Acidity / Reflux not improving despite medicines?
Laparoscopic Fundoplication Surgery for GERD & Hiatal Hernia in Navi Mumbai
- Dr Nitish Jhawar, with 26 years of experience
- If you have persistent acidity, or dependence on daily medication, you may need evaluation for anti-reflux surgery.
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Laparoscopic fundoplication is a minimally invasive surgery used for treating acid reflux (GERD) when medicines are not effective.
It helps prevent acid from flowing back into the food pipe and improves symptoms in suitable patients.
At Apollo Hospital, Belapur, Navi Mumbai and Neoalta Speciality Clinic, Vashi, Dr. Nitish Jhawar (Laparoscopic & Robotic Surgeon, 26+ years experience) evaluates each case and advises surgery only when required.
When is Surgery (Fundoplication) Needed for Acid Reflux (GERD)?
Chronic or Severe GERD Symptoms
If GERD symptoms are frequent, severe, and not controlled despite medication, surgery may be an option to improve quality of life.
Dependence on Antacids
For patients relying on daily medications to control GERD or wanting to avoid long-term side effects, surgery can offer a lasting solution.
Complications from GERD
Surgery may be necessary to prevent complications like:
- Esophagitis (esophagus inflammation)
- Barrett’s Esophagus (increased cancer risk)
- Strictures (narrowing of the esophagus)
Lifestyle and Dietary Changes Are Ineffective
If GERD persists despite changes in diet and habits, surgery may be a better option.
Respiratory Symptoms
When GERD contributes to chronic cough, asthma, or recurrent pneumonia.
Hiatal Hernia
Surgery may be required to correct a hiatal hernia, where part of the stomach pushes into the chest, worsening reflux.
Early evaluation helps decide the right treatment and avoid long-term complications.
What Happens in Acid Reflux (GERD)?
Normally, food passes from the food pipe into the stomach, and a valve – lower esophageal sphincter (LES) prevents acid from coming back up.
In GERD (Gastroesophageal Reflux Disease), this Sphincter or valve becomes weak, allowing acid to flow back into the food pipe, causing irritaion.
Common Symptoms
- Burning sensation in chest (heartburn)
- Regurgitation (acid/food coming back)
- Bloating or discomfort after meals
- Symptoms worsening when lying down
Heartburn
Bad Breath
Nausea and Burping
Chest Pain
Sleep Disturbances
Sour/Bitter taste in mouth
Sore Throat or Hoarseness
Chronic Cough or Throat Clearing
Symptoms can vary in intensity and worsen if untreated. For those with persistent or severe GERD, Laparoscopic Fundoplication in Navi Mumbai offers long-term relief.
What is Laparoscopic Nissen Fundoplication surgery?
- Laparoscopic Fundoplication is a procedure where the upper part of the stomach is wrapped around the lower end of the food pipe to prevent acid reflux.
- it is done using a laparoscopic (keyhole) technique with tiny incisions.
- This wrap acts as a new, stronger valve to support the weak or damaged LES.
What to Expect – Before, Surgery & Recovery
One of the most common questions is: “When can I eat normally again?” We follow a structured recovery roadmap.
Pre Surgery Evalaution
- Clinical evaluation and tests including endoscopy of food pipe & Fitness assessment
Steps Involved in Laparoscopic Fundoplication
Key-Hole Approach
The surgeon makes small incisions on the abdomen to insert tools and a camera, providing a clear view inside.
Creating the Wrap
The fundus is wrapped around the lower esophagus, forming a new, tighter collar.
Securing the Wrap
The wrap is stitched to reinforce the valve, preventing acid reflux.
Recovery after Laparoscopic Fundoplication
Walking usually starts early
Most patients discharged within 24–48 hours
For the first 2 weeks, you will follow a liquid and soft-food diet. Within 4 to 6 weeks, most patients can resume a normal diet.
Return to routine activities in a few days
Why Choose Dr. Nitish Jhawar in Navi Mumbai for Laparoscopic Fundoplication?
- 26+ years of experience in laparoscopic and gastrointestinal surgery
- Careful evaluation before recommending surgery
- Fellowships in advanced laparoscopic surgeries and experience in minimally invasive techniques.
- Focus on safe surgery and structured recovery
- Surgeries performed at Apollo Hospital, Belapur, Navi mumbai.
Each patient is evaluated individually, and medical treatment or laparoscopic fundoplication in Navi Mumbai is planned based on the condition.
Apollo Hospital, Belapur, Navi Mumbai:
10:00 AM - 1:00 PM, 5:00 PM – 7:00 PM (Mon-Sat)
Neoalta Specialty Clinic, Sector 17, Vashi:
7:30 PM – 9:30 PM
Zen Multi Specialty Hospital, Chembur E, Mumbai:
Tuesday by appointment on call
Neoalta Clinic, Seawoods, Navi Mumbai:
By appointment
Where Is This Surgery Performed?
At Apollo Hospital, Belapur, Navi Mumbai, Dr Nitish Jhawar performs this procedure using advanced laparoscopic techniques with General anesthesia and post-operative support.
Patients benefit from:
• Experienced surgical team
• Structured peri-operative care
What Improvement Can You Expect with Fundoplication procedure?
Long-Term Relief
Effectively prevents acid reflux and symptoms by strengthening the valve -
Reduce acidity and burning sensation
Decrease regurgitation
Improve comfort after meals
Reduced Medication Dependency
Eliminates or reduces the need for long-term GERD medications.
Frequently Asked Questions About Laparoscopic Fundoplication Surgery in Navi Mumbai
Most patients recover within 1-2 weeks, with a return to normal activities in about 7-10 days.
After surgery, a gradual diet transition from liquids to soft foods is recommended. Normal eating is typically resumed after 4-6 weeks.
The success rate is around 90%, with most patients experiencing long-term relief from GERD symptoms.
The cost can range from ₹1.5 lakhs to ₹3 lakhs, depending on the hospital and surgeon’s expertise.
While it provides long-term relief, some patients may experience mild symptoms later, but it generally offers lasting improvement.
Get the Right Evaluation for Persistent Reflux
If your acidity or reflux is not improving with medicines, Medical gastroenterologist Dr Deepak Gupta refers patient for evaluation by surgical gastroenterologist..
At Neoalta Speciality Clinic, Vashi and Apollo Hospital, Belapur, Dr. Nitish Jhawar evaluates GERD and advises the most appropriate treatment.
📍 Consultation available at:
Neoalta Speciality Clinic, Vashi
Apollo Hospital, Belapur
📞 Book your consultation for proper evaluation