Laparoscopic Hiatal Hernia Repair
What is Laparoscopic Hiatal Hernia Repair?
Any internal body part that gets bulge and pushes into another area which it doesn’t belong is called Hernia.
The Haitus is an organ looks like a muscular wall that separates the chest cavity from the abdomen; it’s an opening in the diaphragm. In the digestive system esophagus, a food pipe goes through the hiatus to the stomach. In the case of hiatus hernia, the stomach bumps up into the chest through the esophagus opening which can be resolved by laparoscopic hiatal hernia repair. The Hiatal hernia is classified into two types like sliding and para esophageal.
Sliding Hiatal Hernia:
It’s the most common type in a hernia. In this type of sliding hernia, the stomach and esophagus are included where the stomach slides up on the chest through hiatus.
Paraesophageal Hiatal Hernia:
The para esophageal occurs rarely but it needs more care than other hernias. In this type, the cause occurs in the way the stomach and esophagus remain in their locations but the stomach pushed through the hiatus, staying next to the esophagus. This kind of hernia can occur without any symptoms of danger by choking the stomach and stops the blood supply to the stomach.
Many People who need laparoscopic Hiatal hernia repair will not have symptoms but in some cases, there can be heart burns relating to gastroesophageal reflux diseases or GERD
ELCE Clinic has an experienced doctor who has the ability to diagnosis these hernia types properly and provides effective laparoscopic Hiatal hernia repair treatment.
Symptoms before Laparoscopic Hiatal Hernia Repair:
The Short Hiatal hernia like sliding-type will not show any symptoms. But larger ones like para esophageal shows symptoms like
The people with a para esophageal hernia can have symptoms of chest pains in times that feel similar like heart attack who needs laparoscopic Hiatal hernia repair immediately.
Sometimes the intakes like food or any other liquid are pushed back as a vomit. The person with Hiatal hernia suffers from continuous vomiting.
The patient suffering from Hiatal hernia will feel difficult to swallow any solid or liquid substances. The swallowing of food is hard for them.
Since the abdomen parts of the body are affected during the Hiatal hernia there will be continuous abdomen pain.
Due to push up and blocks in the hiatus of the digestive system there can be shortness in breath for the person who suffers from Hiatal hernia.
The practitioners of ELCE Clinic can easily identify these symptoms of the Hiatal hernia and also in the early stages to provide laparoscopic Hiatal hernia repair treatment.
Causes before Laparoscopic Hiatal Hernia Repair:
Actually the cause of the Hiatal hernia is not known properly. There can be reasons like
Age can be a common factor for Hiatal hernia to occur. The people older than 50 can easily affect this Hiatal hernia. Due to age, there can be changes in the diaphragm.
Most commonly this type of hernia occurs in the women who need laparoscopic Hiatal hernia repair.
If a person born with large hiatus which is unusual can be a reason for this Hiatal hernia.
Being overweight may also be the factor for the cause of the Hiatal hernia.
There can be a chance of getting Hiatal hernia after any trauma or some other types of surgeries.
Strong and continuous pressure around the muscles may cause Hiatal hernia. This kind of muscle pressure occurs during vomiting, intense coughing, pregnancy, exercising, straining during bowel movements and lifting heavy objects.
Diagnosis for Laparoscopic Hiatal Hernia Repair:
The people suffering from Hiatal hernia are found during the report of symptoms like heartburn, chest pain or upper abdominal pain. The tests and procedures include in the discover of Hiatal hernia are
X-ray on the upper digestive system:
This procedure is performed by allowing the patients to drink a chalky liquid before the test. This liquid coats the inner line of the upper digestive tract. Thus the coating allows the doctor to see the outline of the stomach, esophagus, and upper intestine. Using the outline images the doctor is capable of diagnosis the affected area of the Hiatal hernia and provides laparoscopic Hiatal hernia repair.
Endoscopy is a flexible tube which has light and camera to examine the affected area. The doctor inserts the endoscope through the throat to the esophagus and stomach. This endoscopy examines the inner part completely and captures images of those parts. These images are used by the doctors to find the inflammation in the esophagus and stomach which is a Hiatal hernia that needs treatment like laparoscopic Hiatal hernia repair.
Esophageal Manometry is the test procedure performed based on measuring the rhythmic contractions esophagus when one swallows. It also measures the coordination and relaxation of the esophagus muscles. Using this method doctors examine the pushes in the esophagus of the digestive tract.
ELCE Hospital has all the above advance pieces of equipment to diagnosis the Hiatal hernia incorrect time and provides effective treatment like laparoscopic Hiatal hernia repair.
Treatment for Hiatal Hernia:
Many people with Hiatal hernia will not experience any signs and symptoms, so they don’t need any treatment. But in some cases, they can feel the signs and symptoms that need treatment. Hiatal Hernia is given treatment in two ways such as
The patient suffering from heartburn and acid reflux due to Hiatal hernia is given medicines by the doctors. The medicines prescribed by the doctor are
Antacids that equalize stomach acid:
Antacids such as Mylanta, Rolaids, and Tums can give quick relief. But sometimes the overuse of these antacids may cause side effects like diarrhea, kidney problems, etc.
Medications to reduce acid production:
The medications given for reducing the acid production are H-2-receptor blockers which include cimetidine(Tagamet), famotidine(Pepcid), nizatidine(Axid) and ranitidine. These medications can decrease the level of acid production in the stomach.
Medications to stop acid production:
The medication given to stop the flow of acid and heal the esophagus are proton pump inhibitors which are stronger than H-2-receptor blockers. The proton pump inhibitors include lansoprazole (Prevacid 24HR) and omeprazole (Prilosec, Zegerid).
Laparoscopic Hiatal Hernia Repair:
Sometimes medication will not help the person to relieve the heartburn or acid reflux. That person needs laparoscopic Hiatal hernia repair treatment. To avoid the severe inflammation or narrowing of the esophagus the surgery is needed for Hiatal hernia.
The surgery is performed as reconstructing an esophageal sphincter or removing the hernia sac by just pulling the stomach down into the abdomen.
The other treatment for this is Laparoscopic Hiatal hernia repair in which the surgeon inserts the tiny tube with a camera. On the other hand, the camera shows the images of the abdomen and also gives the complete video for the surgeon to repair the hernia without any pain.