How is it performed?
Four or five tiny holes are made. The surgeon operates using an image on a screen from a telescope. Part of the top of the stomach, the fundus, is wrapped around the bottom of the oesophagus and sewn to itself to create a high pressure zone that mimics the function of the normal valve. If there is a hiatus hernia present this is repaired at the same time.
The Nissen fundoplication is a ‘full’ fundoplication in that the fundus is wrapped 360 degrees around the bottom of the oesophagus. Partial fundoplication procedures are also sometimes performed. In approximately 90% of people the operation is successful. (banner text)