Hiatus Hernia Surgery

What is Hiatus Hernia Surgery?

A hiatal hernia results from bulging of the stomach through the large muscles that separate the abdomen and chest (diaphragm). The small opening of the diagram is called a hiatus, and a food tube passes through hiatus before linking to the stomach. Through that opening, the stomach pushes up into the chest.

A small hiatal hernia is not a problem. Still, a large can allow the acid and food to enter into the esophagus, causing heartburn, and can be treated by medicines. Still, a substantial hiatal hernia needs surgery.

Cause and symptoms of Hiatus Hernia

The symptoms of larger Hiatal hernias are heartburn, backflow of acid, difficulty in swallowing, chest and abdominal pain, shortness of breath, regurgitation of food, hematemesis, etc.

It occurs when the muscles of the esophagus get weak, allowing for bulging the stomach up. I can age-related, injury to any particular area, continuous pressure on the surrounding muscles while coughing, straining during a bowel movement, etc. A large hiatus might be present at the time of birth. People who are obese and more than 50 years are more suspected of having this disease.

Medications

If you face heartburn and acid reflux, your doctor may recommend an antacid to neutralize the stomach acid like Rolaids, etc. 

He might prescribe medicines like H-2 receptor blockers that reduce acid productions. He might also give proton pump inhibitors that are more potent acid blockers. 

How is a Hiatus Hernia surgery performed?

The hiatal surgeries are as follows; open repairs, laparoscopic repairs, and endoluminal fundoplication. They are done under general anesthesia, and all of them take about 2 to 3 hours to complete.

Open repair

This is an invasive procedure than laparoscopic repair. During this, the surgeon will make one large incision in the abdomen. He will then pull the stomach into its previous place wrap it around the lower part of the esophagus to create a snugger sphincter. Sometimes the doctor may also insert a tube into the stomach to keep it in place, and the tube will be removed within four weeks.

Laparoscopic repair

The laparoscopic repair procedure is a less invasive procedure offering quick recovery with less chance of infection. The surgeon will make about 3 to 5 small incisions in the abdomen to insert the surgical instruments. The laparoscope transmits images of the internal organs to the monitor, and the doctor will pull the stomach back into its abdominal pace. Then he will wrap the upper portion of the stomach around the esophagus lower portion, which tightened a sphincter to prevent the reflux.

Endoluminal fundoplication

Endoluminal fundoplication is a relatively newer technique and involves the least invasion, or even no incision is made. The surgeon will then insert an endoscope through the mouth into the esophagus with a lighted camera. By this, he will place small clips at the place where the stomach meets the esophagus. These clips help to prevent acid and food reflux.

Recovery:

Patients are able to walk after some hours after hernia surgery. Generally, there aren’t any dietary restrictions. You can continue the regular activities within a week, but for a complete recovery, you have to wait for about 2 or 3 weeks, and during that time, avoid hard labor and heavy lifting.