What is title of a surgeon that specializes in doing Nissen Fundo's?

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Stockster
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Date Joined Dec 2012
Total Posts : 54
   Posted 9/15/2013 11:38 PM (GMT -6)   
Hi Everyone,

Just doing some research on potential surgeons for the future and I'm having a hart time finding exactly what I'm looking for. Most of the Surgeons I find that do the NF are General surgeons?? That doesn't sound right to me.

I want to search more specific than a General Surgeon. Any feedback would be great, especially if in Toronto, Ontario.

Thanks

opnwhl4
Veteran Member


Date Joined Dec 2008
Total Posts : 4961
   Posted 9/16/2013 1:27 AM (GMT -6)   
Stockster

Yes, I would say most nissen surgeons are general surgeons. That said, Thoracic, GI, and Bariatric surgeons also do the nissen. These surgeons quite often are also a general surgeons as well.

My nissens have been done by a general, GI, and thoracic surgeon. Thoracic surgeons that I have talk to tend to go through the chest vs belly for this surgery, but that's what they do the most.

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

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

lajenner
Regular Member


Date Joined Jul 2013
Total Posts : 349
   Posted 9/16/2013 2:16 AM (GMT -6)   
My doc is a thoracic surgeon, he has done over 1500 nissens via 5 tiny incisions in the belly. Find the best in your area, typically found at a university teaching hospital. Good luck!

tracks83
Regular Member


Date Joined Mar 2008
Total Posts : 149
   Posted 9/16/2013 6:18 AM (GMT -6)   
Lajenner, where did you have surgery? Your surgeon sounds alot like mine. He's a Thoracic surgeon and stopped counting at 1000 nissens.

Alcie
Veteran Member


Date Joined Oct 2009
Total Posts : 5029
   Posted 9/16/2013 8:38 AM (GMT -6)   
My surgeon is thoracic. Since I had paraesophageal hernia = stomach stuck partly in chest = I couldn't see anyone less qualified. There was a chance or having to do the surgery open or through the chest, depending on what they found.

For my more complicated surgery the surgical team had to go up into the chest and cut around the esophagus to pull it down enough to do the wrap.

Later, after some events that caused some more herniation, I have found a general surgeon who specializes is weight loss surgeries and whom I would trust to do a simple diaphragm repair. I can't do any more surgeries right now. Maybe if it gets worse.

Since Nissen is complicated, I would be looking at the whole team, not just the one surgeon. If there is no team I'd go looking elsewhere.

jamosca
Regular Member


Date Joined Aug 2013
Total Posts : 162
   Posted 9/16/2013 5:12 PM (GMT -6)   
Bariatric surgeons repair many hiatal hernias as they are specialised in operating on the stomach areas and come across them all the time. If you have a hiatal hernia it is most important to ask how they are going to repair it. Stitches do not always hold , a biological graft enhances the area which needs to be repaired .

opnwhl4
Veteran Member


Date Joined Dec 2008
Total Posts : 4961
   Posted 9/16/2013 7:38 PM (GMT -6)   
jamosca

I'm not so sure sutures aren't good enough. Depends on how they are done and what type/size.

My original HH repair from 6/09 has held up through 2 nissen redoes and an esophagus tear repair with a stent that tore my wrap completely apart. Along with some severe dry heaves along the way. They were also put in by a surgeon who did an incorrect nissen on me that had to redone.

I was told by the last 6 surgeons who have had their hands in my belly/chest that the old synthetic mesh has been causing problems though. seems it cab cut into the surrounding tissue.

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

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

lajenner
Regular Member


Date Joined Jul 2013
Total Posts : 349
   Posted 9/16/2013 8:47 PM (GMT -6)   
tracks83: Dr. Nathaniel Soper, Northwestern Memorial Hospital, Chicago He's also chairman of surgery there. I found him via the RESPECT/TIF study last year. I didn't qualify for the TIF study, but chose to use him for the Nissen.
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