Laparoscopic Fundoplication
Steps Involved in IVF:
Procedure Description
Laparoscopic fundoplication is a minimally invasive surgical technique aimed at treating gastroesophageal reflux disease (GERD) and other related digestive issues. GERD, which commonly causes symptoms like heartburn, regurgitation, and chest pain, is often due to a weakened lower esophageal sphincter (LES). This valve is responsible for preventing stomach acids from flowing back into the esophagus, which leads to the uncomfortable sensations and potential damage to the esophagus lining in chronic GERD cases. Laparoscopic fundoplication strengthens this barrier, reducing acid reflux and improving quality of life.
The procedure is often performed under general anesthesia. During laparoscopic fundoplication, a surgeon makes several small incisions in the abdomen to access the stomach and esophagus. A laparoscope—a thin, flexible tube with a camera—is inserted through one of the incisions to provide a clear, magnified view of the operating area. Using specialized instruments, the surgeon wraps the top part of the stomach around the lower esophagus. This wrapping, called the “fundus,” creates a tight passage that strengthens the LES, blocking acid reflux from the stomach into the esophagus.
There are two primary types of fundoplication: Nissen fundoplication, where the stomach is wrapped completely around the esophagus, and partial fundoplications (such as Toupet or Dor), where the stomach is wrapped partially around the esophagus. The specific technique used depends on the patient’s unique anatomy and the severity of their GERD symptoms. Laparoscopic fundoplication has become the preferred approach due to its lower risk of complications, shorter recovery time, and minimized scarring.
Procedure Duration
The duration of laparoscopic fundoplication depends on various factors, including the patient’s specific case and the surgeon’s experience. On average, the surgical portion of the procedure takes approximately one to two hours. This relatively short duration makes it an appealing option compared to traditional open surgery, which can take significantly longer and involve a larger incision.
Following the procedure, patients usually stay in the hospital for observation, with many being discharged within 24-48 hours, assuming there are no complications. In some cases, patients with underlying conditions or those who experienced more extensive surgery may need a slightly longer hospital stay. During this observation period, healthcare providers monitor for immediate postoperative issues and manage any discomfort related to the incisions or changes in diet.
Recovery time varies for each patient, but most can resume normal activities within two to four weeks. Patients are advised to follow specific dietary guidelines immediately after surgery, starting with a liquid diet before gradually transitioning to solid foods. Physical activities should also be limited initially, with a gradual return to regular exercise and strenuous activities based on the doctor’s guidance. The minimally invasive nature of laparoscopic fundoplication allows for faster healing times, reduced postoperative pain, and a quicker return to everyday life compared to traditional surgical methods.
Benefits
- Minimally Invasive: Laparoscopic fundoplication requires only small incisions, reducing recovery time and minimizing scarring.
- Long-term Relief: Most patients experience significant, lasting relief from GERD symptoms.
- Reduced Dependency on Medication: Many patients can reduce or eliminate the need for long-term acid reflux medications following surgery.
- Quick Recovery: Patients can typically resume normal activities within a few weeks, benefiting from a faster recovery compared to traditional surgery.
- Enhanced Quality of Life: With reduced reflux, patients report improvements in comfort, sleep quality, and overall health.
Potential Destinations
- United States: Known for advanced medical technology and strict healthcare standards, the U.S. offers top-quality laparoscopic fundoplication procedures. Major cities have renowned hospitals specializing in gastrointestinal surgeries and minimally invasive techniques.
- Germany: A leader in medical innovation, Germany’s hospitals are well-equipped for laparoscopic surgeries. Known for high-quality care and skilled surgeons, Germany is an appealing option for those seeking advanced procedures and a seamless healthcare experience.
- Singapore: With a reputation for healthcare excellence in Asia, Singapore offers state-of-the-art surgical procedures and rigorous healthcare standards. It is popular among medical tourists for its efficient service and accessibility.
- India: India has become a top choice for affordable, high-quality medical care. With many experienced surgeons trained internationally, India provides cost-effective laparoscopic fundoplication without compromising care.
- Turkey: Turkey’s healthcare sector has grown in recent years, particularly in medical tourism. Known for affordability and high standards, Turkey offers quality laparoscopic procedures in accredited hospitals with experienced professionals.
Risks & Considerations
- Difficulty Swallowing: Some patients may experience difficulty swallowing (dysphagia) post-surgery. This usually improves within weeks but may require additional intervention if it persists.
