Posted 6/13/2013 9:32 PM (GMT -6)
Welcome to Healing Well! It sounds as if you're a perfect candidate for a Nissen surgery, and I suspect you will be extremely happy with the results. I know Dr. Peters is extremely well respected in the area, and I would expect he has lots of experience doing Nissens. I suggest you speak to someone in his office and ask how many he has done. This type of surgery takes lots of practice. It's an art form, and the more experience, the better.
I'll try to answer your questions:
1. Estimated recovery for my age and what to expect after and for months to come.
I won't lie...this surgery has a challenging recovery. However, it's very "doable", and if you read through the various threads here on the forum you'll find many who have a very uneventful recovery, and others who struggle. A positive, accepting attitude is everything. If you can surrender to your recovery and follow it where it leads, you'll do just fine. People who struggle against it, and try to rush their recovery have the toughest time of it. It takes a full 6 months for most of the recovery and a year for the rest. That's not to say that you don't see improvement before that...you do. The first couple weeks are the most challenging, and it gradually improves from there.
2. Estimated time off work( I'm a correctional officer. Light duty is available). Dr says as much as I need but usually 2 weeks and 2 months LD.
Quite a few people go back after two weeks, but in my opinion that's pushing it. You can do it if you have light duty, but you'd appreciate a few more weeks to recover from you major surgery (yes, laproscopic on the outside, but major surgery on the inside). If you go back that early you'll be struggling for a while if you're like most people.
3. Anyone have a wrap done or heard of Dr. Peters and how they have fared
I had my surgery in February 2009 not far from Rochester. I was referred about two years ago (by my asthma doc for a recheck of my surgery) to another surgeon at U of R, Dr. Thomas Watson. I believe he works in the same office as Dr. Peters. I was told that Dr. Watson "does all the Nissens" in the Rochester area by my primary care doc, and a highly respected ENT named Dr. Coniglio to whom I was also referred. For me all the testing indicated that my wrap was intact and all was well. You want to go to the surgeon that "does all the Nissens", because that's the one who has the most experience. If I were to need a redo surgery, I'd go to Dr. Watson if he hadn't moved. If Dr. Watson had moved and Dr. Peters was still practicing in the area, I'd probably go with Dr. Peters, although I can't really speak to his results, as I haven't really heard much about him.
4. Diet restrictions food/alcohol
Here are some links to diet information. Each surgeon has his/her own eating protocol. My surgeon turned me loose to eat anything that could be chewed to a liquid. The main thing is to take small bites and chew, chew, chew.
5. Pain after surgery and long term
The pain is minimal. There is referred shoulder pain that is sometimes more uncomfortable than the incisions. This pain can be helped by walking. I found the more I walked, the less my shoulder hurt.
I only took the narcotic pain meds for two or three days, and then maybe at night for a few more days after that. Liquid Tylenol worked just fine for the pain. Ice helped me with one incision that seemed to bother me more (I was coughing, so it caused more pain). Most have no problem with pain.
6. Chances of wrap coming undone
After you have a Nissen you'll want to have anti-nausea drugs on hand at all times. I carry then with me wherever I go. Repeated vomiting and retching can be very harmful to the wrap--especially during the early months of recovery. It is never good to vomit or retch repeatedly, even after you're healed. I have vomited three times since my surgery. Each time I vomited before I was aware I was sick. Each time I took Compazine suppository anti nausea medication immediately and never vomited again. Protect your wrap with anti-nausea drugs for sure.
Heavy lifting can damage the hernia repair and thus the wrap. Be sure to ask your surgery about lifting restrictions.
There is always a chance that the wrap can become undone. However, most are so happy with the results of their surgery they would happily get their surgery redone if it should ever become necessary.
Glad you've joined the forum!
Nissen Fundoplication 2/09
"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.”