Can A Hiatal Hernia Come Back After Surgery
Hiatal hernias are common, and in most cases do not require any treatment. - Pregnancy after abdominal surgery. The hiatal (hiatus) hernia is one of the most misunderstood and maligned conditions in medicine. Listing a study does not mean it has been evaluated by the U. In the most severe of these cases, the tissue in a hernia can lose its blood supply, die, and become infected. It can take four to six weeks to recover from. Hi, last year I found out I had a large hiatal hernia(a para-esphagual hiatal hernia of the stomach) and it was causing a lot of pain, so I had it operated on in Oct. Experts don’t know what causes hiatal hernias. You may never know you have one unless your doctor discovers it when checking for another condition. Information On Premature Ejaculation After Hernia Surgery At A Glance. There are 2 types of hiatal hernias: sliding and paraesophageal. Went back to the gastro doctor and had a Gastric empty scan done. If a hernia causes acute symptoms or is likely to cause complications, then hiatal hernia operation may be required. Below are some simple and effective ways people who suffer a Hiatal hernia can treat it naturally. This may happen if the stomach was wrapped around the esophagus too tightly, the wrap loosens, or a new hiatal hernia develops. The surgery isn't a lifetime 'fix,' and if it fails it may only be able to be re-done once. I have GERD. A hiatus hernia can usually be diagnosed after a gastroscopy or X-ray. Hiatal Hernia in Dogs Explained A hernia is a medical condition in which a part of the body protrudes abnormally into another part, usually penetrating a muscle wall to do so. Discuss whether you'd like to consider this as an option. Hiatal Hernia: Overview A hiatus hernia occurs when the upper part of the stomach moves into the thoracic cavity (chest) through an enlarged esophageal hiatus (opening) in the diaphragm. Paraesophageal hernias are less common but can be more serious. Any time a hernia is repaired it can come back. Most people are able to resume their normal activities within a week. There are three main types of hiatal hernia: sliding, paraesophageal, and mixed. Hernias can always recur. I wish you luck with your revision. Surgery for hiatal hernia aims at repairing the hernia and putting the tissue back where it belongs. Children - hiatal hernia is often misunderstood as a refusal to eat. The medical center is located in Rue Bouizakrane, Casablanca, 6. bowel, mesentery etc. This involves making small cuts in your tummy (abdomen). This bulging is called a hiatal hernia. Answer Wiki. It may also cause constipation /bowel obstruction, nausea, and vomiting. While hiatal hernia can be corrected by surgery, the treatment of GERD requires a holistic approach that involves correcting your diet and lifestyle. Even if you shut your mouth, it comes out through the nose. For example, a hiatal hernia and a heart attack both cause chest pain, shortness of breath, and nausea. What To Expect If open surgery (which requires a large incision) is done, you will most likely spend several days in the hospital. The first several weeks, the body is adjusting. Let them know if symptoms get worse or you have new symptoms. It was a really nice place!. (If it cannot be pushed back, surgery must be done sooner. He explained how the hiatal hernia was the source of the pressure in my chest. These include blood work, an X-Ray of the abdominal area, and a medical evaluation. If the hiatal hernia is in danger of becoming constricted or strangulated (so that the blood supply is cut off), surgery may be needed to reduce the hernia, meaning put it back where it belongs. Self-care measures or medications can usually relieve these symptoms. A paraesophageal hiatal hernia is associated with heartburn and acid reflux as the dominant symptoms. Heartburn however, is a symptom of a hiatal hernia and it does cause a burning or warm sensation behind the breastbone. That is why the stomach contents can easily come back up to the child's mouth with light pressure on the stomach after a meal. While lying on the back, the contents in the stomach regurgitate, and symptoms of heartburn, upper stomach discomfort, hiccups, non-cardiac chest pain and radiating pain to the mid. This type of hernia can have life-threatening complications, but they aren’t necessarily dangerous in themselves. I didn't have reflux again. Incisional hernias can sometimes occur following abdominal surgeries. Obesity is a major risk factor for a wound hernia, which is a bulge in the wound after surgery. It may also cause constipation /bowel obstruction, nausea, and vomiting. 