Welcome to Healing Well.
Having just the hernia repaired can be done, but those that have gone that route, that I have had contact with, tend to still have reflux symptoms. Generally they do both at the same time to avoid a 2nd surgery as it's not always just the hernia that is causing the symptoms. If the LES is weak tightening the hernia can help, but no one can be sure it's just that causing the reflux.
Some questions I have learned is to ask how many nissens your surgeon has done successfully and how many have required a redo? Also if redoes were done, how long did the nissen last? does the surgeon use a bougie to size the wrap alone or do they use the newer technique of a floppy wrap?
What diet do they expect you to be on and for how long? Ask for a script for anti nausea meds. Dry heaves are not good with this surgery.
As for things to avoid during recovery. stay away from solid meats and soft bread for the 1st couple months or longer. Ground meats and toasted bread are okay, but small bites and chew to a liquid. Chewing food to a liquid whenever possible is always a good idea during this recovery. No straws or carbonated drinks, these add excess air into your stomach and burping can be a challenge after surgery.
Moderator: GERD/Heartburn, Kidney disease
Nissen 6/06 and 5/09