Laparoscopic Nissen Fundoplication

Today, GERD (gastroesophageal reflux disease) cannot be treated successfully by medications and therapies: most often, a surgery is required to overcome it. Laparoscopic nissen fundoplication is a traditional method of treatment used in most advanced clinics. Doctors of Bonifatius Hospital perform this procedure safely and effectively. Learn more about laparoscopy fundoplasty, and find out why thousands of patients choose us.

What is laparoscopic fundoplication?

When the sphincter is too weak it can’t keep the contents of the stomach. It mixes with acid and gets into the esophagus. That causes the feeling of burning in chest, sour cough, and even damage of the esophagus. Fundoplication is an operation aimed at strengthening of the valve mechanism: it helps to keep stomach contents better.

When is it required?

As a rule, fundoplication surgery is used when GERD symptoms are caused by a hernia that cannot be controlled by medications. But it is also recommended for people who don’t have hernia, for instance:

  • When drugs don’t relieve symptoms some of which are caused by reflux and acid.
  • You can’t or don’t want to take medications for a long time to control GERD symptoms, and are ready to accept the risks of surgery.
  • After intake of medications, other symptoms develop (hoarseness, sour cough, asthma, etc.).

Usually a surgery allows improving all these symptoms, and is considered to be the only adequate treatment in complicated cases.


Before the operation, a patient is given general anesthesia to fall asleep and not to feel pain. The surgeon makes a few cuts on the belly and inserts a thin tube with a tiny camera in one incision. The camera transmits the picture on the screen, and the surgeon can see the inside of the stomach. Other incisions are used to put in instruments.

The doctor wraps fundus (the upper part of the stomach) around the esophagus and stitches the posterior and anterior ends of the pouch. A few stitches should include the wall of the esophagus to prevent slippage. After the end of manipulations, the cuts are sutured.

Why laparoscopy?

Laparoscopic surgery has become the modern standard of operations today. This approach is widely used in most clinics due to the fact that it causes less pain, and laparoscopic Nissen fundoplication recovery is much shorter. A patient can restore normal activity within a few weeks, and hospital stay is about 3-4 days. Besides, the risk of developing a hernia or infection is much lower. However, such operation should be performed by a high skilled doctor, because manipulations are quite difficult. Specialists of Bonifatius Hospital are experienced enough to perform such operations.

Side effects

Most people manage to recover successfully after a laparoscopic surgery, and symptoms improve within a few days. However, over time, the disease can come back, and a person would have to take medications or go through another operation to fix it. Other symptoms that may develop over time are increased flatulence and problems with belching.

Other laparoscopic Nissen fundoplication complications include:

  • Difficulty swallowing, if the stomach is wrapped too tightly or too high.
  • Sliding out of esophagus of the wrapped part.
  • Heartburn.
  • Excessive gas.
  • Discomfort or bloating when a person cannot burp.
  • Allergic reaction to anesthesia.
  • Infections or bleeding.

Why choosing Bonifatius Hospital?

Our clinic is worth being called one of the best hospitals in Germany, because we provide excellent conditions for our clients. What makes us leaders in the sphere?

Our team

Tens of experienced doctors work in Bonifatius clinic and together elaborate effective and reliable treatment plans using multi-disciplinary approach. Headed by Prof. D-r Gerald Kolb, our team keeps improving knowledge and implementing new methods and therapies to achieve the best results possible.

Our advantages

Bonifatius clinic is equipped at a state-of-the-art level: we have modern devices and technics to make treatment safe and accurate. We have hundreds of comfortable wards, outstanding catering, 24/7 medical assistance and entertainment options for patients. And all that goes for a pretty moderate cost.

Where to find us?

The hospital is located in Lingen, Germany. This is a small town where you will find rest and seclusion to go through treatment without stress. Besides, you will be pleasantly surprised by low prices for accommodation and the trip.

Want to become the next successfully treated patient? Just contact us via email or phone, and we will help you to arrange your treatment, answer all your questions and give you recommendations.With Bonifatius Hospital you’re in good hands.