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Doctor insights on: How Do You Know If A Hiatal Hernia Repair Has Come Undone

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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. ...Read more

Dr. David Earle
577 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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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. ...Read more

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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: 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 ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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

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! ...Read more

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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. ...Read more

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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 ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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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 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 ...Read more

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What type of pain can I expect with the large hematoma pressing against my surgical incision from the hiatal. Hernia repair?

What type of pain can I expect with the large hematoma pressing against my surgical incision from the hiatal. Hernia repair?

Hard 2 Answer: It is often very difficult to sort out incisional pain from pain secondary to the operation performed. Was your operation laparoscopic or open?... How long ago?... How big of a hematoma?... Was mesh used? The best person to answer this question is your surgeon. I assume that he/she is keeping a close eye on your situation. In general, severe pain mandates close follow-up. Good luck! ...Read more

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I had a vertical sleeve gastrectomy 16 months ago with hiatal hernia repair. 2 weeks ago I started having esophageal spasms. Should i be concerned?

I had a vertical sleeve gastrectomy 16 months ago with hiatal hernia repair. 2 weeks ago I started having esophageal spasms. Should i be concerned?

Not normal: Esophageal spasms are not normal. Not a reason for emergent concern but please follow up with your surgeon and discuss your symptoms. You might be advised to get a barium swallow or upper endoscopy or both. ...Read more

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My wife had surgery for hiatal hernia repair and gall bladder removal 2 days ago. She has constant nausea- how long should this last?

My wife had surgery for hiatal hernia repair and gall bladder removal 2 days ago. She has constant nausea- how long should this last?

Pain medications?: If you are taking pain medications, they may cause nausea. However, if this is not the case and the problem has been present for more than a week or getting worse at any time, do check with the surgeon asap. ...Read more

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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. ...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

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. ...Read more

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3 months post op. Nissen/laprascopic, robotic, hiatal hernia repair. Recently experiencing painful, debilitating gas& diarrhea. Is this normal?

3 months post op. Nissen/laprascopic, robotic, hiatal hernia repair. Recently experiencing painful, debilitating gas& diarrhea. Is this normal?

Not from the surgery: It is very unlikely that these current symptoms are related to your surgery. By far the most common cause of diarrhea is viral infection (enteritis, or gastroenteritis if it involves nausea/vomiting). With any diarrhea, weight loss, dehydration (feeling like you're going to pass out when standing), or fever lasting > 1 day would be cause for concern. Otherwise, these things tend to resolve. ...Read more

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Fundoplication and hiatal hernia repair 3 years ago. But for 6days straight have been nausea and vomiting(gagging) could I have another hernia?

Fundoplication and hiatal hernia repair 3 years ago. But for 6days straight have been nausea 
and vomiting(gagging) could I have another hernia?

It’s possible : It is possible to have recurrent hiatal hernia. However , there could be many other reasons for your symptoms. 6 days of nausea and vomiting is very abnormal and you should seek immediate medical attention. ...Read more

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Gastric bypass with hiatal hernia repair done wed-off painkillers-vomiting (no nausea) a fecal like material-more coming out then going in-cause?

Gastric bypass with hiatal hernia repair done wed-off painkillers-vomiting (no nausea) a fecal like material-more coming out then going in-cause?

See your surgeon: The cause could be something normal during the post-op healing from a bypass, but it could also represent a problem. If you are not able to keep yourself hydrated, then you need IV fluids and medical attention. I definitely recommend contacting your bariatric surgeon for further evaluation. ...Read more

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Is age 72 too old to have hiatial hernia repair or I will be ok?

Is age 72 too old to have hiatial hernia repair or I will be ok?

Not necessarily: Surgeons often perform hiatal hernia repairs on patients your age. Whether you are a candidate depends on your overall health. If you have significant reflux or pain you should consult with a surgeon who performs these repairs to determine whether you are a good candidate. ...Read more

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If I was to become pregnant a month after hiatial hernia repair, would it be life threatening or cause problems? I don't plan on it I'm just curious.

Hiatal hernia: In general, that should be fine. We usually tell patients to wait 6 weeks after surgery before doing anything strenuous, but getting pregnant should be fine. ...Read more

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How long should you wait to drink alcohol after hiatial hernia repair?

How long should you wait to drink alcohol after hiatial hernia repair?

As tolerated: Alcohol per se does not have any specific time restriction. If you're taking narcotic pain medicine however I would avoid alcohol use. Furthermore, carbonated beverage can be problematic in terms of bloating and probably should be avoided for between four and six weeks, or at least as long until you're able to reserve resume normal food intake. Call your surgeon with any questions however because they know your case a bit better. Best of luck. ...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


Dr. David Earle
1,450 doctors shared insights

Hernia (Definition)

The ascendence of the gastroesophageal junction into the chest above the diaphragm through the ...Read more