What procedure is completed to correct a hiatal hernia?
The specific laparoscopic procedure used to repair a hiatal hernia is called the Nissen fundoplication. This procedure creates a permanent solution to your hiatal hernia symptoms. During the procedure, your surgeon will make five or six tiny incisions in the abdomen.
What is Stage 4 hiatal hernia?
Type IV hiatal hernias are characterized by herniation of the stomach along with associated viscera such as the spleen, colon, small bowel, and pancreas through the esophageal hiatus. They are relatively rare, representing only about 5%–7% of all hernias, and can be associated with severe complications.
What are indications for hiatal hernia surgery?
Hiatal hernia repair may be recommended when the patient has: Severe heartburn. Severe inflammation of the esophagus from the backflow of gastric fluid (reflux) Narrowing of the opening (hiatus) through the diaphragm (esophageal stricture)
What is a stage 3 hiatal hernia?
Types III and IV constitute approximately 5% of all hiatal hernias . Type III represents a mixed type in which the abdominal esophagus as well as the gastric cardia and fundus protrude into the thorax through pathologically widened esophageal hiatus.
How does a Nissen fundoplication work?
Laparoscopic anti-reflux surgery for GERD may involve a procedure to reinforce the lower esophageal sphincter, called Nissen fundoplication. In this procedure, the surgeon wraps the top of the stomach around the lower esophagus after reducing the hiatal hernia, if present.
How long does it take to recover from a Nissen fundoplication?
A laparoscopic Nissen fundoplication may require hospital stay of two days. Most people are able to resume normal activities after two or three weeks. The patient may have to be on a soft food or liquid diet until the esophagus heals, and avoid heavy lifting and strenuous activities.
When is surgery recommended for hiatal hernia?
Surgery. Sometimes a hiatal hernia requires surgery. Surgery is generally used for people who aren’t helped by medications to relieve heartburn and acid reflux, or have complications such as severe inflammation or narrowing of the esophagus.
What percentage of hiatal hernia needs surgery?
Though many patients had persistent symptoms at 10 years of follow-up, researchers discovered that only 1.5% of patients ultimately underwent elective surgery for their hiatal hernia.
What is a necessary step of hiatal hernia repair?
A necessary step of hiatal hernia repair is to return the gastroesophageal junction to an infradiaphragmatic position ( +++, strong) At the completion of the hiatal repair, the intra-abdominal esophagus should measure at least 2 – 3cm in length to decrease the chance of recurrence ( ++, weak ).
What is hiatal hernia surgery?
Hiatal hernia surgery (also known as “hiatal hernia repair”) is a procedure that treats hiatal hernia, a condition in which the stomach pushes into the chest cavity. 1 This occurs due to weakness in the diaphragm, a thin band of muscle that keeps the abdomen and chest cavity separate.
What is the indication for surgery for a sliding hiatal hernia?
Indications for Surgery. In patients with proven gastroesophageal reflux disease, with or without a sliding hiatal hernia, antireflux surgery is an option for the management of their condition 33, 34. The indication for repair of a sliding (Type I) hiatal hernia is gastroesophageal reflux disease.
When is laparoscopic adjustable banding indicated in the treatment of hiatal hernia?
63. Frezza EE, Barton A, Wachtel MS (2008) Crural repair permits morbidly obese patients with not large hiatal hernia to choose laparoscopic adjustable banding as a bariatric surgical treatment. Obes Surg 18:583-588