Nissenfundoplikaatiossa

Nissenfundoplikaatiossa is a surgical procedure used to treat hiatal hernias, a condition where a portion of the stomach protrudes through the diaphragm into the chest cavity. This procedure is named after its developer, German surgeon Karl Ludwig Nissen, who first described it in 1953. The primary goal of the Nissen fundoplication is to reinforce the hiatus of the diaphragm, the opening through which the esophagus passes, to prevent the stomach from sliding up into the chest.

The procedure involves several steps. First, a small incision is made in the abdomen, typically in the left upper quadrant. The stomach is then mobilized, or moved, to expose the hiatus. A portion of the stomach, usually the greater curvature, is wrapped around the esophagus and the hiatus, forming a wrap or "fundoplication." This wrap is then secured using sutures, which can be either absorbable or non-absorbable, depending on the surgeon's preference and the patient's condition.

The Nissen fundoplication is considered a relatively simple and effective procedure for treating hiatal hernias. It has a high success rate and is generally well-tolerated by patients. However, like any surgical procedure, it carries risks, including bleeding, infection, and the potential for complications such as gastroesophageal reflux disease (GERD) or stricture formation.

Post-operatively, patients are typically advised to avoid heavy lifting, strenuous activity, and certain foods that can irritate the stomach. They may also need to take medications to manage any symptoms of GERD. Recovery time varies but is usually around two to four weeks, depending on the individual's healing process and adherence to post-operative care instructions.