Hernia Hiatal Laparoscopic PreOp® Patient Education

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Your doctor has recommended that you undergo surgery to repair a hiatal hernia. But what does that actually mean?

Your diaphragm is a muscle that separates your chest from you abdomen and helps you to breathe. Normally, the diaphragm has an opening for the esophagus to pass through where it connects with the stomach.

A hiatal hernia occurs when part of the stomach

pushes upward through this small opening.
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Your hiatal hernia may be causing considerable discomfort, with symptoms like heartburn, difficulty swallowing, chest pain and belching.

The reasons why hiatal hernias form are not known, but they are quite common. A Hernia is dangerous only if it becomes strangulated. That means that the portion of the stomach that has pushed up into the chest may become pinched - preventing blood from reaching it.

If this happens, you may require emergency surgery to restore blood flow and to repair hernia.

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On the day of your operation, you will be asked to put on a surgical gown.
You may receive a sedative by mouth and
an intravenous line may be put in.
You will then be transferred to the operating table.
In the operating room, a nurse will begin preparation by clipping or shaving the abdomen.
The anesthesiologist will begin to administer anesthesia - most probably general anesthesia.
The surgeon will then apply antiseptic solution to the skin around the area where the incisions will be made,
... place a sterile drape around the operative site.

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After allowing a few minutes for the anesthetic to take effect ...
a small incision is made above the umbilicus;
then, a hollow needle will be inserted through the abdominal wall.
And the abdomen will be inflated with carbon dioxide.
An umbilical port is created for the laparoscope.
Four more incisions will be made, with care taken to keep the openings as small as possible. Patient Education
Once in place, the laparoscope will provide video images,
so the surgeon can insert the instruments used to locate and pull back the liver...
in order to see the upper part of the stomach.

First, the surgeon pulls the stomach away from the hiatus, or opening, in the diaphragm.
Then, the surgeon cuts away the tissue that connects the liver and the stomach.
The surgeon can then dissect part of the diaphragm around the esophagus... This gives better access to the diaphragm and the esophagus.
Next, the surgeon pulls the esophagus upwards...
and closes the hiatus with sutures.
Some hiatal hernias can cause persistent and painful acid reflux and your doctor may decide to correct the problem surgically. In this case, the surgeon divides and separate the arteries that supply blood to the top of the stomach.
After freeing the stomach from the spleen,
your doctor wraps the upper portion of the stomach around the esophagus and sutures it into place. Patient Education
A rubber tube is placed in the esophagus to keep the wrap from becoming too tight.
All of the instruments are withdrawn...
the carbon dioxide is allowed to escape...
the muscle layers and other tissues are sewn together and the skin is closed with sutures or staples.
Finally, sterile dressings are applied.
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Category:

Education

Tags:

• Patient
• Education
• Hernia
• Hiatal
• Laparoscopic
• Surgery
• heartburn
• abdomen
• stomach
• gerd
• indigestion
• pregnancy
• nausea
• remedies
• paraesophageal
• reflux
• acid
• retrocardiac
• boston
• medical
• hospital
• blood
• MD
• AARP
• HIMSS
• HIMSS12

[BabyFace420er]

this isnt whut i expected..

[NightmareCrab]

EEEEEEEEEEEEEEEEEEEEEEEEEEEEEE­EEEEEEEEEEEEEEEEEEEEEEEEEEEEEE­EEEEEEEEEEEEEEEEEEEEEEEEEEEEEE­EEEEEEEEEEEEEEEEEEEWWWWWWWWWWW­WWWWWWWWWWWWWWWWWWWWW

[TheSupercobrasnake]

@cboydrew22 idk see a doctor

[blackpowaa]

this is actually interesting

[CryingBabiesOfHell]

I thought it was Hentai. e.e

[Th3M4st3r0fL0L]

@cboydrew22 why cant you just get a doctor? It's simple and easy.

[cboydrew22]

I NEED HELP PLEASE, I HAD MY BELLYBUTTON FEEL LIKE IT WAS BEING PULLED AND NOW IT MOVED TO THE LOWER RIGHT SIDE OF MY STOMACH THE PAIN IS JUST ABOVE MY RIGHT HIP, THEIRS NOT MUCH PAIN BUT I FEEL SOMETHING IS WRONG , HELP

P.S. IM SCARED

IS IT HERNIA OR APENDICITIS

[xbox3s4]

@NightmareCrab omg how old are you

[aladraion1]

dont be grosed out this is for people who's future is to become nurse/doctor

[cyborg578]

@BabyFace420er dito