Type 1 Surgery : The Open Nissen Fundoplication Procedure
Until recently, most fundoplication procedures for GERD have been the 360° Nissen fundoplication. This is a called an open procedure because it requires wide surgical incisions. With this procedure, the physician wraps the upper part of the stomach (fundus) completely around the esophagus to form a collar-like structure. The collar places pressure on the LES and prevents stomach fluids from backing up in to the esophagus. Open fundoplication requires a six- to 10-day hospital stay.
