I agree. Call your surgeon!
For some reason I was thinking mine was in inches. I know my 1st surgeon didn't take down enough from my spleen to do a tension free wrap and during my redo the surgeon took a lot more loose. 3cm wrapped around the esophagus just seems very small. That's about
1.5 inches. I can't remember for sure, but I seem to remember something about
7 inches. I'll call my last surgeon and ask, I am due to call for a anti nausea med refill anyway.
I look up some measurements on line and seems the cura is
3cm and the HH repaired to allow the fundus to be wrapped around the esophagus and the fundus length is about
15cm. There is also a short floppy wrap being done that uses about
3 to 4cm of fundus it seems. This is probably what you had. They say it allows for faster recovery and release from the hospital. I am not sure it really gets all the way around and attaches to itself like a hotdog bun the way the original floppy wrap does, but does look to be doing a very good job of controlling reflux. In the last 2 years there have been advancements to the floppy wrap and I am sure there will continue to be so.
This tells me the nissen is still the go to surgery for GERD and has a proven 50+ year track record. since they are continuing to improve it's design. If they were wanting to replace it I wouldn't think they would be making advances to it.
So this means you have a cutting edge versions! Good for you!
This also could be a way to avoid having to do a varying degree of the wrap for people with motility issues, If they don't have to wrap all the way around and attach to itself and just wrapping around the back with a floppy wrap this could mean very good things for patients with motility issues who want this surgery.
Thank you for bringing this information up!
opnwhl4 Moderator: GERD/Heartburn, Kidney disease
Nissen 6/06 and 5/09
Post Edited (opnwhl4) : 9/6/2013 5:11:45 AM (GMT-6)