Having Surgery

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jennas40
Regular Member


Date Joined Sep 2012
Total Posts : 52
   Posted 10/23/2012 6:17 AM (GMT -6)   
I,M nervous I go see a sergeon on thursday about having surgery the nissan I dont know what to expect not sure what he,ll ask me, i,ve had so many test i,ve had all of them.could you tell me what happen when u went.Also how long after you seen the sergeon was your surgery,looking forward to hereing from u all. nono

Sweet Potatoe
Regular Member


Date Joined Oct 2012
Total Posts : 87
   Posted 10/23/2012 9:06 AM (GMT -6)   
In May 2012 I attended a seminar given by the surgeon who preforms the TIF Nissan surgery Laproscopic. (I was a Acid Reflux sufferer person that needs to be on high doses of Prilosec and Zantac.)The TIF has only been around 5 years. It is incisionless as it is done thur the mouth with a scope. The TIF has less side effects while recovering compared to the Nissan. The TIF has over 90 PLUS% success rate where the patient can be relieved all Acid reflux
symptoms to be off Acid reflux medications. After attending that seminar I decided to go for it. So I made an appointment with my Primary Family Doctor to get a referral to see this Surgeon. July 25th was my first Surgeon appointment. Pre testings before the decision to do this surgery were as follows: August 17th: Swallow Barium test(esophagram). August 21st EKG. August 27th EGD.( the scope they do to look down your esophagus,stomach and upper intestine to see what is wrong with you.) My surgeon saw I had a big bulge hole at my LES Valve keeping this valve open so acid was leaking continually into my esophagus causing chronic esophagitis. I met with him September 7th again in the office to discuss my surgical options and to set up a surgical date. I decided on the TIF over the nissan plus hiatal surgical repair.Surgical Date on October 8th. You can read my daily TIF Hiatal repair diary I am doing to help other Gerdie Troopers on this forum. Good Luck and Best wishes with your visit to your surgeon.
Anne
:-) :-)

couchtater
Elite Member


Date Joined Jul 2009
Total Posts : 14475
   Posted 10/23/2012 5:28 PM (GMT -6)   
I had the partial wrap done and a HH repair. I had to have an EGD, Barium swallow, pH test, motility study, and stomach emptying test. I found a very experienced bariatric surgeon with a lot of Nissens under his belt. I met him in November and had the surgery in December.

It's been 3 years and I feel good.
Joy
Lupus, Fibromyalgia, Glaucoma, Asthma, Hypothyriodism, Sleep Apnea, Degenerative Disk and Facet Disease, and Allergies

When life throws you lemons....
Pick them up and throw them right back at them! :))

jennas40
Regular Member


Date Joined Sep 2012
Total Posts : 52
   Posted 10/24/2012 5:41 AM (GMT -6)   
Going to see my sergeon on thursday-tommrow,I,ve never had a con**** before,i,m nervous.I,VE had all the test done can someone tell me what might happen tommrow.thank you

couchtater
Elite Member


Date Joined Jul 2009
Total Posts : 14475
   Posted 10/24/2012 1:35 PM (GMT -6)   
They ask questions and look at the records and tests results. Then they tell you which kind of surgery is right for you. You'll also be given a surgery date, meal plan, and day to get the pre-op testing (bloodwork, X-ray, and EKG).
Joy
Lupus, Fibromyalgia, Glaucoma, Asthma, Hypothyriodism, Sleep Apnea, Degenerative Disk and Facet Disease, and Allergies

When life throws you lemons....
Pick them up and throw them right back at them! :))

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7181
   Posted 10/24/2012 7:36 PM (GMT -6)   
Hi Jennas,
I still remember my visit with my surgeon.  I actually scheduled surgery 3 weeks later, but that will be your call.  I remember looking online for questions to ask the surgeon, and it was helpful to have a printed list with me.  I always seem to forget what to ask if I don't write down the questions! 
 
 
What is your background? How many fundos do you do in a month? open or lap?  How many total Nissens have you done? 

What interested you about this type of surgery?

Can you please explain why you believe I need a fundo. (Break this into several questions, if need be, such as, Can you please explain why you think my diaphragm needs repairing during the fundo.)

Will you do a whole wrap (lap Nissen) or half wrap (lap Toupet)? Why?

What muscles will be affected? How will that affect my mobility afterward? And for how long?

What is the biggest risk I'll take in having this surgery?

What is the hardest part of the surgery, for you?

What might cause my fundo to fail? What are the chances that this will happen?

How often do you have this (whatever the failure is) happen? (HOPE the response to this is a tiny fraction of the whole, "because I do a good job of assessing up front whether this is an appropriate solution.")

Do I need any other tests before the operation? (Often you'll need a chest x-ray and blood test right before.)

When will I meet the anesthesiologist? (And who will he/she be?)

What drugs will I receive? (This should include pain meds, not just whatever your anesthesiologist gives you.)

Who else will be in the OR? (VERY important if you'll be in a teaching hospital. Also, it's good to know what sort of nursing crew they allow.)

What other doctors will see me at the hospital, besides you and the anesthesiologist? (Again, especially important if you'll be in a teaching hospital.)

How long does the surgery take? about how long will I be in the recovery room?

Can you give me post-op diet guidelines?

When will I be able to sleep on a level bed?

What medications do I need to stop taken? When? (At this point I whipped out a spreadsheet showing everything I took, from daily vitamin to PPI with doses, frequency, and reason for using)

When can I resume taking the meds (assuming you're told to stop them, of course)? Be SURE you are clear that you should stop using your PPI! It should NOT be needed post-fundo.

