Laparoscopic Nissen Fundoplication: a minimal access alternative

The preferred treatment of gastroesophageal reflux has traditionally been Nissen fundoplication. This involves an extensive abdominal or thoracic incision and subsequently results in patient discomfort, an extended recovery period, and increased overall costs. In the advent of laparoscopic advances surgical correction of symptoms of gastroesophageal reflux are now being offered through minimal access surgery. Increased patient satisfaction, decreased costs, and a quicker return to activities of daily living, suggest why laparoscopic Nissen fundoplication, (LNF) is fast becoming the preferred alternative to correction of gastroesophageal reflux disease. This article will review gastroesophageal reflux and describe one surgical method of laparoscopic correction. The role of the perioperative nurse and implementation of the nursing process regarding this surgical procedure will be highlighted.