Nissen Fundoplication 2 months Ago - Hiatal Hernia reherniates itself - more surgery

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Lizzie330
New Member


Date Joined Oct 2012
Total Posts : 2
   Posted 10/3/2012 10:46 AM (GMT -6)   
Good Morning
 
I had a nissen fundoplication surgery at the end of July, 2012, roughly 2 months ago, I started experiencing a lot of pressure and decided to phone my surgeon after an esophogram, CT scan with contrast, it has been discovered that my stomach is reherniating itself hitting the wrap, so instead of it being straight it looks like an L now.
 
Now they are going to re-do the surgery where they go in and anchor the stomach to the abdomen wall and hopefull the wrap will be in good shape...
 
Have any of you heard of this before??
 
I should mention, that I never experienced GERD, but did have a paraesophogeal hernia where 80% of the stomach was in the chest cavity.
 
Would appreciate any feedback....
 
Thank you, for all of you, who had this surgery you know how difficult the recovery is, I am very scared.
 
Thank you, Liz

cuicui
Regular Member


Date Joined Jul 2012
Total Posts : 35
   Posted 10/4/2012 9:24 AM (GMT -6)   
Liz,
Is your stomach re-herniating back into your chest? Or did your wrap come undone? Did your surgeon give you alternatives for wraps, such as a full wrap or a toupet wrap? I too have a paraesophageal hernia with 100% of my stomach and a loop of colon in the chest. I am still meeting with surgeons to discuss my case. Who was your surgeon and where did you have it done?

Deb

Lizzie330
New Member


Date Joined Oct 2012
Total Posts : 2
   Posted 10/4/2012 9:32 AM (GMT -6)   
Thank you so much Deb for responding.

My stomach is re-herniating back into my chest. As of now the wrap is in place. When I had the surgery done in july most of my stomach was in my chest, he explained to me that this was a rare complication and that this time he would anchor the stomach down into the abdominal wall.

I used NYU hospital in NYC, and Dr. Bizeckas a thoracic surgeon who specializes in this type of disease.

Where are your docs?

stkitt
Elite Member


Date Joined Apr 2007
Total Posts : 32602
   Posted 10/4/2012 5:07 PM (GMT -6)   
Liz,
 
I am sorry to read that you have to have further surgery for your complication and I do hope this will be the last surgery you have to go through.  Keep us posted on how you are doing as we are here to support you.
 
Kindly,
Kitt
~~Kitt~~
Moderator: Anxiety, Osteoarthritis,
GERD/Heartburn and Heart/Cardiovascular Disease.



"I am not afraid of storms for I am learning how to sail my ship" ~ Louisa May Alcott

Moonflower56
Regular Member


Date Joined Aug 2012
Total Posts : 22
   Posted 10/16/2012 10:33 PM (GMT -6)   
Liz,
Have you had your surgery yet? I am 2 weeks pst op and my stomach was anchored during the surgery to prevent migration. I also had the Nissen Fundoplication.

I hope you are doing well.

Tamtam47
New Member


Date Joined May 2013
Total Posts : 2
   Posted 6/1/2013 12:04 AM (GMT -6)   
Hello there,

I am new. I had a Nissen with two hernia repairs, and my stomach was 90% in my chest as well. It looks as if my right side hernia is back. My Surgeons told me to go back to a pretty much regular diet, no tough rare red meat though. I didn't think that was the best idea, but did after 8 days. Does this have something to do with the swelling on the hernia sights? Also, having problems with swalowing, but only 3 weeks post-op today. Any info would be greatly appreciated.

Alcie
Veteran Member


Date Joined Oct 2009
Total Posts : 5029
   Posted 6/1/2013 12:39 PM (GMT -6)   
Welcome to the forum, Tamtam.

I had GPEH repair for stomach partly in chest and took a bit extra long to get back to "normal." Due to a vomiting (nothing actually comes up) episode my stomach is again partly above the diaphragm. So I understand where you're coming from. You can look up lots of posts by myself and others by putting keywords in the search box at the top of the page.

Have you had a new barium swallow that shows where the stomach is? Did your surgeon tell you your stomach had reherniated? Problems with swallowing can be from swelling. Mine didn't go down for at least a couple months, probably because of fairly extensive surgery. (Mine was nearly 5 hours.) Pain can last a really long time, several months for this more involved type of surgery.

Have you had any problems with trying to vomit? If you are nauseated ask the doctor for a prescription for something like Zofran. I keep it on hand all the time, in my purse in a little plastic pill bag.

I wasn't on normal diet on for many weeks. Clear liquids for first week, added milk for another week or so, soft diet for I can't remember how long. 4 years later I still have trouble with dry or hard things like meat. Cutting meat into tiny bites and drinking with each bite helps.

Tamtam47
New Member


Date Joined May 2013
Total Posts : 2
   Posted 6/1/2013 3:14 PM (GMT -6)   
Alcie,
Thank you for replying so quickly. They never did a barium at all. I went to one of the most renowned hospitals in the U.S. I read they did that before they let you leave the hospital. I was there for 5 full days after my surgery due to a complication. I to had a 6 hour surgery, as well as 7 hours in recovery. It didn't go very well, that's for sure. It was everything I read and they told me it was going to be and more. One of the hardest I have ever had to deal with, and I want to stop taking these pain meds. Should I insist on a barium when I see them on Tuesday you think? I probably haven't helped my situation much, I went back to work after 2 weeks and I don't think that was the smartest decision I could have made. Anything else I should ask them, please pass your expertise onto me. Very much appreciated. Tam

Alcie
Veteran Member


Date Joined Oct 2009
Total Posts : 5029
   Posted 6/2/2013 4:48 PM (GMT -6)   
Tamtam

Yes, I can't imagine going back to work so soon after a GPEH repair.

So you don't have any evidence that you have reherniated? You can't just look and see it. You can expect to be swollen for a couple of months though. This was major surgery and it takes about 3 months to recover, maybe more since it was a big one. I didn't feel recovered until 6 months, not really new normal until 9. 4 years later I feel so much better for having it.

I would call the surgeon with any serious concern, which reherniation this soon would be. I wouldn't insist on any particular test, but I would tell him of my concern. Maybe they are so confident now they don't do the followup barium swallow anymore. I'd ask about it.
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