The Nissen fundoplication is considered the “gold standard” for controlling reflux and repairing hiatal hernias. During this procedure, the hiatal hernia is repaired and the upper part of the stomach is wrapped around the lower esophageal sphincter to strengthen the sphincter, preventing acid reflux.
The Nissen fundoplication may be performed with either open surgery or minimally invasive surgical techniques (laparoscopic surgery). During a laparoscopic Nissen fundoplication small cameras and instruments are utilized to perform the repair through very small incisions. The small incisions greatly reduce the post-operative pain and allow for a much faster recovery. When performed by experienced surgeons, laparoscopic fundoplication is safe and effective in people of all ages, including infants. The procedure is reported to have the same results as the standard open fundoplication. Most people can leave the hospital after an overnight stay and return to work in 1 to 2 weeks.