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Hiatal hernia repair - series

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

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...

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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. 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...

Read More

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

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...

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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 (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...

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Review Date: 3/26/2019

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

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., a business unit of Ebix, Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

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