My doctor has recommended that I have my hiatal hernia repaired. I am waiting to see a surgeon. Is this a good idea, and what should I ask the surgeon?
Although rarely necessary, at times, surgical repair of a hiatal hernia is the right choice in patients with gastroesophageal reflux disease . There are two types of hiatal hernia. In the much more common, sliding hernia, in which the stomach slides below the esophagus into the chest, medical therapy usually is very effective. The paraesophageal hernia, in which the stomach herniates next to the esophagus, is usually managed surgery. This is because of the potentially life-threatening complication of strangulation. When surgery is considered, it is best to see a surgeon that performs the procedure laparoscopically, if it is possible. Laparoscopic anti-reflux surgery involves reinforcing the valve between the esophagus and the stomach by wrapping the upper portion of the stomach around the lowest portion of the esophagus. Using on...
Hernia repair is surgery to correct a hernia. A hernia is an abnormal bulging of internal organs, often the intestine, through a weakness in a muscular wall.
This article focuses on surgery to repair a hernia. For information on a specific type of hernia see:
Before surgery, you will be given a sedative to make you drowsy. A local or spinal numbing medicine (anesthesia) will be used so you do not feel pain during the procedure. In some cases, the procedure is done while you are under general anesthesia (unconscious and pain-free).
The surgeon makes a cut over the area of the hernia. The bulging tissue or organ is placed back inside the muscle wall, the muscle tissue is repaired, and the skin is closed. In many inguinal hernia repairs, a small piece of ...
Hernia - inguinal; Inguinal hernia; Rupture; Strangulation; Incarceration
Surgery is the only treatment that can permanently fix a hernia. However, smaller hernias with no symptoms can sometimes be watched. Surgery may have more risk for patients with serious medical problems.
Surgery will usually be used for hernias that are getting larger or are painful. Surgery secures the weakened abdominal wall tissue (fascia) and will close any holes. Today, most hernias are closed with cloth patches to plug up the holes.
An umbilical hernia that fails to heal on its own by the time your child is 5 years old may be repaired.
Emergency surgery is sometimes needed. The sac containing the intestine or other tissue may become stuck in the hole in the abdominal wall. If it cannot be pushed back through, this can lead to a strangulated loop of intestine. If left untreated, this portion of the intestine dies because it loses its blood supply.
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