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Laparoscopic, G.I. & colorectal surgery, Navi Mumbai, India

  Click to call +919833290590


Laparoscopic fundoplication surgery

Laparoscopic Fundoplication Surgery Mumbai

Medical Gastroenterologist may refer a patient of GERD or Heart Burn or hiatal hernia to a GI Surgeon for operation when medical treatment fails. With the advent of laparoscopic surgery in India, Laparoscopic Fundoplication Surgery or Laparoscopic Anti-Reflux Surgery or Nissen fundoplication is best surgical option available for resistant GERD and large Hiatus hernias.

Dr Nitish Jhawar is senior laparoscopic surgeon with 17 years’ experience in the field and fellowship in advance laparoscopic surgery. He is among those surgeons who perform Laparoscopic fundoplication surgery in Mumbai.\

Laparoscopic Fundoplication Surgery Mumbai

What is Heart Burn or GERD ?

Hiatal Gastric Reflux

The lower end of the esophagus (LES) works as a one-way valve allowing food to pass from the food pipe to the stomach but prevents the highly acidic stomach juices from going back into the food pipe (reflux).

When LES is weak or lax, it results in reflux of stomach acids causing stinging, burning sensation in the throat and chest, a condition known as GERD (Gastro-Esophageal Reflux Disease) Repeated reflux may lead to inflammation and damage to the esophagus. Some individuals are predisposed to LAX LES. Bad diet, smoking, alcohol, or certain body postures – all can lead to GERD.

What is Hiatus Hernia?

Hiatus Hernia

The esophagus passes from the chest to the abdomen through an opening in the diaphragm (esophageal hiatus). This opening is usually just adequate for passage of the esophagus. However, patients that have a hiatal hernia have an enlarged opening. A hiatal or diaphragmatic, hernia occurs when the lower part of the esophagus and a portion of the stomach slide up through this esophageal hiatus into chest cavity.

Hiatus Hernia Types

There are four different types of hiatal hernias and sliding hernia is the most common of the four representing more than eighty-percent of all hiatal hernias

Sliding hiatal hernias are those in which the junction of the esophagus and stomach, and part of the stomach protrude into the chest.

Para-esophageal hernias are hernias in which the gastro-esophageal junction stays where it belongs but part of the stomach passes or bulges into the chest beside the esophagus. The para- esophageal hernias themselves remain in the chest at all times and are not affected by swallows.

Symptoms & Diagnosis Of Hiatal Hernia


  • Heartburn – 30-60 minutes after eating
  • Regurgitation – more with lying flat
  • Excessive belching
  • Aspiration – reflux of stomach contents into the airway
  • Chronic cough or Asthma – because of chronic aspiration
  • Mid Chest Pain
  • Difficulty or pain with swallowing
  • Symptoms of obstruction


  • Hiatal hernias are diagnosed incidentally when an upper gastrointestinal x-ray or endoscopy is done.
  • Chest X-ray:
  • Esophagogram (Barium UGI)
  • Upper GI Endoscopy (EGD)
  • Esophageal Manometry

What are the Treatment Options for GERD ?

Mild GERD may be treated with modified diet, quitting smoking and drinking, regular exercises and better sleeping habits. Along with life style modifications, medicines such as antacids and anti reflux medicines can be prescribed.

When all that fails, then the next logical step is surgery.

Large para esophageal hernias causing symptoms requires surgery. Repair will help prevent complications such as bleeding, intestinal disruption, strangulation.

Treatment of sliding hiatal hernias is usually the same as for the GERD.

Surgical Procedure for GERD /hiatal hernia

Laparoscopic Fundoplication or laparoscopic anti reflux surgery is best surgical option available for large hiatal hernia and for failed medical treatment of GERD.

Surgical Procedure for GERD hiatal hernia

The stomach and lower esophagus are placed back into the abdominal cavity. Hernia defects greater than 5 cm. are buttressed with mesh which significantly decreases the recurrence rate.

The opening in the diaphragm (hiatus) is tightened and the stomach is stitched in position to prevent reflux.

The upper part of the stomach (fundus) may be wrapped around the lower end of esophagus (Fundoplication) to prevent reflux.

Advantage of Laparoscopic Fundoplication surgery

Open surgery involves a large incision, a week or more of hospital stay and pain. However, with advanced laparoscopy the same procedure can be done as a day-care surgery with only small holes over the stomach, no pain and it is much safer than the open surgery having a faster recovery to normal activities.

