Laparoscopic Hiatus Hernia Repair (Fundoplication)
Minimally Invasive Surgery for Acid Reflux and Hiatal Hernia
Laparoscopic hiatus hernia repair with fundoplication is an advanced minimally invasive procedure used to treat hiatal hernia and chronic acid reflux (GERD). The surgery restores normal anatomy and strengthens the valve between the food pipe and stomach, providing long-term relief from symptoms.
What is Hiatus Hernia and GERD?
A hiatus hernia occurs when part of the stomach moves upward into the chest through an opening in the diaphragm. This often leads to gastroesophageal reflux disease (GERD).
Common symptoms include:
- Persistent heartburn
- Acid reflux and regurgitation
- Chest discomfort
- Difficulty swallowing
- Chronic cough or sore throat
- Bloating and excessive belching
If left untreated, severe reflux can cause inflammation and damage to the food pipe.
What is Laparoscopic Hiatus Hernia Repair with Fundoplication?
This procedure involves:
- Pulling the stomach back into the abdominal cavity
- Repairing the widened opening in the diaphragm (hiatus repair)
- Wrapping the upper part of the stomach around the lower food pipe (fundoplication) to strengthen the anti-reflux valve
- Performing surgery using small keyhole incisions with laparoscopic instruments
This approach corrects the root cause of reflux rather than just controlling symptoms.
Who May Need Laparoscopic Hiatus Hernia Repair?
This surgery is usually recommended for patients who:
- Have long-standing acid reflux not controlled with medication
- Have a confirmed hiatus hernia
- Experience complications such as esophagitis or ulcers
- Wish to avoid lifelong dependence on acid-suppressing medicines
- Have reflux-related breathing or throat symptoms
A thorough evaluation including endoscopy and imaging is done before surgery.
Benefits of Laparoscopic Hiatus Hernia Repair (Fundoplication)
- Long-term relief from acid reflux
- Repair of the anatomical defect
- Minimally invasive with small scars
- Less postoperative pain
- Faster recovery and shorter hospital stay
- Improved quality of life without daily medication dependence
