Gastroesophageal Reflux Disease
  Laparoscopic Antireflux Surgery
   
  “Heartburn is a common problem in the Western world. Approximately 7% of the population experience symptoms of heartburn daily. An abnormal esophageal exposure to gastric juice is probably present in 20-40% of this population, meaning this people have GERD.”
   
   
 
Surgical Procedures  >   Laparoscopic Antireflux Surgery  >   Laparoscopic vs Open Surgery    
 
Laparoscopic vs. Open Antireflux Surgery (and/or Hiatal Hernia Repair)

  • Very small incisions (5)
  • Fast recovery time (one or two night hospital stay, depends on the case)
  • Minimal postoperative pain
  • Lower morbidity rate
  • Lower hospital stay
  • Return to normal activity and return to work in shorter period of time (complete recovery in 5 to 7 days)
  • Decreased risk of wound infection and hernia formation
  • Minimal scarring

Outcomes/Complications

Results of laparoscopic antireflux surgery are encouraging with low rates of perioperative morbidity and mortality. Conversion rate from laparoscopic to open procedure is higher in inexperienced hands; the conversion rate in Dr. Rosales’ experience is less than 5%. Perioperative complications requiring reoperation such as stomach (wrap) migration or esophageal perforation occur in less than 1%.

The overall satisfaction rates regarding symptoms after the procedure range from 90 to 100% and a significant improvement in quality of life a few weeks after having the procedure.

 

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