When will I need to return for follow-up appointments after surgery? Can I schedule them now?

What might cause you to give me an open, even though we're planning on a lap?

Show me where the incisions will be (both for lap and open).

How many stitches will you put in my diaphragm? (Even if you don't have a hiatal hernia, you might get some, so it's worth asking.)

What should I do if I have problems after I'm released from the hospital? (Try to get a fix on what is urgent and what is not and whether you can reach your surgeon easily, especially outside of office hours.)

Check whether your surgeon will be at work for the 4-6 weeks following your surgery. If vacation or holiday time-off is coming up, you need to know that so that you can then ask who will be available for back-up and what their credentials are.

Is there anything else I should know that I've not already asked about? (This is an attempt to be sure that your surgeon isn't "forgetting" to mention something to you. Not to brag, but in my case, my surgeon said, "Gosh, I've never had a patient who asked such good questions! You are really thorough," when I asked this one.

If I have more questions, how can I contact you? (If the surgeon is NOT receptive to this, you've got the wrong person!)

Finally, include questions re: related health issues you might have -- from a bum knee and the abuse it might take during this to diabetes or whatever. You don't want to emerge from this experience in worse shape on another front!
 
Good luck with your appointment!
Let us know how it goes...
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.”

jennas40
Regular Member


Date Joined Sep 2012
Total Posts : 52
   Posted 10/25/2012 5:11 AM (GMT -6)   
Thank you I go at 4pm today i,m so nervous,

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7181
   Posted 10/25/2012 5:24 AM (GMT -6)   
Hi jennas,
Don't worry.  You are interviewing the surgeon--he's the one on the spot, not you.  The questions above are someone elses, so it's important that you look them over and add/delete depending on what's on your mind. 
 
You want to know that he has extensive experience doing Nissen surgeries.  If he doesn't, it's time to find another surgery.  No wonder how wonderful a surgeon he is, if he doesn't have lots and lots of experience doing this specific procedure, you need to keep looking.
 
Here is my early recovery journal.  Maybe it will help you think of other things to ask.  It'll give you an idea of what one person's experience was:
 
Good luck!
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.”

jennas40
Regular Member


Date Joined Sep 2012
Total Posts : 52
   Posted 10/26/2012 6:30 AM (GMT -6)   
Well I went to see the surgeon It was a very quick visit i set there for 2.5 hrs to get in to see him,I told him what was wrong he said he never got any of my tests from my g.i. doctor,then he tells me he will do a nissan fundoplication ,I told him i,m having alot of pain in my stomach that my g.i. sent me to u for a surgery on my stomach he says well we will set date for nissan and also he wants a egd. done i told him i just had one.He said hes gonna see my g.i. today to figure this out.so i,m so confused

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7181
   Posted 10/26/2012 11:18 AM (GMT -6)   
Hi Jennas,
That was not a good appointment.  I would definitely not buy into that surgeon after that experience.  Not to say that in the long run under better circumstances he might be a great surgeon for you, but he needs to take the time to sit with you and spend time explaining what he would do, as well as answering your questions. 
 
Have you researched who does the Nissen surgeries in your city?  Don't jump into anything without thoroughly researching what is available in your area and if there are any larger medical centers near you.
 
Waiting two and a half hours and being seen for a short visit is not acceptable.  It sounds like your GI doc dropped the ball as well, by not getting the testing results to your surgeon.
 
No rush...you need to take the time it takes to understand what this involves and being sure that whatever surgeon you have chosen is the finest Nissen surgeon available.
 
Sorry it was a rough visit.
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.”

Post Edited (dencha) : 10/26/2012 8:49:54 PM (GMT-6)


buzzmoz
Regular Member


Date Joined Mar 2012
Total Posts : 52
   Posted 10/26/2012 7:33 PM (GMT -6)   
Hi Jennas,
I would be paying attention to the advice that Denise has given you as the surgeon who consulted you (in what sounds like a rather haphazard fashion) seems very keen to do a substantial procedure with very little, if any diagnostic results to even consider. Choose carefully as the degree of success can weigh heavily on the experience of the person holding the instruments.
All the best to you, and I wish you every success.
Regards
Buzz.

tux
New Member


Date Joined Oct 2012
Total Posts : 2
   Posted 10/28/2012 2:09 PM (GMT -6)   
Hi, I am about to have laparoscopic fundoplication after suffering with contanst heartburn for 6 years.  I am currently taking one or two somedays of 30mg lansaprazole plus 300mg ranitidine a day.  I have had the ph tests done and the reading came back as moderate to severe acid reflux.  I have been to see the surgeon who will be performing the op, but I am a little unsure as to whether to go ahead with it or not.  I have read some interesting stories about the side affects after this operation has been done, ie not being able to swallow or burp?   can anyone help me with its success rate?
 
JBBT

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7181
   Posted 10/28/2012 3:27 PM (GMT -6)   
Hi tux,
Welcome to Healing Well!  This is a great place to be before and after your surgery.  There are lots of people here who've had the surgery and will know just what you're going through during recovery.  Often surgeons aren't all that explicit or helpful when it comes to what to expect after the surgery.
 
You'll find many here who are very happy they've had a Nissen surgery, and I'm sure others will be by to respond to your post soon.  Here is a link to my early recovery journal.  If you read all the way to the end, I have written some thoughts about the surgery in general.
 
Good luck!
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.”

tux
New Member


Date Joined Oct 2012
Total Posts : 2
   Posted 10/28/2012 4:22 PM (GMT -6)   
Thanks for your quick reply. I have four weeks to make my decision, so I do need to investigate further whether or not this procedure will be for me!

thank you

Tux
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