Other Procedures

Overview AND Procedure

Hiatal Hernias and Acid Reflux Disease (GERD)

Description: Surgery for hiatal hernias and acid reflux disease (gastroesophageal reflux disease or GERD) is typically performed to correct hernias and alleviate symptoms that continue despite medication or lifestyle changes. The most common surgical procedures includes laparoscopic fundoplication with hiatal hernia repair.
How the Procedure Works:
Fundoplication:
  1. Preparation: Patients are often required to fast for several hours prior to surgery.
  2. AnesthesiaGeneral anesthesia is administered to ensure comfort during the procedure.
  3. Surgical Access: The surgeon performs the procedure laparoscopically (minimally invasive) or via open surgery, depending on individual cases.
  4. Hiatal Hernia Repair: The surgeon repositions the stomach back into the abdomen and tightens the diaphragm opening (the hiatal space).
  5. Fundoplication: The upper portion of the stomach is wrapped around the lower esophagus, strengthening the lower esophageal sphincter to reduce acid reflux.
  6. Completion: Incisions are closed, and the patient is monitored during recovery.
Advantages
  • Symptom Relief: Patients experience significant relief from GERD symptoms, like heartburnregurgitation and difficulty swallowing.
  • Reduction of Medication: Surgery eliminates the need for long-term medications to manage acid reflux.
  • Long-Lasting Results: Fundoplication has a high success rate and can serve as a long-term solution for reflux issues.
  • Minimally Invasive: Laparoscopic techniques typically involve smaller incisions, leading to quicker recovery and reduced postoperative pain.

Possible Risks/Cons

  • Surgical Risks: As with any medical procedure, there are potential complications, including infectionbleeding, and allergic reactions to anesthesia.
  • Dysphagia: Some patients may experience difficulty swallowing after surgery, which is temporary or, in rare cases, permanent.
  • Gas Bloat Syndrome: Patients may experience excessive gas and bloating post-fundoplication.
  • Recurrence: While surgery is effective, there is a possibility that reflux symptoms might return over time, depending on patient lifestyle.

Are You a Candidate?

You may be a suitable candidate if you have:
  • A diagnosed hiatal hernia or GERD that fails to respond to lifestyle modifications or medications.
  • Severe symptoms that significantly impact your quality of life, such as frequent heartburn or aspiration.
  • Complications associated with GERD, such as esophagitisBarrett’s esophagus, or strictures.
  • A physician’s recommendation based on a thorough evaluation of your condition and treatment history.
Surgery for hiatal hernias and acid reflux disease can provide effective relief for individuals suffering from chronic GERD symptoms. A comprehensive consultation with a healthcare professional is vital to assess the suitability for surgery, understand potential risks, and explore appropriate treatment options.
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