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.
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.
Patients may need to spend 3 to 10 days in the hospital after surgery.
Commonest Hernia is inguinal hernia; three broad category of surgery are
Preferred in both sides hernia & pairless procedure.