Professor Amir Nisar's Expertise in Anti Reflux Surgery
Historic Background
Professor Amir’s love for antireflux surgery started in 1994 after having attended a course in the Royal College of Surgeons in England, United Kingdom, and assisting Professor Robin Kennedy in Somerset. He reckons this as one of the most intricate operations in Laparoscopic surgery and places its significance above every other operation in General and Laparoscopic surgery.
Its surgery, science and art all combined in one, where the surgeon readjusts the anatomy to get better physiology (function).
It is paramount to have in-depth knowledge, training, experience, and a specialist interest in this area to achieve consistently good results.
Extensive Experience in Laparoscopic Nissen Fundoplication Surgery
Having performed nearly 3000 operations over the last 25 years, Professor Nisar still finds the subtle variations in every case as mesmerizing as the surgery he performed in the last millennium. Surgery does not get more beautiful and artistic than a Laparoscopic Nissen’s Fundoplication.
Professor Amir Nisar has worked in tertiary referral centers dealing with such operations in straight forward and complex cases of reflux for more than 24 years. He learned, gained experience, and later independently dealt with complex cases referred from the other hospitals.
Participation in National Trial
Anti-Reflux Surgery Trial was conducted in the United Kingdom to assess the safety of Laparoscopic Anti-Reflux surgery in the late 90s. This is the largest trial of this nature to be conducted anywhere. Only very few surgeons from the United Kingdom with excellent experience, track record, and good results were chosen to perform surgery on this trial. Professor Nisar was one of the surgeons selected from the country to operate in this elite group; he made a substantial and excellent contribution to trial.
International Teaching and Training of Anti Reflux Surgery
Professor Nisar has run live surgery workshops and courses in Europe and Asia to teach senior surgeons to perform antireflux surgery safely in their practice. He also provides advice to the surgeons who are already performing this operation.
Professor Nisar has trained surgeons in the United Kingdom and mentored them to set up Anti Reflux surgery in their centers, safely.
The strength of Professor Nisar’s experience is not just because of his years of experience and the number of surgeries; the greatest understanding of the subject and technique comes from being a faculty on international scenes. Operating head to head with the best surgeons in the world has allowed him exposure to their techniques and learn and understand the best practices.
World’s 1st Day Case Anti Reflux Surgery
Professor Michael Bailey and Professor Amir Nisar are the first two surgeons in the world to perform Laparoscopic Nissen’s Fundoplication as a day case in Royal Surrey County Hospital, Guildford, England United Kingdom.
Patients had their surgery done, recovered, and discharged on the day of the surgery. The outcomes were presented internationally in 2002, and this is a standard practice followed by many globally.
Patient’s Assessment
Professor Amir considers himself as a keen student of Gastro-Oesophageal Reflux disease and its management. His expertise really comes into its own on the assessments, identifying the causative issues and performance of corrective surgery for patients who might have had surgery elsewhere and have any problems after the surgery. He has done it successfully over the years in the tertiary referral centers in the United Kingdom and the United Arab Emirates.
He strongly believes that its best to get it right the first time.
