Hiatal hernia repair

Hiatal hernia repair - series

The esophagus runs through the diaphragm to the stomach. It functions to carry food from the mouth to the stomach. The esophagus passes through the diaphragm just before it meets the stomach, through an opening called the esophageal hiatus.

Hiatal hernia repair - series

The esophagus runs through the diaphragm to the stomach. It functions to carry food from the mouth to the stomach. The esophagus passes through the d...

Indications

When the opening (hiatus) in the muscle between the abdomen and chest (diaphragm) is too large, some of the stomach can slip up into the chest cavity. This can cause heartburn (gastro-esophageal reflux; GER) as gastric acid backflows from the stomach into the esophagus. Hiatal hernia repair is surgery to repair a bulging of stomach tissue through the muscle between the abdomen and chest (diaphragm) into the chest (hiatal hernia). 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), chronic inflammation of the lungs (pneumonia) from frequent breathing in (aspiration) of gastric fluids.

Hiatal hernia repair - series

Indications

When the opening (hiatus) in the muscle between the abdomen and chest (diaphragm) is too large, some of the stomach can slip up into the chest cavity...

Incision

While the patient is deep asleep and pain-free (general anesthesia), an incision is made in the abdomen.

Hiatal hernia repair - series

Incision

While the patient is deep asleep and pain-free (general anesthesia), an incision is made in the abdomen.

Hiatal hernia repair - series

Procedure

The stomach and lower esophagus are placed back into the abdominal cavity. The opening in the diaphragm (hiatus) is tightened and the stomach is stitched in position to prevent reflux. The upper part of the stomach (fundus) may be wrapped around the esophagus (fundoplication) to reduce reflux.

Hiatal hernia repair - series

Procedure

The stomach and lower esophagus are placed back into the abdominal cavity. The opening in the diaphragm (hiatus) is tightened and the stomach is stit...

Aftercare

Patients may need to spend 3 to 10 days in the hospital after surgery. A tube will be placed into the stomach through the nose and throat (nasogastric tube) during surgery and may remain for a few days. Small, frequent feedings are recommended.

Hiatal hernia repair - series

Aftercare

Patients may need to spend 3 to 10 days in the hospital after surgery. A tube will be placed into the stomach through the nose and throat (nasogastri...

Review Date: 5/2/2023

Reviewed By: Michael M. Phillips, MD, Emeritus Professor of Medicine, The George Washington University School of Medicine, Washington, DC. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

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<strong>Hiatal hernia repair - series</strong><p>The esophagus runs through the diaphragm to the stomach. It functions to carry food from the mouth to the stomach. The esophagus passes through the diaphragm just before it meets the stomach, through an opening called the esophageal hiatus.</p>

<strong>Indications</strong><p>When the opening (hiatus) in the muscle between the abdomen and chest (diaphragm) is too large, some of the stomach can slip up into the chest cavity. This can cause heartburn (gastro-esophageal reflux; GER) as gastric acid backflows from the stomach into the esophagus. Hiatal hernia repair is surgery to repair a bulging of stomach tissue through the muscle between the abdomen and chest (diaphragm) into the chest (hiatal hernia). 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), chronic inflammation of the lungs (pneumonia) from frequent breathing in (aspiration) of gastric fluids.</p>

<strong>Incision</strong><p>While the patient is deep asleep and pain-free (general anesthesia), an incision is made in the abdomen. </p>

<strong>Procedure</strong><p>The stomach and lower esophagus are placed back into the abdominal cavity. The opening in the diaphragm (hiatus) is tightened and the stomach is stitched in position to prevent reflux. The upper part of the stomach (fundus) may be wrapped around the esophagus (fundoplication) to reduce reflux.</p>

<strong>Aftercare</strong><p>Patients may need to spend 3 to 10 days in the hospital after surgery. A tube will be placed into the stomach through the nose and throat (nasogastric tube) during surgery and may remain for a few days. Small, frequent feedings are recommended. </p>

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Hiatal hernia repair - series

Hiatal hernia repair - series

Hiatal hernia repair - series

Hiatal hernia repair - series

Hiatal hernia repair - series

Indications

Hiatal hernia repair - series

Indications

Hiatal hernia repair - series

Incision

Hiatal hernia repair - series

Incision

Hiatal hernia repair - series

Procedure

Hiatal hernia repair - series

Procedure

Hiatal hernia repair - series

Aftercare

Hiatal hernia repair - series

Aftercare

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