3 Km away from the City and it performs 100 procedures across 11 specialties. When you put the words together, hiatal hernia is basically a condition where the stomach is pushed into the chest through the opening in the diaphragm. Unfortunately, the most common reason for a Nissen fundoplication to fail is a recurrent, or new, hiatal hernia. Surgery for GERD also fixes the hiatal hernia. I lost 35 pounds and my symptoms went away. Most people are able to return to work a week or two after surgery. You have other health problems that make surgery dangerous. A lot of people are walking around. Hiatal hernias can persist for years and they are a contributing factor for other chronic problems. Para-esophageal hiatal hernias are a rare form of hiatal hernias which require surgery. I have been afraid of Prilosec recently, but I don't know any other solution. Hiatal hernias are common after middle age. I don't know how to answer which of the two surgeries would work best with the two bariatric surgeries you're considering, but I would think it's not uncommon for doctors to perform a hiatal hernia operation with most any bariatric surgery. Recurrence Rate After Laparoscopic Repair of Large Hiatal Hernia The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Hiatal hernias are in most cases repaired as part of the surgical treatment for GERD. It worked for me for about 4 yrs. Recurring Hernia after Surgery. ) It may also be a good idea to put off surgery if: You are taking medicines such as blood thinners that cannot be stopped for surgery. Normally, the esophagus (the tube that carries food to the stomach) goes through this opening. You will be given a wider view by the laparoscope. Most hernia surgery results in permanent repair but a hernia can come back (known as recurrence) although this occurs in less than 5% of cases. You must follow this diet for 6 to 8 weeks after your surgery. The surgeon can pull the stomach back into the abdomen, correcting the hiatal hernia. Hiatal hernia can be caused by an underlying acid reflux problem. Wound care – after undergoing laparoscopic hiatal hernia repair surgery in Mumbai, a patient can shower next day after the operation. A hiatal hernia, then, occurs when the stomach bulges into the chest via the hiatus in the diaphragm. We usually cover the incision with water proof dressings and these can be changed if they become wet or come off. You may undergo a "Nissen" Hiatal Hernia procedure where the stomach is wrapped around the lower end of the esophagus to tighten up the sphincter. Pregnancy has a similar effect and is the major factor why this condition is more frequent in women. It feels like it's sitting on a nerve. Surgery may also be needed in people with a hiatal hernia who also have severe, long-lasting (chronic) esophageal reflux whose symptoms are not relieved by medical treatments. This is because mesh offers a level of strength that reduces the incidence of recurrence dramatically. Hiatal hernia surgery can cause burping or vomiting complications in patients. In cases where a large inguinal hernia extends down into the scrotum, the scrotum may swell after surgery. Hiatal hernia palpitations happen when the hernial mass is huge and give important symptoms. Many hernias are not serious, although larger ones certainly can be, and complications can include an obstruction of the digestive tract. The top part of your stomach gets pinched. This is usually considered only when medications and lifestyle changes fail to relieve severe reflux symptoms, or if you have complications such as chronic bleeding or narrowing or obstruction of your esophagus. Symptoms of a hiatus hernia. It did stop all the heartburn and other associated symptoms of the hernia. He called me back Saturday evening very concerned and suggested I meet him on a Sunday at his office for an evaluation. I also had the repair to the hiatal hernia. I sometimes get the fullness feeling but no earlier than I should. Hiatal hernia is thought to contribute to the weakening of this sphincter muscle. Re: Hiatal hernia & breathing problems - does surgery help???? I'm sorry for your trouble, I know how annoying it can be. No restrictions. -Some patients can go back to work and/or school after 3 to 7 days. They can also cause chronic blood loss leading to anemia. Repair of your paraesophageal (or hiatal) hernia requires some diet restrictions after surgery. Hernia surgical mesh is the medical standard for repairing hernias. Surgical therapy corrects these underlying problems. The nurse is developing standards of care for a client with gastroesophageal reflux disease and wants to review current evidence for practice. Hiatal hernias occur when the muscle tissue surrounding this opening becomes weak, and the upper part of your stomach bulges up through the diaphragm into your chest cavity. Prior to surgery I had stomach acid irritation to esophagus and aspiration pnemonia often. Hernias can always recur. A hiatal hernia occurs when the upper part of your stomach pushes up through your diaphragm and into your chest cavity. While one patient may have open hernia surgery and have little to no pain afterwards, another patient can have. The esophagus is the tube that connects the throat to the stomach. If any of these symptoms occur, the hernia may need to be fixed sooner. Self-care measures or medications can usually relieve these symptoms, although a very large hiatal hernia sometimes requires surgery. putting your stomach back in place