Asking about laparoscopic fundoplication

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DontStealMyBacon
Regular Member


Date Joined Jan 2013
Total Posts : 186
   Posted 7/12/2013 9:50 PM (GMT -6)   
I know the questions I have are listed in many different forums many times, but most of them do not have good answers. I have been looking for a while, but I simply cannot find answers to these questions.

Are most of the fundoplications being performed now laparoscopic or is that only a small portion of them? I have been looking up information on recovery but most pages and posts do not specify whether or not they had laparoscopic and it matters when I am trying to figure out timing post op.

How long do most laparoscopic patients take to get back to work? I understand that the entire recovery process takes much longer than a couple weeks, but how many weeks is the expected range to return to work? For me, I will be returning to college, and I really cannot miss any amount of time at all. I am trying to fit in the surgery just before the fall semester begins and I would like to know if I am giving myself enough time with when I will be scheduling it. I hate to make another one of these posts, but I really haven't been able to find the answers I have been looking for, and I know that going back to school won't be an easy transition or laid back like a desk job.
Right Temporal Lobectomy 4/5/12

Diagnosed with GERD, Eosinophilic Esophagitis, and Epilepsy.
Studying biomedical engineering to research a better fix to at least one of them.

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7188
   Posted 7/12/2013 10:33 PM (GMT -6)   
Hi DontStealMyBacon,
I'll do my best to answer your questions:
 
Are most of the fundoplications being performed now laparoscopic or is that only a small portion of them?
Nissen fundoplication surgery has been performed since 1955.  In the beginning, all these surgeries were open.  With the development of the laparoscopic technique (15-20 years ago), the use of the open procedure has declined.  Today, laparoscopic Nissen fundoplication is the norm, so most people posting here have had that procedure.  open procedures are only done when there are specific contraindications and the laparoscopic route is not possible.
 
How long do most laparoscopic patients take to get back to work?
A Nissen is major surgery.  Many surgeons tell patients they will be able to get back to work in two weeks.  It is possible, as long as there is no physical lifting, etc. involved, but not without a toll being taken on the individual.  Everyone is different, and younger patients recover more quickly than older ones.
 
I was teaching second grade when I had my surgery and thought I would go back half days at two weeks.  Because of illness in my classroom and my own particular lung issues, this wasn't possible and I stayed out for 6 weeks, instead.  It was heavenly to be able to take that long to recovery without the stress of work.  If I hadn't have the lung issues I did, and my classroom wasn't so sick, I probably would have managed just fine at 4 weeks. 
 
Two weeks will be pushing it for you.  You'll still be tired and be having some pain.  Depending on how tough you are, and how motivated, you can manage.  There are quite a few who've had to go back to work quite soon after surgery. Before I had mine, I met someone who'd gone back to her work as a dental hygienist after just one week.  I can't even imagine that.
 
Hopefully others will be by soon to provide you with more of their work-after-Nissen experience.  Good luck with your decision.
 
Take care,
Denise
GERD/Heartburn Moderator
Nissen Fundoplication 2/09
Allergy/Asthma

"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.”
Eckhart Tolle

kyheart
Veteran Member


Date Joined Apr 2011
Total Posts : 515
   Posted 7/12/2013 10:51 PM (GMT -6)   
Don't Steal My Bacon

Denise answered your questions as well or better than most of us could. I can tell you that I was 62 when I had my lap Nissen. I was off work for a total of 18 days. I wish I had taken a few more days. I was very sore and my energy level was in the tank.. I would nap for an hour everyday at lunch for the first couple of weeks back.
I would say that you are looking at much the same as I did. Please do not push your self, it will only harm your recovery efforts. With this surgery you have to relax into your recovery, stress is a bad partner when trying to recover. This is easier to do than you would think. Please continue to come here to the forum with your questions and everyone will be happy to answer you. We will look forward to your recovery questions and insights.. we all benefit from each person who shares their story with the forum.

Watching the rainbows shine!!!
Sandi smurf turn

DontStealMyBacon
Regular Member


Date Joined Jan 2013
Total Posts : 186
   Posted 7/12/2013 11:16 PM (GMT -6)   
Thanks for the answers. I know it comes down to my decision, ane I have already decided that I want the operation as soon as I can get it, ideally with enough time before classes start on August 28th. The problem is that after pushing my doctors to consider me for this surgery for 4 years now, I am finally approved as a candidate for the surgery, and the hospital keeps canceling my appointments to meet with the surgeon. I was scheduled to meet with the surgeon on July 1st, but they called me to say that the surgeon was no longer available that day and to ask if I could reschedule it 2 weeks after that. The next day I got another message from them, only to find out that they had cancelled my appointment again and pushed it to the only week I am out of town. When I asked them when the next available appointment was to meet since I was out of town of the day they had automatically pushed me into, they said the earliest to meet the surgeon was late August.

After calling them endless times, I finally got an appointment date set up yesterday for August 6th, but I wont be able to schedule the operation until I meet the surgeon and now I am just extremely stressed and continually in pain. Life isnt that bad, but right now is a struggle and I hate people.
Right Temporal Lobectomy 4/5/12

Diagnosed with GERD, Eosinophilic Esophagitis, and Epilepsy.
Studying biomedical engineering to research a better fix to at least one of them.

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7188
   Posted 7/13/2013 6:46 AM (GMT -6)   
Hi DontStealMyBacon,
I know how maddening it is when you're waiting and waiting for an appointment and it is cancelled.  Having that happen multiple times is beyond frustrating.
 
Good luck with your appointment.  Let us know how it goes!
Hang in there,
Denise
GERD/Heartburn Moderator
Nissen Fundoplication 2/09
Allergy/Asthma

"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.”
Eckhart Tolle

Teacherman
Regular Member


Date Joined Jun 2013
Total Posts : 172
   Posted 7/14/2013 11:46 AM (GMT -6)   
I have a question. How do you all handle the fact you can't throw up anymore. That scares me. What do you do? I am 45 and can't see myself never throwing up again. Not that I throw up a lot. Can't remember the last one. But. I know in the next 50 years I will. Also. Burping? What percent of folks have no issues.

opnwhl4
Veteran Member


Date Joined Dec 2008
Total Posts : 4961
   Posted 7/14/2013 12:52 PM (GMT -6)   
Teacherman

Not everyone cannot vomit. There a several who have been here that can. With the "floppy" wrap burping has become less of an issue and has allowed for some to vomit still. While I can't vomit I can burp quite well. I just keep anti nausea meds with me just in case.

Take care,
Bill
opnwhl4
Moderator: GERD/Heartburn, Kidney disease

Nissen 6/06 and 5/09
#3 8/24/11

DontStealMyBacon
Regular Member


Date Joined Jan 2013
Total Posts : 186
   Posted 7/14/2013 2:49 PM (GMT -6)   
Thanks for giving such detailed answers to all these questions. I thought this one might be a little hard for some people to answer, but I'll ask it anyway.

I will end up asking my surgeon, but I also want to know what to expect ahead of time. I play trombone in 3 different bands year round. How long would I have to wait before I could expect to get back to playing trombone? And how long should I wait before I get back to playing and marching in my marching band?
Right Temporal Lobectomy 4/5/12

Diagnosed with GERD, Eosinophilic Esophagitis, and Epilepsy.
Studying biomedical engineering to research a better fix to at least one of them.
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