Hiatal Hernia Surgery in Birmingham

How is a Hiatal Hernia Repaired?

Dr. Harris specializes in minimally invasive techniques, which typically lead to faster recovery times and less postoperative pain than traditional open surgery.

• Robotic Hiatal Hernia Repair:  Using a minimally invasive approach with small incisions, long instruments and a camera, the stomach is dissected out of the chest and brought back below the diaphragm. The crura of the diaphragm are then sutured together so that they are snug around the esophagus changing the large hole in the diaphragm into a small one that only the esophagus can fit through. Sometimes there is significant tension on the repair and absorbable mesh is used to reinforce the repair.
• Nissen or Toupet Fundoplication: Usually performed during the repair to reinforce the valve between the esophagus and stomach and provide a buttress to reduce the risk of the stomach going back into the chest. This involves wrapping the floppy part of the stomach around the end of the esophagus.

Why Patients Choose Dr. Harris in Birmingham

Dr. Adam Harris is a board certified specialist in hiatal hernia surgery, focusing on laparoscopic and robotic techniques. His practice is centered on providing Birmingham patients with high-success outcomes and personalized post-operative care.

Frequently Asked Questions

How do I know if I have a hiatal hernia?

The most common indicator of a hiatal hernia is chronic heartburn or acid reflux. However, unlike most other types of hernias, a hiatal hernia cannot be detected through a doctor’s examination or based on symptoms alone because the protrusion occurs internally within the chest cavity. Testing is necessary to detect a hiatal hernia.

What tests are used to diagnose a hiatal hernia?

To confirm a diagnosis, you will typically undergo a Barium Swallow test (Esophagram). This test is painless and does not require anesthesia. During this test:

• You swallow a liquid contrast agent.
• X-ray images are taken as the contrast passes from your esophagus into your stomach.
• The imaging highlights the position of your stomach relative to your diaphragm as well as whether there is any twisting or obstruction of the stomach.

Which hiatal hernias require surgical repair?

The decision to undergo hiatal hernia surgery depends on the size of the hernia, your symptom severity, and your overall health. Generally, surgery is recommended for:

• Larger Hernias: If the hernia is larger than a small sliding type of hernia then surgery is usually recommended.
• Younger, Healthy Patients: To prevent the hernia from growing and causing complications or the need for a more complex repair in the future.
• Persistent Symptoms: When acid reflux or chest pain significantly impacts your quality of life, surgery should be considered.

Does every hiatal hernia need surgery?

Not necessarily. Many small hernias remain stable for years. However, because large hernias become more difficult to repair over time, early consultation with a specialist is vital to determine the best timeline for your care.

How long does recovery take for hiatal hernia surgery?

Most patients return home the day after surgery and resume light activities and increase activity level to normal over the next two weeks but avoid vigorous activity for at least four weeks from surgery.

Is hiatal hernia surgery covered by insurance?

Yes, insurance carriers in Birmingham cover these procedures. Our office staff helps verify coverage for your specific plan.

What is the success rate of surgery?

Surgical intervention is highly effective, with the vast majority of patients reporting a significant reduction or complete resolution of reflux symptoms. As with any hernia repair, there is a chance of recurrence. Factors such as patient weight and the size of the hiatal hernia affect the risk of recurrence. A lot hernia recurrences are small and can be managed without another surgery.