and making your hiatus smaller To perform surgery, doctors either make a standard incision in the chest or abdomen, or use laparoscopic surgery, which shortens. Although your incision may have healed, you still need significant downtime to ensure your hernia repair is a success. This is because mesh offers a level of strength that reduces the incidence of recurrence dramatically. You also might also be surprised at how common they are. Other symptoms that may accompany a hiatal hernia include difficulty swallowing, feeling excessively full after eating, and chest pain. When a hernia comes back after being repaired, this is called a recurrence. Recovery after umbilical hernia surgery. This is because they can cause strangulation of the stomach which is not a risk of the sliding type of hiatal hernia. Patients with a hiatal hernia need to understand what it is and what might occur with it. I have one. However, a large hiatal hernia can cause symptoms like heartburn, chest pain, difficulty swallowing, abdominal pain, fatigue, frequent belching and feeling especially full after meals. The procedure may also involve surgically reconstructing the esophageal sphincter or removing hernial sacs. It may be best to prepare meals ahead of your surgery, so they are available when you come home. It occurs when the muscle around the belly button does not close completely after birth. Herniation occurrence/r. In the case of an incarcerated hernia, the doctor may first try to physically push the hernia back into its original position. The reason for the Cat Scan, is because a few months before I started having symptoms due to the hiatal hernia, I began having severe back pain right by my left shoulder blade for no apparent reason. Having said that, not every surgeon that can do laparoscopic cases can do a good hiatal hernia repair or anti reflux surgery. It came back normal. There are several steps a patient can take to achieve relief from hiatal hernia caused by gastroesophageal reflux. You may need surgery. However, thats not the only way for a hiatal hernia treatment. In this type of hiatal hernia, the herniated portion of the stomach can torsion, cutting off its blood supply. Stomach ache, hurts after I eat. You may need surgery. During Endoscopy the dilated distal esophagus and the proximal Stomach can not be differentiated: both structures are lined by a Mucosa , which evokes the same endoscopic appearance. The majority of incisional hernias do not return after being repaired; however, a rate of recurrence can range from 5-20 percent in patients who had a previous repair. There are two main types of hiatal hernias: sliding and paraesophageal (next to the esophagus). Question on Hiatal Hernias Howdy folks, been looking around for answers to this as I don't seem to be getting any elsewhere. Common symptoms include heartburn, belching, and abdominal discomfort. Hernia Infections. They can also use laparoscopic surgery and this is good because it shortens the hiatal hernia surgery recovery time. We usually cover the incision with water proof dressings and these can be changed if they become wet or come off. Surgery for hiatal hernia aims at repairing the hernia and putting the tissue back where it belongs. Went back to the gastro doctor and had a Gastric empty scan done. You may never know you have one unless your doctor discovers it when checking for another condition. Nasty business. The damage to the abdominal wall weakens the muscle and allows for the formation of the hernia. Typical treatment for most abdominal hernia conditions is a conventional hernia-repair surgery, known as Herniorrhaphy. Although surgery does offer a quick fix,. Inguinal hernias can come back after surgical repair. You can still throw up after, well I do anyway, I did worry for a while that the stitches would rip, but they have held tight so far. Common Causes of Hiatal Hernia. Once your digestion has returned to normal, you can slowly reintroduce it back into your diet. What To Expect If open surgery (which requires a large incision) is done, you will most likely spend several days in the hospital. It feels like it's sitting on a nerve. I lost 35 pounds and my symptoms went away. Furthermore, whether or not a hiatal hernia is present, the surgeon can take the top part of the stomach (the fundus) and wrap it around the lower esophagus, much like a tailor can cuff a pair of pants (a procedure called fundoplication). Hiatal hernias are in most cases repaired as part of the surgical treatment for GERD. In severe cases, the stomach or abdominal organs may rotate or twist, causing pain after eating, dry heaves, nausea or difficulty swallowing. Hiatal hernia diet: Foods that trigger symptoms, foods to eat after surgery It becomes uncomfortable when a large hernia allows food to back up in the esophagus. This can cause symptoms of heartburn since part of the stomach has relaxed and pulled through the diaphragm. For patients who have already had 3-4 hernia repairs, the chances the hernia can come back after another surgery can be almost 50%! This is