need another wrap!

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leniijane
Regular Member


Date Joined Dec 2010
Total Posts : 42
   Posted 6/19/2011 8:34 AM (GMT -6)   
I am only 6 months out of surgery for bad hiatal hernia, and it has come undone...Is this common, or is it that I had a general surgeon do it???

Anyone been through this... No have esophagal ulcers too!!

Alcie
Veteran Member


Date Joined Oct 2009
Total Posts : 5011
   Posted 6/19/2011 11:42 AM (GMT -6)   
It's not supposed to be common, but it does happen. I went to world famous thoracic surgeons who have well into the 90s success rate, and I still tore stitches when I had a brief vomiting episode. My stomach heaved and only a tiny bit of blood came up. Then I got to the paregoric which stoped it immediately.

I'm just trying to get a bunch of other things fixed, broken nose, shoulder impingement, knee arthroscopy, before I ask to have mine repaired. Barium swallow shows my wrap is partly above diaphragm again, and I get chest pain if I even swalow a cup of water or coffee. It hurts a LOT to eat more than just a little.

At least my wrap is holding, and I don't have acid reflux that I know of. I do get periodic nausea, which can be helped by taking Nexium for a few days.
Alcie
 
 

couchtater
Elite Member


Date Joined Jul 2009
Total Posts : 14475
   Posted 6/19/2011 12:24 PM (GMT -6)   
For the redo make sure to get an expert in redos.
Joy

kyheart
Veteran Member


Date Joined Apr 2011
Total Posts : 513
   Posted 6/19/2011 10:30 PM (GMT -6)   
I went to a general surgeon who was very experienced in the Nissen Fundoplication and hiatal hernia surgery. that was almost 3 months ago and I am doing great..
As Joy said, get an expert in redos for for your redo.

Good Luck
Sandi

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7181
   Posted 6/22/2011 5:28 PM (GMT -6)   
Hi lenijane,

I'm so sorry to hear you are having such problems! I'm assuming you had tests to determine what was happening. Which tests did you have?

A general surgeon can be fine if that surgeon has a tremendous amount of experience doing the Nissen surgery. If you have a younger, less experienced surgeon, or one who thinks he's up to the job, but hasn't had enough Nissens under his belt, you can have problems.

My surgery (2+ years ago) was also done by a general surgeon. I was living in a smaller city, so his experience with 300+ Nissens and high recommendations from multiple sources gave me the confidence to go forward with him.

I'd learned here of the importance of finding a highly experienced surgeon for this particular surgery.

In my new, larger city, a thoracic surgeon would be my choice. There is one here who (according to most) "does all the Nissens" (1000+ surgeries). That would be your best bet. Never accept a surgeon who doesn't run all the necessary tests (endoscopy, manometry, barium swallow, and PH monitor--also a stomach emptying test ensures that your problem is GERD rather than gastroparesis.)

I agree with Joy that you need to be even more careful when selecting a surgeon to do your repair surgery. If you are close to a center like Cleveland Clinic, Mayo, or a large medical university (Duke, Johns Hopkins, Loyola, etc.) that would be the place to go for a redo workup and surgery.

Again, sorry you're having to even think about all this. You know we're here for you! We'll help in any way we can, and offer lots of support and encouragement! yeah yeah yeah

Take care, and good luck!
Denise
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