Anti-reflux surgery & Hiatus Hernia
Signs and Symptoms of a Hiatus Hernia
How is a hiatus hernia repaired or anti-reflux surgery performed?
General Anesthesia
You are placed under general anesthesia so you’re asleep and do not feel any pain during the operation.
Laparoscopic / Robotic Access
Several small incisions are made in your abdomen. A laparoscope (a camera) and surgical tools are inserted to perform the procedure with minimal invasiveness. Often hiatus hernias are best repaired with a DaVinci Robot, which is also minimally invasive.
Hernia Removal
Anti-Reflux Valve
Closure
All instruments are removed, and the incisions are closed with sutures.
Recovery, Aftercare & Follow Up
Initial Recovery
You will usually spend 1 or 2 nights in the ICU at the hospital, then be transferred to the normal ward. Dr Puhalla will visit you each day to check on your progress until you are discharged home. The length of hospital stay can vary depending on different factors, such as the extent of the resection, patient fitness, and keyhole surgery versus open surgery.
Pain Management
There is a variety of very effective pain relief after liver surgery. After surgery, the pain relief slowly reduced to a level with which you can be discharged home.
Wound Care
Keep incision sites clean and dry. An incision care guide will be provided to all patients Monitor for any signs of infections or unusual changes. Call the clinic for any concerns.
The purple glue will slowly come off after 2-3 weeks, on some incisions we use dressing which can be removed a week after surgery.
Increasing Exercise Gradually
For most abdominal hernias lifting and exercise restrictions include light walking for 6 weeks and maximum lifting of 5 kg for 4 weeks and 10 kg in week 5-6. After hiatus hernias restrictions include light walking for the first 8 weeks and limit lifting to maximum of 5 kg up to 4 weeks and 10 kg in week 5-8.
Post Operative Follow Up
You will see Dr Puhalla for a post-operative appointment 2 weeks after discharge. After surgery for cancerous liver tumours, further treatment might be necessary in the form of chemotherapy and/or radiation
Frequently Asked Questions
Haven’t answered all your inquiries? Below are some frequently asked questions that may provide you with the information you are looking for. If we haven’t answered your query or concerns please contact our friendly team at (07) 5667 9766 or via email at admin@weightlossoperation.com.au.
How long does a hernia procedure take?
Are there any investigations to be completed prior to surgery?
Some tests are required for hiatus hernia or anti-reflux surgery if not performed by your GP, we will refer you for a gastroscopy (camera advanced through your mouth into food pipe and stomach and an Xray test (contrast meal/ swallow). Sometimes more detailed tests are necessary in the way of an oesophageal manometry or pH impedance study.