{"id":18684,"date":"2022-02-02T10:03:57","date_gmt":"2022-02-02T15:03:57","guid":{"rendered":"https:\/\/cirugiadeobesidad.net\/unidad-laser-bariatrica\/venus-freeze-2-copy\/"},"modified":"2026-09-14T03:08:47","modified_gmt":"2026-09-14T08:08:47","slug":"laparoscopic-nissen-fundoplication","status":"publish","type":"page","link":"https:\/\/cirugiadeobesidad.net\/en\/unidad-laser-bariatrica\/nissen-laparoscopico\/","title":{"rendered":"Laparoscopic Nissen"},"content":{"rendered":"Day Surgery Unit\n\t\t\t\t\t\t<h1>Laparoscopic Nissen fundoplication<\/h1>\t\t\t\t\t\n\t\t\t<p>It is a minimally invasive procedure that reconstructs the anti-reflux barrier by repairing the oesophageal hiatus and performing a 360\u00ba fundoplication.<\/p>\t\t\n<a href=\"\/en\/contact\/#appointment\" target=\"_self\">Book an appointment<\/a>\n\t\t\tDay surgery\n\t\t\t\t\t\t<h2>Long-lasting relief from acid reflux<\/h2>\t\t\t\t\t\n\t\t\t<p>Nissen fundoplication reinforces the antireflux barrier at the oesophagogastric junction to prevent acid from returning to the stomach.<\/p>\t\t\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/07\/shield-1.svg\" alt=\"shield\" width=\"65\" height=\"67\" \/>\n\t\t\t\t\t\t<h2>Restore the anti-reflux barrier<\/h2>\t\t\t\t\t\n\t\t\t\t\t<p>It reinforces the valvular mechanism of the lower oesophageal sphincter and is associated with hiatal repair.<\/p>\t\t\t\t\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/07\/person.svg\" alt=\"person\" width=\"65\" height=\"67\" \/>\n\t\t\t\t\t\t<h2>Minimally invasive<\/h2>\t\t\t\t\t\n\t\t\t\t\t<p>It is performed laparoscopically with less post-operative pain and faster recovery.<\/p>\t\t\t\t\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/07\/house.svg\" alt=\"house\" width=\"65\" height=\"67\" \/>\n\t\t\t\t\t\t<h2>Outpatient recovery <\/h2>\t\t\t\t\t\n\t\t\t\t\t<p>The patient returns home the same day and soon resumes their usual activities.<\/p>\t\t\t\t\n\t<a href=\"\/en\/contact\/#appointment\" target=\"_self\">BOOK AN APPOINTMENT<\/a><a href=\"\/en\/contact\/\" target=\"_self\">CONTACT US<\/a>\n<figure itemscope itemtype=\"https:\/\/schema.org\/ImageObject\">\n\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/07\/nissen-laparoscopico-intro.jpg\" alt=\"laparoscopic Nissen fundoplication\" height=\"665\" width=\"803\" title=\"laparoscopic Nissen fundoplication\" onerror=\"this.style.display='none'\" loading=\"lazy\" \/>\n\t<\/figure>\n\t\t\tHOW DOES IT WORK?\n\t\t\t\t\t\t<h2>Fortalece la \u00abv\u00e1lvula\u00bb natural contra el reflujo<\/h2>\t\t\t\t\t\n\t\t\t<p>In Nissen fundoplication, the upper part of the stomach (fundus) is wrapped 360\u00b0 around the lower oesophagus to reinforce the oesophagogastric junction and reduce acid reflux.<\/p>\t\t\n<figure itemscope itemtype=\"https:\/\/schema.org\/ImageObject\">\n\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/07\/como-funciona.jpg\" alt=\"how it works\" height=\"461\" width=\"891\" title=\"how it works\" onerror=\"this.style.display='none'\" loading=\"lazy\" \/>\n\t<\/figure>\n\t\t\t01.\n\t\t\t\t\t\t<h2>Weakened sphincter<\/h2>\t\t\t\t\t\n\t\t\t<p>If the lower oesophageal sphincter does not close properly, acid can rise into the oesophagus and cause heartburn and reflux.<\/p>\t\t\n\t\t\t02.\n\t\t\t\t\t\t<h2>Fundoplication<\/h2>\t\t\t\t\t\n\t\t\t<p>\u00a0A complete wrap of the fundus is performed around the distal oesophagus to create a more effective anti-reflux barrier.