Highly Advanced Laparoscopic Fundoplication Surgery for Gastroesophageal Reflux Disease (GERD)

Highly Advanced Laparoscopic Fundoplication Surgery for
Gastroesophageal Reflux Disease (GERD) , Hiatal Hernia at World
Class Hospitals in India
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Highly Advanced Laparoscopic Fundoplication Surgery for
Gastroesophageal Reflux Disease (GERD) , Hiatal Hernia at World Class
Hospitals in India
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Gastroesophageal reflux disease (GERD) is a chronic digestive
disease that occurs when stomach acid or, occasionally, bile
flows back (refluxes) into your food pipe (esophagus). The
backwash of acid irritates the lining of your esophagus .The
esophagus is the tube that carries food from the mouth to the
stomach. The LES is a ring of muscle at the bottom of the
esophagus that acts like a valve between the esophagus and
stomach.When acid reflux occurs, food or fluid can be tasted
in the back of the mouth. When refluxed stomach acid
touches the lining of the esophagus it may cause a burning
sensation in the chest or throat called heartburn or acid
indigestion.
The main symptom of GERD in adults is frequent heartburn,
also called acid indigestion—burning-type pain in the lower
part of the mid-chest, behind the breast bone, and in the mid-
abdomen.
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What causes Gastroesophageal reflux disease (GERD)?
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GERD occurs when the anti-reflux mechanisms at the junction between the
esophagus and the stomach do not work properly. This may be due to a
weakness in the lower esophageal sphincter that is supposed to close off the
esophagus from the stomach and stop acid reflux from happening. Other factors
that may contribute to GERD include – Obesity, pregnancy, Smoking and
lifestyle.

Laparoscopic Fundoplication Surgery for Gastroesophageal
Reflux Disease (GERD) at World Class Hospitals in India
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Laparoscopic Fundoplication is a safe procedure, and can provide
less postoperative morbidity in experienced hands. This is a surgical
procedure done for Gastroesophageal Reflux Disease (GERD).
Fundus of the stomach which is on the left of the esophagus and
main portion of the stomach is wrapped around the back of the
esophagus until it is once again in front of this structure. The
portion of the fundus that is now on the right side of the esophagus
is sutured to the portion on the left side to keep the wrap in place.
The Fundoplication resembles a buttoned shirt collar. The collar is
the fundus wrap and the neck represents the esophagus imbricated
into the wrap. This has the effect of creating a one way valve in the
esophagus to allow food to pass into the stomach, but prevent
stomach acid from flowing into the esophagus and thus prevent
GERD.
Laparoscopic fundoplication is a useful method for reducing hospital stay,
complications and promotes early return to normal activity. With better training in
minimal access surgery now available, the time has arrived for it to take its place in
the surgeon’s repertoire.

Advantages of Laparoscopic Fundoplication Procedure
for Gastroesophageal Reflux Disease (GERD)
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Fundoplication is performed as a Laparoscopic procedure as
this new approach requires only five small incisions.
Patients experience minimal pain and recover faster.
The laparoscope, which is a telescopic videocamera, gives a
better view of the internal organs than the traditional open
procedure. Magnified images viewed on the video monitor
reveal internal structures, including blood vessels in
exquisite detail.
• Lesser blood loss than the traditional approach.
• Lesser rate of infection.
• Lesser complications.
• Minimal pain.
• Faster recovery- The patient can return to work in one or two
weeks.

Hiatal Hernia
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A Hiatal Hernia occurs when part of your stomach pushes
upward through your diaphragm. Your diaphragm normally
has a small opening (Hiatus) through which your food tube
(esophagus) passes on its way to connect to your stomach.
The stomach can push up through this opening and cause a
hiatal hernia.
In most cases, a small hiatal hernia doesn't cause problems,
and you may never know you have a hiatal hernia unless
your doctor discovers it when checking for another
condition. But a large hiatal hernia can allow food and acid
to back up into your esophagus, leading to heartburn. Self-
care measures or medications can usually relieve these
symptoms, although a very large hiatal hernia sometimes
requires surgery.

Hiatal Hernia
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Types of Hiatal Hernia
• Sliding Hiatal Hernia: The most common (95%) is the
sliding hiatus hernia, where the gastro-esophageal junction
moves above the diaphragm together with some of the
stomach.
• Rolling Hiatal Hernia: The second kind is rolling (or
paraesophageal) hiatus hernia, when a part of the stomach
herniates through the esophageal hiatus and lies beside the
esophagus, without movement of the gastro-esophageal
junction. It accounts for the remaining 5% of hiatus
hernias.

Laparoscopic (Key Hole) Hiatal Hernia Surgery - A
Major Advancement in Modern Medical Science
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The procedure is often done 'laparoscopically' through five small (1.5
cm) cuts (incisions) in your abdomen. The video camera and special
instruments are then inserted through the incisions to do the repair.
You may undergo a "Nissen" Hiatal Hernia procedure where the
stomach is wrapped around the lower end of the esophagus to tighten
up the sphincter.
Occasionally, the surgeon is unable to do the procedure
laparoscopically and must convert to open surgery in order to make it
safer for you. In this case, you will have an incision in the middle of
your abdomen and your recovery will be longer. To help prevent blood
clots from forming in your legs during and after surgery, sequential
compression stockings may be applied.

What People Say about us
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Patient name : Mr. Walter Murrell
Country : USA
Procedure : Laparoscopic Hernia Repair
"My problem was a hernia in my abdomen which rally started to bother me for
last three years and was getting worse each day. I saw a TV program in the US
that dealt with medical tourism, and Indian hospitals were highly spoken of in
that segment. I thought that probably some day I might need to go to one. I
had never bought medical insurance because it's extremely expensive in the
US. But I hardly knew anything about India. In Houston where I live, there are
large numbers of Indian doctors. I contacted some of them and asked them
about Indian hospitals, and everyone said that the level of medical practice in
India was as good as in the United States. I wrote to a few hospitals, but did
not get a response,

I had so many questions to ask Then I searched online and found
SafeMedTrip.com"I have had an excellent time here. Everybody has been
extremely helpful. As far as food is concerned, it's different from the US, but
SafeMedTrip spoke to hospital staff who went out of their way to try to get things I
like to eat. I find the doctors here to be highly professional. And the nurses, what
can I say? They have done a great job! Everyone from the food service personnel to
the housekeeping staff are always ready to serve. The facilities are excellent. I had
a decent room for myself, and my wife was able to stay with me quite comfortably.
I sincerely appreciate your efforts, and let me say that SafeMeTrip.com will be my
first choice if I ever again need surgical or any other sophisticated medical care
outside the United States or if any of my friends needed a similar service. All the
best
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Cost Estimate for Laparoscopic Fundoplication Surgery for Gastroesophageal Reflux
Disease (GERD), Hiatal Hernia is 4000 US Dollars -
Note - Cost Estimate above include stay in a Private Room where a Companion can stay with
the patient surgeon fee, medicines and consumables, nursing care, food and Airport Pick &
Drop. More accurate treatment cost estimates can be provided if medical reports are emailed
to us or after the patient is examined by doctors after arrival at hospital in India and medical
tests are done after admission
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Highly Advanced Laparoscopic Fundoplication Surgery for Gastroesophageal Reflux Disease (GERD)

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