Hawasli & Associates
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For Appointments586-774-8811

For Appointments586-774-8811

Bariatric Program586-771-7220

Bariatric Program586-771-7220

  • Abdelkader Hawasli, MD.

    Dr. Hawasli is board certified in general surgery since 1986. He is the director of Laparoscopic Surgery and the Minimally Invasive Surgery...

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    Abdelkader Hawasli, MD.
  • Ahmed Meguid, MD

    Dr. Meguid is board certified by the American Board of Surgery. He has done advanced training in Laparoscopic, robotic and minimally invasive surgery...

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    Ahmed Meguid, MD
  • John E. Boccaccio, MD

    John E. Boccaccio, M.D. is Board Certified with the ABMS Board of Surgery. Dr. Boccaccio graduated from Wayne State University and performed

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    John E. Boccaccio, MD
  • Donn Schroder, MD

    Dr. Donn Schroder is board certified in general surgery. He has practiced surgery for over 20 years and is experienced in the latest techniques.

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    Donn Schroder, MD

Lap Nissen Fundoplication

This surgery is performed under general anesthesia.

If a combination of lifestyle changes and drug therapy does not remedy reflux symptoms, a Nissen Fundoplication can be a very effective surgical procedure to correct reflux. This procedure involves wrapping the upper portion of the stomach around the base of the esophagus to reinforce the strength of the lower esophageal sphincter. Until recently, the procedure required a large abdominal incision. A hospital stay of 1-2 days was usually required, and the time to full recovery and return to work was measured in weeks.

A laparoscopic Nissen Fundoplication is a minimally invasive approach that involves specialized video equipment and instruments that allow a surgeon to perform the procedure through four tiny incisions, most of which are less than a half-centimetre in size. One advantage of this method is a brief hospitalization. Most of the time it will require an overnight stay. Other advantages include less pain (less of a need for pain medication), fewer and smaller scars, and a shorter recovery time.

Laparoscopic Nissen Fundoplication is a safe and effective treatment of GORD. However, in rare cases the laparoscopic approach is not possible because it becomes difficult to visualize or handle organs effectively. In such instances, the traditional incision may need to be made to safely complete the operation.