What Is the Surgical Procedure for a Paraesophageal Hernia?

You may be diagnosed with a paraesophageal hernia after your doctor run tests that determined this is the cause of your acid reflux or chest pain. A paraesophageal hernia is a type of hiatal hernia that occurs when a portion of your stomach or other abdominal organs have pushed out through your diaphragm and into your chest. In most cases a hiatal hernia, is treated with medications. Your doctor may recommend surgery if medication does not control your acid reflux and heartburn or in the event of an emergency.

Before Procedure

• Prepare yourself for your surgery by getting as much information you can about the procedure itself.

  With any surgical procedure, it is important to ask your doctor questions and become knowledgeable of what the surgery entails.

  Inform your doctor know of any medications that you are taking. Certain medications will need to be discontinued prior to surgery. For instance, if you are taking blood thinners like Motrin and asprin you will need to cease taking them. D
  o not eat eight hours before the surgery.

During the procedure

• Realize that you will be hooked up to a monitor so that your heart rate and breathing will be checked during the procedure.

  The procedure is called laparoscopic hernia repair. The surgery is a procedure where a special video and instruments is used that allows a surgeon to repair the hiatal hernia through several small cuts. The organs that are protruding out will be pushed back into the stomach. Your diaphragm that separates abdomen cavity and chest cavity will be repaired also. The diaphragm is sewn with mesh and a portion of the stomach is enveloped or completely around the esophagus to stop further reflux symptoms.

  During the procedure a general anesthetic will be administered.

After Procedure

• Be prepared to stay in the hospital for a couple of days after the procedure.

  Avoid heavy lifting until after your follow-up appointment.

  Take a stool softener as directed. Avoid driving while you are on narcotic pain medication. Call your surgeon if you are in a lot of pain, if your temperature rises above 101 degrees F, you are unable to swallow, shortness of breath or experience drainage at your incision sites.