The ALSA team is able to provide advanced laparoscopic treatments for most surgical diseases. Here are a few surgeries that we do:
Laparoscopic Anti-reflux surgery for the treatment of gastro-esophageal disease (Laparoscopic hiatal hernia repair and Nissen, Toupet and Dor fundoplication surgery):
Gastro-esophageal disease is the medical term used for describing acid reflux or heartburn. When an abnormal amount of stomach acid goes to the esophagus, it causes irritation and a a burning sensation in the chest.
Other symptoms include pain in the upper part of the stomach, feeling of food stuck in the throat, acid reaching the back of the throat and mouth, these symptoms may be worse at night especially if one eats late. The acid may also cause irritation of the vocal cords causing a constant cough, change of voice or even asthma. The night time symptoms may force one to sleep with many pillows or even in a sitting position and sometimes people have to avoid eating a few hours before going to bed to avoid the burning.
There are many effective treatments available for acid reflux disease however if these treatments fail or one is tired of taking medicines daily for the heart burn then surgery is an option. The surgery involves fixing a hernia of the diaphragm where part of the stomach may be going in to the chest and then wrapping the upper part of the stomach around the connection with the esophagus to create a valve like mechanism that prevents acid from going into the esophagus. The wrap can be done completely around the esophagus called a Nissen fundoplication or may be done in a partial fashion called Toupet or Dor fundoplication. Rarely the esophagus needs to lengthened by a technique called Colles gastroplasty.
All these surgeries are done at ALSA by advanced laparoscopic techniques. That means the surgery is done with tiny key-holes and takes about an hour. Patients usually recover the next day and are able to go home. They continue the acid reflux medications for a month till the surgery heals up and are able to stop taking the treatments after that. The surgery is very safe and results are very successful with over 85% patients reporting complete resolution of heartburn while the remaining have a significant improvement but may need an occasional medication.