2nd Nissen confirmed

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Jonh71
Regular Member


Date Joined May 2012
Total Posts : 121
   Posted 9/1/2012 1:58 PM (GMT -6)   
After all of the retests the surgeon has discussed my results and in comparison my reflux was back to levels seen before the first Nissen in 2010. I know have a repeat scheduled for October 3rd, but have been warned that it will carry a much higher risk of open surgery this time and will take a bit longer due to adhesion and scarring. I have to say that whilst it frightens me I am also looking forward to it as it means an end to reflux.

I have also been told that this time I will be given a large dose of steroids before and after the operation to speed my recovery as last time it was a protracted recovery due to another condition ( hyporeninanaemic hypotension). As anyone ever heard of having a steroid boost and if I have open how is the recovery?

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7188
   Posted 9/1/2012 9:23 PM (GMT -6)   
Hi Jonh71,
I had my Nissen three and a half years ago.  Before my Nissen my asthma was out of control due to reflux effects on my lungs, and I had been on high doses of steroids...both inhaled, and at times, orally.
 
Because of this I had developed adrenal insufficiency, and my doctors recommended a steroid boost for my surgery.  Honestly, I didn't notice a thing.  I guess it would have been something I'd have noticed if they hadn't done it, because from what they said I might have gone into shock because of the stress caused by the surgery.
 
They gradually weaned me off the steroids over the next couple of weeks, and I never noticed any problems at all.
Good luck with your surgery!
Denise
Words of wisdom by Eckhart Tolle:
"Whatever you fight, you strengthen, and what you resist, persists.”

“Worry pretends to be necessary but serves no useful purpose”

“Accept - then act. Whatever the present moment contains, accept it as if you had chosen it. Always work with it, not against it.”

opnwhl4
Veteran Member


Date Joined Dec 2008
Total Posts : 4961
   Posted 9/1/2012 11:47 PM (GMT -6)   
Jonh71-

I had my 2nd redo a year ago August 24th. It was done open and it was my easiest nissen recovery. Could be the surgeon, but I know he had a long hard time getting all my scar tissue taken down. BTW I also had an esophageal tear repaired 6 months prior.
Good luck and don't fear an open surgery for this. I think it was easier because they don't have to manipulated everything with the metal rods and such. Much easier on your insides.
If I ever need another redo I am gong for the open option myself.
Take care,
Bill devil
opnwhl4
Moderator: GERD/Heartburn
Nissen 6/06 and 5/09
#3 on 8/24/11

Jonh71
Regular Member


Date Joined May 2012
Total Posts : 121
   Posted 9/2/2012 4:33 AM (GMT -6)   
Hi Bill

Can you give me any insight into how long it was for the actual cut from the open Nissen to heal, how long was the hospital stay and how long before you could drive and return to work full pace?

I am not so concerned with the actual Nissen recovery as I know that will just take time to get back to normal, I am more inquisitive regarding the cut etc.

Thanks jonh71

opnwhl4
Veteran Member


Date Joined Dec 2008
Total Posts : 4961
   Posted 9/2/2012 7:08 AM (GMT -6)   
jonh71-

They took the staples out at the 2 week mark. It was still a bit sore, but nothing terrible. My hospital stay was 1 week, but my case was different because I had just had the esophageal tear repaired 6 months prior and they kept me on just TPN for 4 days.
The incision was from my sternum to my naval. They had a wide elastic wrap around my stomach after surgery and told me to use it for a few weeks to ease the pain of getting up and down.
I was back to driving about 3 weeks after surgery.

Take care,
Bill
opnwhl4
Moderator: GERD/Heartburn
Nissen 6/06 and 5/09
#3 on 8/24/11

Jonh71
Regular Member


Date Joined May 2012
Total Posts : 121
   Posted 9/2/2012 9:24 AM (GMT -6)   
Hi Bill

Thanks for sharing your experience it is appreciated, my surgeon suggested back to work in 2 weeks following lap, I was back at work after 6 following last Nissen so was a bit reserved on his estimation.

