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Practiced procedures


The end of laparoscopic hiatal hernia and reflux is to ensure the solution thereof by the construction of an anatomical surgical valve ( GERD) with minimal pain , an earlier recovery and better cosmetic results .

Laparoscopic operation is most frequently practiced and demonstrated great advantages over the open technique . Therefore, the laparoscopic technique has become the technique of choice for the surgical treatment of gastroesophageal reflux.

Should be performed laparoscopically, with equal or greater safety for the patient than conventional surgery, with the advantage that the patient has a high postoperative comfort that allow it to be to discharge the patient to 24 hours after surgery .

The end of laparoscopic reflux surgery is to ensure the solution thereof by the construction of an anatomical surgical valve ( GERD) with minimal pain, earlier recovery and better cosmetic results.

About operation

It is advisable to operate in the following cases:

- If medical treatment is prolonged.
- If medical treatment is not effective.
- If symptoms recur after discontinuation of treatment.
- If the hiatal hernia is very large can also be an indication for surgery.
- If you have severe esophagitis or Barrett's esophagus.

Surgical treatment should be performed when complications described above despite having made ​​a correct dietary, postural and treatment appear.

Postoperative follow-up

Attending scheduled visits to your doctor, after leaving the hospital, is another important part of their management.

Like all surgical procedures, obesity surgery has risk of complications, some of them serious.

Doctor visits will, once a month during the first half. Once every three months during the second half, and when the weight has stabilized, attend at least once a year.

Changing eating habits is one of the most important factors in maintaining the weight lost.

We must remember that nutrition and support multidisciplinary management group is relevant to achieve the greatest success of surgery for obesity

Operation Recovery

There are long-term adverse side effects uncommon in this type of surgery:

- Some patients develop temporary difficulty swallowing immediately after the operation. This is generally solved within one to three months after surgery. Occasionally, these patients may require a simple procedure to expand the esophagus (endoscopic dilation) or rarely reoperation.

- The ability to burp or vomit may be limited following this procedure.

- Some patients may experience bloating.

Finally remember that an experienced surgeon will determine which cases are indicated with lower operating rate of complications.


Preparations for the operation

- The preoperative tests (including cardiopulmonary recognition)
- You should stop antiplatelet or anticoagulant medication as directed by your surgeon.
- Join the same day of surgery.
- The average surgical time is 1 hour, and may be longer in complex cases
- Six hours after the operation starts and intake if tolerance is good he will be discharged within 24 to 48 hours.
- Upon receiving the discharge shall incorporate a progressive diet.
- The stitches are removed 7 days after surgery.
- Return to work early (approximately 7 days depending on their work).
- The patient may make a perfectly normal life and diet after surgery without any restrictions, counseling soft diet the first week postoperatively.
- Your surgeon will ask you to sign a consent form. This confirms that you understand the risks, benefits, alternatives to the procedure and have given your permission for it to go ahead.

What are the risks?

Any operation, however simple, entails some risk but the vast majority of patients undergoing laparoscopic experience few or no complications and quickly return to their normal activities.

Complications after laparoscopic surgery are uncommon and may include subcutaneous emphysema, hemorrhage, wound infection, postoperative pneumonia, deep vein thrombosis and / or pulmonary embolism, etc..

Inadvertent injury to a nearby structure such as the esophagus, stomach, intestine or pleura may occur and may require another procedure to repair it.

Globally the sum of all complications usually not exceed 1% of laparoscopic procedures.

All the complications laparoscopically can be solved without requiring opening the abdomen, with this exceptional situation and dependent on the experience of the surgeon.

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