Hernias are extremely common condition. A hernia is a localized weakness or defect of the abdominal muscles which allows the inner lining of the abdomen to push through the weakened area of the abdominal wall to form a small balloon-like sac, which can be felt as a bulge under the skin. This weakness or tear in the abdominal muscles may allow fatty tissue or organ, such as the intestine, to protrude through the weak area.


A hiatal hernia is a condition in which the upper part of your stomach bulges through an opening in your diaphragm. Your diaphragm is the thin muscle that separates your chest from your abdomen. Your diaphragm helps keep acid from coming up into your esophagus.


Hiatal Hiatus Hernia

Acid reflux is a common condition that features a burning pain, known as heartburn in the lower chest area. It happens when stomach acid flows back up into the food pipe.


Gastroesophageal reflux disease (GERD) is diagnosed when acid reflux occurs more than twice a week.


A ring of muscle, the gastroesophageal sphincter, normally acts as a valve that lets food into the stomach but not back up into the esophagus. When this valve fails, and stomach contents are regurgitated into the esophagus, the symptoms of acid reflux are felt, such as heartburn.


Gastroesophageal, acid reflux disease

Heartburn occurs when the lower esophageal sphincter (LES) is not as strong as normal. This allows stomach acid to escape into the esophagus and create discomfort.


Hiatus hernia is diagnosed when the stomach rises up into the chest through the opening in the diaphragm which acts as an additional barrier to acid reflux.


Hiatus hernia may not require treatment unless it is at risk of strangulation or complicated by GERD.


Heartburn treatment

The most common procedure of this type is called fundoplication. In this surgery, your surgeon will:


  1. Repair the hiatal hernia. This involves tightening the opening in your diaphragm with stitches to keep your stomach from bulging upward through the opening in the muscle wall. It is recommended that surgeons place a piece of mesh in the repaired area to make it more secure.
  2. Wrap the upper part of your stomach around the end of your esophagus with stitches. The stitches create pressure at the end of your esophagus, which helps prevent stomach acid and food from flowing up from the stomach into the esophagus.



Surgery is done while you are under general anesthesia, so you are asleep and pain-free. Surgery most often takes 2 to 3 hours. Your surgeon may choose from different techniques.


Bioabsorbable mesh for cruroplasty reinforcement is important in hiatal hernia, since it:

  • Guarantees excellent results in terms of complications
  • Has low recurrence rate and reoperation at 5 years



Gore Bio-A® tissue reinforcement is a 3D bioabsorbable mesh:

  • Has low recurrence rate 0 – 17%
  • Absorbed in 6 to 7 months, leaving no mesh material behind in the body
  • Used for defects > 4 < 8 cm²


Gore Bio – A® uniquely designed web of biocompatible synthetic polymers is gradually absorbed by the body. Its 3D matrix of open, highly interconnected pores facilitates cell infiltration and tissue generation, leaving no permanent material behind. Gore Bio – A® is synthetically made in a controlled environment. The product does not utilize human or animal derived tissue, so there is no risk of cell, disease, or virus transmission.


Indigestion or dyspepsia is a common term that describes discomfort and distress in your upper abdomen.


indigestion symptoms causes treatment


Indigestion is not a disease; each person may experience indigestion differently. Indigestion symptoms include abdominal pain, feeling of fullness soon after you start eating, burning and/or bloating in the upper abdomen, and nausea. Indigestion can be an alert for the presence of another digestive disease.

Some people with indigestion also suffers from heartburn, but heartburn and indigestion are two separate conditions. Heartburn happens when stomach acid backs up into the esophagus that carries food to your stomach and cause some pain or burning feeling in the center of your chest.

Long term use of proton pump inhibitors (PPIs), a class of drugs commonly used to treat acid reflux, is linked to a high risk of developing stomach cancer as per research published online.


Eliminating Helicobacter pylori (bacteria) from the gut significantly lowers a person's risk of developing stomach cancer. Some proportion of those in whom treatment is successful, can still develop the disease, the third leading cause of cancer death in the world.


Risks of taking long-term GERD medication include:


  • Esophageal cancer. Taking over-the-counter (OTC) antacids has been associated with an increase in risk for esophageal adenocarcinoma, a form of cancer.
  • Weakened bone density. Proton pump inhibitors, or PPIs, the newest class of GERD medication, are so effective against GERD that they can eliminate symptoms and heal the esophagus in almost all GERD patients. However, there is some evidence, though controversial, that using PPIs for years can affect bone density. Weakened bone density can lead to an increased risk of bone fractures.


Hiatal hernia repair may be recommended when the patient has:

  • Severe heartburn
  • Severe inflammation of the esophagus from the backflow of gastric fluid (reflux)
  • Narrowing of the opening (hiatus) through the diaphragm (esophageal stricture)
  • Chronic inflammation of the lungs (pneumonia) from frequent breathing-in of gastric fluids


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