What Is Hiatus Hernia?

The hiatus is a small hole in the diaphragm through which the oesophagus passes into the stomach. It normally fits very snugly, but it may weaken and enlarge. When this happens, part of the stomach muscles may protrude into it, producing a condition called hiatus hernia. It is very common, occurring in more than half of people over 60 years old, and is rarely serious. A hiatus hernia occurs when part of the stomach protrudes up into the chest through the sheet of muscle called the diaphragm. This may result from a weakening of the surrounding tissues and may be aggravated by obesity or smoking.

How Is Hiatus Hernia Treated?

This may be performed laparoscopically. In a laparoscopic fundoplication, small (1 cm) incisions are made in the abdomen, through which instruments and a fiberoptic camera are passed. The operation is performed using these small instruments while the surgeon watches the image on a video monitor.

Advantages Of Laparoscopic Hiatus Hernia:

  • less pain
  • shorter hospitalization.
Patients may need to spend 3 to 10 days in the hospital after surgery.

Different Types Of Hernia Are Thereand So There Are Varied Type Of Surgery.

Commonest Hernia is inguinal hernia; three broad category of surgery are

  • Herniotomy- Neck of sac is ligated done in young children
  • Hernioplasty- Neck of sac is ligated and posterior wall is repaired in young adults.
  • Herniorraphy-Neck of sac is ligated and posterior wall is reinforced with a foreign material called mesh.

There are two approaches for surgery for inguinal hernia and that is

  • Approach from front-by open technique. Most commonest and time tested approach.
  • Approach frm behind – by laparoscopy technique again either by intraperitoneal-TAPP
Preperitoneal- TEP
Preferred in both sides hernia & pairless procedure.