clearly why having the hernia fixed the correct way, the first time, is so desirable. Surgery involves pushing your stomach back into the correct position, securing it and tightening your diaphragm around the lower part of your oesophagus. Feeling sick, mouth filled with saliva, unable to swallow, heartburn are some of the common symptoms. You have other health problems that make surgery dangerous. I have had 2 c-sections in 2005 and 2007. The use of mesh involves pushing bulging tissue back into the abdomen and covering it with the material, and can be delivered via open or keyhole surgery. A hiatal hernia can also be a sliding one in which it comes and goes and may not be found with a scope. This is true unless you have trapped intestines in your hernia. A hiatal hernia is named for the hiatus, an opening in the diaphragm between your chest and your stomach. Hiatal hernias associated with reflux disease that do not come under control with medications are repaired as part of antireflux surgery. Experts don’t know what causes hiatal hernias. Mesh Removal After Hernia Surgery. The failure rate is thought to double with each subsequent attempt. You will probably be admitted to the hospital at least overnight. After the surgery I felt great. Children - hiatal hernia is often misunderstood as a refusal to eat. Planning for Your Transthoracic Hiatal Hernia Repair • Do not take any nonsteroidal anti-inflammatory medication (e. Incisional hernia is when the hernia comes back after surgery. Between 10 and 80% of the population has a sliding hiatal hernia. This was an avoidable condition if the surgeon had performed the initial repair correctly, or had acted quickly when the hernia was demonstrated on a CT scan after the surgery. Treatment for hernias can be no treatment, to medicines to surgery. Laproscopic surgery is a common treatment. An inguinal hernia that causes few symptoms and can easily be pushed back in may be treated without surgery. Surgery for hernia. Prior to the surgery I had no exercie/fitness plan, afterwards I made a committment to eat right, lift and rest with the goal of building muscle. But having a hernia may allow fluids from your stomach to travel the wrong way, back up your oesophagus. Depending on the case, the surgery for hiatal hernia can be done on inpatient or outpatient basis, which means that the patient may go home the same day, or may be required to stay in the hospital for a few days after the surgery. The procedure may also involve surgically reconstructing the esophageal sphincter or removing hernial sacs. Shortness of breath disappeared a week later and hasn't come back since, except for the occasional extreme case of gas. There are 2 types of hiatal hernias: sliding and paraesophageal. It may be best to prepare meals ahead of your surgery, so they are available when you come home. When you were discharged from the hospital, you were given a prescription for Compazine (Prochlorperazine). Once hiatal hernia occurs, it can, in turn, worsen an existing GERD. Importance Laparoscopic repair of paraesophageal hernia (PEH) has been shown to result in excellent relief of symptoms and improved quality of life (QOL) despite a relatively high radiographically identified recurrence rate. So I guess it isn't to much of a surprise that the Hernia may have returned. Hiatal Hernia Repair, Symptoms, and Treatment – Paraesophageal PEH Matthew Schnitzler 2018-08-01T15:17:34+00:00 What is a Hiatal Hernia (HH) A hiatal hernia, a protrusion of the stomach through the weak diaphragm, is more common than most people think. A hiatus hernia can usually be diagnosed after a gastroscopy or X-ray. Hernia Repair Overview. The failure rate is thought to double with each subsequent attempt. Schedule a consultation with Hiatal Hernia specialist Beverly Hills, Dr. Usually hiatial hernias are addressed during the RNY surgery, and acid reflux is relieved by the surgery. Both were done at large university hospitals and both recurred within months after having their surgery. I had surgery December 2018. A hernia is a small sac containing tissue, which protrudes through an opening in the muscles of the abdominal wall. I sometimes get the fullness feeling but no earlier than I should. by Ayan Kayal. Be sure to sleep in comfortable, loose-fitting clothing that does not fit tightly on your abdomen. Mesh Removal After Hernia Surgery. This tightens the defect in the diaphragm and helps prevent part of the stomach or stomach contents from entering the chest cavity. Hernias can even develop 10 years after a previous abdominal surgery. Uncomplicated hernias are performed as outpatient procedures, while more complicated operations may require a hospital stay for a few days. My only side effect is more gas, which is relieved with Gas-X. One and a half years on after gallbladder removal hiatal hernia chronic upset stomach after gall bladder removal. I didn't have reflux again. This is called a reducible hernia, which means that the contents of the hernia can still be pushed back into the abdomen. The mesh repair of the hiatus hernia