Treatments

Hiatus Hernia

What is hiatal hernia?

Hiatal hernia occurs when the stomach slides into the chest through the diaphragm. They are a frequent cause of consultation for acidity (burning) after meals or spontaneously, regurgitations (the food returns to the mouth after having eaten), or in more advanced cases dry cough, dysphagia (the food stops before reaching the stomach), etc.

Hiatus Hernia Operation

Nowadays, hiatal hernias are operated with minimally invasive techniques by laparoscopy, achieving a quick recovery of the patient with little postoperative discomfort.

How is Hiatal Hernia diagnosed?

To diagnose a hiatal hernia, clinical suspicion and its confirmation with an X-ray with contrast (esophagus-gastric transit) is sufficient. Depending on the patient’s discomfort, the study is completed with gastroscopy and sometimes manometry (measures the function of the lower esophageal sphincter) and phmetry (measures the degree of acid reflux).

What operation is being done?

Nissen fundoplication is the surgical procedure of choice. This operation is an anti-reflux technique in which the esophagus is completely embraced (360º) by a sleeve from the gastric fundus. As already indicated, it is performed by laparoscopy.

When should I have surgery?

In our practice we will take a thorough medical history and assess which treatment is best for you. At present, the lack of complete response to correct medical treatment is an indication for surgical treatment, other indications would be the appearance of complications such as recurrent bleeding (in bulky hernias), esophageal ulcerations, etc..

What do I have to do to have surgery?

Once the hernia has been diagnosed in our practice, it will be assessed by the surgeon who will ask for preoperative tests (analysis, ECG and chest x-ray) and a preanaesthetic assessment. After the results and having checked that everything is correct, you can now trade.

How long will I be in the hospital?

It is a minimally invasive treatment, this allows most cases to go home in the first 24 hours.

Is there a lot of scarring left?

NO, 3 or 4 small incisions of approximately 5mm are made which are barely noticeable after scarring.

When can I have a normal life?

You will be able to walk and walk the same day of the operation, you will be able to go out to the street the following day and to develop a work that does not require excessive physical effort to the 10-15 days of the discharge. Safe and efficient technology in our hands. He endorses us:

We are trained in advanced laparoscopic surgery (University Diploma of the Faculty of Medicine of Montpellier in Advanced Laparoscopic Surgery).
Thorough preoperative preparation.
Technique by laparoscopy and mini-invasive anaesthesia.
Fast Track post-operative protocol, with only 24-hour access.
Quick recovery, normal life in 72 hours.