Principle of the operation

The aim of the operation is to recreate an anti-reflux valve or fundoplicature. Normaly, the procedure takes place by laparoscopy (Camera using small incisions).

The procedure takes place in two stages:

  1. bring the lower oesophagus back into the abdomen and treat a possible hiatal hernia by bringing the pillars of the diaphragm closer together,

  2. wrap the lower oesophagus with the top of the stomach.

There are 3 different fundoplicatures:

Nissen Fundoplication

The most common procedure

Total posterior fundoplicature

Toupet operation

Possible depending on pre-operative tests

Partial PosteriorFundoplication

Dor operation

Rarely used

Anterior Fundoplication

Surgical complications:

There are the usual risk associated with any surgery: phlebitis, pulmonary embolism, hemorrhage and infection. During the procedure, it may be necessary to convert, from laparoscopy to open surgery, to control a hemorrhage for example.

Complications of hiatal hernia surgery include:

  • Spleen injury: Exceptional but the risk is real due to its proximity to the stomach.

  • Dysphagia:  difficulty swallowing: this disorder should regress in the following months. If it persists, the fundoplication may be too tight. It can be corrected but requires a second surgery.

These complications may appear dramatic but remain exceptionally rare.