is also very effective by laparoscopic method. In a hiatal hernia, part of the stomach and/or the section where the stomach joins the esophagus (called the gastroesophageal junction). Para-esophageal hiatal hernias are a rare form of hiatal hernias which require surgery. A sliding hiatus hernia can cause severe symptoms or complications that may require surgery, but this is rare. Small hiatal hernias are common; many do not even know they have them. Patients with a hiatal hernia need to understand what it is and what might occur with it. –Some patients can go back to work and/or school after 3 to 7 days. A hernia is the abnormal exit of tissue or an organ, such as the bowel, through the wall of the cavity in which it normally resides. Hope this helps others. Minimally invasive surgery can effectively diminish the size of a hernia, as well as reduce the opening in the diaphragm, thereby preventing strangulation. Hiatal hernias can persist for years and they are a contributing factor for other chronic problems. The outcome for most hernias is usually good with treatment. In a hiatal hernia, the stomach can also protrude through the esophageal hiatus and come to rest inside the chest cavity. During Endoscopy the dilated distal esophagus and the proximal Stomach can not be differentiated: both structures are lined by a Mucosa , which evokes the same endoscopic appearance. Everything came back normal, as well as blood tests. This is actually the vital period of the restoration following hernia surgery. Depending on the case, the surgery for hiatal hernia can be done on inpatient or outpatient basis, which means that the patient may go home the same day, or may be required to stay in the hospital for a few days after the surgery. It took 8 trips to the ER before I was told I have large hiatal hernia. Burping, chest pain, heartburn are among the most irritating. Hernia can occur in various form occasionally abdominal and groin hernia such as hiatal hernia, incisional hernia,. 2019-10-24. 2 Here are some examples that these people may experience. Nevertheless, that doesn’t imply either condition constantly causes the other. When you have a hiatal hernia, it's easier for the acid to come up. Key points about hiatal hernias. The surgeon can pull the stomach back into the abdomen, correcting the hiatal hernia. In order for the person with the hiatal hernia to take a deep breath, they must lift their chest and shoulders. During that time, you can try or experiment with eating soft, mushy foods like tuna, mashed potatoes, eggs, cottage cheese, and thick soups. This last week, I am having the same symptoms, but to a greater degree of pain. Not everyone who has a hiatal hernia will require surgery. If your hernia is causing no problems, it may not need treatment at all. Pratschke, in Feline Soft Tissue and General Surgery, 2014. The cold seemed to help with the. The most common solution is to treat the GERD again, either with medical therapy or with re-operative surgery. Recovery Time After Hernia Surgery. She has helped me quite a bit. I have a small hiatal hernia also discovered during endoscopy. How likely can a hernia come back after surgery? Best Answer: Its very unlikely you would have it again so soon unless he did something wrong. After endoscopy was diagnosed with small hiatal hernia. Do not eat or drink after midnight the night before the surgery; Do not take any medications that can thin the blood, such as ibuprofen, for a certain number of days before surgery; It is important to follow these instructions to ensure a safe surgery. Hiatal Hernia’s are diagnosed and treated by the GI Division of Premier Medical Group. A hernia is a small sac containing tissue, which protrudes through an opening in the muscles of the abdominal wall. The diaphragm is a muscle between your chest and belly that helps you breathe. Surgery involves pulling down of the stomach back into the abdomen, closing the esophageal hiatus to its correct size, and attaching the esophagus firmly to the diaphragm. I have a repaired hiatal hernia ( ab out 2 years ago) that has slipped or come undone. If a person has a hiatal hernia, which can cause gastroesophageal reflux disease (GERD) symptoms, it will also be repaired during this surgery. Hiatal hernia surgery can often be performed as a laparoscopic, or "minimally invasive," procedure. What are your preferences regarding surgery, if you need it? Choices: • I would prefer not to have surgery if possible. Not all hernias need to be repaired, especially in infants or toddlers where their umbilical hernia may close on its own. However, possible complications of hernia surgery. I have an appointment with the after surgery dept tomorrow. Part of the upper stomach pushes into the chest. Hernia surgical mesh is the medical standard for repairing hernias. Your diaphragm is the muscle layer between your chest and belly. Because my symptoms are what they are even after lifestyle change and medication, the Nissen surgery and hiatal hernia repair were offered to me as an option. Surgery works best. Many