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Laparoscopic Surgery of
Hiatal Hernia


What is Hiatal Hernia and why is it caused?

Hiatal hernia occurs when contents of the abdominal cavity protrude through the esophageal hiatus of the diaphragm. The factors that cause hiatal hernia are:
1. An enlarged esophageal hiatus that is caused by developmental defects
2. Increased abdominal-thoracic pressure gradient
3. Depletion of elastic fibre in the phrenoesophageal membrane due to ageing

What are the symptoms of hiatal hernia?

The symptoms of hiatal hernia? are as follows:

  • 1.Heartburn
  • 2.Difficulty in swallowing food
  • 3.Shortness of breath
  • 4.Chest and abdominal pain
  • 5.Backflow of stomach acid into the esophagus or acid reflux
  • 6.Vomiting of blood or passing of black stools, which may indicate gastrointestinal bleeding
  • 7.Feeling full as soon as you finish eating
  • 8.Regurgitation of food or liquids into the mouth
  • 9.Belching


What are the treatments available?

There are various avenues of treatment available, and depending on the medical history of the patient, the surgeon may recommend what’s needed. If surgery is not suitable for the patient, the doctor may recommend a truss. A ‘truss’ is a belt that holds the hernia, allowing the patient to continue with his daily chores. In other cases, the doctor might recommend either open or minimally invasive approaches.

Why Should You Choose To Get Treated Under Dr. Mutharaju?

Dr. Mutharaju is a laparoscopic surgeon and a bariatric surgery specialist with 21 years of experience in performing various surgeries; by choosing to get treated under him, one can rest assured that he or she can expect a full recovery and a permanent solution for their problems.

How is the surgery carried out?

A Laparoscopic hiatal hernia repair is similar to other laparoscopic procedures. Where the surgeon makes incisions through which a laparoscope (a laparoscope is a small instrument with a narrow tube which has light source and camera at the end of the tube) is inserted and using the Laparoscope’s video camera the surgeon is able to locate the hernia and through the other incisions that are made surgical instruments are inserted and the hernia is corrected. In addition to this a process called Nissen fundoplication is carried out which reduces the acid reflux. The Nissen fundoplication procedure consists of a 360 degree Trans abdominal fundoplication. A fundoplication is the suturing of the fundus located in the stomach and around the esophagus. Depending upon the condition of the hernia the doctor might also choose switch to an open procedure if needed.

How Should One Get Ready For The Procedure?

The doctor will recommend a complete physical examination in order to check if the patient is healthy enough for the surgery. On the day of the surgery the doctor will recommend the patient to stop eating and consuming liquids few hours before the operation. If the patient is taking supplements, blood thinners and medications for any other medical conditions they will be asked to not take it before the procedure.

What are the advantages of this surgery?

The surgery involves small incisions which take very less time to heal and as a result the patient can return back to normal life within no time.

Frequently Asked Question's(FAQ's)

1. How Do I Find a Bariatric Surgeon?

Clearly, you want a bariatric surgeon who is very experienced in this specialty area. Research shows that the more experienced the surgeon, the lower the risk of death or complications during or after the surgery. To identify an excellent surgeon, collect a list of names. Ask friends and family members. Ask coworkers. You might be surprised -- lots of people often know others who have had weight loss surgery and want to share their doctor's name.

2. How Will My Physical Appearance Change After Weight Loss Surgery?

As you start losing weight, you will likely be thrilled with your new appearance. However, many people who lose a lot of weight often find their skin looks loose and baggy. You may want plastic surgery to remove this excess skin.

3. Will My Social Life and Relationships Change After Weight Loss Surgery?

Your relationships with friends and family may indeed change after weight loss surgery. For many people, food and drink are the basis for socializing. After weight loss surgery, you must find other ways to socialize -- ways that aren't focused on food.

4. Will I Feel Like Myself After I Lose Weight?

Losing a significant amount of weight is no small matter. In fact, the effects are profound and far-reaching. Life may seem disconcerting at times. You may feel odd, not quite like yourself. You may feel overwhelmed by the lifestyle changes you must make for the rest of your life. You may have reached for food as comfort -- and have difficulty giving it up. A therapist can help you get through this complicated period. A support group can also help. Ask your doctor about support groups for people who have had weight loss surgery. It helps to meet people who are making the same adjustments you're making -- and can help keep you on track with your weight loss program.

5. What Lifestyle Changes Are Necessary After Weight Loss Surgery?

Over time, some people regain weight despite bariatric surgery. Some eat high-calorie or high-fat foods instead of healthy foods -- and eat them too often. Some people rely on "soft meals" such as ice cream and milk shakes. The body itself may change over time, too, leading to weight gain. The digestive tract might begin absorbing more calories. Even the size of your surgical stomach can expand gradually over time.

6. How Much Weight Will I Lose After Surgery?

After gastric bypass surgery, most people can expect to lose between 66% and 80% of their extra body weight. Most of this is lost within the first two years. After gastric banding, people lose 40% to 50% of their extra weight, typically within the first two years after the surgery.



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Obesity is not
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Bigger Size
Brings Even
Bigger Health Issues!

“A disorder involving excessive body fat that increases the risk of health problems. Obesity often results from taking in more calories than are burned by exercise and normal daily activities. Obesity occurs when a person's body mass index is 25 or greater. The excessive body fat increases the risk of serious health problems. The mainstay of treatment is lifestyle changes such as diet and exercise”


Dr.Mutharaju


Improving The Quality Of Your Life Through Better Health.

Our goal is to deliver quality of care in a courteous, respectful, and compassionate manner. We hope you will allow us to care for you and to be the first and best choice for healthcare. We will work with you to develop individualised care plans, including management of obesity diseases. We are committed to being the region’s premier healthcare network providing patient centered care that inspires clinical and service excellence.



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