Hiatal Hernia Repair Specialist

Buckminster Farrow, MD -  - General Surgeon

Buckminster Farrow, MD

General Surgeon & Hernia and Gallbladder Specialist located in Houston, TX & Katy, TX

For many people, a hiatal hernia can cause unpleasant symptoms like acid reflux that negatively impact their quality of life. Fortunately, treatments are available if you have gastroesophageal reflux disease (GERD) and/or a hiatal hernia at the offices of Dr. Buckminster Farrow, MD, in Houston and Katy, Texas. Dr. Farrow has extensive experience repairing hiatal hernias, providing his patients with the relief they’re seeking. For expert hiatal hernia repair, schedule a consultation online or by phone today.

Hiatal Hernia Repair Q & A

What is a hiatal hernia?

A hernia of any nature occurs when tissue pushes through an opening into an area that it shouldn’t be. With a hiatal hernia, the stomach pushes through an opening called the hiatus, which connects your abdomen to your chest cavity. 

There are two main types of hiatal hernia, sliding hiatal hernia and paraesophageal hernia, which is where only a portion of the stomach emerges through the hiatus. While both can present problems, a sliding hiatal hernia is much more common, while a paraesophageal hernia can cause more serious complications. 


What are the symptoms of a hiatal hernia?

Many people with hiatal hernias don’t experience any symptoms, and in such cases treatment may not be necessary. However, some people with hiatal hernias can experience symptoms similar to gastroesophageal reflux disease (GERD). This can cause uncomfortable symptoms, including:

  • Burning sensation in your chest
  • Difficulty swallowing
  • A sensation of a lump in your throat
  • Regurgitation of food
  • Chest pain

In addition, paraesophageal hernias can cause the blood supply to your stomach to become cut off, causing a more serious condition.


What are the risk factors for developing a hiatal hernia?

A hiatal hernia can occur in anybody, but you’re at a greater risk of developing the condition if you’re overweight. In addition, those who are over 50 have an increased risk, as do women.


When should I consider hiatal hernia surgery?

There are several reasons why surgery to correct a hiatal hernia may be the right choice for you. The most common indication for surgery if when your acid medication isn’t working well enough to control your GERD symptoms. Also, many patients don’t want to take medication for the rest of their lives due to concern for side effects of the medications or risk of long term complications from acid-lowering medications. Some patients have large hernias that cause bleeding or are at high risk for incarceration (getting stuck)- these hernias often require surgical repair before the condition worsens.


How are hiatal hernias treated?

For patients that develop symptoms of GERD with a hiatal hernia or other complications from a paraesophageal hernia, a simple operation can help. Surgery can restore the normal mechanisms that prevent acid from reaching the esophagus by reducing the hernia and repairing the hiatus. Normally this includes a fundoplication where the stomach is wrapped around the esophagus. This operation has been safe and effective for more than 100 years but often required a large incision.

Fortunately, this surgery can now be performed laparoscopically. Dr. Farrow makes several small incisions and uses special tools and camera equipment to repair the hernia and return the stomach to its correct location. 

Usually, people who undergo this surgery are able to return home the same day, and full recovery is possible within several weeks, although heavy lifting and eating certain foods should be avoided until Dr. Farrow deems it appropriate. Most patients find the surgery transforms their lives for the better; they are able to eat the foods they love, drink caffeine, sleep better, and improve their lifestyle.

To learn more about hiatal hernia repair, schedule a consultation with Dr. Farrow online or by phone today.