You have to remember the HH is the opening through the diaphragm into the chest. Everyone has a HH to some extent, just some peoples is larger than others. It can enlarge from the stomach and such pushing on it also.
There has to be that opening in order for things to go down the esophagus to the stomach. When the fix a larger HH they suture it to make it smaller, but they can't close it as you would for an abdominal hernia where the muscles are normally closed and are split open.
I just don't see any way to do it any other way and still have function of the esophagus. Since I am a metalsmith and mechanic I would use some titanium and SS rivets, LOL!
Moderator: GERD/Heartburn, Kidney disease
Nissen 6/06 and 5/09