Yes, you are correct. I had a Nissen in February 2009, and it did an amazing job of protecting and healing my lungs. I provided the LINX recovery thread for you to see what that recovery looks like. In my opinion it doesn't vary very much from the Nissen recovery.
Yes, the Nissen (and partial wrap) use the top of the stomach to create a flap that creates a barrier to keep acid in the stomach where it belongs. The LINX procedure puts a magnetic ring around the esophagus. It is not risk free, though, and it hasn't been around long enough to really determine its long term success or failure. While some are opting for the LINX, the Nissen continues to be the "gold standard" for reflux reduction. It has been in use for 60+ years, and the laproscopic version for 20 years.
When I spoke with my surgeon, pre-op, he said that I wouldn't be able to burp or vomit after the surgery. As it turns out, I can do both. Vomiting is often possible post op, but it should be avoided, as it can harm the repair. I always carry anti-nausea meds with me. I've had three vomiting episodes since my surgery, and each time I took anti-nausea meds immediately after vomiting once, to avoid repeated stress on the wrap.
I could burp the first day post op. When I say "I could burp", I should revise the statement to, "My stomach could burp itself". In the beginning it was just little burps, but at this stage, I can do normal-sounding burps, and they are always welcome. If your wrap isn't too tight, burping will be possible.
The Nissen surgery can be taken down by a skilled surgeon, but generally it isn't advised, because you'll be right back into the same condition...refluxing and having your lungs damaged. Instead, a redo of the surgery is generally recommended.
If you get the proper testing that will guide your experienced Nissen surgeon in deciding whether or not you're a good candidate for surgery, and if so what type of surgery, you should do fine. The vast, vast majority of post-Nissen people are thrilled with the results and would ever go back to the way they were prior to the surgery.
When you read the scary posts online, keep in mind that they may be written by people who did not choose the right surgeon, and perhaps didn't have had proper testing to determine underlying conditions that would have uncovered the fact that for them, the surgery was contraindicated. I've come to believe, though, that the majority of those scary and negative posts are by people who are in early recovery, and weren't prepared for it. They're experiencing normal post-op recovery symptoms, but think that's how they'll be living forever, which couldn't be further from the truth. The recovery isn't easy, but it's "doable". Actually, I was prepared for much worse. And the results make every moment of the recovery worth it.
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.”
Post Edited (dencha) : 9/13/2013 7:42:47 PM (GMT-6)