Cheers Jonh71

Baza
Veteran Member


Date Joined Jan 2011
Total Posts : 513
   Posted 9/2/2012 12:18 PM (GMT -6)   
Hi Jonh71, good luck with your redo,hope all goes well and you get your reflux sorted!Please keep posting your progress. All The Best! Barry

lizzard3
Regular Member


Date Joined Sep 2012
Total Posts : 24
   Posted 9/2/2012 12:20 PM (GMT -6)   
Hello,  I am not sure if I have  done this right as I have never chatted/blogged but I had the Nissen 4 days ago.  I did not anticipate the pain when swollowing even small pills - pls tell me it gets better.  I have a few questions, did anyone experience headaches and shortness of breath?   Also the pain in the upper back gets so bad it wakes me up... I know it has only been 4 days but pls tell me it gets better.  Thanks
 

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7188
   Posted 9/2/2012 2:02 PM (GMT -6)   
Hi lizzard3,
Welcome to the Healing Well yeah yeah yeah Wrapped Club! yeah   yeah yeah What you're experiencing is completely normal.  I would suggest you attempt to get a liquid form of your medication, or crush the pill and put it in a little applesauce to get it down.  You've just been through major surgery, and your wrap is becoming increasingly more swollen by the day, to peak at or about Day 14.    I actually got pain when swallowing, period.
 
Here is a link to my early recovery journal.  It may give you come comfort, as I'm sure you'll see some similarities to what you're experiencing.  I found Day 4 one of the most difficult.
 
Glad you've joined us!  Why not start your own thread on the main page, where it will be easier for everyone to find and answer your questions?  Here's the link: GERD - Heartburn
 
Best wishes,
Denise
Words of wisdom by Eckhart Tolle:
"Whatever you fight, you strengthen, and what you resist, persists.”

“Worry pretends to be necessary but serves no useful purpose”

“Accept - then act. Whatever the present moment contains, accept it as if you had chosen it. Always work with it, not against it.”

Jonh71
Regular Member


Date Joined May 2012
Total Posts : 121
   Posted 9/2/2012 2:49 PM (GMT -6)   
Hi lizard

The quick and simple answer is yes, it does get worse but then gets better gradually. I found it best to take small amounts at once (1-2 tea spoon) and when swallowing I looked upwards to open the throat and help it down. Be careful about taking drinks to try and help food down as this made it worse for me as I then had fodd and liquid stuck. It is not unusual to have problems swallowing and I could not even swallow th saliva in my mouth the first day out of surgery.

The pain into back maybe gas - if anything persists then I would recommend you see your doctor as all I can offer is advice from my own experiences.

Patience is most definitely required after a Nissen as life is very different.

Let everyone know when you feel better and what worked for you as everyone is unique

lizzard3
Regular Member


Date Joined Sep 2012
Total Posts : 24
   Posted 9/2/2012 7:46 PM (GMT -6)   
Thank you for the info, and thanks dencha for sharing your journal. I am experiencing many of the things you did including the burping.

opnwhl4
Veteran Member


Date Joined Dec 2008
Total Posts : 4961
   Posted 9/2/2012 8:44 PM (GMT -6)   
jonh71-

Yeah, those doc's always seem to think this is a fast recovery because they do it lap. Sure wish they would really pay attention to how long it really takes their patients. I have been very lucky for my 2 redos an had surgeons who knew what actually goes on during recovery.
My 1st redo surgeon actually kept track of me for a year after wards since I was over 2 hours away from him. He gave me his cell number and email just in case I needed anything.
My last one I still see once in a while because of nerve damage in my ribs, thoracic surgeon, and always asks how my GERD and swallowing is right off.

Take care,
Bill
opnwhl4
Moderator: GERD/Heartburn
Nissen 6/06 and 5/09
#3 on 8/24/11
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