An estimated 1-in-5 adults in America is affected by gastroesophageal reflux disease, more commonly known as GERD. While most commonly associated with heartburn, GERD is actually a chronic disease that causes reflux of stomach acids into the esophagus. Heartburn that occurs at least twice a week is just one of the most common symptoms of GERD, but some patients may show no symptoms. Over time, GERD can damage or erode the tissue of the esophagus, causing more serious problems. At Arizona Premier Surgery, we offer state-of-the-art anti-reflux surgery for GERD: laparoscopic Nissen fundoplication or lap Nissen. Using minimally invasive techniques to repair and strengthen the esophagus, laparoscopic Nissen fundoplication can help patients who have not had success treating their GERD with lifestyle modification and medications.
Anti-Reflux (GERD) Surgery Reviews
"Dr. Albert Amini on 7/6/18 performed a Robotic Hiatal Hernia repair, with a Robotic Redo Nissen fundoplication that was performed laparoscopy 12 years prior that caused a Hiatal hernia and a slipped Nissen fundoplication, being abnormally too loose as well, that caused great damage to my lungs and esophagus a thickening, while, others Drs, general surgeon ie diagnosed with a repair Toupet fundoplication which would cause even more acid reflux, soon be dead. and that the MRI'...s, x-ray's, even the Lung Dr, avoided the true diagnosis; whereas Dr. Albert Amini being adequately trained in the use of surgical robots for specific operations. As Dr. Albert Amini's greatest desire was to maintain the highest levels of patient care. Whereas Dr. Albert Amini realized the advantage's of current robotic systems, compared to conventional open or laparoscopic surgery: 1) Superior visualization including 3-dimensional imaging of the operative field. 2) Stabilization of instruments within the surgical field. 3) Mechanical advantages over traditional laparoscopy. 4) improved ergonomics (Human Factors and Ergonomics is commonly referred to as Human Factors) And that the goal of human factors is to reduce human error, increase productivity, and enhance safety and comfort with a specific focus on the interaction between the human and the thing of interest, ie the patient, for the operating surgeon. Therefore Dr. Albert Amini knew that robotic surgery was and is the greatest advantage in the complex reconstructive process, as robotic surgery as a surgical procedure or technology that adds a computer technology enhanced device to the interaction between his patient and DR. Albert Amini the surgeon. Whereas an example, in laparoscopic surgery, the surgeon directly controls and manipulates tissue, albeit at some distance from the patient and through a fulcrum point in the abdominal wall. Whereas this differs from current robotic devices, as Dr. Albert Amini the surgeon sits at a console typically in the operating room but outside of the sterile field directing and controlling the movements of one or more robotic arms. AS Dr. Albert Amini still maintains control over the operation, the control is indirect and is effected from an increased distance. "Robotic surgery", is an imprecise term, as the term refers to surgical technology that places a computer-assisted electro-mechanical device in the path between Dr. Albert Amini and the patient. A more scientifically accurate term for current devices would be "remote-telepresence manipulators" since available technology does not generally function without the explicit and direct control of a human operator. I, Betty Sue Beauchemin, Can't say enough about Dr. Albert Amini, Kudos, for he is the greatest Dr. that has performed a miracle on me!"- R.B. / Facebook / Aug 16, 2018
"I was referred to Dr. Albert Amini following a ct scan. He professionally went over the results with me. His caring nature assured me that the results were probably non-evasive. He suggested a follow-up mri in 6 months. During my follow-up appointment, his caring professional demeanor asked me that son was alright. Dr. Amini sat with me, described the images of the mri, and gave me his professional opinion of the results of the scan."- H.F. / Yelp / Jan 19, 2018
"I was referred to Dr. Amini at Arizona Premier Surgery by my OBGYN after I developed two hernias with my latest pregnancy. This was the first surgery I've ever had, so naturally I did my own research on providers and even had a second opinion. Dr. Amini impressed me with his extensive knowledge about the procedure, different options I had, discussion of pros/cons and his friendly chairside manner. I ultimately chose him not only because of these qualities but his expertise in non-invasive procedures. I had minimal pain following the procedure, my belly button looks great from a cosmetic standpoint and my incisions are barley noticeable. Also a bonus, his staff is friendly, offices are beautiful and all appointments were handled in an efficient, easy manner! I would highly recommend Dr. Amini."- J.V. / Google / Jan 16, 2019
"Dr. Philip Pepple. Fantastic surgeon."- C.H. / Facebook / Sep 08, 2018
Common Reasons for Surgery
Nissen fundoplication has become the standard surgical treatment for patients who have severe gastroesophageal reflux disease (GERD). Affecting up to 20% of Americans, GERD creates heartburn (acid indigestion) that may not be controlled with lifestyle modifications or medicines. Laparoscopic surgery for GERD can help to improve the patient's symptoms and heal their esophagus.
Anti-reflux surgery may also be considered for patients who have symptoms that need immediate attention, including esophagitis (inflammation of the esophagus), a constriction of the esophagus not related to cancer, and Barrett's esophagus where acid reflux changes the esophageal cells.
Laparoscopic Nissen fundoplication surgery can also be used to treat a hiatal hernia. A hiatal hernia is caused when the stomach bulges through weakened tissue in the diaphragm, increasing the risk of reflux (stomach acid backing up into the esophagus), which causes heartburn.
About Lap Nissen
Laparoscopic Nissen fundoplication is usually performed with the patient under general anesthesia in an accredited surgical facility in about 2 hours as an in-patient surgery. The surgeon will make 5 small incisions in the patient's abdominal cavity where the laparoscope will be inserted. To strengthen and heal the esophagus, the upper stomach (also known as the fundus) is wrapped around and attached to the esophagus. Once this is complete, the lower esophageal sphincter (the valve between the esophagus and stomach) will be better able to stop acid from getting into the esophagus. If the patient has a hiatal hernia, it can be repaired during the surgery.
What to Expect
Patients typically spend one night in the hospital after their anti-reflux surgery for observation and care. Once discharged, patients can continue their recovery at home with dietary restrictions, like a liquid or soft foods diet. Patients should schedule a follow-up appointment with their doctor for 2 weeks after their surgery. Most patients will be able to return to their normal routines and activities 2 – 3 weeks after surgery, but strenuous activity should be avoided until the patient gets approval from their doctor.
Plan Your Procedure
- Recovery Time
- 2 Weeks
- Average Procedure Time
- 2 Hours
- Post-op Follow-up
- 2 Weeks
- Procedure Recovery Location
If you aren't getting the relief you want from diet modifications, lifestyle changes, and medications like proton pump inhibitors, schedule a consultation at Arizona Premier Surgery to learn more about laparoscopic Nissen fundoplication. With minimally invasive surgery and a fast recovery time, lap Nissen surgery can be the answer to your GERD.