For those of you with reflux who are considering the Nissen Fundoplication, please consider the following.
1. You WILL NOT be able to throw up after this surgery. Try 5-6 hours of dry heaves when you get the flu. You will regret the decision to have that surgery at that moment, trust me on this one!
2. The slippage rate of Nissen's is fairly high. A re-wrap of the stomach is a risky surgery which could result in your esophogus having to be run out the side of your neck for the time it takes to heal the nick that the doctor made in your esophogus. Of course, this is rare, however, if it happens to you, it is a big deal.
3. If the Nissen fails, you will need to be on a PPI and hope it works. Remember, you WILL NOT BE ABLE TO THROW UP!!!!
4. The scar tissue from the surgery can be problematic. I had to have another surgery to release strictures with an experimental mesh put in to prevent strictures. This complication will depend on how you scar and heal. Just know that it could be a complication and the surgery will not be laproscopic. Most likely it will be a more invasive type of procedure, however it could be done laproscopically as well.
5. I had a trocar site hernia from the original Nissen surgery. Ask your doc about how this happens.
6. Even doctors who have reflux ask a lot questions before they have this surgery.
7. Use an experienced doctor who has done a lot of these surgeries and uses another doctor during the procedure.
8. If you choose to have this surgery, make sure you must have it to prevent erosion of the esophogus, barrets esophogus, etc. It should be your last resort. Try every medicine and combination of such that has ever been made. If you can control it with medication, then do so and forget the surgery.
9. Also, my laproscopic Nissen took 6 hours and I ended up with 6 stainless steel staples to hold everything together in the abdomen. Therefore, make sure you have an experienced doctor and they will tell you that it should take from 1.5-2 hours for the surgery. Good luck.