other abdominal or stomach conditions have these symptoms as well. When hiatal hernias are symptomatic, acid reflux usually produces the symptoms. I also have back pain and should pain, especially at night. I have a hiatal hernia. Para-esophageal hiatal hernias are a rare form of hiatal hernias which require surgery. Hiatal hernia surgery involves pulling the herniated or blocked stomach down into the abdomen or removing the hernia sac and then making the hiatus smaller. Below are a few sample menus for use after surgery. And the smaller your hernia (meaning the earlier you fix it), the more options you’re likely to have. Postoperative Care after Hernia Repair. Naturally, when part of the stomach is forced into this opening, the sphincter cannot close properly. Many Factors can cause a Hernia Recurrence. Recovery Time After Hernia Surgery. A hiatal hernia is a type of hernia in which abdominal organs (typically the stomach) slip through the diaphragm into the middle compartment of the chest. This permits the sphincter muscle to open at the wrong time, allowing stomach acid to back up into the esophagus. -Some patients can go back to work and/or school after 3 to 7 days. mine was about 1-2 fingers as well. This can cause heartburn (gastro-oesophageal reflux: GORD) as gastric acid backflows from the stomach into the oesophagus. You will be given a prescription for pain medicine at the time of your discharge from the hospital. Hiatal Hernia’s are diagnosed and treated by the GI Division of Premier Medical Group. Hiatal hernias come in several varieties and sizes. Hi, last year I found out I had a large hiatal hernia(a para-esphagual hiatal hernia of the stomach) and it was causing a lot of pain, so I had it operated on in Oct. Paraesophageal hernias are less common but can be more serious. Help, does anyone else have this: mine are like labor pains -- a sharp pain starts down in stomach area and moves up the throat, the pain gets sharper as it comes up. I got a hernia after my appendectomy, and I got a hernia after the repair of that first hernia. If symptoms are refractory or not amenable to medical treatment, then surgery can be considered. The different causes, symptoms, and treatment options, for relieving the associated pain, are discussed in short in the following HealthHearty article. This is the opening in the diaphragm that the esophagus passes through. Recurring Hernia after Surgery. Acid reflux causes most hiatal hernia symptoms. Went back to the gastro doctor and had a Gastric empty scan done. Key points about hiatal hernia. Surgery for hiatal hernia. A successful surgery may reduce the risk of having a recurring hernia, but recurrence will ultimately come down to genetics and lifestyle choices. Call your healthcare provider if your symptoms come back after treatment has stopped them. Sep 4, 2015. Hi everyone, I suffer from a sliding hiatal hernia and the symptoms are horrible. The goal of this surgery is to correct gastroesophageal reflux by creating an improved valve mechanism at the bottom of the esophagus. I had surgery December 2018. Hiatal Hernia and Pain in the Middle of the Back. During Endoscopy the dilated distal esophagus and the proximal Stomach can not be differentiated: both structures are lined by a Mucosa , which evokes the same endoscopic appearance. With other methods, the stones come back. A hiatal hernia diet after surgery is also important to recovery. The early results indicate that it is as good as the open approach. Regurgitation: Foods can remain in the hiatal hernia and return back into the mouth. Scott Roth with the University of Kentucky warns. Let them know if symptoms get worse or you have new symptoms. If symptoms worsen or the herniated area becomes squeezed, surgery may become necessary. It occurs when the muscle around the belly button does not close completely after birth. Surgery is the only way to permanently correct a hernia. The most common is called a sliding hiatal hernia. Thoracic Surgery After Your Hiatal Hernia Surgery Patient Education – Discharge Information YOUR RECOVERY COMFORT -. After the blood draw, my friend and I headed up to the endoscopy area. Thus, parents and guardians need to be on guard and closely follow the directions of the child’s physician. My first one was not a sliding one and I had the surgery to help it. Hiatal hernia repair includes tightening of the dilated opening of the esophageal hiatus by re-appoximating the separated muscle fibers of the right and the left crus. Surgery works best. Symptoms of a strangulated hiatal hernia include sudden severe chest pain and difficulty swallowing. For these reasons, a hiatal hernia may be a cause of or contributing factor to gastroesophageal reflux disease. Wound care – after undergoing laparoscopic hiatal hernia repair surgery in Mumbai, a patient can shower next day after the operation. But as time goes on, the gas subsides somewhat and the bouts of diarrhea are not as bad. What are your preferences regarding surgery, if you need it? Choices: • I would prefer not to have surgery if possible.