What is hiatal hernia surgery?
A hiatal hernia occurs when part of the stomach rises up through an opening (called the hiatus) in the diaphragm. The diaphragm is a sheet of muscle located between the abdomen and the chest. The hiatal hernia operation involves pulling the stomach down into the abdomen and then reducing the size of the hiatal opening in the diaphragm.
Why is hiatal hernia surgery performed?
Surgery is required when a hiatal hernia does not respond to medications or lifestyle changes. Sometimes surgery is required for emergency cases. Surgery is also recommended if you have persistent symptoms, but do not wish to take long-term medication.
What does hiatal hernia surgery consist of?
The hiatal hernia operation is usually performed using a laparoscope, which is a type of non-invasive surgery. It involves a series of small abdominal cuts and the use of carbon dioxide to inflate a section of the abdomen. This allows the surgeon to work. The laparoscope has a small camera, which allows the surgeon to see inside your body while operating.
During this operation, the stomach is returned to its proper position, and the diaphragm around the esophagus is tightened to ensure that no acid comes back out of the stomach.
The operation is performed under general anesthesia to ensure that there is no pain. This type of surgery takes 1 to 2 hours to perform.
How to prepare for hiatal hernia surgery
Before the operation, the surgical specialist will probably want to perform tests to see how the esophagus moves and the amount of acid reflux that remains in a 24-hour period. Before the day of the operation, the surgeon will fully explain the procedure and what to expect about the operation, as well as the possible side effects. Possible side effects are:
- Bloating and flatulence
- Dysphagia (difficulty swallowing)
Postoperative care
Patients who have undergone hiatal hernia surgery can leave the hospital once the general anesthesia has worn off, usually after two to three days. Most patients are able to return to work three to six weeks after the operation.
It is also recommended that soft foods, such as soup or pureed vegetables, be eaten after the operation for the first six weeks.