Surgery
Hiatus Hernia Repair
Hiatus hernia repair fixes part of the stomach that has pushed up through the diaphragm, often to control severe reflux.
Quick answer
Hiatus Hernia Repair: what it is, why it's done and what happens
A hiatus hernia occurs when part of the stomach slides up through the opening in the diaphragm into the chest. Repair returns the stomach below the diaphragm and tightens the opening, often with an anti-reflux wrap.
- Why it is done: It is used for large hiatus hernias causing symptoms, or for severe acid reflux not controlled by medicines, and occasionally for a hernia at risk of becoming trapped.
- What happens: Under general anaesthetic, usually by keyhole surgery, the surgeon repositions the stomach, repairs the diaphragm opening and often adds a fundoplication wrap.
What it is
A hiatus hernia occurs when part of the stomach slides up through the opening in the diaphragm into the chest. Repair returns the stomach below the diaphragm and tightens the opening, often with an anti-reflux wrap.
Why it is done
It is used for large hiatus hernias causing symptoms, or for severe acid reflux not controlled by medicines, and occasionally for a hernia at risk of becoming trapped.
What happens
Under general anaesthetic, usually by keyhole surgery, the surgeon repositions the stomach, repairs the diaphragm opening and often adds a fundoplication wrap. It typically takes 1–2 hours.
Recovery
A soft or liquid diet is followed at first, returning to normal foods over weeks. Most people recover over 2–6 weeks, avoiding heavy lifting early on.
Good to know
Risks and things to consider
Risks include difficulty swallowing, bloating, the hernia recurring, and the wrap loosening. Some people continue to need acid-reducing medicines.
Education and reference only. This explains the procedure in general terms and is not medical advice. Your own care, risks and recovery will be explained by the team looking after you.
Answers
Hiatus Hernia Repair: frequently asked questions
Does a hiatus hernia always need surgery?
No. Many are managed with lifestyle changes and medicines. Surgery is reserved for large hernias, severe reflux not controlled by other means, or a hernia at risk of becoming trapped.
How long is recovery after keyhole repair?
Most people recover over about 2 to 6 weeks, starting with a soft diet and gradually returning to normal foods and activities as advised.
Related
Other surgery
Sources
Where this is drawn from
- NHS — Tests and treatments
- NICE — procedure and treatment guidance
- Relevant Royal College / professional body
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