Discharge Instructions for Laparoscopic Nissen Fundoplication

You have had a procedure known as a laparoscopic Nissen hernia repair. A laparoscopic Nissen is a procedure to treat reflux (GERD) by wrapping the upper stomach around the end of the esophagus. As a result may people have difficulty swallowing for hte first few weeks after surgery.

Home Care

  • Ask someone to drive you to your appointments for the next 3 days. Don’t drive until you are no longer taking narcotic pain medication and are able to step on the brake pedal without hesitation.
  • Wash the skin around your incision daily with mild soap and water. It’s OK to shower 24 hours after your surgery. If you have bandaids in place please replace them with a clean one after each shower.
  • A few patients will have pain between the shoulder blades if they had a large hiatal hernia repaired. This will be worse when taking a deep breath.
  • You may only eat soft foods such as liquids and oatmeal, cream of wheat, ice cream and scrambled eggs for the first week. You may only advance beyond this after you’ve seen Dr. Hansen 2 weeks after surgery. DON”T EAT BREAD OF ANY KIND.
  • Mild gas bloating occurs in a significant number of patients. It will resolve in time.
  • Remember, it takes at least 1-2 week for you to get most of your strength and energy back.
  • Make an office visit to talk to your doctor if the following symptoms don’t go away within a week after your surgery:
    • Fatigue
    • Pain around the incision
    • Diarrhea or constipation
    • Loss of appetite

Please schedule a postop visit with Dr. Hansen for about 2 weeks after surgery by calling (801) 523-6177 or 801-SURGERY.

When to Call Your Doctor

Call your doctor immediately if you have any of the following:

  • You cannot empty your bladder
  • Chills
  • Fever above 101.5°F or 38.5°C
  • Redness, swelling, increasing pain, pus, or a foul smell at the incision site
  • Increasing abdominal pain

**IN THE FIRST 3 WEEKS AFTER YOUR SURGERY, PLEASE CALL DR.HANSEN ON HIS CELL PHONE IF THERE IS ANY CONCERN FOR WHICH YOU ARE CONTEMPLATING GOING TO THE EMERGENCY DEPARTMENT OR URGENT CARE**

Dr. Hansen Cell 801-971-1469