Due to obesity or pre-existing conditions, the laparoscopic method may not be suitable for few patients. During the surgery, the Surgeon may take a decision to do the “open procedure,” strictly based on the safety of the patient.

Enquire cost of laparoscopic Fundoplication surgery at Navi Mumbai, India

Preparation for Laparoscopic Anti -Reflux Surgery

Blood Work, Medical Evaluation, Chest X-Ray and an ECG.

  • Drink clear liquids, for 2-3 days prior to surgery.
  • After midnight the night before the operation, you should not eat or drink anything
  • Drugs such as aspirin, blood thinners, anti-inflammatory medications and Vitamin E are to be stopped a week prior to surgery.
  • Quit smoking

Recovery After Laparoscopic Fundoplication Surgery

  • Patients are started on clear liquids the next morning and are discharged in the afternoon.
  • Soft food is given for 4-6 weeks after surgery.
  • Patients are encouraged for early ambulation and light activity after surgery.
  • Post-operative pain is generally mild for which pain medication may be given.
  • Anti-reflux medication is usually not required after surgery.

Enquire about Laparoscopic Gall Bladder operation (Laparoscopic Cholecystectomy) at Fortis Hiranandani Hospital Vashi Navi Mumbai- at 9833290590 / online enqiry


What patient says about Dr. Nitish Jhawar

  • Person Image

    I was diagnosed with gall stones a year ago in Delhi, I showed it to a doctor at M.... hospital, he .... asked me to get a surgery done and get my gall removed on any date of my choice, I was sacred and too young to get it done I got a vibe from doctor that for him it’s just a small things, however according to for a patient it’s important first be convinced on the urgency to get it done and feel safe . A year later I shifted to Mumbai and started having a frequent pain in shoulder blades and gall area. It went sharp this time. We went to Dr Nitish , as oppose to Delhi doc, Dr Nitish was very polite, first asked us to get the scan done and understand the current scenario, the scan showed one big 17 mm stone which was earlier also there but this time also there were multiple various sized stones as well along with the big one. Dr Nitish examined the scan, explained me and my husband about the condition and need of surgery or else the stone Would have slipped in the panacea or bile calling for a bigger operation. He explained diagramatically . He was patient in explaining, gave us time to think and be convinced. We were ready and then he performed it . It was flawless, quick and went well. He is a very experienced and fine surgeon , he is caring and doesn’t create panic at all rather he takes it slowly and makes patient comfortable. It was lapro, it’s been 2 months I m writing this . I faced no issues till now. Fortis staff was also very caring and good. I would mention fortis Vashi in specific. Good follow up diet makes it normal. I would strongly recommend Dr Nitish. He knows his job perfectly. He is not money minded at all. He would recommend surgery only if it’s required.

  • I had surgery of my left hydrocele on 27th May 2017 by Dr Nitish Jhawar. An excellent experience of service I got particularly from Dr Jhawar. He is not only a qualified experienced doctor but also a splendid human being. Thanks a lot.

  • It was a Laparoscopic operation for the removal of Gall Bladder (stones). I had developed on and off pain in abdomen before the operation, after the operation feeling good, totally pain free. Thanks and respect for handling my case very well.

  • Person Image

    I met doctor Nitish for piles problem and wanted to undergo LASER procedure only, my operation is successful and I thank doctor for being a good human being and great surgeon.

  • Person Image

    I was suffering from piles since long time. For bleeding heavily I met Dr Nitish Jhawar and after meeting him decided to go for Stapler surgery for piles. I found him a doctor who listens to our problem and explains properly.

  • Person Image

    I got diagnosed about a year back but was avoiding operation for Hernia repair, Dr Nitish Jhawar explained me why surgery should be done and I chose surgery by laparoscopy method. I am happy with the doctor and the hospital.

  • Person Image

    I visited for Gall Bladder removal by Laparoscopy after searching for best laparoscopic surgeon. After meeting dr my fear for surgery was vanished and my surgery went well and recovery was smooth.

  • Person Image

    Honest doctor, expert in his field....can trust his words

  • Person Image

    Very good he describe everything in very pleasant manner about the problem which was very helpful to me to understand my disease.

  • Person Image

    Very nice. Doctor is very patient and gives you correct advice.

  • Person Image

    He is very erudite and smart at getting to the bottleneck of the problem. And before realized he had pinched away d growth bothering me near my anal area.

  • Person Image

    Dr. Jhawar is few of the best doctors in town. Extremely pleasant and comfortable experience