HIATAL HERNIA
Hiatal hernia
Esophagus
passes through an opening in the diaphragm (i.e. hiatus) on its way to connect
to the stomach. Hiatal hernias occur when the muscle tissue surrounding hiatus
becomes weak, causing the bulging of the upper part of the stomach through the
diaphragm into the chest cavity. It is generally caused due to obesity,
pregnancy, aging, or thinning of the phrenoesophageal membrane.
Symptoms of Hiatal Hernia
A small
hiatal hernia generally does not cause any symptom and need no treatment. But
an enlarged hernia can cause following symptoms:
Heartburn -
30 - 60 minutes after eating
Regurgitation
of stomach contents that gets worsened with lying flat
Excessive
belching
Aspiration
(reflux of stomach contents into the airway)
Recurrent
Asthma attack’s
Pain or
burning in chest
Difficult or
painful swallowing
Vomiting
blood or passing black stools.
Diagnosis of Hiatal Hernia
It is often
diagnosed while diagnosing the reason of heartburn or chest or upper abdominal
pain by performing following evaluations:
Esophagram
(barium swallow)
Upper
endoscopy
Esophageal
manometry
H metry
& Impedence ( if required)
Laparoscopic Cruroplasty and Nissen
fundoplication for Hiatal Hernia
Laparoscopic
Cruroplasty and Nissen fundoplication is the procedure of choice for repair of
a symptomatic as well as asymptomatic hiatal hernia.The laparoscopicCruroplasty and Nissen fundoplication is performed through five quarter-inch
incisions. Laparoscope and other instruments are inserted through these
incisions. The hernia is reduced from the chest into the abdomen. This may
require separation of abdominal organs from the lung and middle chest
structures. This is followed by repair of hiatus to its appropriate size and
construction of a new lower esophageal valve. Prosthetic material is used in
cases of large hernias with poor tissue to prevent recurrence. The procedure
takes about two to four hours depending on the size and contents of the hernia
Advantages of Laparoscopic
Cruroplasty and Nissen fundoplication for Hiatal Hernia Repair
Faster
recovery
overnight hospitalization
Sooner
return to work
Very less
pain during and after the procedure
Smaller
incisions without any cut on abdominal muscles
Negligible
risks and complications
Less chances
of wound infection
High success
rate with more than ninety-percent of symptom free patients after ten years of
the procedure.
For More
Information Visit us-http://jeevanshreehospital.com/hiatal-hernia-2/
Contact
Us-9920027124
##gastroenterologist #hiatalhernia #constipation #laparoscopicsurgery
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