Laparoscopic Fundoplication (GERD)
Laparoscopic fundoplication is a keyhole procedure performed for patients with severe acid reflux, Barrett's oesophagus and symptomatic hiatus hernias that no longer respond to medication. It is done to prevent acid from the stomach travelling the wrong way into the oesophagus. The operation is predominantly laparoscopic although very occasionally, conversion to open surgery may be necessary.
The procedure involves narrowing the defect through which the oesophagus passes into the stomach (called the hiatus) as well as wrapping the upper part of the stomach around the lower oesophagus (the wrap) to recreate the valve at the lower end of the oesophagus. The wrap itself may be complete or partial depending on the circumstances. The operation takes about 1.5 to 2 hours and is carried out under general anaesthesia.
Removal of the gallbladder is not associated with any impairment of digestion in most people.