PreOp® Patient Education Hernia Hiatal Laparoscopic Surgery3

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Patient Education
Patient ED @ 617-379-1582 INFO
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.
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All of the instruments are withdrawn...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.
Patient Education Company

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