Lap Fundoplication for Hiatus

Lap Fundoplication for Hiatus Hernia (Anti-Reflux Surgery)

Return of acidic juices or food and fluids back to esophagus is known as GERD ( Gastro esophageal reflux). Lower esophagus sphincter (LES) valve closes when food passes from esophagus to stomach. When LES does not close properly the food and acid from the stomach flows back to esophagus and this is known as GERD. GERD can be caused by hiatal hernia also which means protruding of small intestine or stomach through an enlarged opening of the diaphragm.

Hernia Symptoms

Hear burn also known as indigestion is the main symptom of GRED. If occurrence of GRED is not treated it may result in ulcer, and esophageal bleeding. Narrowing of esophagus also known as peptic ulcer can also occur as a result of GRED.

Hernia Treatment options

Over the counter medicines and changing food habits have been found to be very effective in reducing the symptoms. Reducing weight, reducing smoking and avoiding consumption of alcohol have also been found to be very effective methods for reducing the symptoms of this type of diseases. Patients who are not benefitted by any of these methods will be required to live with the symptoms or undergo surgical procedure named laparoscopic fundoplication to find a permanent solution to the problem.

Laparoscopic procedure

In this procedure the surgeon inserts cannulas through small incisions in the belly. Through these cannulas the Laparoscopic Hernia Surgeon pushes a laparoscope and other special instruments needed for the surgical procedure. Laparoscope is an instrument with a miniature camera and a light source on one end. The videos of the Laparoscopic Surgery and the internal organs taken by this camera are transmitted and displayed in front of the surgeon. The surgeon views these videos and performs the surgery controlling the instruments by their controls available near him. In this surgery the surgeon strengthens the lower esophagus by attaching upper part of the stomach to it. This reduces the reflux of food and acidic liquids back to the esophagus and strengthen the lower esophageal sphincter.
In the cased of hiatal hernia the protruding intestine and stomach portions are pushed back to its
normal place. A synthetic mesh will be placed near the hole in the diaphragm so that the pushed back stomach will not come back again through this weaker portion.

Peculiarities of laparoscopic hernia surgery

  • Since the incisions are smaller in size there will be less bleeding and less pain and the healing of the wound will be faster.
  • Faster recovery and earlier return to normal life are possible in laparoscopic surgeries.
  • Patients with high blood pressure, diabetics and Obesity are not suitable candidates for laparoscopic surgeries.
  • Patient who had earlier undergone a surgical procedure in the target area are not suitable for laparoscopic procedures.
    Punya hospital provides hernia treatment in banagalore with laparoscopic surgical methods in karnataka


Dr. Nagaraj B Puttaswamy

Senior Consultant - Laparoscopic Surgeon Bariatric Surgeon and Surgical Gastroenterologist