Laparoscopic Hiatal Hernia Repair

Hiatal Hernia is a surgery where a patient's hiatal hernia is repaired by pulling the stomach back into the abdomen, as well as making the opening in the diaphragm smaller.

Depending on the condition of the patient, the procedure may also involve surgically removing hernia sacs or reconstructing the esophageal sphincter.

Are you looking for a doctor consultation? Consult our doctor at Medfin to know your treatment options.

  • Procedure Name

    Laparoscopic Hiatal Hernia Repair

  • Surgery Type

    Minimally Invasive Laparoscopic

  • Hospitalization (in Days)

    2 Days

  • Surgery Duration

    1 - 1.5 hours

  • Anaesthesia

    General Anaesthesia

  • Full recovery (In Days)

    4 weeks

What is Laparoscopic Hiatal Hernia Repair?

The most serious complications of hernias are obstruction and strangulation.

A strangulated hernia can cause tissue death and this condition may be life-threatening if you don't get treatment right away.

It is also possible for hernias to rupture, which is an extremely rare possibility but should this situation arise, it demands surgery on an emergency basis.

Small hernias that go untreated tend to urge larger over time. If a hernia gets too big, it can cause swelling and pain in your abdomen and eventually cause a lot of discomforts.

Why is the Laparoscopic Hiatal Hernia Repair performed?

Hiatal Hernia is a surgery where a patient's hiatal hernia is repaired by pulling the stomach back into the abdomen, as well as making the opening in the diaphragm smaller.

Depending on the condition of the patient, the procedure may also involve surgically removing hernia sacs or reconstructing the esophageal sphincter.

Hiatal hernia surgery is advised in cases where the other treatments are not well responsive and there is no distinct change. It is also advised when a patient is facing critical symptom because of your hernia including:

  • Bleeding

  • Ulcers

  • Scarring

  • Narrowing of the esophagus.

How is Laparoscopic Hiatal Hernia Repair done?

The Hiatal hernia surgery can be performed in three ways –

Hiatal surgeries can be performed through open repairs, laparoscopic repairs, and endoluminal fundoplication.

All the surgeries are performed under general anesthesia and take about two to three hours to complete.

Laparoscopic Cruroplasty and Nissen fundoplication-

This is a procedure for the repair of a hiatal hernia. The repair will help prevent complications such as bleeding, strangulation, intestinal disruption, and the like.

Asymptomatic patients and ones with a sliding hernia are recommended an elective repair. The asymptomatic patients may be observed for symptoms and recommended for surgery if the symptoms arise.

The Laparoscopic Cruroplasty and Nissen Fundoplication surgery are carried out through five-quarter-inch incisions.

The camera and other tools are placed through these incisions. The hernia is then reduced from the chest into the abdomen. The procedure might also require the separation of abdominal organs from the lung and middle chest structures. 

The hiatus is then re-assessed to its appropriate size. In some cases, the hernias are so large and tissues are so poor that there is a need to use prosthetic material to prevent their recurrence. 

The Laparoscopic Hiatal Hernia procedure typically takes two to four hours, depending on the size and contents of the hernia. Patients are kept under observation in the hospital overnight and usually discharged the next afternoon.

Open Repair:

Earlier open surgery was the only option for hiatal hernia repair.

This approach takes prolonged recovery time as well as performed through a large painful incision.

In this procedure, the surgeon pulls the stomach back into place and secures the esophagus with the stomach muscles.

The open surgical technique makes an 8-10-inch upper abdominal incision and therefore this surgery is more invasive than the laparoscopic repair. 

Endoluminal Fundoplication:

Endoluminal fundoplication is the newest procedure, and the least invasive option so far. In this procedure, no incisions are made.

The surgeon will insert an endoscope with a lighted camera, through your mouth and down into the esophagus.

Then small clips are placed at the junction where the stomach meets the esophagus. These clips help prevent stomach acid and food from backing up into the esophagus.

How will be Laparoscopic Hiatal Hernia recovered?

Laparoscopic Cruroplasty and Nissen fundoplication:

Patients recover faster with laparoscopic Cruroplasty and Nissen Fundoplication. However, resuming normal activities may take around 2-7 days.

In the laparoscopic method, there are fewer chances of wound infections as well as a lower amount of pain as compared to open surgery. The most important factor of laparoscopic surgery is that more than 90% of patients are symptom-free even ten years after the procedure.

Recovery from Open Hiatal surgery:

  • Patients might experience tingling or burning pain near the site of the incision, but this feeling is temporary. 

  • Post-surgery the incision wound should be kept clean and dry. The patient can shower but should avoid baths, pools, or hot tubs. 

  • There will be restrictions on diet to prevent the stomach from bloating. Preferably liquid diets graduating to soft foods. The meals can be taken at smaller intervals instead of taking major meals, which patients might be habituated before the surgery.

  • Some breathing exercises will help you with coughing without causing much pressure on the wound as well as strengthening your diaphragm.

Hiatal Hernia is major surgery and a total recovery can take 10 to 12 weeks.

The patient can resume normal activities within 10 to 12 weeks. The patient can resume work in six to eight weeks unless the work is not very strenuous.

For very physically demanding jobs, the patient might take closer to a few months to resume work.

What is the Post surgery care to be taken ?

Post-surgery, it is best to avoid-

  • Drinking through a straw.

  • Foods that can cause gas.

  • Tomato products.

  • Carbonated drinks.

  • Alcohol

  • Citrusy foods.

What are the Complications of Laparoscopic Hiatal Hernia?

Some complications can be serious and can even be life-threatening. 

  • Bleeding

  • Pain

  • Infection on the wound (incision)

  • A blood clot in your leg

  • A blood clot in your lung

Specific complications of the Laparoscopic procedure-

• Injury or damage to adjacent organs such as your bowel, bladder, or blood vessels.

Related Articles

Appendix, Appendicitis and Appendectomy –Commonly Asked Questions


Pilonidal Sinus: Diagnosis, Treatment, Recovery and Prevention


Varicose Veins: Causes, Symptoms, Cure and Prevention

To know what varicose veins are, let us understand how arteries and veins function.


Medfin Stories: Patient Testimonial for PRK Laser eye surgery

Book an appointment at just Rs.199
Call us on


Whatsapp on


Get well in 3 steps

  • Get the right information

    Our expert doctors will help you identify course of surgical treatment required. Medfin's team will help you with the required appointments and diagnostics.

  • Get the right price

    Choose from Medfin's curated network of hospitals & doctors for every budget. Our team will help process your insurance and reimbursement for you.

  • Get better

    Medfin's latest procedures ensure better outcomes and quick recovery.

Medfin offers the latest surgical procedures to ensure that you recover as fast as possible in the least painful way possible. Minimally invasive surgical procedures/treatments� such as laparoscopy, laser & embolization help prevent complications, and improve effectiveness.

Think Surgery, Think Medfin

  • Priority admission and discharge
  • 0% interest EMI
  • Guaranteed best price
  • All insurances accepted
  • Advanced technology
Calls us: 7026-200-200

I have already consulted a doctor,
How can Medfin help?

I have already consulted a doctor

I need more information

Request a call back

If you'd like to know more about our services, you can speak to one of our representatives.

Please fill in the form to proceed with this option

Find us online

Visit our social media pages for more information about us

© Medfin 2019. All Rights Reserved.