Laparoscopic Nissen Fundoplication is a surgery that can repair hiatal hernias and provide relief for people with chronic heartburn or GERD (GastroEsophageal Reflux Disease) that has not responded to medical management.
The surgery prevents the flow of stomach acid back into the esophagus caused by a weakness in the lower esophagus.
Peptic Ulcer Disease
The need for ulcer surgery has declined with the discovery that ulcers can be caused by a bacteria (h Pylori) and usually successfully treated with medications.
Surgery for peptic ulcer disease is reserved for ulcers that have not healed after extensive use of medications or have caused a complication such as bleeding or perforation. An ulcer that bleeds excessively or perforates (or breaks through) the intestine can require emergency surgery.