What is fundoplication?
This surgery is done to treat gastroesophageal reflux disease (GERD). The doctor strengthens the valve between the stomach and the esophagus. The esophagus is the tube that connects the mouth to the stomach.
The doctor wraps the upper part of the stomach (fundus) around the lower part of the esophagus. This prevents stomach acid from moving back into the esophagus. After surgery, your child should have fewer symptoms of GERD, such as heartburn.
This is usually a laparoscopic surgery. This means that the doctor makes small cuts in your child's belly to do the surgery. These cuts are called incisions. The doctor puts a lighted tube, or scope, and other surgical tools through the incisions. The doctor is able to see your child's organs with the scope.
The doctor may do an open surgery instead. This means that the doctor makes a larger incision in the middle of your child's belly.
Your child will probably stay in the hospital for 3 to 5 days after surgery. After laparoscopy, most children can go back to doing their usual activities in 2 to 3 weeks. If your child has open surgery, it may take 4 to 6 weeks to recover.
The type of surgery your child has depends on your child's health needs. The incisions from both types of surgeries leave scars that fade over time.
Follow-up care is a key part of your child's treatment and safety. Be sure to make and go to all appointments, and call your doctor if your child is having problems. It's also a good idea to know your child's test results and keep a list of the medicines your child takes.
How do you prepare for surgery?
Surgery can be stressful for both your child and you. This information will help you understand what you can expect. And it will help you safely prepare for your child's surgery.
Preparing for surgery
- Talk to your child about the surgery. Say that it will help your child have fewer symptoms of GERD. Hospitals know how to take care of children. The staff will do all they can to make it easier for your child.
- Ask if a special tour of the surgery area and hospital is available. This may make your child feel less nervous about what happens.
- Plan for your child's recovery time. He or she may need more of your time right after the surgery, both for care and for comfort.
- Understand exactly what surgery is planned, along with the risks, benefits, and other options.
- Tell the doctor ALL the medicines and natural health products your child takes. Some may increase the risk of problems during the surgery. Your doctor will tell you if your child should stop taking any of them before the surgery and how soon to do it.
The day before surgery
- A nurse may call you (or you may need to call the hospital). This is to confirm the time and date of your child's surgery and answer any questions.
- Remember to follow your doctor's instructions about your child taking or stopping medicines before surgery. This includes over-the-counter medicines.
Where can you learn more?
Go to https://www.healthwise.net/patientEd
Enter N299 in the search box to learn more about "Fundoplication: Before Your Child's Surgery".