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 membranernSymptoms of Hiatal HerniarnA small hiatal hernia generally does not cause any symptom and need no treatment. But an enlarged hernia can cause following symptoms:rnHeartburn - 30 - 60 minutes after eatingrnRegurgitation of stomach contents that gets worsened with lying flat rnExcessive belchingrnAspiration (reflux of stomach contents into the airway)rnRecurrent Asthma attack’s rnPain or burning in chestrnDifficult or painful swallowingrnVomiting blood or passing black stoolsrnDiagnosis of Hiatal HerniarnIt is often diagnosed while diagnosing the reason of heartburn or chest or upper abdominal pain by performing following evaluations:rnPhysical examinationrnEsophagram (barium swallow)rnUpper endoscopyrnEsophageal manometryrnH metry & Impedence ( if required) rnLaparoscopic Cruroplasty and Nissen fundoplication for Hiatal HerniarnLaparoscopic Cruroplasty and Nissen fundoplication is the procedure of choice for repair of a symptomatic as well as asymptomatic hiatal hernia.The laparoscopic Cruroplasty 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 he Advantages of Laparoscopic Cruroplasty and Nissen fundoplication for Hiatal Hernia RepairrnFaster recoveryrn overnight hospitalizationrnSooner return to workrnVery less pain during and after the procedurernSmaller incisions without any cut on abdominal musclesrnNegligible risks and complicationsrnLess chances of wound infectionrnHigh success rate with more than ninety-percent of symptom free patients after ten years of the procedure.rnFor More Information Visit us-http://jeevanshreehospital.com/hiatal-hernia-2/rnContact Us-9920027124rn##gastroenterologist #hiatalhernia #constipation #laparoscopicsurgery