You can expect to go home 1 to 3 days after Nissen fundoplication surgery. If you have open surgery, you might need to stay in hospital for longer. You need to eat less, and more slowly, than you did before surgery. While you recover, you have a diet of blended, then soft, food.
After laparoscopic surgery, most people can go back to work or their normal routine in about 2 to 3 weeks, depending on their work. After open surgery, you may need 4 to 6 weeks to get back to your normal routine.
The operation is performed under a general anaesthetic and usually takes 1 to 2 hours. Your surgeon will use laparoscopic (keyhole) surgery as this is associated with less pain, less scarring and a faster return to normal activities.
Although a Nissen's fundoplication is now usually done by keyhole (laparoscopic) surgery, it is a major operation and your child will need to be in hospital for about 3-5 days.
Expect stay in the hospital one to two days after this procedure. On the morning after your procedure you will get a swallowing study to make sure everything is in the proper place.
Weight Loss
The capacity of the stomach is decreased slightly and it doesn't distend as much until healing occurs. On average, our patients lose approximately 10% of their weight. For this reason, it is extremely important for patients to understand their protein and caloric needs following surgery.
There is usually minimal pain associated with this operation. The abdomen will be sore as well as the small incision sites, and some patients have shoulder pain for the first day or two. The shoulder pain is caused by gas left in your abdomen during the operation. It will disappear on its own.
Background/purpose: In neurologically impaired children, retching and recurrent vomiting are common after Nissen fundoplication.
One of the best sleeping position after going through any surgery is resting straight on your back. If you have had surgery on your legs, hips, spine, and arms, this position will benefit you the most. Moreover, if you add a pillow underneath your body areas, it provides more support and comfort.
You should be able to progress to a soft-normal diet 4 – 6 weeks after surgery.
You may be sore and have some pain in your belly for several weeks after surgery. If you had laparoscopic surgery, you also may have pain near your shoulder for a day or two after surgery. It may be hard for you to swallow for up to 6 weeks after the surgery.
Avoid any foods that cause stomach gas and distention. These foods include corn, dried beans, peas, lentils, onions, broccoli, cauliflower and any food from the cabbage family. Avoid carbonated drinks, alcohol, citrus and tomato products.
You will be able to return to work 1 to 2 weeks after laparoscopic surgery and 3 to 4 weeks after an open surgical repair, depending on the type of work and if light duty is acceptable. Bathing: You can shower 24 to 48 hours after surgery unless ordered by your doctor. There will be sterile tape over the incision.
Nissen fundoplication
Although this works well to control reflux, it can also cause complications such as bloating and swallowing difficulties, called dysphagia. In some people, these complications persist after surgery.
Once in place, the instruments can be used to carry out the required treatment. After the procedure, the carbon dioxide is let out of your abdomen, the incisions are closed using stitches or clips and a dressing is applied. When laparoscopy is used to diagnose a condition, the procedure usually takes 30-60 minutes.
You may need to take a few days to a few weeks off work. It depends on the type of work you do and how you feel. You may shower 24 to 48 hours after surgery, if your doctor okays it. Pat the cut (incision) dry.
Shortness of breath may result from a slipped Nissen fundoplication, aka recurrent hiatal hernia. Shortness of breath may be precipitated by a heavy meal or gas accumulation in stomach. Obviously, shortness of breath is worse with a larger herniated stomach size.
Patients are counseled that they will likely lose 10–15 pounds during the first 4–6 weeks after surgery before the nadir of weight loss (2).
Transient dysphagia occurs in 40% to 70% of patients after Nissen fundoplication. This is thought to be secondary to edema at the gastroesophageal junction (GEJ) or transient esophageal hypomotility. Fortunately, dysphagia usually resolves spontaneously within 2 to 3 months.
Nissen fundoplication not only relieves symptoms of acid reflux, but it can also help prevent future complications—even for patients whose acid reflux symptoms are mostly well managed by medications.
Abstract. The Nissen fundoplication is the most common anti-reflux operation performed. Gas bloat and inability to vomit after repair may be severe, but infrequently require reoperation; in contrast, other complications can be very debilitating or life-threatening.
Limit liquid with meals to ½ cup. Continue to avoid chocolate, nuts and seeds. Avoid- tough meats, strong flavored cheeses, strong seasoning on foods.
Will my stomach shrink after hernia repair? The size of your stomach will not necessarily shrink after a hernia repair. However, depending on the cause of your hernia and the type of repair you have, you may experience changes in your abdominal appearance after surgery.
Plan on taking 1 – 2 weeks off from work to recover from surgery. The time may need to be longer if you have a strenuous job. Avoid exercise, and limit any exertion for at least 2 week following surgery. This includes no bending, lifting (more than 10 pounds) or straining.