Hiatal hernias can develop in both genders and at any age. There are two types of Hiatal hernias; the sliding hiatal hernia and the para-esophageal hernia. A sliding hernia occurs when the point where the esophagus and stomach meet actual slide upward through the hiatus, an opening in the diaphragm, into the chest area. Without any other medical problems, this type of a hernia generally does not pose any health threats. A para-esophageal hernia occurs when the esophagus and the stomach remain in their natural locations, but a part of the stomach will squeeze through the hiatus and rest next to the esophagus. When this happens, there is the potential for the squeezed portion of the stomach to turn or twist, and shut off the flow of blood. Your physician may refer you to a Victorville General Surgeon for Hiatal hernia surgery.
Types of Hiatal Hernia Surgery
There are two surgical procedures, both safe and effective, to repair hiatal hernias and avoid any future complications. Both procedures gently re-positions the stomach below the hiatus, repairs and tightens the opening, and prevents the formation of future hernias.
- Laparoscopic Surgery
For this type of minimally invasive surgery, the general surgeon enters the abdomen by making 4 to 6 small incisions to insert a laparoscopic scope and surgical instruments. There is less scarring, less pain, quicker healing, and faster recovery with this surgical approach. Patients will remain overnight in the hospital for observation and can return to a normal routine within a week to 10 days. Complete recovery is achieved within 2 to 3 weeks.
- Conventional Surgery
Due to existing medical conditions or excessive scar tissue from prior procedures, not all patients are able to have laparoscopic surgery. When this happens, the surgeon will operate using the conventional approach. This type of surgery involves an open incision in either the abdomen or the chest wall. The opening is closed with sutures, and the patient will need to remain in the hospital for a few days. Patients are able to move about the next day and may return to a normal routine in about 10 days. Complete recovery from this conventional surgery will take 4 to 6 weeks.
Your Victorville general surgeon will instruct you in post-operative care, when to resume any strenuous activities, and when to make a follow-up office visit.