Post-op lap nissen fundo/hiatal hernia repair

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mommyofanna&nate
New Member


Date Joined Apr 2008
Total Posts : 2
   Posted 4/6/2008 10:01 AM (GMT -6)   
Hi,
 
I am new to this message board, so i am not sure if i am doing this right.  I am a 32yr old mother of 2 that just had a hiatal and umbilical hernia surgery just over 3 weeks ago.  I think i am doing well and then the next day i have a very bad day, with constipation or diareaha(sp?) and then a severe headache.  I have lost 13 lbs.
 
My doctor said i have had the hiatal hernia for quite awhile because i have severe scaring on my esophagus.  I was in the hospital for 4 days!  i am always exhausted! 
I am supposed to go back to my sit down office job this friday, but i am not sure if i will be ready!  I thought i would be back to work after 2 weeks, but i was no near ready for that.  I am just wondering if anyone has any suggestions to help me get more energy back, or is this just par for the course.  i am drinking propel water for vitamins and just found a chewable vitamin made by Centrim, so hopefully that will help, but does anyone have any other suggestions? confused confused confused
 
Thanks
Carri

FitzyK23
Veteran Member


Date Joined May 2005
Total Posts : 4219
   Posted 4/6/2008 9:05 PM (GMT -6)   
Just wanted to let you know that propel water might not be the best for someone w/ gut issues because of all the fake sugars in them. They can cause cramping and "d". Hope you feel better soon!
26 Year old married female.  Diagnosed w/ CD 3 years ago, IBS for over 10 years before that, which was probably the CD.  Currently on Pentasa 4 pills/4x day, hysociamine prn, nexium, and ortho evra.  Good times!!!
 
 


Another Day
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Date Joined Mar 2007
Total Posts : 1055
   Posted 4/6/2008 9:24 PM (GMT -6)   
Mommyof,
 
I had a repair of my esophagus and hiatal hernia a couple of years ago and took three weeks off work, which was not long enough.  I had so much diarrhea.  I know the first couple of weeks back at work I must have spend 1/4 of my day in the restroom and I'm not kidding.  They wanted me back at work, so they got me.  I haven't talked to many esophagus/hiatal hernia patients who have had this much of a problem, but it was for me.  After I got past all of that, I was certainly glad I had it done.
 
Would they let you take another week off?  Maybe you need to go back in this week and talk with your doctor.
 
Good luck!
 
Carla

Moderator, Allergies/Asthma
 
Help support the forums so we can support you:  http://www.healingwell.com/donate
 
 
Epilepsy, asthma, GERD, depression, hypothyroidism, tinnitus


mommyofanna&nate
New Member


Date Joined Apr 2008
Total Posts : 2
   Posted 4/7/2008 9:21 AM (GMT -6)   

Hi Carla,

Thank you for the post.  I will talk to my doctor tomorrow.  and thankyou to the post that advised me not to drink propel.... i had no idea, and hear i thought i was doing the right thing to help me with the vitamin issue.....  I will try just plain water.  Today i feel ok, i still have a stomachache though.  I was able to get up and at least take a shower first thing, which made me feel a bit better...  It is better than last monday when i slept until 11 and didnt get out of my pjs for 2 days!!!! i guess i just need to be patient!!!!! eyes


Carri


Sunbird
Regular Member


Date Joined Apr 2008
Total Posts : 140
   Posted 4/10/2008 2:39 PM (GMT -6)   
I have a question I can't seem to find an answer to.  I have a small hiatal hernia which most likely is the culprit for my long time GERD/Reflux problems.  After reading too many horror stories on Nissen Fundoplication surgery, I opted out, even though I was scheduled for it.  Does anybody know if there are surgeons who will just repair the hiatal hernia, but not do a Nissen Fundoplication?  I realize there are people who have hiatal hernias who never have GERD problems, but they also say the great majority of people with GERD do have hiatal hernias.  I'd just like to take it one step at a time.  Have the hernia repaired and see what the results are before proceeding with a Nissen Wrap.

porcelain doll
Regular Member


Date Joined Mar 2007
Total Posts : 128
   Posted 4/13/2008 12:07 AM (GMT -6)   
Sunbird:  I think if I am not mistaken the Nissen Fundoplication is the only surgery they use to repair a hiatal hernia.  I know they have other less invasive procedures but the "gold standard" for acid reflux/hiatal hernia repair is the Nissen surgery.  Barbara...

HappilyWrapped
Regular Member


Date Joined Oct 2007
Total Posts : 183
   Posted 4/13/2008 7:48 AM (GMT -6)   
Sunbird:

Go through the postings in this GERD section and read about the nissen fundoplication - especially parts 1, 2 and 3 of the post lap nissen fundoplication/hiatal hernia repair. You will find true information and not horror stories - there are many recent "wrappers" writing about their concerns before the surgery and how glad they are they chose to do it. Remember, the internet is full of people complaining - most people do not write about positive experiences. Many of us ended up here because we also found a lot of horror stories on the internet and needed to find an oasis of accurate and honest information.

