Experienced Surgeon is Key to successful NF Surgery

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New Member

Date Joined Oct 2011
Total Posts : 4
   Posted 1/4/2012 5:47 PM (GMT -6)   
The key to a successful NF surgery is choosing a surgeon who has done LOTS of them. Any general surgeon can do it but the Key to a long lasting wrap and easy recovery is having an experienced gastric surgeon. My surgeon is in Tampa and has done over 1200. No more PPI's since the day of my surgery and I am 4.5 weeks post op and able to eat everything as long as I chew it very well and take sips of a beverage while eating. I had little pain post op. The only thing I had was a bad cold that I came down with 2 days post op and the coughing was a bit uncomfortable. I also had a horrible headache but that was most likely from the bad cold. If an NF is done right the first time there will be no need for a redo. Always ask your surgeon how many they have done and ask how many have they had to redo. My surgeon also does the NF through one small incision in the naval so there isn't even a visible scar. One incision means less pain and faster recovery. I had to travel 2 hours to have my NF done at Tampa General but I am sure glad that I did. This was the easiest surgery that I have ever had and I have had many.

Regular Member

Date Joined May 2011
Total Posts : 127
   Posted 1/4/2012 10:02 PM (GMT -6)   
Hi there,

I was reading your post and I see that your surgeon went in THROUGH YOUR NAVEL??? That's amazing to me. It seems so far from the actual area they are working on. And only a small scar? That's nice since you live in Florida and have need for wearing a two piece :)

Best of luck


Veteran Member

Date Joined Dec 2008
Total Posts : 4961
   Posted 1/4/2012 10:40 PM (GMT -6)   
Welcome to Healing Well.
Glad you found a skilled surgeon and had an easy recovery. Not only can a gastric surgeon be very skilled at these, but many thoracic surgeons are very skilled at this surgery also. My 2 redos were done by thoracic surgeons and had great out comes. My first was done by a general/gastric doctor and didn't turn out so well. Granted that was my fault not asking him the right questions.

I also want to add that getting the proper resting to determine if you are a good candidate for this surgery is essential.

Take care,
Moderator: GERD/Heartburn
Nissen 6/06 and 5/09
#3 on 8/24/11

Forum Moderator

Date Joined Feb 2009
Total Posts : 7188
   Posted 1/6/2012 11:08 AM (GMT -6)   
Hi Floridagirl,
Your advice is very important.  Anyone considering a Nissen should find the most experienced NISSEN surgeon that he/she can.  A surgeon who has done many, many of these procedures will have worked out the learning curve and your chance for a successful outcome is increased dramatically.
One of the reasons an experienced surgeon is best is that he/she will be able to interpret test results and know what results indicate that a Nissen surgery will improve symptoms.  When a great surgeon operates on a poor candidate for surgery, the likelihood of good results is not good.  It's a two-way street.
While a top gastric or thoratic Nissen surgeon might be ideal, it is possible to find a well-recommended general surgeon to do the job.  The big key is more the number of Nissens (lots and lots--hundreds or over a thousand) than the type of surgeon.  If you live in an area that does not have a big medical center, and traveling is an option, that's a possibility.  The only trouble with that is you'll have to travel back whenever you have an issue, because local docs won't touch you.
I considered that possibility, but went with my GI's recommendation.  I thoroughly researched it with the medical community in my area and the choice was reinforced.   
I don't think that the importance of a skilled NISSEN surgeon can be overstated.  Anyone out there exploring the possibility of surgery should be very careful with their choice of surgeon.  It can make all the difference in your outcomes.
Even the finest surgeon who does not have sufficient experience with this particular procedure is not acceptable.  It must be someone with this specific experience.
Thanks for reminding us of this, Floridagirl.
Glad your procedure went well.

New Member

Date Joined Jan 2012
Total Posts : 8
   Posted 1/6/2012 5:34 PM (GMT -6)   
Hi Florida girl
glad to hear your surgery went well. I live in the UK and we don't really get a choice.
I did change my consultant after being left for so long but it wasn't that easy. Heard about the surgery being done through the navel sounds like you chose well.
take care.
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