Professor Amir Nisar’s World’s First innovations in Anti Reflux Surgery
| Innovation | Benefits | ||
| Amir’s MiniScarLess (MSL) Laparoscopic Nissen’s Fundoplication | World’s First | Minimal Scars, Less pain and quick recovery | Excellent and enhanced results as offered by Amir’s modified laparoscopic Nissen’s Fundoplication & Standard laparoscopic Nissen’s Fundoplication |
| Amir’s modified Laparoscopic Nissen’s Fundoplication | World’s First | A Series of 36 crucial steps to improve the outcomes the longevity of the standard laparoscopic Nissen’s Fundoplcation. | Excellent outcomes and results over and above the standard laparoscopic Nissen’s Fundoplication. Great long term results are expected in majority of the cases after Amir’s Modified Laparoscopic Nissen’s Fundoplication. |
| Amir’s three 5 mm ports technique | World’s First | A bespoke technique, tailored for athletes and contact sports, enthusiasts and champions. | Quick recovery. Less post operative pain. No issues with full contact and lifting heavy weight |
|
Amir’s Dubai Repair (ADR) after sleeve gastrectomy, bypass operation, mini gastric bypass and stomach surgery |
World’s First | This is the least invasive, safest, least complicated and the most effective approach to cure heartburn in patients after weightloss surgery. | It effectively controls reflux after weightloss surgery. It improves the quality of life better than any other operation. Stops the need of PPI treatment for heartburn. In most cases it helps the patients to further lose weight. |
Professor Amir Nisar's more innovations in Anti Reflux Surgery
| Innovation | Benefits | ||
| Amir’s Hammock Suture for liver retraction | One Less Port / Cut / Scar on the Skin | Gentle Liver Retraction causing less post operative pain & Preventing deranged liver function after standard surgery | Quicker recovery with less Post Operative Pain |
| Amir’s wing flap | Allowing appreciation of anatomical tissue plains | Preservation of perimyseum of right and left crurae, allowing better stronger and effective cruroplasty | Improving results with better longevity of the operation due to reduction of reccurence of hiatus hernia. It enhances the diaphragms strength. |
| Amir’s saddle support | This is the combination of three precise steps during surgery which supports the wrap around the esophagus | This prevents wrap’s downward slippage, which is a common cause of failure of the wrap resulting in dysphagia(difficulty in swallowing) or recurrent reflux. | Amir’s saddle support concept offers improved and excellent long term results by preventing the wrap slippage, which is a common phenomenon generally poorly understood by many of the surgeons offering anti reflux surgery. |
| Amir’s Cruroplasty | Amir’s Cruroplasty incorporates 7 fundamental steps to repair the hiatus. Each step is crucial in maintaining the longevity of the hiatus hernia repair | This approach is paramount in preventing reflux after surgery. These are also important steps in prevention of recurrence of the hiatus hernia. These help in avoiding wrap slippage into the hiatus or the chest. | Amir’s cruroplasty protocol is essential in preventing wrap migration, recurrence of reflux and recurrence of hiatus hernia. |
| Amir’s Diamond fixation of the wrap | This “belt and bracing” protocol of securing the wrap maintains the position and the integrity of the wrap in long term. | This prevents both the wrap slippage and wrap migration, thus helping to prevent dysphagia(difficulty in swallowing) & recurrent reflux. | Professor Amir Nisar has noted a great improvement in his overall results in terms of the durability of the operation and excellent results over the last 21 years since adopting “Amir’s Diamond fixation of the wrap” in his standard surgery. |
Amir's MiniScarLess (MSL) Laparoscopic Nissen's Fundoplication
In our opinion this is the new Gold Standard for heartburn surgery and offers the best cosmetic results, quickest and relatively pain free recovery.
The accumulative length of the incisions in MiniScarLess operation is 1.6cm (16mm or 0.6 Inch) .
In Amir’s MiniScarLess (MSL) Laparoscopic Nissen’s Fundoplcation is the surgery inside is the same as the Laparoscopic Nissen’s Fundoplication and Amir’s Modified Laparoscopic Nissen’s Fundoplication, which are also minimal invasive operations for heartburn. In Laparoscopic MiniScarLess (MSL) Nissen’s Fundoplcation the accumulative incision length is 1.6 cm instead of standard 3.5 cms.
Amir’s MiniScarLess (MSL) laparoscopic Nissen’s Fundoplcation offers the best cosmetic results, least post operative pain, quicker recovery, and no risk of post operative port side hernia: Hence The New Gold Standard.
Comparison of Incision lengths
Open / Laparoscopic Nissen’s / three 5mm port/ Amir’s MSL Fundoplication
|
Amir’s Laparoscopic MiniScarLess (MSL) Nissen’s Fundoplication |
1.6cm |
16mm |
0.6 inch |
|
Three 5mm Port Laparoscopic Nissen’s Fundoplication |
1.5cm |
15mm |
0.6 inches |
|
Standard Laparoscopic Nissen’s Fundoplication |
3.5cm |
35mm |
1.4 inches |
|
Open Nissen’s Fundoplication |
20cm |
200mm |
8 inches |