The hiatal hernia repair and Nissen fundoplication are two separate procedures. The reason most people consider them one surgery is because it's common for a hiatal hernia to be present in someone having the Nissen surgery so both issues are fixed at the same time. Most doctors would probably not like the idea of opening you up and leaving something undone - the idea is to open you up once and do everything that needs doing while they are in there. If you are going to recover from laproscopic surgery, it would be easier to get both over at the same time. Plus, they can only do abdominal laproscopic procedures so many times before they have to switch to the open type of surgery where you have the full chest incision and have to stay in the hospital longer to heal. The doctor would not have recommended both if the Nissen wasn't necessary.

Fixing just the hernia if the Nissen was recommended isn't going to do much for your reflux. Having the hernia repair without the Nissen would be like building a two-foot dam to hold back 3 feet of water. The water flow would be less, but not stopped.

Discuss with your doctor the idea of having the two procedures at different times. He'll explain it better than any of us.

If you decide to have the procedure, then keep tapping in here. You will find all the pre and post-op support you need.

Ahiatalwhat
New Member


Date Joined Jul 2008
Total Posts : 7
   Posted 7/12/2008 2:00 PM (GMT -6)   
HappilyWrapped, you wrote "Fixing just the hernia if the Nissen was recommended isn't going to do much for your reflux. Having the hernia repair without the Nissen would be like building a two-foot dam to hold back 3 feet of water. The water flow would be less, but not stopped."

I am not sure about this persons specific case, but I do know that if a hernia is the cause of ones reflux, fixing said hernia without a nissen fundoplication should work.

It's very possible to have a fully functioning and strong LES muscle that is allowing reflux due to a hernia.

I myself would not consider the Nissen, as I hear that it makes your stomach smaller and you have to eat extremely small portions for life.

WORDWORKER
New Member


Date Joined Jul 2010
Total Posts : 13
   Posted 7/19/2010 2:44 PM (GMT -6)   
 hello had surgery on june 29th  want to know can i have soda i am wanting a soda  and do anybody know how long before the swelling go down

couchtater
Elite Member


Date Joined Jul 2009
Total Posts : 14475
   Posted 7/19/2010 4:25 PM (GMT -6)   
Leave the soda open for a few hours until the bubbles are gone, then drink it.

Joy

Alcie
Veteran Member


Date Joined Oct 2009
Total Posts : 5028
   Posted 7/19/2010 4:40 PM (GMT -6)   
Carri - You didn't say what the procedure was called. I'm assuming from your symptoms though that it was a Nissen. Since your operation was rather more complex and probably long, judging by a 4 day hospital stay, you are not going to pop back as fast as most of the group who had less complex surgeries. My hospital stay was 4 days because I had a paraesophageal hernis (stomach stuck in the chest) and my recovery was 3 months before I could have possibly gone to work. But then I could be your mother too. Get a note from your physician that you are not ready to go back to work. Your primary job is mom. Hopefully you can at least do that one!

Wordworker - Unless you can burp and are passing extremely minimal gas, forget the soda permanently. #1 It's not worth the pain of all that gas in the gut and you'll regret it, #2 I't not food.

Ahiatalwhat - There are several procedures besides the common Nissen. I had the Toupet. Others have had the Hill repair. Mine and the Nissen do use a piece of stomach to make a "wrap," but don't believe the small stomach forever myth. The stomach can expand to whatever size you need. The part about eating small meals is because of the swelling from whatever surgery. Even the people who get the weight loss bypass can expand the tiny piece of stomach they are left with until they are obese again.

Sunbird - Go ahead and take your time researching, but the group is right that it makes no sense to do two major operations. If you have a doctor who has experience with thousands of patients, like mine does, he will explain to you what you need. If you have all the tests and they show a leaky LES, just repairing the hernia is not going to stop reflux and may have to be taken down to do the Nissen. They have to free up a good bit of esophagus (disect it up in the mediastinum) to let the esophagus come down far enough to do a wrap.
Alcie
 
 


Moo'sMum
Regular Member


Date Joined Apr 2010
Total Posts : 234
   Posted 7/19/2010 4:48 PM (GMT -6)   
Hi Mommy I had surgery for a gallbladder removal 3 weeks ago and was told I would be fine within a week of the surgery. It took 2 weeks for me to stop feeling so low and yucky and now 3 weeks out I still don't feel great. I wish they wouldn't try to put a date on when you will be alright because everyone is different and reacts differently to things. Personally I think my body does not cope with anasethic very well as I had my wisdom teeth out 15 years ago under a general and took ages to come right from that too.
Regarding what you can take to make your tummy feel better. Try natural unsweeted acidopholus yoghurt. It's not fantastic tasting but you only need a couple of spoonfuls before each meal to give your tummy a soothing lining and replace all your good bacteria.
Hope you start feeling better soon but I urge you to just take it one day at a time.

couchtater
Elite Member


Date Joined Jul 2009
Total Posts : 14475
   Posted 7/19/2010 5:37 PM (GMT -6)   
Carri,'s post is 2 years old.

Joy
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