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Dr AvinashTank, is a super-specialist (MCh) Laparoscopic Gastro-intestinal Surgeon,
Not everyone with a hiatus hernia experiences symptoms. In some cases, the hernia is discovered incidentally during medical imaging tests. However, when symptoms do occur, they can range from mild to severe and may include heartburn, regurgitation, chest pain, difficulty swallowing, and belching. (Source)
Treatment for hiatus hernia depends on the severity of symptoms and associated complications. Lifestyle modifications, such as eating smaller meals, avoiding trigger foods, losing weight, and elevating the head of the bed, can help alleviate symptoms. Medications such as antacids, proton pump inhibitors, and H2 blockers may be prescribed to reduce acid production. In severe cases or when complications arise, surgical intervention may be necessary to repair the hernia. (Source)
A hiatus hernia, also called hiatal hernia, occurs when a portion of the stomach protrudes through the diaphragm into the chest cavity. This condition is often characterized by acid reflux, heartburn, and discomfort in the chest or upper abdomen. Hiatus hernias can be classified as sliding or paraesophageal, depending on the location and severity of the herniation.
Common symptoms of hiatus hernias include-
If you experience persistent symptoms, worsening of symptoms, or have concerns about your condition, it is important to seek medical attention for an accurate diagnosis and appropriate treatment.
The treatment approach for hiatus hernias may involve lifestyle modifications, medications to manage acid reflux, and in some cases, surgical intervention. It is not possible for a person to make a hiatal hernia go away without medical care. However, hiatal hernias do not require treatment if they are not causing a person to experience symptoms.
In case of symptomatic conditions, laparoscopic surgery has become a preferred option for repairing hiatus hernias due to its advantages over traditional open surgery.
The diagnosis of a hiatus hernia typically involves a combination of medical history, physical examination, and diagnostic tests. The following steps are commonly involved in the diagnosis of a hiatus hernia:
During laparoscopic hiatus hernia surgery, several small incisions are made in the abdomen. A laparoscope, which is a thin tube with a camera, is inserted through one of the incisions to visualize the hernia and surrounding structures. Specialized instruments are used to reduce the herniated stomach back into its proper position and reinforce the opening in the diaphragm. The procedure is performed under general anesthesia.
Preparing for hiatus hernia surgery involves several steps to ensure a safe and successful procedure. Here are some key aspects of the preparation process:
Remember to communicate openly with your surgeon and healthcare team, and ask any questions or express any concerns you may have. By following the preoperative instructions and preparing adequately, you can help ensure a successful surgery and a smooth recovery process.
During hernia surgery, anesthesia is administered to ensure the patient’s comfort and safety throughout the procedure. The type of anesthesia used will depend on various factors, including the type and location of the hernia, the extent of the surgery, the patient’s overall health, and the surgeon’s preference. The two main types of anesthesia commonly used for hernia surgery are general anesthesia and local anesthesia with sedation.
The choice of anesthesia depends on various factors, including the type and complexity of the hernia, the patient’s medical condition, and the surgeon’s recommendation. The anesthesiologist will evaluate the patient’s medical history, perform a physical examination, and consider any specific risks or concerns before determining the most suitable anesthesia approach.
It is important for patients to discuss their medical history, allergies, and any concerns or fears related to anesthesia with their healthcare team. The anesthesiologist will explain the anesthesia plan, discuss potential risks and side effects, and address any questions or concerns. Patient safety and comfort are the top priorities during hernia surgery, and the anesthesia team will closely monitor the patient’s vital signs and adjust the anesthesia as needed throughout the procedure.
Recovering from hiatus hernia surgery requires time and proper care to ensure a smooth and successful recovery. While each individual’s recovery process may vary, here are some general guidelines to follow:
Recovery times can vary depending on the individual and the complexity of the surgery. It is important to follow your surgeon’s specific instructions and attend all follow-up appointments for a successful recovery. By taking care of yourself, following post-operative guidelines, and seeking medical attention if needed, you can support a smooth and healthy recovery after hiatal hernia surgery.
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