- Bloating and Gas: Changes in the stomach’s function post-surgery can lead to bloating and increased gas. Dietary adjustments and medications can help manage this discomfort.
- Recurrence of GERD Symptoms: While most patients experience relief, there is a chance of symptoms returning. In rare cases, a second surgery may be required.
- Infection or Bleeding: Like any surgery, laparoscopic fundoplication carries a small risk of infection or bleeding, which is managed through careful postoperative care.
- Changes in Diet: Patients may need to follow a restricted diet temporarily or adjust eating habits to avoid foods that trigger symptoms. Consulting a dietitian can be beneficial.
How to Choose the Right Doctor and Hospital
Selecting a qualified doctor and hospital for laparoscopic fundoplication requires research and careful consideration. Look for a surgeon who specializes in minimally invasive gastrointestinal procedures and has ample experience in laparoscopic fundoplication. Board certifications in gastroenterology or surgery are important indicators of expertise, as is a strong track record with the procedure. Reading patient reviews and researching the doctor’s background can provide insights into their experience and reputation.
When choosing a hospital, prioritize those with high standards for surgical care and modern facilities equipped for laparoscopic surgery. Many hospitals offer specialized gastrointestinal surgery departments with teams skilled in the latest minimally invasive techniques. International accreditation is a strong indicator of quality, as it assures that the hospital meets rigorous healthcare standards. Look for hospitals that offer comprehensive preoperative and postoperative care, as a well-coordinated care team can significantly improve patient outcomes and recovery experiences.
To receive a free quote for this procedure please click on the link: https://www.medicaltourism.com/get-a-quote
Patients are advised to seek hospitals that are accredited by Global Healthcare and only work with medical tourism facilitators who are certified by Global Healthcare Accreditation or who have undergone certification from the Certified Medical Travel Professionals (CMTP). This ensures that the highest standards in the industry are met. GHA accredits the top hospitals in the world. These are the best hospitals in the world for quality and providing the best patient experience. Click the link to check out hospitals accredited by the Global Healthcare Accreditation: https://www.globalhealthcareaccreditation.com
Frequently Asked Questions
What actually happens during hyperstimulation of the ovaries?
The patient will take injectable FSH (follicle stimulating hormone) for eight to eleven days, depending on how long the follicles take to mature. This hormone is produced naturally in a woman’s body causing one egg to develop per cycle. Taking the injectable FSH causes several follicles to develop at once, at approximately the same rate. The development is monitored with vaginal ultrasounds and following the patient’s levels of estradiol and progesterone. FSH brand names include Repronex, Follistim, Menopur, Gonal-F and Bravelle. The patient injects herself daily.
What happens during egg retrieval?
When the follicles have developed enough to be harvested, the patient attends an appointment where she is anesthetized and prepared for the procedure. Next, the doctor uses an ultrasound probe to guide a needle through the vaginal wall and into the follicle of the ovary. The thin needle draws the follicle fluid, which is then examined by an embryologist to find the eggs. The whole process takes about 20 minutes.
What happens to the eggs?
In the next step, the harvested eggs are then fertilized. If the sperm from the potential father, or in some cases, anonymous donor, has normal functionality, the eggs and sperm are placed together in a dish with a nutrient fluid, then incubated overnight to fertilize normally. If the sperm functionality is suboptimal, an embryologist uses Intracytoplasmic Sperm Injection to inject a single sperm into a single egg with an extremely precise glass needle. Once fertilization is complete, the embryos are assessed and prepared to be transferred to the patient’s uterus.
How are the embryos transferred back to the uterus?
The doctor and the patient will discuss the number of embryos to be transferred. The number of successfully fertilized eggs usually determines the number of eggs to be placed in the uterus. Embryos are transferred to the uterus with transabdominal ultrasound guidance. This process does not require anesthesia, but it can cause minor cervical or uterine discomfort. Following transfer, the patient is advised to take at least one days bed rest and two or three additional days of rest, then 10 to 12 days later, two pregnancy tests are scheduled to confirm success. Once two positive tests are completed, an obstetrical ultrasound is ordered to show the sac, fetal pole, yolk sac and fetal heart rate.
Embryoscope©
Built into this technology there is a microscope with a powerful camera that allows the uninterrupted monitoring of the embryo during its first hours of life. In this way, we can keep a close eye on the embryo, from the moment when the oocyte is inseminated and begins to divide into smaller and smaller cells, until it can be transferred to the uterus.
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Punta Mita Hospital
Mexico
Punta Mita Hospital - Genesis Cell
Mexico
