There are 2
different ways the fundoplication can be done. The decision as to which is best
for your child is the surgeon's. And, if the decision to do that Laparoscopic
procedure is made, there is the possibility that due to unforeseen issues they
will have to do an Open Fundo instead. Discuss all options with your surgeon.
The first is the Open Fundoplication.
This
Procedure is done through a 4 to 5 inch incision in the abdomen. This incision
can run either up and down or diagonally. The down side to this operation is
that there is a longer hospital stay a longer recovery time and more pain
involved right after surgery. The benefits are that there is a better view for
the surgeon especially in cases where there are adhesions or additional bleeding
that can obstruct the view. There is also room for a surgeon to physically feel
the wrap and judge more effectively how tight or loose it is, which has been
proven to have a slightly higher success rate.
The
other procedure is the Laparoscopic Fundoplication.
With the Lap fundo there are
5 approximately 1-inch incisions for the scope and various instruments needed. The
benefits of doing the lap are a shorter hospital stay and shorter recovery time
but the down sides are an increased rate of dysphagia because the surgeon can't
feel the tightness of the wrap and it can only be done in infants larger than 12
lbs.
The complication rates are the same in both procedures other
than the increase in dysphagia.
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Please note: the information provided on this
website is a combination of research and experience of parents. Please discuss
any concerns with your doctor. The goal of this page is not to push or dissuade
anyone in regard to the Fundo, but only to paint a broader picture.
