Obesity Surgery Royston

Mr John Fleischl - Specialist Bariatric Surgeon

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Other surgeries Mr John Fleischl performs

Laparoscopic Cholecystectomy

This is the surgical removal of the gallbladder. Despite the development of non-surgical techniques, it is the most common method for treating symptomatic gallstones, although there are other reasons for having this surgery done. A cholecystectomy is performed when attempts to treat gallstones with ultrasound to shatter the stones or medications to dissolve them have not proven feasible.

Laparoscopic Nissen Fundoplication

Gastro-oesophageal reflux disease (GORD) is a condition that occurs when stomach contents and acids back up into the esophagus. The symptoms associated with this condition include: heartburn (a burning sensation just below your neck or in the middle of your chest), difficulty swallowing, chronic coughing, clearing of the throat or wheezing, vomiting, discomfort reclining or lying down. Repeated reflux causes the esophageal lining to become inflamed. The lower esophageal sphincter (LES) can become weak and can no longer keep stomach acids down. In some cases, a hiatal hernia accompanies GORD.

If you have symptoms or complications from GORD, your physician may recommend that you undergo some lifestyle changes or drug therapy. If these do not improve your symptoms, it may be recommended that you undergo a laparoscopic Nissen Fundoplication.

A laparoscopic Nissen Fundoplication is a minimally invasive approach that involves specialized video equipment and instruments that allow a surgeon perform the procedure through four tiny incisions, most of which are less than a half-centimeter 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.

Laparoscopic Hernia repair

A hernia is a protrusion of a tissue, structure, or part of an organ through the muscular tissue or the membrane by which it is normally contained. The hernia has 3 parts: the orifice through which it herniates, the hernial sac, and its contents.

A hernia may be likened to a failure in the sidewall of a pneumatic tire. The tire's inner tube behaves like the organ and the sidewall like the body cavity wall providing the restraint. A weakness in the sidewall allows a bulge to develop, which can become a split, allowing the inner tube to protrude, and leading to the eventual failure of the tire.

Laparoscopic hernia repair is similar to other laparoscopic procedures. General anesthesia is given, and a small incision is made in or just below the navel. The abdomen is inflated with air so that the surgeon can see the abdominal organs.

A thin, lighted scope called a laparoscope is inserted through the incision. The instruments to repair the hernia are inserted through other small incisions in the lower abdomen. Mesh is then placed over the defect to reinforce the abdominal wall.


Mr John Fleischl   |   Other Surgery   |   Royston Hospital


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