAL HERNIA · ANTI-REFLUX SURGERY

Fundoplication (Open)

Q: Will I be able to eat normally after fundoplication?

Most patients eat normally within 6–8 weeks. A soft diet for the first 4–6 weeks is recommended while post-operative swelling resolves.

Q: How long does fundoplication last?

Studies with 10–15 year follow-up confirm durable results in 90%+ of patients.

Q: Can surgery also treat Barrett's oesophagus?

Fundoplication controls acid reflux, slowing Barrett's progression. Barrett's requires ongoing endoscopic surveillance regardless of surgery.

Open anti-reflux surgery — wrapping the stomach fundus around the LES to permanently cure GERD.

90–150 Min TREATMENT DURATION

4–6 Days CARE SETTING

Open APPROACH

3–4 Weeks RECOVERY TIMELINE

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

90–150 MinTREATMENT DURATION

4–6 DaysCARE SETTING

OpenAPPROACH

3–4 WeeksRECOVERY TIMELINE

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

Common Questions

Frequently Asked Questions

Will I be able to eat normally after fundoplication?+

How long does fundoplication last?+

Can surgery also treat Barrett's oesophagus?+

Not sure which treatment is right for you?

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