Can A Hernia Repair Be Done After Linx Sudgery

Comparing Fundoplication to LINX for Reflux Management

A traditional fundoplication (where the upper role of the tum is wrapped around the lower portion of the esophagus) and the LINX Reflux Management System, (a bracelet-like titanium implant to squeeze the lower esophageal sphincter) are two common surgical solutions for gastroesophageal reflux illness or GERD. Both have their pros and cons and nosotros volition discuss them in farther detail in this blog.

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Nosotros discussed safe first because ultimately, the safety of the procedure is of paramount importance. None of the procedures that we offering can or should be riskier than the atmospheric condition we are treating. In both cases the procedures are very safe and proven effective. Complication and mortality rates are very depression for each procedure.

Verdict: Tie

Indications

The fundoplication, specifically the Nissen Fundoplication is indicated for patients with a paraesophageal hernia. These procedures tin can likewise exist performed on patients with hiatal hernias greater than 3 cm. However, a fundoplication cannot exist performed on a gastric sleeve patient that may be experiencing postoperative reflux due to the removal of the fundus during the primary bariatric procedure.

The LINX reflux management organisation is not suitable for all patients with a paraesophageal hiatal hernia. Rather, it is more than normally used for patients with a sliding hiatal hernia. Further, any hiatal hernia greater than three cm in size should exist reduced before the LINX is placed. Nevertheless, gastric sleeve patients suffering from reflux can accept a LINX device implanted to minimize and even eliminate the symptoms associated with GERD.

Verdict: LINX for gastric sleeve patients, Fundoplication for certain circumstances

Operative time

The LINX device can be implanted in as little as xv to 20 minutes not including preoperative prep and post-op recovery. Patients go domicile on the same day equally the surgery.

The fundoplication requires approximately 45 minutes to an hour of operative time. Patients may be discharged on the same twenty-four hour period of surgery or may require a night in the infirmary.

Verdict: LINX

Recovery

After a fundoplication, patients will have to undergo a modified diet for a few weeks after the process. This is to allow the anatomy to heal. From there on out, patients can slowly normalize their diet.

LINX patients are encouraged to eat almost immediately later on the procedure. About patients have very picayune downtime and are dorsum to normal activities within a few days

Verdict: LINX

Insurance

Some insurance companies have been slow to approve LINX, making information technology hard for some patients to get coverage. When medically necessary, fundoplications are about always covered by a medical insurance policy.

Verdict: Fundoplication

Results

The bottom line is that satisfaction rates from patients for both procedures is extremely loftier. In both cases, upwards of 95% of patients experience substantial or complete relief from their GERD and are happy with the procedure

Verdict: Tie

The Lesser Line

As yous can see, there are times where a fundoplication may be necessary. For case, when patients take a paraesophageal hiatal hernia or particularly big hiatal hernia. Other times, for example, with the gastric sleeve, LINX may be the best surgical option. Dr. Tsuda or Dr. Ryan will discuss our GERD treatment options during your consultation.

Source: https://www.vipsurg.com/blog/comparing-fundoplication-to-linx-for-reflux-management/

Posted by: colepliteard.blogspot.com

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