<\/p>\t\t\n\t\t\t03.\n\t\t\t\t\t\t<h2>Heavy-duty valve<\/h2>\t\t\t\t\t\n\t\t\t<p>The wrap creates a more competent valve mechanism, which is associated with better reflux control.<\/p>\t\t\n\t\t\t04.\n\t\t\t\t\t\t<h2>Long-term control<\/h2>\t\t\t\t\t\n\t\t\t<p>Most achieve significant improvement in acidity and reflux, stopping anti-reflux medication.<\/p>\t\t\n\t\t\tPreoperative assessment\n\t\t\t\t\t\t<h2>We assessed your condition before surgery.<\/h2>\t\t\t\t\t\n\t\t\t<p>Before surgery, various diagnostic tests are carried out to confirm the diagnosis, evaluate the function of the oesophagus and determine whether laparoscopic Nissen fundoplication is the most appropriate treatment for you.<\/p>\t\t\n<figure itemscope itemtype=\"https:\/\/schema.org\/ImageObject\">\n\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/07\/consultation.jpg\" alt=\"consultation\" height=\"329\" width=\"690\" title=\"consultation\" onerror=\"this.style.display='none'\" loading=\"lazy\" \/>\n\t<\/figure>\n\t\t\t\t\t\t<h3>Upper gastrointestinal endoscopy<\/h3>\t\t\t\t\t\n\t\t\t<p>It allows the evaluation of the oesophagus and stomach, detecting inflammation, Barrett's oesophagus and hiatus hernia.<\/p>\t\t\n\t\t\t\t\t\t<h3>24-hour pH monitoring<\/h3>\t\t\t\t\t\n\t\t\t<p>It measures 24-hour acid exposure to confirm gastro-oesophageal reflux disease (GORD).<\/p>\t\t\n\t\t\t\t\t\t<h3>Oesophageal manometry<\/h3>\t\t\t\t\t\n\t\t\t<p>Evaluate the function of the oesophagus and the lower oesophageal sphincter before surgery.<\/p>\t\t\n\t\t\t\t\t\t<h3>barium swallow<\/h3>\t\t\t\t\t\n\t\t\t<p>Provide images of the oesophagus and help to identify anatomical abnormalities.<\/p>\t\t\n\t\t\t\t\t\t<h3>Abdominal ultrasound<\/h3>\t\t\t\t\t\n\t\t\t<p>Collagen production continues for up to three months after the treatment.<\/p>\t\t\n<figure itemscope itemtype=\"https:\/\/schema.org\/ImageObject\">\n\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/07\/chatballoon-outline.svg\" alt=\"speech bubble outline\" height=\"85\" width=\"85\" title=\"speech bubble outline\" onerror=\"this.style.display='none'\" loading=\"lazy\" \/>\n\t<\/figure>\n<h2>\n\t\t\tReady to take the next step?\t<\/h2>\n\t<p>Speak with our bariatric surgery specialists.<\/p>\n\t<a href=\"\/en\/contact\/\" target=\"_self\">CONTACT<\/a><a href=\"\/en\/contact\/#appointment\" target=\"_self\">BOOK AN APPOINTMENT<\/a>\n\t\t\tDay Surgery Unit\n\t\t\t\t\t\t<h2>Advanced surgery. Return home the same day.<\/h2>\t\t\t\t\t\n\t\t\t<p>Dr Dick Manrique is one of the pioneers of major outpatient surgery in Peru. Thanks to minimally invasive techniques and advanced recovery protocols, many patients are able to return home a few hours after surgery, with a faster recovery and lower costs.<\/p>\t\t\n<figure itemscope itemtype=\"https:\/\/schema.org\/ImageObject\">\n\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/07\/outpatient-procedure.jpg\" alt=\"outpatient procedure\" height=\"405\" width=\"872\" title=\"outpatient procedure\" onerror=\"this.style.display='none'\" loading=\"lazy\" \/>\n\t<\/figure>\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/07\/time.svg\" alt=\"time\" width=\"55\" height=\"56\" \/>\n\t\t\t\t\t\t<h2>Same-day discharge<\/h2>\t\t\t\t\t\n\t\t\t<p>Most patients return home a few hours after surgery, with no need for an overnight stay in hospital.