Fundoplication surgery is a procedure used to treat gastroesophageal reflux disease (GERD) and hiatal hernias by strengthening the lower esophageal sphincter. It is commonly performed using a minimally invasive laparoscopic technique, resulting in reduced pain and quicker recovery compared to open surgery. While fundoplication surgery effectively relieves acid reflux symptoms, understanding the post-operative experience is crucial for a smooth recovery. This guide outlines what to expect after the procedure, from immediate post-surgical effects to long-term recovery.
Immediate Post-Surgery Recovery
1. Hospital Stay and Monitoring
After fundoplication surgery, patients typically stay in the hospital for one to three days, depending on their condition and the surgical approach. During this period:
- Vital signs are closely monitored.
- Pain management is initiated using prescribed medications.
- Patients are encouraged to start walking to prevent blood clots.
- Initial dietary modifications are introduced, often beginning with clear liquids.
2. Pain and Discomfort after fundoplication surgery
Pain and discomfort after around the surgical site, particularly in the upper abdomen and chest, are common in the first few days. Patients may also experience:
- Shoulder pain due to trapped gas from laparoscopic surgery.
- Sore throat from the breathing tube used during anesthesia.
- Mild bloating and difficulty swallowing, which gradually improve over time.
Doctors typically prescribe pain relievers and anti-nausea medications to manage discomfort during the early recovery phase.
Short-Term Recovery (First Few Weeks)
1. Diet After Fundoplication Surgery
A carefully structured Nissen fundoplication diet after surgery is crucial for proper healing and optimal results. Patients typically follow this phased approach::
- First few days: Clear liquids such as broths, herbal teas, and diluted juices.
- Week 1-2: Pureed and soft foods, including mashed potatoes, yogurt, and oatmeal.
- Week 3-4: Slowly introducing more solid foods while avoiding tough, spicy, and acidic foods.
2. Swallowing Difficulties
Many patients experience dysphagia (difficulty swallowing) during the initial weeks, which is normal as the esophagus adjusts to the new structure. To ease swallowing:
- Take small bites and chew thoroughly.
- Sip liquids between bites.
- Avoid carbonated drinks and foods that cause bloating.
3. Activity Restrictions
Patients should avoid strenuous activities for at least four to six weeks. Key guidelines include:
- No heavy lifting (over 10 pounds) to prevent strain on the surgical site.
- Gentle walking to promote circulation and prevent complications.
- Avoid bending or lying flat immediately after eating to reduce reflux symptoms.
Potential Side Effects and Complications After Fundoplication Surgery
While fundoplication is generally safe, some patients experience side effects or complications after surgery. Here’s what to watch for:
1. Gas Bloat Syndrome
A common side effect after fundoplication is gas bloat syndrome, where patients experience:
- Increased bloating and gas buildup.
- Inability to burp easily due to the tightened esophageal sphincter.
- Abdominal discomfort.
To minimize symptoms:
- Eat slowly and avoid swallowing air.
- Stay away from carbonated drinks and gas-producing foods (beans, cabbage, onions).
- Engage in light physical activity to aid digestion.
2. Temporary Changes in Bowel Habits
Some patients may experience mild constipation or diarrhea due to changes in digestion. Staying hydrated, eating fiber-rich foods, and taking stool softeners if needed can help regulate bowel movements.
3. Acid Reflux Symptoms Post-Surgery
While fundoplication significantly reduces GERD symptoms, some patients may still experience mild acid reflux initially. In most cases, this improves as swelling decreases. If symptoms persist, consult your surgeon for further evaluation.
Long-Term Recovery and Lifestyle Changes After Fundoplication Surgery
1. Returning to Normal Diet
By six to eight weeks post-operation, most patients are able to transition from a soft food diet after surgery to a more typical, balanced diet. However, for sustained healing and comfort, it’s still recommended to:
- Continue eating smaller, more frequent meals.
- Avoid foods that previously triggered reflux.
- Stay upright after meals to reduce pressure on the stomach.
2. Resuming Physical Activity
After about four to six weeks, patients can gradually return to their normal activities. Strenuous exercise, weightlifting, and core exercises should only be resumed after receiving clearance from a doctor.
3. Long-Term Benefits and Success Rate
Fundoplication surgery has a high success rate of patients experiencing long-term relief from GERD symptoms. To maintain these benefits:
- Maintain a healthy weight to reduce pressure on the stomach.
- Avoid excessive alcohol and smoking, as these can weaken the esophageal sphincter.
- Continue follow-up visits with the surgeon to monitor recovery progress.
Dr. Shrikant Kurhade’s Expertise in Fundoplication Surgery
Dr. Shrikant Kurhade is a trusted and experienced surgeon in fundoplication surgery, offering effective, minimally invasive treatment for GERD with faster recovery and lasting relief. Utilizing advanced surgical techniques and state-of-the-art facilities, he ensures optimal patient outcomes. His comprehensive care includes personalized recovery plans after surgery diet and regular follow-ups to support complete healing and long-term wellness.
Conclusion
Recovery after fundoplication surgery is smoother and more effective with expert care from Dr. Shrikant Kurhade. Renowned for his advanced surgical skills and patient-focused approach, he ensures comprehensive post-operative care for lasting results. Specializing in robotic surgery in Pune, Dr. Shrikant Kurhade combines precision technology with compassionate care to enhance surgical outcomes. His clinic in Pune is equipped with the latest technology to support every stage of healing, improving patient comfort, recovery speed, and overall quality of life.