Paraesophageal vs Sliding Hernia

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cat98037
Regular Member


Date Joined Feb 2013
Total Posts : 80
   Posted 3/15/2013 9:37 AM (GMT -6)   
Hello, everyone. My NF with hernia repair is scheduled for April 2nd. I can't wait. I got thru my lung infection for now but still on steroids. My question: I have a paraesophageal hernia, not sliding. I think I understand the difference. I was told sliding hiatal hernia was more common. Is there a difference in the recovery phase between these two types of hernia. Is one of the incisions higher up in abdomen/chest with the paraesophageal?

dencha
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Date Joined Feb 2009
Total Posts : 7181
   Posted 3/16/2013 5:58 AM (GMT -6)   
Hi cat,
Glad to hear your surgery is scheduled!  I remember well waiting for mine.  Once you make the decision, you just want to get it done!  I wish you the best of luck!
 
Here's a link to a discussion of the differences between these two types of hernias:
 
Hopefully it helps answer your question!  We'll be here awaiting your first post-op post, so we can welcome you to the wrapped club!  Take care...
Best wishes,
Denise
GERD/Heartburn Moderator
Nissen Fundoplication 2/09
Allergy/Asthma

"Whatever you fight, you strengthen, and what you resist, persists.”

“Worry pretends to be necessary but serves no useful purpose”

“Accept - then act. Whatever the present moment contains, accept it as if you had chosen it. Always work with it, not against it.”
Eckhart Tolle

Alcie
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Date Joined Oct 2009
Total Posts : 5004
   Posted 3/16/2013 4:47 PM (GMT -6)   
Great hearing from you again cat,

I had a giant paraesophageal. The tiny incisions are the same. All are below the diaphragm. I can't even see most of mine anymore.

Recovery from mine was difficult because it was caused by a bad accident that shoved my stomach into my chest. Also, I was nearly a senior. Age probably had a little effect. You might want to ask the doctor about healing while on steroids.

Nevertheless, it wasn't worth worrying about. I'm so much better off not having to take medicines, not refluxing, not having chest pain.

cat98037
Regular Member


Date Joined Feb 2013
Total Posts : 80
   Posted 3/17/2013 4:23 AM (GMT -6)   
Thanks Alice and Denise. Denise, you are right: once you make the decision to move forward, you can't wait.Alice, as far as steroids, I should be tapered down to 10mg prior to surgery.....a great milestone for me. Although I know that I will be loaded on steroids prior to surgery, maybe I can come off them quicker. The surgeon told me that my stomach was already in my chest. Yuk. I'm a nurse but didn't need to hear that. I just want to walk, walk, walk post op so I don't have to get a NG tube. Denise, thanks for the link.I'm off to read it right now. And of course, I will keep you posted on progress.

Alcie
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Date Joined Oct 2009
Total Posts : 5004
   Posted 3/17/2013 1:42 PM (GMT -6)   
Paraesophageal can be life-threatening if it twists, so we don't have a choice but to go through with it. I was so relieved to wake up and feel better, even with some surgical pain!

Most of us, especially with paraesophageals, wake up with an NG tube. It's put in during surgery to keep the stomach empty. Sliders may have the tube pulled before they wake up. You won't notice it much because you'll be on pain meds. Just don't try to swallow and you shouldn't have a problem. It'll be pulled at least by the next day. I'm a horrible gagger: my dentist has a tough time with me. I was able to tolerate the NG, so anyone else should also. I just spit instead of swallowing.

Don't worry about walking for a day or two, depending on how extensive the surgery is. Mine was 4 1/2 to 5 hours. I had a urinary catheter for a couple of days, so walking was out of the question. 3rd day I was up, walking fine, hungry for my clear liquids.

My main problem with pain was the nurses refused to help me with the pain button. I kept dropping it because I couldn't feel it with my right hand because they stuck my wrist at least 3 times to get the arterial line in for the instant BP readings. I was mad about that because I used to be the ICU blood gas collector and never missed. They didn't put pressure on the missed sticks and I had a bruise to my elbow.

