Hiatal hernias occur when the stomach and esophagus slide up through the diaphragm into the chest.
Common
symptoms are heartburn or Gastroesophageal Reflux Disease (GERD). Paraesophageal hernias occur when part of the stomach is squeezed up into the chest beside the esophagus. The stomach can be strangulated, restricting blood supply to the related tissues.
Any one of these hernias may be recurrent. This means, simply, that a previously repaired hernia has returned. People with especially weak abdominal walls or multiple surgical sites may simultaneously suffer from a combination of types of hernias.
The Bard Crurasoft Patch can be used for a tension-free repair technique to repair esophageal hiatal defects during laparoscopic fundoplications and parasophageal hernia repairs. Fundoplication is a technique where part of the stomach is wrapped around the esophagus and sewn into place. The patch can also be used to reinforce or buttress the hiatal hernia that has been closed primarily with sutures. This adds strength to the repair. Like any surgery, there is always a chance for complications, like infection or hernia recurrence. Your physician will discuss these with you prior to surgery. See our HIATAL and HEARTBURN VIDEOS for examples of surgery techniques.
Surgical and educational
images from the Virginia
Hernia Institute archive.
Click here.
Dr. Gillian is also the Director of the Heartburn Treatment Center at Virginia Hospital Center. This center is used to determine the etiology of swallowing disorders, non-cardiac chest pain and medically refractory relux disease. It is a multi-state referral center with state of the art equipment and a highly experienced and compassionate staff.
Referrals:
Virginia Hospital Center
G. Kevin Gillian, MD
1625 N. George Mason Dr. Arlington, VA 22205
P.703-717-GERD (4373)
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