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Laparoscopic Hiatal Hernia Repair

Posted On : August 21, 2018

A Hiatal Hernia is an abnormal opening or widening of the gastroesophageal junction, which is located at the top of the stomach within the diaphragm. Laparoscopic Hiatal Hernia Surgery is done to tighten the junction between the stomach and esophagus. The most common surgery is done by pulling the stomach back below the diaphragm and wrapping the top of the stomach around the junction between the stomach and esophagus. The stomach is then sewn in place. Surgery is the only way to treat a hiatal hernia that is causing severe symptoms.

Laparoscopic Hiatal Hernia Repair can be performed using Robotic or traditional Laparascopic techniques, both options are minimally invasive.

There is also a technique that can be utilized for hiatal hernia repair post Sleeve Gastrectomy. A Hiatal Hernia Repair can be accomplished post weight loss surgery also.  Follow link to see videos: here

Additional information: here

Hiatal Hernia Causes:

  • heavy lifting
  • coughing
  • obesity
  • injury
  • persistent vomiting
  • age related

Symptoms:

  • sour taste
  • reflux
  • heartburn
  • belching
  • chest or abdominal pain
  • difficulty swallowing
  • vomiting
  • no symptoms

 

Hiatal Hernia Keshishian
Operative finding as soon as liver lifted, exposing the Gastroesophageal junction during Laparoscopic Hiatal Hernia Repair

 

Hiatal Hernia identified with the part of the fundus of the stomach retracted in the chest.

 

 

Dissected Left and Right Crus (the muscle fibers of the diaphragm) which form the esophageal hiatus.

 

 

Close up of the Left and Right Crus

 

 

Hiatal Hernia Repair Keshishian
Part of the Laparoscopic Hiatal Hernia repair, approximation of the crus
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