What is laparoscopic surgery?

Laparoscopic surgery is a minimally invasive procedure that uses small incisions and a camera to perform operations. It results in less pain, smaller scars, and faster recovery compared to traditional open surgery.

How can I get treatment from Dr. Sujeeth Kumar?

You can book an appointment through our website booking system, call us at 9963009090, or message us on WhatsApp at the same number. We offer both in-clinic consultations at Apollo Clinics Manikonda and online consultations.

Is laparoscopic surgery safe?

Yes, laparoscopic surgery is a safe and well-established procedure. Modern technology and experienced surgeons like Dr. Sujeeth Kumar ensure minimal risks, less pain, and faster recovery for patients.

What is the recovery time after laparoscopic surgery?

Recovery time varies by procedure, but most laparoscopic surgeries allow patients to return to normal activities within 1-2 weeks, compared to 4-6 weeks for traditional open surgery.

How much does laparoscopic surgery cost in Hyderabad?

The cost depends on the type of procedure and complexity. Dr. Sujeeth Kumar provides transparent pricing during consultation. Insurance and cashless options are available at Apollo Hospitals.

GERD Treatment in Hyderabad — Lasting Relief from Acid Reflux

GERD Treatment in Hyderabad — Surgical Solutions for Lasting Relief

Gastroesophageal Reflux Disease (GERD) is a chronic condition in which stomach acid regularly flows back up into the oesophagus, causing a range of uncomfortable and potentially damaging symptoms. While many patients manage GERD with lifestyle changes and medication (proton pump inhibitors), a significant number of patients continue to suffer despite medical treatment — or prefer a permanent surgical solution over lifelong medication.

Dr. Sujeeth Kumar Bashetty at Apollo Hospitals, Hyderabad, is an experienced specialist in laparoscopic anti-reflux surgery, offering patients long-term freedom from GERD symptoms and medication dependence.

Understanding GERD — Symptoms

✓ Heartburn — a burning sensation in the chest, especially after eating or lying down
✓ Regurgitation — sour or bitter fluid rising into the throat or mouth
✓ Difficulty or discomfort swallowing (dysphagia)
✓ Chronic cough, hoarseness, or throat clearing
✓ Feeling of a lump in the throat
✓ Chest pain (must be distinguished from cardiac causes)
✓ Worsening asthma due to acid microaspiration
✓ Dental erosion from chronic acid exposure

What Causes GERD?

GERD occurs when the lower oesophageal sphincter (LOS) — the valve between the oesophagus and stomach — becomes weakened or relaxes inappropriately, allowing acid and stomach contents to flow upward. Contributing factors include hiatus hernia, obesity, pregnancy, certain foods, and medications.

When Is Surgery Recommended?

✓ Symptoms persist or recur despite optimal medical therapy
✓ Patient preference to avoid lifelong medication
✓ Significant oesophagitis (Grade C or D) on endoscopy
✓ Barrett’s oesophagus with associated reflux symptoms
✓ Large hiatus hernia causing GERD or other symptoms
✓ Extra-oesophageal symptoms (cough, hoarseness) not responding to PPIs

Surgical Treatment — Laparoscopic Fundoplication

Nissen Fundoplication (360° Wrap)

The most commonly performed anti-reflux operation. The upper part of the stomach (fundus) is wrapped completely around the lower oesophagus, reinforcing the LOS and creating a valve mechanism that prevents reflux. Performed laparoscopically through 5 small incisions. Highly effective — over 90% of patients report significant or complete resolution of reflux symptoms.

Toupet Fundoplication (270° Partial Wrap)

A partial wrap used in patients with impaired oesophageal motility, to reduce the risk of post-operative dysphagia while still providing excellent reflux control.

Hiatus Hernia Repair

When a hiatus hernia is present, it is repaired simultaneously during fundoplication — the stomach is returned to the abdomen and the hiatus (opening in the diaphragm) is reinforced with sutures, sometimes with a mesh.

Benefits of Laparoscopic Anti-Reflux Surgery

✓ Over 90% long-term success rate in appropriately selected patients
✓ Freedom from daily medication for most patients
✓ Rapid recovery — most patients discharged within 24–48 hours
✓ Minimal scarring with laparoscopic technique
✓ Prevents long-term complications of untreated GERD (Barrett’s oesophagus, stricture)
✓ Significant improvement in quality of life

Frequently Asked Questions

Q: How do I know if I need surgery for GERD?
A: Surgery is recommended if your symptoms are inadequately controlled on maximum medical therapy, if you have a large hiatus hernia, or if you wish to stop long-term medication. A 24-hour pH study and oesophageal manometry are typically performed before surgery to confirm the diagnosis and assess oesophageal motility.

Q: Will I still need medication after anti-reflux surgery?
A: The majority of patients (90%+) are able to stop acid-suppressing medication entirely after successful fundoplication. A small proportion may require occasional or low-dose medication.

Q: What are the risks of fundoplication?
A: The main risk of Nissen fundoplication is post-operative difficulty swallowing (dysphagia), which typically resolves within a few weeks. Bloating and difficulty belching are also common initially. Serious complications (bleeding, injury to adjacent structures) are rare in experienced hands.

Q: How long does recovery take?
A: Most patients are discharged 1–2 days after laparoscopic fundoplication. A soft diet is recommended for 4–6 weeks while the wrap settles. Return to office work is typically possible within 1–2 weeks.

Book Your GERD Consultation — Apollo Hospitals, Jubilee Hills, Hyderabad

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