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Type 1 hernias are called sliding hernias, which usually do not require surgery. Type 2, type 3, and type 4 hernias are called paraesophageal hernias. They are more likely to need surgical ...
What Size Hiatal Hernia Needs Surgery? In most cases, hernias will eventually grow larger and can lead to serious complications if people do not repair them. Typically, individuals can self-manage hernias that are smaller than 5 cm (2 1/2 inches) through lifestyle choices and medication.
A hiatal hernia is a condition in which part of the stomach protrudes through the diaphragm and into the chest cavity. This can cause a number of problems, including heartburn, difficulty swallowing, and chest pain. In some cases, a hiatal hernia may require surgery.
Most doctors agree that hiatal hernias don’t need surgery if they are under 5 cm, which is considered small. In fact, even if you have a large hiatal hernia that reaches 7 cm, your doctor may not consider surgery necessary, especially if you aren’t experiencing any symptoms that affect your quality of life.
Surgery is an effective way to treat a severe hiatal hernia. Laparoscopic repair is the most common procedure. Learn about recovery times and complications.
If your hiatal hernia never causes any symptoms, you might not need to treat it. But if it does, you can expect those symptoms to continue and possibly worsen. You might be able to manage mild acid reflux with medications. But if you have a more severe case, you might need surgical repair. What is the medical treatment for a hiatal hernia?
Surgery for hiatal hernias often can be performed using a minimally invasive approach, even for a larger hernia such as yours. A hiatal hernia is a common problem in which the upper part of the stomach bulges, or herniates, through an opening in the diaphragm into the chest.
Sometimes a hiatal hernia requires surgery. Surgery may help people who aren't helped by medicines to relieve heartburn and acid reflux. Surgery also may help people who have complications such as serious inflammation or narrowing of the esophagus.
Methods: Systematic reviews were conducted for four key questions regarding the treatment of HH in adults: surgical treatment of asymptomatic HH versus surveillance; use of mesh versus no mesh; performing a fundoplication versus no fundoplication; and Roux-en-Y gastric bypass (RYGB) versus redo fundoplication for recurrent HH.
Causes might include: Being born with a larger hiatal opening than usual. Injury to the area. Changes in your diaphragm as you age.