<\/p>\t\t\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/07\/shield-1.svg\" alt=\"shield\" width=\"65\" height=\"67\" \/>\n\t\t\t\t\t\t<h2>Lower risk of infection<\/h2>\t\t\t\t\t\n\t\t\t<p>A shorter hospital stay reduces exposure to infections and promotes a safer recovery.<\/p>\t\t\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/07\/money.svg\" alt=\"money\" width=\"55\" height=\"56\" \/>\n\t\t\t\t\t\t<h2>Lower costs<\/h2>\t\t\t\t\t\n\t\t\t<p>Day surgery reduces hospitalisation costs whilst maintaining high standards of safety and quality.<\/p>\t\t\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/07\/house.svg\" alt=\"house\" width=\"65\" height=\"67\" \/>\n\t\t\t\t\t\t<h2>Recover at home<\/h2>\t\t\t\t\t\n\t\t\t<p>Recover comfortably at home with personalised monitoring from our team.<\/p>\t\t\n<figure itemscope itemtype=\"https:\/\/schema.org\/ImageObject\">\n\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/07\/Cirugia-Mayor-Ambulantoria.png\" alt=\"Day surgery\" height=\"681\" width=\"533\" title=\"Day surgery\" onerror=\"this.style.display='none'\" loading=\"lazy\" \/>\n\t<\/figure>\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/07\/famicons_ribbon-sharp.svg\" alt=\"ion-ribbon-sharp\" width=\"40\" height=\"40\" \/>\n\t\t\t\t\t\t<h2>PIONEER IN DAY-CASE MAJOR SURGERY<\/h2>\t\t\t\t\t\n\t\t\t<p>Dr. Dick Manrique introduced major outpatient surgery in Peru and is co-author of the book <strong>Day-case Surgery: Experiences for Latin America<\/strong>, alongside<strong> Dr John Henry Moore Perea, MD<\/strong>.\u2028Su trabajo ha contribuido al desarrollo de la cirug\u00eda ambulatoria moderna en toda Latinoam\u00e9rica.\u2028D\u00e9cadas de innovaci\u00f3n. Un legado de cirug\u00eda m\u00e1s segura<\/p>\t\t\n\t\t\tComprehensive Care\n\t\t\t\t\t\t<h2>Weight loss and post-bariatric care<\/h2>\t\t\t\t\t\n\t\t\t<p>Dr Dick Manrique and his team offer bariatric procedures, long-term follow-up and body contouring options, with a personalised plan to sustain your progress over time.<\/p>\t\t\n<figure itemscope itemtype=\"https:\/\/schema.org\/ImageObject\">\n\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/07\/9c6a15a8-4b8e-4b03-8bef-2b7b206b1f35-4-2.jpg\" alt=\"9c6a15a8-4b8e-4b03-8bef-2b7b206b1f35 4\" height=\"329\" width=\"648\" title=\"9c6a15a8-4b8e-4b03-8bef-2b7b206b1f35 4\" onerror=\"this.style.display='none'\" loading=\"lazy\" \/>\n\t<\/figure>\n<h3>\n\t\t\tBariatric procedures\t<\/h3>\n\t<p>Bariatric options tailored to your health and weight loss goals<\/p>\n    <ul>\n        <li>\n            <a href=\"https:\/\/cirugiadeobesidad.net\/en\/procedures\/gastric-bypass\/\">\n                Gastric Bypass\n            <\/a>\n        <\/li>\n        <li>\n            <a href=\"\/en\/procedures\/gastric-sleeve\/\">\n                Gastric sleeve\n            <\/a>\n        <\/li>\n        <li>\n            <a href=\"\/en\/procedures\/gastric-band\/\">\n                Gastric band\n            <\/a>\n        <\/li>\n        <li>\n            <a href=\"\/en\/procedures\/gastric-balloon\/\">\n                Intragastric balloon\n            <\/a>\n        <\/li>\n        <li>\n            <a href=\"\/en\/procedures\/type-2-diabetes-surgery\/\">\n                Type 2 Diabetes Surgery\n            <\/a>\n        <\/li>\n        <li>\n            <a href=\"\/en\/procedures\/revision-surgery\/\">\n                Revision Surgery\n            <\/a>\n        <\/li>\n    <\/ul>\n<figure itemscope itemtype=\"https:\/\/schema.org\/ImageObject\">\n\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/07\/9c6a15a8-4b8e-4b03-8bef-2b7b206b1f35-4.jpg\" alt=\"9c6a15a8-4b8e-4b03-8bef-2b7b206b1f35 4\" height=\"305\" width=\"597\" title=\"9c6a15a8-4b8e-4b03-8bef-2b7b206b1f35 4\" onerror=\"this.style.display='none'\" loading=\"lazy\" \/>\n\t<\/figure>\n<h3>\n\t\t\tBariatric Support\t<\/h3>\n\t<p>Nutrition, psychological support and long-term follow-up<\/p>\n    <ul>\n        <li>\n            <a href=\"\/en\/bariatric-support\/bariatric-control\/\">\n                Bariatric Control\n            <\/a>\n        <\/li>\n        <li>\n            <a href=\"\/en\/bariatric-support\/nutritional-monitoring\/\">\n                Nutritional Control\n            <\/a>\n        <\/li>\n        <li>\n            <a href=\"\/en\/bariatric-support\/psychological-control\/\">\n                Psychological Control\n            <\/a>\n        <\/li>\n        <li>\n            <a href=\"\/en\/bariatric-support\/endoscopic-follow-up\/\">\n                Endoscopic Control\n            <\/a>\n        <\/li>\n        <li>\n            <a href=\"\/en\/bariatric-support\/weight-loss-medication\/\">\n               Obesity medication \n            <\/a>\n        <\/li>\n    <\/ul>\n<figure itemscope itemtype=\"https:\/\/schema.org\/ImageObject\">\n\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/07\/Bariatric-Laser-Unit-s_tattoo.jpg\" alt=\"Bariatric Laser Unit s_tattoo\" height=\"308\" width=\"597\" title=\"Bariatric Laser Unit s_tattoo\" onerror=\"this.style.display='none'\" loading=\"lazy\" \/>\n\t<\/figure>\n<h3>\n\t\t\tBariatric Laser Unit\t<\/h3>\n\t<p>Body contouring treatments to support your post-bariatric recovery<\/p>\n    <ul>\n        <li>\n            <a href=\"\/en\/bariatric-laser-unit\/gynelase\/\">\n                Stress urinary incontinence\n            <\/a>\n        <\/li>\n        <li>\n            <a href=\"\/en\/bariatric-laser-unit\/gynelase\/\">\n                Vaginal rejuvenation\n            <\/a>\n        <\/li>\n        <li>\n            <a href=\"\/en\/bariatric-laser-unit\/emslim\/\">\n                Increase your muscle mass\n            <\/a>\n        <\/li>\n        <li>\n            <a href=\"\/en\/bariatric-laser-unit\/verjuice\/\">\n                Body contouring\n            <\/a>\n        <\/li>\n        <li>\n            <a href=\"\/en\/bariatric-laser-unit\/venus-velocity\/\">\n                Permanent hair removal\n            <\/a>\n        <\/li>\n    <\/ul>\n        <ul>\n            <li>\n                <a href=\"\/en\/bariatric-laser-unit\/venus-freeze\/\">\n                    Sagging\n                <\/a>\n            <\/li>\n            <li>\n                <a href=\"\/en\/bariatric-laser-unit\/verjuice\/\">\n                    Body contouring and cellulite\n                <\/a>\n            <\/li>\n            <li>\n                <a href=\"\/en\/bariatric-laser-unit\/laparoscopic-nissen-fundoplication\/\">\n                    Gastro-oesophageal reflux\n                <\/a>\n            <\/li>\n            <li>\n                <a href=\"\/en\/bariatric-laser-unit\/laparoscopic-cholecystectomy\/\">\n                    