Fundoplication is the operation of a hiatal hernia. This is to reconstruct the antireflux barrier. Currently it is always done by laparoscopic surgery.
The introduction of esophageal functional studies highlighted EEI disturbances that affect a prolonged treatment with PPIs scheduled for persistent GERD.
The anatomical alteration of the diaphragmatic hiatus with the presence of the stomach in the chest also favors the presence of gastroesophageal reflux.
Laparoscopic fundoplication repairs this opening by permanent stitches and make a scarf with the stomach around the esophagus to form a pressure zone which prevents gastric acid and food from flowing into the esophagus (GERD).
Candidates hiatal hernia operation
- Persons with increasing doses of medical treatment- Young patients with typical symptoms of GERD that meet long-term medical treatment required treatments- Patients with severe esophagitis diagnosed with gastroscopy- Hiatal hernias to rise from the stomach to the chest and causing chronic anemia
Hiatal hernia operation laparoscopically
In general surgery , results in laparoscopic surgery are effective and prevent the complications that usually accompanied the conventional operation related to the large incisions. In addition laparoscopy presents a number of advantages:- Minor morbidity, allowing a comfortable postoperative and its small incisions, which result in minor scarring with excellent cosmetic results- Less time of hospitalization. Usually less than 2 days- More accepted by the patient allowing the abandonment of medical treatment
Postoperative after hiatal hernia operation
After surgery, patients may have difficulty swallowing some foods, belching, vomiting or abdominal discomfort some to avoid or reduce these symptomatology or crushed liquid diet is recommended during the first weeks. Symptoms related to surgery are temporary and disappear in the weeks following the procedure.