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hiatal hernia repair
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hiatal hernia, x-ray, hiatal hernia repair, fundoplication, anti-reflux surgery, procedure corrects a defect, in the diaphragm, breathing muscle, separates the chest cavity, abdominal cavity, a hiatal hernia occurs, the normal opening, in the diphragm is too large, defect is not repaired, stomach, abdominal contents, bulge, herniate, chest, causing heartburn, gastroesophageal reflux, serious damage, esophagus, the opening, hiatus, diaphragm is too large, the stomach, slip up, chest cavity, gastric acid backflows, stomach, esophagus, cause gastroesophageal reflux, ger, over many years ger, damage the lining, the esophagus, lead to cancer, the esophagus, an open hiatal hernia repair, an incision is made, in the abdomen the patient is under general anesthesia, stomach, lower esophagus, placed back, abdominal cavity, hiatus is tightened, stomach is stitched in position, the abdominal cavity, upper part, the stomach, fundus, wrapped around the esophagus, fundoplication, to reduce reflux, the surgeon, place a temporary tube, stomach, the abdominal wall to keep the stomach in place, patients, operation, performed laparoscopically, "keyhole", "telescopic" surgery, laparoscopic fundoplication, 1 cm, incisions, in the abdomen, instruments, a fiberoptic camera, passed, laparoscopic procedure is performed, using these small instruments the surgeon watches the image on a video monitor, laparoscopic fundoplication results in less pain, scarring, shorter hospitalization times than the open procedure but is not suitable, all patients,
hiatal hernia repair recommended, the patient has some of these symptoms, severe heartburn, severe inflammation, the esophagus due, backflow of gastric fluids, reflux, narrowing, the espophagus, due to acid damage, esophageal stricture, chronic inflammation, the lungs, pneumonia, due to frequent breathing in, aspiration, gastric fluids, a type of hiatal hernia, stomach is at risk of getting stuck, in the chest, twisting on, para-esophageal hernia,
risks, anesthesia, reactions to medications, breathing problems, pneumonia, heart problems, surgery, bleeding, infection, risks specific to this surgery, difficulty burping, vomiting, gas bloat, resulting, bloated feeling after meals, occurs in, 40% of cases but gradually improves in most patients, bloating, long term, discomfort on swallowing, dysphagia, occurs in 5-40% of patients, improves over the first 3 months in all patients, stomach, esophagus, rare, recurrence, the hiatal hernia,
fundoplication, safe, effective operation, reflux is greatly reduced, eliminated in 95% of patients,
patients typically spend 1 to 3 days in hospital after laparoscopic surgery, 2 to 6 days after open surgery, a tube, stomach, the nose, throat, nasogastric tube, surgery, surgeons, to leave the tube in, frequent feedings, avoidance of gas-producing foods, most patients go back to work in 2-3 weeks, laparoscopic surgery, 4-6 weeks after open surgery.
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