Hiatus hernia is a condition in which a portion of the stomach moves upward through the diaphragm into the chest cavity. While many people manage mild symptoms with lifestyle changes and medication, some continue to experience significant acid reflux or swallowing difficulties despite treatment. In such cases, laparoscopic hiatus hernia repair with fundoplication may be considered.
Understanding a Hiatus Hernia
The diaphragm normally separates the chest from the abdomen. A hiatus hernia develops when the opening through which the food pipe passes becomes enlarged, allowing part of the stomach to move upward.
Common factors associated with the condition include:
- Age-related muscle weakness
- Obesity
- Frequent heavy lifting
- Chronic coughing
- Increased abdominal pressure
Symptoms That May Need Further Evaluation
People with a significant hiatus hernia may experience:
- Frequent heartburn
- Acid reflux
- Chest discomfort
- Difficulty swallowing
- Regurgitation of food
- Persistent indigestion
- Chronic cough associated with reflux
When symptoms continue despite medication, further assessment is recommended.
What Is Fundoplication?
Fundoplication is a procedure performed during hiatus hernia repair to strengthen the valve between the stomach and the oesophagus. It helps reduce acid reflux by wrapping the upper part of the stomach around the lower end of the food pipe.
The procedure is usually performed laparoscopically through small incisions.
When Is Surgery Considered?
Surgery may be recommended when:
- Medication no longer controls reflux
- Large hiatus hernias are present
- Difficulty swallowing affects nutrition
- Complications such as oesophageal inflammation develop
- Reflux significantly affects daily life
The decision depends on detailed evaluation and diagnostic investigations.
Recovery After Surgery
Recovery generally includes:
- Gradual progression from liquid to solid foods
- Walking soon after surgery
- Temporary dietary adjustments
- Follow-up appointments
- Gradual return to routine activities
Patients from Mahalaxmi and surrounding areas of Mumbai who continue to experience severe reflux despite medical treatment often benefit from specialist evaluation. Dr. VinayKumar Thati-Laser & Laparoscopic Surgeon provides comprehensive assessment to determine whether laparoscopic hiatus hernia repair with fundoplication is appropriate based on individual clinical findings.
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