Hiatal Hernia Surgery
When a section of the stomach bulges through the diaphragm, it is called a “Hiatal Hernia”. The esophagus, which is the tube that food travels through on its way to the stomach, passes through a small opening in the diaphragm called the “hiatus”. A Hiatal Hernia is created when the stomach pushes up and protrudes through this opening.
There are four different types of Hiatal Hernias. They are:
- Type One – The sliding hiatal hernia is the most common of the four hernias. With this type of a hernia, the gastroesophageal junction does not stay in the same place but moves up and down the hiatus.
- Type Two – The gastro-esophageal junction stays attached at the hiatus, causing the stomach to herniate into the chest area.
- Type Three – The dislodgment of the gastric cardia and fundus, causing the stomach to protrude into the thorax.
- Type Four – This is similar to Type Three, however, other organs such as the spleen are also herniated into the chest area.
In some cases, Gastric Volvulus occurs, which is considered a medical emergency that requires immediate surgery. This condition is associated with Type 3 & 4 hernias and causes the stomach to twist, creating an obstruction. This can result in tissue necrosis or sepsis and can lead to death.
Acid Reflux Disease, also called GERD, goes hand in hand with Hiatal Hernias. Therefore, hiatal hernia repairs are part of any surgery which is performed to treat acid reflux. Laparoscopic surgery is safe and effective. It requires very small incisions, ensuring only minor pain, and carries a low risk of complications. This surgery enables the stomach to function normally and eliminates acid reflux.
The Physicians at Expert Surgical are highly skilled in the surgical procedures to repair all types of the hiatal hernias which contribute to Acid Reflux Disease. For an evaluation of your condition, contact us today to schedule an appointment.