✦ HIATUS HERNIA REPAIR

Hiatal Hernia Repair

Q: Do all hiatus hernias need surgery?

Many small, asymptomatic hiatus hernias are managed with medications and lifestyle changes alone. Surgery is recommended for severe symptoms, large hernias, or complications such as recurrent reflux or breathing difficulties.

Q: Will I need mesh reinforcement?

Mesh is selectively used for very large hernias (paraesophageal hernias) where simple suture repair may not hold. Dr. Tejasree decides the best approach after detailed pre-operative evaluation.

Q: Can the hernia come back?

Recurrence is uncommon after well-performed surgery. Maintaining a healthy weight, avoiding heavy lifting in the early weeks, and treating chronic cough or constipation help reduce the risk significantly.

Q: Will I need a special diet after surgery?

A graded diet from liquids to soft foods to normal solids is followed for 4–6 weeks. Most patients return to a fully normal diet thereafter, though carbonated drinks and very large meals are best avoided initially.

Laparoscopic repair of a hiatus hernia — the upper stomach is gently brought back into the abdomen, the diaphragm opening is repaired, and reflux symptoms are relieved.

90–120 min PROCEDURE

1–2 Days HOSPITAL STAY

>90% SUCCESS RATE

1–2 Weeks RETURN TO WORK

What is Hiatal Hernia Repair?

Laparoscopic Hiatal Hernia Repair corrects the abnormal upward movement of the stomach through the diaphragmatic hiatus into the chest. The hernia is gently reduced back into the abdomen, the widened diaphragm opening is repaired, and the lower oesophagus is restored to its natural position. In most patients, this is combined with a fundoplication (Nissen, Toupet or Dor) to provide lasting relief from acid reflux. Dr. Tejasree Vengala performs laparoscopic hiatus hernia repair at Lux Hospitals, Hyderabad, with mesh reinforcement when indicated for large or paraesophageal hernias.

Suitable for patients with symptomatic hiatus hernia causing severe reflux, regurgitation, chest pain, breathlessness on lying down, or large paraesophageal hernias at risk of complications.

How the Procedure Works

Anaesthesia & Preparation

Surgery is performed under general anaesthesia. The abdomen is prepared and draped, and a urinary catheter is placed.

Port Placement

Four to five small incisions of 5–10 mm are made in the upper abdomen for the camera and working instruments.

Hernia Reduction

The herniated stomach is gently brought back into the abdomen, and the hernia sac is carefully dissected away from the chest.

Crural Repair

The widened diaphragmatic crura are sutured back together. Mesh reinforcement is added for very large hernias.

Anti-Reflux Wrap & Recovery

A fundoplication (Nissen, Toupet, or Dor) is added to prevent reflux. Patients start liquids the same evening and are discharged in 1–2 days.

Outcomes

90–120 minDURATION

1–2 DaysHOSPITAL STAY

>90%SUCCESS RATE

3–4 WeeksFULL RECOVERY

Who Needs This Treatment?

→Effective relief from severe reflux and regurgitation
→Restores normal anatomy of the stomach and oesophagus
→Prevents complications of large paraesophageal hernias
→Often eliminates the need for daily acid medications
→Mesh reinforcement available for very large defects
→Keyhole technique with quick recovery

A large hiatus hernia can change a person's life — every meal feels uncomfortable, sleep is disturbed, breathing feels laboured. Bringing the stomach back into the abdomen, repairing the diaphragm and creating a gentle wrap restores both anatomy and quality of life.

— — Dr. Tejasree Vengala, Consultant Proctologist & Laparoscopic Surgeon, Lux Hospitals, Hyderabad

Common Questions

Frequently Asked Questions

Do all hiatus hernias need surgery?+

Will I need mesh reinforcement?+

Can the hernia come back?+

Will I need a special diet after surgery?+

Not sure which treatment is right for you?

Book a consultation with Dr. Tejasree Vengala and get a personalised treatment plan.

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