Very small hiatus hernias can be left alone, and those which are associated with reflux are treated in the same way as for patients with reflux disease and options may include LINX or fundoplication.
Symptomatic larger hernias can be managed with a combination of significant dietary and lifestyle modifications and sometimes anti-acid medication. Although these can improve some of the troublesome problems, they can be very restrictive and are not always very effective. They do not deal with the underlying problem which is a structural and mechanical breakdown. There is also the risk of further deterioration as the hiatus hernia gets bigger, as well as some of the potentially serious complications mentioned above.
I just want to say a huge BIG thank you to for doing my hiatus hernia operation – I feel like a new person and am so grateful for all your care and consideration that has made such a difference for me.
Hiatus hernias can be successfully repaired by keyhole surgery (laparoscopic para-oesophageal hernia repair). The aim of the operation is to restore the natural anatomy, bringing the stomach and other organs back into the abdomen, repairing the hiatus, and usually incorporating a fundoplication valve to prevent reflux.
This enables normal function to return with restoration of quality of life and improvement wellbeing.