"fixing" small hiatal hernia during fundoplication?

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Date Joined Apr 2012
Total Posts : 458
   Posted 11/30/2012 6:14 PM (GMT -6)   
If a patient has a small (like 1cm) hiatal hernia, what exactly is done with it during a fundoplication?
I understand with large hernias, sometimes it's necessary to close the hole in the diaphragm in order to prevent the stomach from moving up there. But with a small hernia, does anything need to be done, or does the mere act of doing the wrap/fundoplication essentially "fix" the hernia by moving the upper part of the stomach?

Post Edited (drtinsac) : 11/30/2012 4:50:30 PM (GMT-7)

Elite Member

Date Joined Jul 2009
Total Posts : 14475
   Posted 11/30/2012 7:23 PM (GMT -6)   
The action of the wrapping fixes the small ones. Sometimes they have to tighten the diaphragm too. It all depends on the surgeon.
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Date Joined Feb 2009
Total Posts : 7188
   Posted 11/30/2012 8:40 PM (GMT -6)   
Hi drtinsac,
Generally they fix the hernia.  They don't want it getting any worse, as the hernia repair/intact diaphram keeps the wrap from slipping.  From what I've learned, wraps don't fail unless the hernia repair fails (assuming they were done correctly).
Take care,
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