Ask for more clear liquids every half hour to an hour, as you tolerate it and feel hungry You won't need anything the first day. There may be enough dextrose and saline in the IV to ward off hunger and thirst for a couple of days. I've had IVs like that for other things for a week or more and never felt hungry.

This is probably TMI for most people. I, on the other hand, prefer to know everything up front so I don't worry. I can relax and am a better patient if I go in informed.

cat98037
Regular Member


Date Joined Feb 2013
Total Posts : 80
   Posted 3/17/2013 10:52 PM (GMT -6)   
Wow, Alice. Thank you so much for the info. I have another visit with both my pulmonologist and surgeon before the surgery. I guess i still have questions for them. My surgery will be long, like yours. And it starts late afternoon. I wondered about the catheter because I have to run to bathroom all the time. He didnt mention a catheter. He acted like i would come out of surgery without the NG tube because he said if I didn't pass gas that evening, they would have to put the tube back in. I've been having nosebleeds everyday now......I guess from long term prednisone. The last thing I want is for a NG tube to be reinserted, especially with bloody nose. Maybe I should ask him to keep it in?

Alcie
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Date Joined Oct 2009
Total Posts : 5004
   Posted 3/18/2013 4:59 PM (GMT -6)   
It's entirely your call about the tube. It's lots easier to keep it in than have one reinserted. I've had to have NG put in a few times. With deviated septum, small nares and previous sinus surgery the rotten things don't go in easily. They usually end up in my trachea and gag me so badly I pull them out. I never let a nurse try it anymore. The ones I've had don't know the trick of putting in a bent tube and twisting it to point down when they get to the tongue.

You have to do the lovely gut clean-out like for colonoscopy pre-op, so especially with the late surgery, I can't imagine you'd necessarily pass gas until the next day at the earliest. I didn't pass gas until about the 3rd day. There was no rule about that with my group.

Take your written list with you, but be sure to put the two most important things at the top. Docs I've had never get past two questions at most. Take your final list with you to surgery. What you discuss isn't necessarily going to be remembered that long. Take a separate list for the anesthesiologist. Ask which doc will be pulling or not pulling the NG tube.

If you have any medicine intolerances take that list to surgery too. I have a 2 page list, including OTC meds.

cat98037
Regular Member


Date Joined Feb 2013
Total Posts : 80
   Posted 3/19/2013 12:50 AM (GMT -6)   
Thanks, Alice. I will write my list tonight. :-)

opnwhl4
Forum Moderator


Date Joined Dec 2008
Total Posts : 4961
   Posted 3/19/2013 11:29 AM (GMT -6)   
Cat-

I bet you will have a catheter in during surgery because of the position of you and the surgeon and the length of the surgery. Whether they remove it before you wake up is a call they make when they finish up the surgery.

I have had about a 50/50 split when it comes to waking up with an NG tube and catheters. I'd rather have them put in while I was out than deal with them being put in after I am awake. I've had both and neither is fun, especially a catheter after abdominal surgery. Things are very sore down that way after surgery.
When I had a setback with my 1st redo and had to go back to the hospital 4 days out of surgery they had to put in a catheter in case I had to go back into surgery. Wow, I tried evreything I could to climb the bed and the wall, but the nurse won that round. LOL!


Take care,
Bill
opnwhl4
Moderator: GERD/Heartburn
Nissen 6/06 and 5/09
#3 on 8/24/11

cat98037
Regular Member


Date Joined Feb 2013
Total Posts : 80
   Posted 3/20/2013 2:00 AM (GMT -6)   
Thank you, Bill. I am going to ask the surgeon to keep both the catheter and NG tube in until I am fully awake and want to ambulate. There is no way that I will let anyone put down aNG tube while I am awake. I've been an ER nurse for 20 years and won't allow that. Hope I have some say so in the matter. My surgeon is very respectful so hopefully he will honor my wishes.
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