Laparoscopic Fundoplication
Steps Involved in IVF:
Procedure Description
Laparoscopic fundoplication is a minimally invasive surgical procedure primarily used to treat gastroesophageal reflux disease (GERD). GERD occurs when stomach acid frequently flows back into the esophagus, causing irritation and discomfort. Laparoscopic fundoplication involves wrapping the upper portion of the stomach (the fundus) around the lower esophageal sphincter (LES) to reinforce it, thereby preventing acid reflux and promoting better control of stomach contents.
The procedure is typically performed under general anesthesia. Surgeons make several small incisions in the abdomen through which specialized surgical instruments and a laparoscope—a small tube with a camera—are inserted. The camera transmits images to a monitor, allowing the surgeon to perform precise movements. The fundus is then carefully wrapped around the LES and secured with sutures, reinforcing the valve mechanism to prevent acid from rising into the esophagus.
Laparoscopic fundoplication can be performed as either a partial or complete wrap, with the Nissen fundoplication (360-degree wrap) being the most common complete method. Other variations, such as Toupet (partial posterior wrap) or Dor (partial anterior wrap), may be used based on the patient’s specific needs. The type of wrap selected depends on factors like esophageal motility and overall patient condition.
Procedure Duration
The duration of laparoscopic fundoplication varies depending on the complexity of the case and the patient’s condition. Generally, the surgery takes between 1 to 2 hours. This timeframe allows the surgeon to perform the necessary steps with precision, ensuring that the fundus is correctly positioned and secured around the esophagus.
Post-surgery, patients typically spend a few hours in the recovery room under close observation. This period allows healthcare professionals to monitor vital signs and manage any immediate postoperative symptoms such as nausea or pain. Most patients can be discharged within 24 to 48 hours if no complications arise.
The initial recovery period can take 2 to 4 weeks, during which patients may experience mild discomfort, bloating, or difficulty swallowing. These symptoms generally resolve as the body adapts to the new anatomical configuration. Full recovery, including the complete resolution of pre-surgery symptoms, may take up to 6 weeks, during which patients should follow a gradual diet progression and avoid heavy physical activities.
Benefits
- Minimally invasive approach: Reduced risk of infection, smaller scars, and faster healing compared to open surgery.
- Improved quality of life: Significant reduction in GERD symptoms, leading to improved daily comfort and well-being.
- High success rate: A majority of patients report long-term relief from acid reflux after the procedure.
- Short hospital stay: Most patients are discharged within 1 to 2 days post-surgery.
- Reduced reliance on medication: Many patients can reduce or eliminate the need for long-term acid-suppressing drugs.
Potential Destinations
1. Spain
Spain is renowned for its modern medical facilities and experienced surgeons specializing in laparoscopic procedures. The country’s healthcare system combines high-quality care with affordable pricing, making it an attractive option for medical tourists.
2. India
India has become a leading destination for minimally invasive surgeries, including laparoscopic fundoplication. With state-of-the-art hospitals, experienced medical staff, and competitive costs, India is ideal for patients seeking world-class treatment.
3. Turkey
Turkey is well-regarded for its medical expertise and advanced surgical techniques. Its hospitals often adhere to international accreditation standards, ensuring high-quality care. The blend of affordable procedures and cultural tourism makes Turkey a popular choice.
4. Mexico
Mexico offers proximity and convenience for North American patients seeking top-tier medical services at a lower cost. Many healthcare facilities in major cities cater to international patients, providing quality care and experienced surgical teams.
5. Thailand
Thailand has established itself as a medical tourism hub, known for its skilled surgeons and comprehensive care. Patients benefit from advanced surgical technologies, high success rates, and the opportunity to recover in a serene environment.
Risks & Considerations
- Difficulty swallowing (dysphagia): This is a common temporary side effect that may require dietary adjustments.
- Gas bloat syndrome: Some patients experience bloating and discomfort due to the inability to burp after surgery.
- Anesthesia-related risks: As with any surgery involving general anesthesia, there is a small risk of adverse reactions.
- Recurrence of symptoms: Although rare, some patients may experience a return of GERD symptoms over time.
- Infection and bleeding: These risks are inherent to any surgical procedure, although they are minimized with laparoscopic techniques.
How to Choose the Right Doctor and Hospital
When selecting a doctor and hospital for laparoscopic fundoplication, it is essential to consider several key factors. Ensure the surgeon has substantial experience in performing laparoscopic procedures, with a proven track record of successful outcomes. Board certification and specialization in gastrointestinal surgery are strong indicators of expertise.
Additionally, choose a hospital that meets international accreditation standards and offers comprehensive preoperative and postoperative care. Reading reviews, seeking second opinions, and verifying the facility’s reputation can provide added assurance when making your decision.
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
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Punta Mita Hospital - Genesis Cell
Mexico
