Dr. Kolachalam, Nissen Fundoplication Surgery
In what cases would this type of surgery be recommended?
Gastroesophageal Reflux Disease (GERD) – widely known as acid reflux or chronic heartburn – happens when digestive acids from the stomach enter the esophagus.
One major cause of reflux disease is the failure of the valve located between the esophagus and stomach (called the esophageal sphincter) to close. This can lead to increased contact between the stomach’s acidic contents and the walls of the esophagus. The result can be inflammation and scarring of the esophagus.
Most cases of occasional or mild symptoms of reflux disease can be treated effectively with drug therapy. However, patients with regular symptoms, who have difficulty swallowing, weight loss, anemia or bleeding need to be evaluated on a more aggressive basis.
The video below is a short animation about GERD, provided to give you a better visual of what is going on in your body.
What is Nissen Fundoplication Surgery?
Dr. Kolachalam may recommend an operation called Nissen Fundoplication. In a fundoplication, the surgeon wraps a portion of the stomach, known as the gastric fundus, around the lower esophagus. This creates a mechanical barrier that prevents the flow of acid from the stomach up into the esophagus.
da Vinci® Nissen Fundoplication: A Less Invasive Procedure
The da Vinci Nissen Fundoplication provides an alternative to traditional “open” fundoplication surgery, in which a long abdominal incision is made to expose the target anatomy.
The da Vinci System eliminates the need for a long incision: Instead, the surgeon makes a series of 1-2 cm incisions to introduce a specialized surgical camera and the System’s EndoWrist® Instruments, developed especially to help surgeons perform complex, minimally invasive surgical procedures.
This procedure uses a state-of-the-art surgical system designed to help your surgeon see vital anatomical structures more clearly and to perform a more precise operation.
For most patients, da Vinci Nissen Fundoplication offers numerous potential benefits over traditional open surgery, including:
- Shorter hospital stay
- Less pain and scarring
- Less risk of wound infections
- Less blood loss and fewer transfusions
- Faster recovery
- Quicker return to normal activities
As with any surgery, these benefits cannot be guaranteed, as surgery is patient- and procedure-specific.
The video below is to introduce you to the control, dexterity, and advancement of technology that Dr. Kolachalam uses.
**Dr. Kolachalam does Robot Assisted Laparoscopic Nissen Fundoplications at Providence Hospital in Southfield.