Create a personalised content profile. Measure ad performance. Select basic ads. Create a personalised ads profile. Select personalised ads. Apply market research to generate audience insights. Measure content performance. Develop and improve products. List of Partners vendors. That said, significant lifestyle adjustments will need to be made as your body heals. What should you keep in mind about follow up? Since hiatal hernia surgery occurs on the diaphragm, near the esophagus, recovery means making very significant lifestyle changes, including a specific, post-operative diet.
These help ensure that everything heals correctly, while lowering the chance of recurrence or other complications. Recovery from this procedure occurs in stages. Make sure to remain communicative with your healthcare provider as you recover and be sure to get clearance before resuming or starting new activities. If you buy through links on this page, we may earn a small commission. A hiatal hernia occurs when part of the stomach moves upwards into the chest. If the hernia causes severe symptoms or is likely to cause complications, then hiatal hernia surgery may be required.
Not everyone who has a hiatal hernia will require surgery. Many people will be able to treat the condition with medication or lifestyle changes. However, for those who do need surgery, there is a range of procedures available, the most common being Nissen fundoplication. This article discusses hiatal hernia surgery procedures, expected recovery times.
Most hiatal hernias do not cause symptoms, and therefore treatment is not usually necessary. Those who have mild symptoms, such as heartburn , acid reflux , or gastroesophageal reflux disorder GERD may be able to treat their condition with medications or lifestyle changes.
There are three types of surgery for a hiatal hernia: Nissen fundoplication keyhole surgery , open repairs, and endoluminal fundoplication. All three procedures require a general anesthetic. A Nissen fundoplication is the most commonly performed surgery for a hiatal hernia. This procedure uses laparoscopic repair or keyhole surgery. This surgery is minimally invasive and only requires the surgeon to make a few tiny incisions in the abdomen.
The surgeon inserts a laparoscope, which is a thin tube with a light and a camera, into the abdomen to repair the hernia. The surgeon may also tighten the stomach opening to prevent the hernia from coming back.
Laparoscopic repair has some advantages over other types of hiatal hernia surgery. These include:. Open surgery involves making a larger incision in the abdomen so that the surgeon can fix the hernia. This procedure carries more risks than laparoscopic repair. A surgeon will pull the stomach back up into the abdominal cavity and wrap the upper portion, called the fundus, around the lower part of the food pipe.
The tapes will begin to peel up on the ends 7 — 10 days after surgery — at this point they have done their job and it is OK for you to peel them the rest of the way off if you wish. You do not have to have them on when you come for your postoperative visit. We try to close your incisions to leave the smallest possible scar. Do not put any ointment or other medication on your incisions — it will not make them "heal better.
There are no significant restrictions on activity after surgery. That means it is OK to walk, climb stairs, have sexual intercourse, mow the lawn, or exercise as long as it doesn't hurt. In fact, returning to normal activity as soon as possible will most likely enhance your recovery.
However, if it doesn't feel good, don't do it. Take it easy and let the pain be your guide. Avoid heavy lifting to aide in the healing of your incisions. You may also feel easily fatigued and "washed out" for a week or two following the surgery. These factors will put some limitations on your activity, but you will not cause any damage even if some soreness is experienced.
Recovery time after surgery depends on the type of hernia you have and the type of procedure required. Patients who undergo minimally invasive surgery are usually able to go home the same day and are able to walk the night of the surgery.
Some patients, especially those who have had abdominal wall reconstructions or component separations, may have to stay in the hospital for a few days. Discomfort is typically handled with over-the-counter medication, although some patients may require a combination of over-the-counter and opioid-based medication. All patients need a follow-up appointment two weeks after surgery to ensure that their pain is well controlled and there are no infections. Patients with more complex procedures may have complex bandages or negative pressure dressings that need evaluation, and we need to ensure that any surgical drains are performing properly to avoid infection.
After surgery, most patients will be asked to avoid lifting anything heavier than 15 pounds for the first two weeks, though more complicated patients may have differing limitations.
Different patients will have individual restrictions, but in general, you should be as active as your provider permits. If you have any questions or health concerns after your surgery, contact your provider right away.
Advances in technology and medical knowledge have lowered the risk of complications after hernia surgery substantially, and our experts use the latest practices and equipment to provide the safest procedures possible.
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