Dr Mahak Bhandari

Hiatal Hernia, Surgical Treatment, and Post-Operative Care

What is Hiatal Hernia?

A hiatal hernia occurs when a portion of the stomach pushes through the diaphragm, the muscle that separates the chest cavity from the abdominal cavity. This condition can lead to uncomfortable symptoms such as heartburn, chest pain, and difficulty swallowing. Hiatal hernias are classified into two types: sliding hernias, which are more common and tend to cause milder symptoms, and paraesophageal hernias, which can be more serious and may require surgical intervention.

Surgical Treatment for Hiatal Hernia

When conservative treatments like lifestyle changes and medications fail to alleviate the symptoms of hiatal hernia, surgical intervention may be recommended. The most common surgical procedure for hiatal hernia repair is known as a “fundoplication.” During this surgery, the surgeon wraps the top of the stomach around the lower esophagus to prevent stomach acid from flowing back into the esophagus, effectively treating the underlying cause of acid reflux.

Post-Operative Care

After hiatal hernia surgery, it’s essential to follow a carefully planned post-operative care regimen to ensure a successful recovery:

1. Dietary Adjustments: Initially, you’ll be on a liquid diet, gradually transitioning to soft foods and then regular foods. Avoiding spicy, acidic, and fatty foods can help prevent post-operative discomfort.
2. Activity Restrictions: You’ll need to limit strenuous physical activity for several weeks after surgery. Your surgeon will provide specific guidelines regarding lifting, bending, and exercise.
3. Medications: You may be prescribed pain medications and acid-reducing medications to manage pain and reduce the risk of post-operative acid reflux.
4. Follow-Up Appointments: Regular follow-up appointments with your surgeon are crucial to monitor your progress and address any concerns.