I had suffered with stomach problems for what felt like forever but was probably just a year or two before I finally insisted on seeing a specialist (Nov 13). What is a Laparoscopic Fundoplication and Hiatal Hernia Repair? Laparoscopic Nissen fundoplication is now considered the standard surgical approach for treatment of severe gastroesophageal reflux disease (GERD). Laparoscopic cruroplasty and fundoplication for the repair of hiatalhernia. Laparoscopic Nissen Fundoplication (or HiatalHerniaRepair) Post-Operative Instructions. Maine Medical Partners – Surgical Care Casco Bay 10 Andover Road Hiatalherniarepair without fundoplication - Hiatalherniarepair without fundoplication? No reflux issues, just constant shoulder/chest tight ness and SOB- Due to hernia interrupting diagram??? Nissen Fundoplication Surgery with HiatalHerniaRepair. Nissen Fundoplication is a surgical procedure to treat gastroesophageal reflux disease (GERD). Hiatal (Nissen Fundoplication, Paraesophageal Some patients also find that they have diarrhea or “loose bowels” for the first days after their herniarepair Find out about your options for procedures that help with stubborn heartburn and what results you can expect from them. Laparoscopic HiatalHerniaRepair First submitted by: Those that are refractory to medications do require surgery, most commonly a Nissen fundoplication. Gastroparesis Following Nissen Fundoplication and Hiatal Hernia Repair. Nissen fundoplication with hiatalherniarepair is the most reliable and most effective treatment of GERD or acid reflux disease.