Esophaguspasses through an opening in the diaphragm (i.e. hiatus) on its way to connectto the stomach. Hiatal hernias occur when the muscle tissue surrounding hiatusbecomes weak, causing the bulging of the upper part of the stomach through thediaphragm into the chest cavity. It is generally caused due to obesity,pregnancy, aging, or thinning of the phrenoesophageal membrane

Symptoms of Hiatal Hernia

A smallhiatal hernia generally does not cause any symptom and need no treatment. Butan enlarged hernia can cause following symptoms:

Heartburn -30 - 60 minutes after eating

Regurgitationof stomach contents that gets worsened with lying flat

Excessivebelching

Aspiration(reflux of stomach contents into the airway)

RecurrentAsthma attack’s

Pain orburning in chest

Difficult orpainful swallowing

Vomitingblood or passing black stools

Diagnosis of Hiatal Hernia

It is oftendiagnosed while diagnosing the reason of heartburn or chest or upper abdominalpain by performing following evaluations:

Physicalexamination

Esophagram(barium swallow)

Upperendoscopy

Esophagealmanometry

H metry& Impedence ( if required)

Laparoscopic Cruroplasty and Nissenfundoplication for Hiatal Hernia

LaparoscopicCruroplasty and Nissen fundoplication is the procedure of choice for repair ofa symptomatic as well as asymptomatic hiatal hernia.The laparoscopicCruroplasty and Nissen fundoplication is performed through five quarter-inchincisions. Laparoscope and other instruments are inserted through theseincisions. The hernia is reduced from the chest into the abdomen. This mayrequire separation of abdominal organs from the lung and middle cheststructures. This is followed by repair of hiatus to its appropriate size andconstruction of a new lower esophageal valve. Prosthetic material is used incases of large hernias with poor tissue to prevent recurrence. The proceduretakes about two to four hours depending on the size and contents of the hern

Advantages of LaparoscopicCruroplasty and Nissen fundoplication for Hiatal Hernia Repair

Fasterrecovery

 overnight hospitalization

Soonerreturn to work

Very lesspain during and after the procedure

Smallerincisions without any cut on abdominal muscles

Negligiblerisks and complications

Less chancesof wound infection

High successrate with more than ninety-percent of symptom free patients after ten years ofthe procedure.

For MoreInformation Visit us-http://jeevanshreehospital.com/hiatal-hernia-2/

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