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DJ300
New Member


Date Joined Mar 2012
Total Posts : 2
   Posted 3/31/2012 7:39 PM (GMT -6)   
Hi,
 
Need some advice - I have been diagnosed with a large hiatal hernia (It is not a paraesophageal) . At times I have trouble swallowing, some chest pressure and have a feeling of fullness. Most of the time I feel fine. Also, I DO NOT have GERD or heartburn. My GI and surgeon suggest I have the fundoplication surgery including using a piece of mesh to close the diaphram opening. I'm wondering if other people have had a hiatal hernia without GERD or heartburn and if there is another surgery that doesn't include wrapping the stomach or using a piece of mesh?   (My understanding is that the stomach is wrapped to control the GERD or Heartburn.) Should I look for another surgeon? I'm not sure the surgeon I talked to has done very many of these.
 
Thank-you
DJ

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7180
   Posted 3/31/2012 7:53 PM (GMT -6)   
Hi DJ,
Welcome to Healing Well!  A few things come to mind from reading your post.  First, have you had an endoscopy?  There is such a thing as "silent GERD", in which you're getting reflux without being aware of it.  If that's the case, you may have esophageal damage and not know it.  If you've got a hiatal hernia and haven't had an endoscopy to check for reflux damage, it seems as if it would be something to consider before making any decision.
 
I'm not sure if you can get a hiatal hernia fix without a Nissen fundoplication.  You would think so, but I'm not so sure.  Usually they go hand in hand.
 
My other concern is the use of mesh.  It's common for repairing hernias, but not so common in hiatal hernia repairs because that use is a bit more controversial.
Here's a link for a medical discussion of the pros and cons of mesh with hiatal hernia repairs.  http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2063450/
My own surgeon (I had a Nissen 3 years ago) said he considered it during the surgery, but decided to just add a few more stitches for strength, because he said, "mesh can create its own problems".
 
I wish you the best of luck in making your decision.
I expect others will be by to weigh in on the discussion.
Again, glad you've joined us!
Take care,
Denise

DJ300
New Member


Date Joined Mar 2012
Total Posts : 2
   Posted 3/31/2012 8:56 PM (GMT -6)   
Hi Denise,

Thank-you for the information. I've had an endoscopy (that's how the hernia was discovered) and an upper GI test and neither test showed any reflux damage (I guess I'm Luckily). I am going to check out the site regarding using the Mesh and I'm also going to consult with another surgeon.

It is so nice to know that there are people who can give real life advice - I sure appreciate it.

Thanks again

DJ
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