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Hiatal hernia surgery is used to address a problem in which a piece of the stomach slides upward into the chest via the diaphragm opening (hiatus), and it is advised when symptoms worsen or complications arise. In addition to treating complications like persistent oesophagitis, bleeding or ulcers, Barrett's oesophagus in certain cases, and major issues like obstruction or gastric volvulus, the procedure is intended to treat hiatal hernia-related severe GERD (acid reflux), chronic heartburn that cannot be controlled with medication, swallowing difficulties caused by hernia-related blockage, and paraesophageal hernia with a risk of strangulation.
You should see a doctor if you have severe or persistent reflux/heartburn, a sour taste in your mouth with regurgitation, chest pain (after ruling out heart disease), food getting stuck or difficulty swallowing, breathlessness due to a large hernia, or vomiting and upper abdominal fullness, as well as complications such as bleeding (black stools), severe pain, or unexpected vomiting. If you experience sudden, severe upper stomach or chest discomfort, persistent vomiting, or difficulty passing food, an emergency evaluation is necessary.
Preparation includes surgical examination and clinical consultation, as well as investigations such as upper gastrointestinal endoscopy, barium swallow study, oesophageal manometry (if appropriate), 24-hour pH monitoring (for GERD evaluation), and a CT scan for big or severe hernias. CBC, LFT, RFT, ECG, and chest X-ray are examples of routine testing.
The most common method for repairing a hiatal hernia is laparoscopic under general anaesthesia. During this procedure, the surgeon makes tiny abdominal incisions, pulls the stomach back into its normal position, and uses sutures to tighten the diaphragm opening (hiatus). In certain situations, mesh reinforcement is added, and fundoplication (anti-reflux wrap) is often used to prevent GERD..
Depending on the hernia's size and complexity, whether mesh reinforcement is needed, and whether fundoplication is also done in addition to the repair, the procedure typically takes 1.5 to 3 hours.
Potential complications include:
- Infection and bleeding
- Swallowing difficulties (temporary dysphagia)
- Damage to the stomach, spleen, or oesophagus (rare)
- Gas-bloat syndrome (difficulty belching)
- Hernia recurrence (particularly large hernias)
- Complications associated to mesh (rare)
- Risks associated with anaesthesia
- Rarely, deep vein thrombosis
Long-term relief from GERD symptoms, prevention of major complications like hernia obstruction and strangulation, improved swallowing and digestion, a decreased need for long-term acid-suppressive medications, and an overall improvement in sleep quality and quality of life are just a few advantages of hiatal hernia repair.
After a one to three-day hospital stay, pain medication, and early ambulation, recovery usually entails a planned dietary transition from liquids to soft foods and a gradual return to a normal diet over a period of two to six weeks. While wound healing and symptom monitoring are monitored on a regular basis, patients are encouraged to refrain from heavy lifting for four to six weeks.
Hiatal hernia repair has a high success rate; in professional laparoscopic surgical centres, 85–95% of patients experience symptom relief. However, if lifestyle changes are not made, certain big or complicated paraesophageal hernias may reoccur.
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Wockhardt Hospital, Umrao
Mumbai, India
Wockhardt Hospital, Umrao located in Thane, India is accredited by NABH. Also listed below are some of the most prominent infrastructural details:
- A 14 story building houses this hospital and it has a 350 beds capacity.
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- Nephrology, Urology, Oncology, Orthopaedics, Cardiology, and Neurology departments in the hospital are worth a mention.
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nM Virani Wockhardt
Rajkot, India
A leading multispecialty hospital in Rajkot, Wockhardt Hospital is committed to providing top-notch medical care and modern treatments. With a 95% satisfaction rating, Wockhardt has successfully treated 200,000 emergency cases and more than 1.4 million OPD patients. The hospital's dedication to providing high-quality care and safety is demonstrated by its NABH and NABL accreditation. Wockhardt guarantees easily accessible, high-quality healthcare by providing a surgery 0% interest-free EMI option and a fully furnished 'ICU on Wheels' that is open 24/7. Wockhardt Hospital is a reliable option for patients looking for advanced medical care in Rajkot and beyond because of its staff of skilled specialists and outstanding reputation for excellence.
