What is a Toupet Fundoplication?
A toupet fundoplication is used to treat conditions such
as heartburn or acid reflux. It is also performed after
a muscle splitting procedure to treat the esophageal condition
called achalasia, where the esophagus fails to relax.
A toupet fundoplication is where the floppy portion the
upper stomach is partially wrapped around the esophagus
to create a valve. This valve helps prevent reflux of
stomach acid into the esophagus.
How is a Laparoscopic Toupet
Fundoplication performed?
Laparoscopic surgery uses a thin, telescope-like instrument
called a laparoscope which is inserted through a small
incision in the umbilicus. The laparoscope is connected
to a tiny video camera which projects a video image of
the operative site onto video monitors in the operating
room. The abdomen is inflated with carbon dioxide, a gas,
to allow your surgeon a better view of the operative area.
The floppy portion of the upper stomach is passed behind
the esophagus and attached to either side of the esophagus
with sutures as well as being attached to the diaphragm
muscle which separates the abdominal and chest cavity.
Please note that Dr. Rosser usually performs the toupet
fundoplication in conjunction with the heller myotomy
procedure. Please click
here for more information on this procedure.
Why Laparoscopic?
___Six tiny scars instead
of one large abdominal scar.
___Shorter hospital stay.
__
Reduced post-operative pain.
___Shorter recovery time
and quicker return to daily activities, including work.
What can I expect after surgery?
After surgery you will have a swallow study to evaluate
the esophagus. If there are no complications you can expect
to be discharged home on the second day after surgery.
During your recovery you will be on a liquid diet for
two weeks after surgery and after that will progress to
soft foods eventually returning to a normal diet.
To make
an appointment with Dr. Rosser, please call 212-420-4337.