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Hiatus Hernia Repair
Hiatus hernia repair is a specialized gastrointestinal surgical procedure performed at Moolchand Hospital, one of the best gastroenterology and surgery hospitals in Delhi. A hiatal hernia occurs when part of the stomach protrudes upward through the oesophageal hiatus — the opening in the diaphragm — into the chest cavity. There are two main types: sliding hiatal hernia (most common, where the gastroesophageal junction slides into the chest) and paraesophageal or rolling hernia (where part of the stomach rolls alongside the esophagus into the chest, with the junction remaining in the abdomen).
Sliding hiatal hernias are very common and are primarily associated with gastroesophageal reflux disease (GERD). Most are managed effectively with lifestyle modifications and proton pump inhibitor (PPI) medications. Surgery is indicated for patients with severe, refractory GERD unresponsive to medical therapy, large symptomatic hiatal hernias, complications such as esophageal stricture or Barrett's esophagus, or paraesophageal hernias (which carry a risk of gastric volvulus and strangulation and generally warrant elective repair).
The standard surgical procedure is laparoscopic fundoplication — typically Nissen fundoplication (360-degree wrap) or Toupet fundoplication (270-degree posterior wrap). The procedure involves reducing the herniated stomach back into the abdomen, narrowing the hiatus with crural sutures to prevent recurrence, and wrapping the fundus of the stomach around the lower esophagus to reinforce the lower esophageal sphincter and prevent reflux. A mesh may be placed at the hiatus for large defects to reduce recurrence.
At Moolchand Hospital in Lajpat Nagar Delhi, our laparoscopic surgeons and gastroenterologists provide thorough preoperative assessment including manometry and pH studies to ensure appropriate patient selection and optimal surgical outcomes for hiatal hernia repair.
Our team of globally acclaimed super specialists has pioneered several hiatus hernia repair surgeries.
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Real patients...Real stories
Patients and their families from more than 50 countries around the world have benefited from our half-century old tradition of excellence in healthcare. Our excellence has led to Moolchand being a preferred choice for many VIP’s including international diplomats and business leaders. Here is what some of our patients have to say about their Moolchand experience.
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Hernioplasty / Herniorrhaphy / Herniotomy
Hernioplasty, herniorrhaphy, and herniotomy are surgical procedures for hernia repair, differing in technique — herniotomy closes the sac only, herniorrhaphy repairs with native tissue, and hernioplasty reinforces with a synthetic mesh for stronger, lower-recurrence repair.
Incisional Hernia Repair
Hiatus hernia repair is a surgical procedure to correct a hiatal hernia — where part of the stomach pushes up through the diaphragm into the chest — relieving severe reflux, regurgitation, and chest pain that has not responded to medical management.
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