Fortis Hospital
Kolkata, India
Fortis Hospital & Kidney Institute, Kolkata, is a 60-bed specialised centre for Urology and Nephrology, serving patients across Eastern India. Since its inauguration in 1999, the institute has pioneered advanced treatments like lithotripsy, laparoscopic donor nephrectomy, PCNL, and Holmium Laser prostate surgery, and has performed over 570 kidney transplants. Spread over 6 floors, it offers 4 operating theatres, a 12-bed dialysis unit, 24-hour renal emergencies, and a fully equipped laboratory, providing comprehensive, patient-focused care in renal and urological health.
Medicover Hungary
Budapest, Hungary
Medicover Hungary located in Budapest, Hungary is accredited by ISO. Also listed below are some of the most prominent infrastructural details:
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Medipol Mega University Hospital
Istanbul, Turkey
Medipol Mega University Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- The Hospital includes 4 centers i.e. general surgery, cardiovascular surgery, oncology, and dentistry
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Zulekha Hospital Sharjah
Sharjah, United Arab Emirates
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Zulekha Hospital Sharjah located in Sharjah, United Arab Emirates is accredited by ISO, JCI. Also listed below are some of the most prominent infrastructural details:
- Zulekha Hospital Sharjah is present over a 290,000 square feet area.
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Ruby Hall Clinic
Pune, India
Ruby Hall Clinic located in Pune, India is accredited by NABH. Also listed below are some of the most prominent infrastructural details:
- Ruby Hall Clinic brought in Intensive Care and Coronary care units as early as in 1969.
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Apollo Spectra Hospitals
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Apollo Spectra Hospitals located in New Delhi, India is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
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Assuta Hospital
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Assuta Hospital located in Tel-Aviv, Israel is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
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Yashoda Hospital, Malakpet
Hyderabad, India
Yashoda Hospital, Malakpet located in Hyderabad, India is accredited by NABH, NABL. Also listed below are some of the most prominent infrastructural details:
- Multi-bed facility
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- State-of-the-art services of Digital X rays, Flouroscopy, Ultrasonography, OPG, Mammography, CT 64 Slices, MRI, etc.
- Airport Transfer Service
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+99Process Involved for Hiatal Hernia Repair
- Identification and assessment of the severity of hernias
- Imaging testing and GERD workup
- Fitness clearance and pre-operative preparation
- Surgery (fundoplication ± mesh ± hernia reduction + hiatal repair)
- Monitoring following surgery
- Dietary adjustments and lifestyle guidance
- Follow-up assessment
- Sliding hiatal hernia and reflux symptoms
- Hernia of the paraesophagus
- GERD combined with a hiatal hernia
- Hernia-related gastric volvulus (emergency)
- Laparoscopic Hiatal Hernia Repair (Most Common)
- Repairing an Open Hiatal Hernia
- Robotic Repair of Hiatal Hernias
- Repair with or without fundoplication
- Repair using mesh reinforcement or not
For treatments in {country}:
- Verifiable proof of identity (passport or visa for foreign patients)
- Medical reports (such as barium studies and endoscopic imaging)
- Informed consent forms that have been signed
- Approvals for insurance (if applicable)
Patient might qualify if:
- Despite taking medicine, symptoms continue.
- There is a large paraesophageal or hiatal hernia.
- There are issues including bleeding, blockage, or severe reflux.
- The patient is ready for surgery and anaesthesia.
- Fundoplication (depending on the situation, Nissen, Toupet, or Dor)
- Endoscopy
- pH monitoring and esophageal manometry
- Procedures for gastric fixation in cases of large paraesophageal hernia (gastropexy)
- It prevents complications like strangulation.
- Helps with swallowing and reflux
- Lessens reflux-related long-term respiratory symptoms
- Improves the quality of life
After successful repair, patients can expect:
- Considerable decrease in regurgitation and reflux
- Improved digestion and reduced chest pain
- Better sleep and less coughing at night
- Decreased reliance on long-term medications
- Fill out the inquiry form: Fill out the form to provide us with the relevant information about your condition.
- Consult with Our Healthcare Expert:One of our qualified specialists will contact you for a consultation
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