Laparoscopic Hiatal Hernia Repair

A hiatal hernia occurs when a part of the stomach protrudes through the diaphragm and into the chest. The diaphragm is a sheet of muscle that separates the abdomen from the chest.

The hernia protrudes through the diaphragm at a place called the hiatus. This is the opening in the diaphragm through which the esophagus passes. The esophagus is the tube that connects the throat to the stomach.

There are three main types of hiatus hernias: sliding, para esophageal and mixed. Most people who have a hiatal hernia have a sliding hiatal hernia.

Laparoscopic Hiatus Hernia Repair with Laparoscopic Nissens Fundoplication (Hiatus Hernia with Gastroesophageal reflux Disease)

A laparoscopic fundoplication is a keyhole procedure to relieve chronic heartburn caused by acid travelling the wrong way into the oesophagus when acid reflux is not controlled by medication & lifestyle changes. This disease is also called Hiatus Hernia with Gastroesophageal reflux. Heartburn is burning feeling that starts from in the middle chest and moves upwards towards neck & throat. In Hiatus Hernia when part of stomach slides into chest cavity causes acid reflux.

Dr Ashish Gautam has done hundreds of successful procedures of Laparoscopic Hiatus Hernia repairs with laparoscopic Nissens Fundoplication.

In this procedure with the help of Laparoscopy(key hole surgery) the gastroesophageal junction is dissected , the hiatus hernia is repaired with sutures/ mesh depending on the size of the defect in the crura followed by a wrap at the top end of the stomach around the bottom of the oesophagus to form a new valve thus preventing the reflux.

Advantages:

• One hour procedure
• 2 Days of Hospitalisation
• No long term medication
• Excellent results
• Return to work in 3-4 days time