Gallstones\n                <\/a>\n            <\/li>\n            <li>\n                <a href=\"\/en\/bariatric-laser-unit\/ligasure-haemorrhoidectomy\/\">\n                    Hemorrhoidectomy with LigaSure\u00ae\n                <\/a>\n            <\/li>\n            <li>\n                <a href=\"\/en\/bariatric-laser-unit\/laser-haemorrhoidectomy\/\">\n                    Laser haemorrhoidectomy\n                <\/a>\n            <\/li>\n        <\/ul>\n    <button\n        type=\"button\"\n        aria-expanded=\"false\">\n            View all treatments\n    <\/button>\n<figure itemscope itemtype=\"https:\/\/schema.org\/ImageObject\">\n\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/07\/chatballoon-outline.svg\" alt=\"speech bubble outline\" height=\"85\" width=\"85\" title=\"speech bubble outline\" onerror=\"this.style.display='none'\" loading=\"lazy\" \/>\n\t<\/figure>\n<h2>\n\t\t\tWhat treatment is ideal for you?\t<\/h2>\n\t<p>Our specialists are at your disposal to evaluate the best options according to your needs and long-term health goals.<\/p>\n<a href=\"\/en\/contact\/#appointment\" target=\"_self\">BOOK AN APPOINTMENT<\/a>\n\t<p>We are here to help you take the next step.<\/p>\n\t\t\tOur modern facilities\n\t\t\t\t\t\t<h2>Designed for your comfort<\/h2>\t\t\t\t\t\n\t\t\t<p>Every detail of our spaces has been carefully designed to offer you a private, modern and completely tranquil experience from start to finish.<\/p>\t\t\n<a href=\"\/en\/contact\/#appointment\" target=\"_self\">Take a tour of our facilities<\/a>","protected":false},"excerpt":{"rendered":"<p>UNIDAD DE CIRUG\u00cdA MAYOR AMBULATORIA Cirug\u00eda de Nissen laparosc\u00f3pica Es un procedimiento m\u00ednimamente invasivo que reconstruye la barrera antirreflujo al reparar el hiato esof\u00e1gico y realizar una fundoplicatura de 360\u00ba. Agende una cita CIRUG\u00cdA MAYOR AMBULATORIA Alivio duradero del reflujo La fundoplicatura de Nissen refuerza la barrera antirreflujo en la uni\u00f3n es\u00f3fago-g\u00e1strica para evitar que&hellip;<\/p>","protected":false},"author":11,"featured_media":23181,"parent":8750,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"inline_featured_image":false,"footnotes":""},"class_list":["post-18684","page","type-page","status-publish","has-post-thumbnail","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Nissen Laparosc\u00f3pico - Dr. Dick Manrique<\/title>\n<meta name=\"description\" content=\"El Dr. Dick Manrique Mansilla MD, FASMBS es un destacado Cirujano Bariatra, fundador y actual Director M\u00e9dico del Centro de Cirug\u00eda de Obesidad de Lima, prestigiosa instituci\u00f3n donde se realizan procedimientos de Bypass G\u00e1strico, Manga G\u00e1strica, Banda G\u00e1strica, Bal\u00f3n G\u00e1strico y Cirug\u00eda Metab\u00f3lica.El Centro de Cirug\u00eda de Obesidad de Lima se encuentra ubicado en el distrito de San Isidro y cuenta con la \u00fanica Unidad L\u00e1ser Post-Bari\u00e1trica de Am\u00e9rica Latina, donde se realizan una amplia gama de procedimientos l\u00e1ser de \u00faltimas generaciones destinadas a la recuperaci\u00f3n del paciente post-bari\u00e1trico.El Dr. Dick Manrique es Jefe de la Unidad de Cirug\u00eda Bari\u00e1trica y Metab\u00f3lica de la Cl\u00ednica Oncosalud, Lima - 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