Laparoscopic Anti-Reflux Surgery Abu Dhabi
The most standard surgical method to treat gastro-oesophageal reflux disease is laparoscopic anti-reflux surgery Abu Dhabi. In other words, it is also known as fundoplication. When the stomach experiences acid reflux and then that ends in the oesophagus, it is known as reflux disease. Heartburn and inflammation are some of the common symptoms associated with it.
In general, the lower oesophageal sphincter, the lowermost muscle of the oesophagus acts as a barrier to acid reflux. In most cases, the closing of the oesophagus takes place from the stomach due to muscle contraction.
The abnormality in the function of the sphincter can be seen in the case of patients with reflux disease. There will be inappropriate contraction and relaxation of muscles
The abnormal behaviour of the sphincter can be restricted to some extent by strengthening the barrier to acid reflux. The surgical technique that strengthens the barrier is called Fundoplication.
In most cases, surgery is avoided and an acid-suppressing drug with an appropriate dose does the work for a majority of patients with reflux disease. In other cases, it has also been seen that people have got benefits from the surgery. There are three main reasons why people prefer surgery over medications. Those are: –
- Medications may have side effects.
- Medications may not respond inadequate manner as a surgery can be.
- To be on the safer side and avoid long term use of medications.
What does the laparoscopic anti-reflux surgery Abu Dhabi involve?
Keyhole techniques or laparoscopic anti-reflux surgery UAE is always the first choice for patients who are undergoing the operation for the very first time. If we compare the laparoscopic method over any open surgery, then it stands tall with less post-operative pain and speedier recovery. It is also observed that people suffering from their reflux disease are also associated with hiatus hernia, which is then repaired by the time of anti-reflux surgery.
The sac of Hernia is usually pulled down from the chest and keep it within the abdomen with multiple stitches. This also tightens the opening of the diaphragm by which the oesophagus passes from the chest into the abdomen. Gathering, wrapping, and stitching of the lower end of the oesophagus (the fundus of the stomach) takes place during the procedure.
There is a reduction of acid reflux as the pressure has been increased at the lower end of the oesophagus. A unidirectional valve is been introduced through fundoplication from the oesophagus to the stomach. This is the laparoscopic anti-reflux surgery Abu Dhabi that prevents the reflex from the stomach into the oesophagus. The duration of surgery takes place between 60-90 minutes.
Complications Related To The Laparoscopic Anti-Reflux Surgery Abu Dhabi: –
When we speak of surgeries, yes they hold some risks. Risk main come from every possible source, whether you call it due to anaesthesia, general complications, or even unique problems related to anti-reflux surgery.
The dosage of anaesthesia is to be availed based upon the physical state of a patient. It is up to the anaesthetist to decide in advance. If you are worried about general complications then these include: –
- During the recovery period you can get infected in the skin incisions.
- Skin incisions may lead to bruising or bleeding.
- Antibiotic treatment is also adapted in some cases.
- If a patient does not show any movement at all then there are chances of pulmonary embolism and deep vein thrombosis. This can be seen with people dealing with obesity and leanness. Compression stockings, hydration, and early mobilisation can minimise this risk.
Even laparoscopic anti-reflux surgery UAE shows extremely rare complications. Some of them are as follows: –
- There are certain problems that need prolonged medical attention to get resolved. If there is any damage caused to the stomach, oesophagus, or lung lining, then you will probably need a further laparoscopic procedure. In some cases, open operation and chest drain can address the problem.
- If someone gets injured in the spleen, there will be continuous bleeding that will require either an open operation or laparoscopic procedure. In extreme conditions removal of the organ is also necessary in case of open surgery. As laparoscopic surgery was introduced this occurs infrequently.
- Open surgery can either be safer or deadly. It all depends upon the circumstances and risks involved in it. In most cases, the risks are under 1%.
What About The Side Effects laparoscopic anti-reflux surgery Abu Dhabi?
In general, the oesophagus tends to be inactive for about a week or two posts laparoscopic anti-reflux surgery UAE. During this time almost all patients experience difficulty in swallowing. The portion where fundoplication has been carried out swells up. Until the degree of difficulty in swallowing decreases, the patient has to rely on a soft and liquid diet.
If you are extremely hungry and took a large lump of food, chances are even that it may stock in the lower oesophagus. You will face some acute discomfort but it will not cause any threat.
