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Doctor insights on: Hiatal Hernia Repair Without Fundoplication

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Hiatal hernia repair without fundoplication? No reflux issues, just constant shoulder/chest tight ness and SOB- Due to hernia interrupting diagram???

Hiatal hernia repair without fundoplication? No reflux issues, just constant shoulder/chest tight ness and SOB- Due to hernia interrupting diagram???

May not be due to it: If you do not have reflux you may noted surgery, most of the hiatus hernias are sliding type no fear of strangulation except paraoesophagheal type where surgery is indicated. Speak to your doctor.

Dr. David Earle
572 Doctors shared insights

Hernia Repair (Definition)

A hernia is a hole in the abdominal wall through which the lining of the abdominal cavity protrudes, creating a sac. Hernias are common in the groin, belly button, upper-midline, or associated w/scars. The exact method of repair varies w/the type & size of the hernia as well as patient-factors, however, the basic principle is the same: close the hole, often ...Read more


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Hiatal hernia repair without fundoplication possible? I don't have acid reflux problems. But constant shoulder tightness, SOB, andchestpain when relax

Hiatal hernia repair without fundoplication possible? I don't have acid reflux problems. But constant shoulder tightness, SOB, andchestpain when relax

You may not need it: If you do not have reflux you may noted surgery, most of the hiatus hernias are sliding type no fear of strangulation except paraoesophagheal type where surgery is indicated. Speak to your doctor.

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How long can I lift weight again after a hiatal hernia repair with linx a linx device? No nissen fundoplication.

How long can I lift weight again after a hiatal hernia repair with linx a linx device? No nissen fundoplication.

Great question but: ...the answer is best targeted to your circumstance. Please call you surgeon for the response most appropriate to you: for instance, whether the LINX device resulted in any swallowing trouble or other post-operative concerns. Ref: http://www.surgery.usc. Edu/uppergi-general/gastroesophagealrefluxdisease-linx-beforeduringafter. Html

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Is a hiatal hernia repair effective?

Is a hiatal hernia repair effective?

Yes: Of course there area many factors to consider, but most importantly is what the goals of the repair are - resolution of symptoms or prevention from getting worse or both. In general, hiatal hernia repair should have a 90-95% success rate.

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How do you know if a hiatal hernia repair has come undone?

How do you know if a hiatal hernia repair has come undone?

Deja Vu: How did you feel when you first had your hiatal hernia - before the surgery? If those same symptoms and signs are returning, talk with your doc.

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Hiatal hernia repair with linx device, how likely will the hernia reoccur?

Hiatal hernia repair with linx device, how likely will the hernia reoccur?

Risk with new device: Surgery, inherently has risk. The risk/benefit analysis where you compare your risk without surgery to the risk of your procedure/surgeon combination is how you decide if you want to proceed with surgery. The linx device has an excellent profile. Stay in contact with your surgeon and report any new symptoms. Be well.

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Please explain who performs hiatal hernia repair surgery?

Please explain who performs hiatal hernia repair surgery?

General surgeon: A general surgeon does hiatal hernia repairs - these are also mostly now done laparoscopically (through 5 small incisions). A general surgeon who specializes in laparoscopic performs the surgery.

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What's a good diet after tif procedure and hiatal hernia repair?

What's a good diet after tif procedure and hiatal hernia repair?

As tolerated: It's unclear why you would have a tif procedure and a hiatal hernia repair instead of the standard fundoplication and hernia repair, but either way, your diet should be as tolerated. If the food or beverage are difficult to swallow, or make gerd symtoms worse, avoid that in the future.

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What can be side effects and complications of biologic mesh used in recurrent hiatal hernia repair?

Few, but...: Biological mesh material actually goes away at it is replaced with your own connective tissue cells. There have been reports of this type of mesh eroding into the esophagus, but it is more likely to be technique related in my opinion, rather than caused by the material itself. It is biologically inert, so shouldn't cause any type of systemic reaction like an allergy. Hope this helps!

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What to if I am going to have surgery for hiatal hernia repair. What can I expect after the surgery?

Eat slow: You can expect improvement of your reflux symptoms. You may have some swallowing issues for the first 1-2 weeks so chew food carefully. Some patients stick to a soft diet during the immediate post operative period.

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Hello. I had 2 surgeries in Nov / Dec 2013 for hiatal hernia repair. Why does back pains continue still mostly on left side?

Why: My first question is why two surgeries did you have a complication from the first one and was any of them done laproscopically or not and what kind of complication if any. My other comment you might be experiencing GALLBLADDER problem if you still have it hiatal hernia surgery could cause or create a problem to the GB somtime

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How long should I wait to begin working out after hiatal hernia repair surgery? I feel great but don't want to risk messing anything up!

Variable: You can think of you trunk as a steel drum. The sides are string, and the top and bottom are weaker. Hiatal hernia repair involves the top of the drum - the diaphragm. We generally believe that the scar tissue that forms around the sutures is helpful. We also know that scar tissue reaches about 90% of its ultimate strength by about six weeks. For this reason, I usually tell hiatal hernia repair patients to avoid heavy straining for six weeks and then start easing back into it.

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Could someone with a gastric band and a recurred hiatal hernia have a hernia repair and a gastric sleeve?

Yes: It isn't a recurrent hernia - although it could be. May be a slip or dilation. Recurrence of hernia or a slip indicates you ate too fast or wanted your band too tight or ate things that became stuck. Find out why it failed or you failed it first. Fix you before another procedure.

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How long does hiatal hernia repair last?

Long time: It should last for a lifetime. Having said that, it is common to have asymptomatic herniation of a small portion of the stomach back in to the chest. Thi is almost always without consequence, and only detectable with an upper GI contrast x-ray and/or endoscopy. Recurrences requiring another operation occur about 5% of the time.

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Is it possible to have your hiatal hernia repaired using mesh without having the wrap (nissen fundoplication) done at the same time?

Is it possible to have your hiatal hernia repaired using mesh without having the wrap (nissen fundoplication) done at the same time?

Yes, rarely: Sliding hiatal hernias, where the esophagus & stomach "yo-yo" into the chest, are responsible for reflux (gerd). Surgical rx of the gerd includes the wrap. Paraesophageal hiatal hernias are much more rare & more serious--here the stomach twists up into the chest, causing obstruction (or worse). These always require hernia repair; a wrap is not necessary, tho advisable, since gerd often follows.

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I had 2 surgeries 13 months ago for hiatal hernia repair. Opened left back and front ribcage from navel. Why severe back pains still daily?

I had 2 surgeries 13 months ago for hiatal hernia repair. Opened left back and front ribcage from navel. Why severe back pains still daily?

What: Did you have to have your chest open for hiatal hernia surgery and why twice did you have a comlication like injury to the esophagus if you did have to have your chest open I am afraid I do not have a good news for you as far as the pain concerned pain from thoracotomy which mean open chest is severe and take long time to recover and some time it becomes chronic pain sorry it will not go away soon

Dr. Dan Lister
179 Doctors shared insights

Fundoplication (Definition)

A fundoplication is wrapping the top of the stomach (fundus) around and attaching it to itself. It can be a partial wrap (toupet fundoplication) or a complete wrap (nissen fundoplication). It is usually used to ...Read more


Upper Abdomen (Definition)

Draw a transverse line through the umbilicus and the upper abdomen includes every part of the belly above this line and below the ...Read more