**If the main problem you suspect or have been diagnosed with, is a hiatal hernia, please click here.
The role of operative treatment for Hiatal Hernias and Gastroesophageal Reflux Disease (GERD) changed dramatically during the 1990s. Today, laparoscopic antireflux surgery has assumed a major role in the treatment of both of these diseases. The introduction of this minimally invasive technique for the treatment of hiatal hernias and GERD has lowered the threshold for surgical treatment and renewed interest in the treatment outcomes.
The principles for laparoscopic Nissen Fundoplication (which is the most common and effective type of antireflux surgery) are exactly the same as in open surgery, but the benefits of being performed by minimally invasive means do not have point of comparison. Laparoscopic fundoplication is considered nowadays the “gold standard” for the surgical treatment of GERD.
GERD symptoms are common in the general population, affecting more than 40% of Americans at least once per month. Patients with GERD, may have typical or atypical symptoms.
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