If your gut experiences any increase in air, it may lead to flatulence and abdominal bloating. As it is a unidirectional operation, so any gas or air that is once swallowed cannot be brought back easily. So it is wise to avoid the fizzy, gassy, and large volume of such drinks for about eight weeks after your operation.
Here the food will either come out or slip inside. Yes, it is irritating but will not put you or your operation in any danger. After laparoscopic anti-reflux surgery Abu Dhabi, most people eventually swallow normally. Only a small proportion of patients find it difficult in swallowing a large chunk of food.
This stick to the lower address and then causes discomfort. This is not a matter of concern because you have to avoid large chunks of food or chew it properly before swallowing.
Post-operation a patient is generally aware of increased flatulence as the air present in the stomach has to be released through the gastrointestinal tract. But with time it slowly diminishes yet the degree of the increased passage of wind can still be felt.
It has been seen that people after operation for one week can not digest food properly. In that case, it is advised to continue with the medications to reduce the stomach acid.
The patient should stick to adequate nutrition and must avoid overtaxing the digestive tract. Despite large meals, it is advised to take several small meals during the hours. As the stomach has been made smaller, it is obvious that the patient will feel full even after a few bites. Slowly chew your food and avoid rushing.
Post laparoscopic anti-reflux surgery you will shed weight that can again be gained overtime when the stomach will heal and be able to accommodate a normal meal. On average it has been seen that around 80 85% of patients get relief of symptoms after 10 years of surgery.
What About Alternatives of Laparoscopic Anti-Reflux Surgery Abu Dhabi?
Anatomical abnormalities that lead to reflux can only be treated by anti-reflux surgery. Surgery is considered to be the last option when other techniques and methodologies fail. Some of these include: –
- Reduction of acid reflux by anti suppressing drugs such as Lansoprazole or Omeprazole. The role of these drugs is to neutralize the stomach acid or help the body to get rid of it faster. To control your symptoms you may need to have these drugs on a regular basis, i.e for the rest of your life.
- The introduction of endoscopic techniques have helped the patients in altering the oesophageal opening into the stomach. This technique is only carried out on an experimental basis and is performed only for research purposes.
- Many people have realised that their lifestyle has to been completely changed after the surgery. Weight loss is one such outcome of acid reflux surgery.
What About Recovery Time of Laparoscopic Anti-Reflux Surgery Abu Dhabi?
Chest discomfort and abdominal pain are some of the most common problems that patients felt after laparoscopic anti-reflux surgery UAE. Sometimes the shoulder area sores up because of the stitches that have been placed during the operation. The soreness type of discomfort tends to disappear after 24-48 hours.
One can also return to his home only if he has proper/appropriate support and he has fully recovered from the anaesthesia. The next day return after the laparoscopic surgery is possible, but it completely depends upon the condition and willpower of the patient. It has also been seen that people are returning to their homes after an overnight stay in the hospital.
After being discharged it is advised to the patients, to take painkillers on regular basis for about a week or two. These pain killers will help the individuals from discomfort and it would make them feel like they never underwent any surgery.
In this manner, people can heal up rapidly, but the dosage and duration of consuming these pain killers need to be thoroughly cleared by the doctor/surgeon.
Drowsiness is one of the effects where the patient would fall asleep during the daytime and it’s completely normal. After all, for days they have lost a lot of energy and were running on numerous medications. Post laparoscopic anti-reflux surgery Abu Dhabi, heavy lifting should be avoided for at least a month.
People willing a return back to their work may join as soon as they feel well enough. The type of work also depends and the distance you are going to cover on an everyday basis. If your workplace is near to your house then you can pace up slowly or else if you have to drive over a long distance then consider a break of 2 to 3 days in a week. If you want to drive then do it after 15 days of surgery.
Remember that your insurance may be invalid if you are unfit for driving. As you will be on medications, it is advised to do a proper mock before you take your car in the streets. Make sure that you can control the car and you have that much strength to put a full emergency stop.
This page addresses and highlights the process and some of the issues related to anti-reflux surgery. Before the operation, you and your surgeon will have a brief round of discussions that will involve the pre, during, and post laparoscopic anti-reflux surgery abu dhabi stages and consequences.
You will also get follow up appointments if you live far ways. Before the day of the appointment, you will be asked to stay in a hotel/inn. A chest x-ray will be conducted by your surgeon or nurse that will assess whether the wound site has been completely recovered or not.
Based on your condition you will be provided with guidelines that will consist of your activity plan and diet. You will be under supervision until you are completely recovered.