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Surgical Treatment for Hiatus Hernia

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Hiatus Hernia and Its Surgical Treatment

What is a Hiatus Hernia?

A hiatus hernia occurs when part of the stomach moves upward into the chest through an opening in the diaphragm.
This can lead to heartburn, acid reflux, or upper abdominal pain, and it usually appears with aging or weight gain.

Types

  • Sliding Hiatus Hernia: The most common type, where the stomach moves up and down through the diaphragm.

  • Paraesophageal (Rolling) Hernia: A part of the stomach becomes trapped beside the esophagus and may cause complications if left untreated.

Common Symptoms

  • Heartburn and acid reflux

  • Chest discomfort or pressure

  • Difficulty swallowing or feeling full quickly

  • Frequent belching or bloating after meals

When is Surgery Needed?

Surgery is recommended when symptoms are severe, do not improve with medication, or when the hernia is large or causing complications.
Laparoscopic repair usually provides excellent and long-lasting results.

Laparoscopic Surgery (Laparoscopic Hiatal Hernia Repair)

Hiatus hernia repair is performed laparoscopically through small incisions without a large wound.
During the procedure:

  1. The stomach is pulled back into its normal position below the diaphragm.

  2. The opening in the diaphragm is tightened with strong sutures.

  3. The upper part of the stomach is wrapped around the lower esophagus (Nissen Fundoplication) to prevent reflux.

🟢 Results: Minimal pain, short hospital stay (1–2 days), and long-term relief from reflux symptoms.

Diet Stages After Surgery

During recovery, patients should gradually progress through dietary stages to avoid pressure on the repair site:

  1. Stage 1 – Clear Liquids (3–5 days):
    Water, clear broth, non-acidic juices, light jelly.

  2. Stage 2 – Full Liquids (several days):
    Cream soups, milk, natural juices, protein-rich drinks.

  3. Stage 3 – Soft Foods (1–2 weeks):
    Mashed potatoes, yogurt, boiled eggs, mashed chicken or fish.

  4. Stage 4 – Gradual Return to Normal Diet:
    Regular foods are reintroduced slowly after 2–3 weeks, depending on your doctor’s advice.
    Chew well and avoid dry or hard foods initially.

After Surgery

  • Avoid lifting heavy objects for one month.

  • Sleep with the head of the bed slightly elevated.

  • Follow dietary instructions to prevent bloating and strain on the surgical site.

Dr. Osama Hamed’s Expertise

Dr. Osama Hamed, Consultant Surgeon in Gastrointestinal, Liver, Pancreatic, and Bariatric Surgery,
has performed numerous successful laparoscopic hiatus hernia repairs with a very high patient satisfaction rate.
He is known for his wide experience in advanced minimally invasive surgery and for providing close postoperative follow-up to ensure the best results.
He also works with a specialized team of nutritionists who follow up with patients after surgery to ensure smooth recovery and proper dietary progression.

📍 Available in Amman – Jordan and Muscat – Oman
📱 For appointments and inquiries: +962 7 7777 5710

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