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Treatment of esophageal hernias (hiatal hernias)
Hiatal hernia (hiatal hernia of the diaphragm) is a pathological displacement of the stomach or other abdominal organs into the chest cavity through an enlarged esophageal opening of the diaphragm. Modern treatment methods allow effective correction of hiatal hernia, improvement of digestion, and prevention of complications.
When is treatment of hiatal hernia required?
- Persistent heartburn, chest pain, or difficulty swallowing.
- Frequent belching, sour taste in the mouth, nausea.
- Gastroesophageal reflux disease (GERD) with acid reflux into the esophagus.
- A feeling of pressure in the chest, especially after meals.
- Diagnosis of a paraesophageal hernia with a risk of strangulation.
Methods of treatment of hiatal hernia
- Conservative (medication) therapy – antacids, proton pump inhibitors, prokinetics (used for small hernias).
- Laparoscopic Nissen fundoplication – a minimally invasive procedure that reinforces the esophageal hiatus and prevents acid reflux into the esophagus.
- Hernioplasty with diaphragmatic repair – surgical closure of the hernial defect with possible mesh reinforcement.
- Open surgery – performed in cases of large hernias or complications.
How is treatment performed?
- Diagnostics – upper endoscopy (EGD), contrast X-ray study, CT scan, esophageal manometry.
- Selection of treatment strategy – conservative therapy or surgical intervention.
- Surgery (if indicated) – laparoscopic or open repair.
- Postoperative recovery – soft diet, gastric acid control, and nutritional recommendations.
Main advantages of modern hiatal hernia treatment in Belarus
- Effective elimination of heartburn and reflux esophagitis.
- Minimal tissue trauma with laparoscopic techniques.
- Rapid recovery – patients usually return to normal life within 7–10 days.
- Reduced risk of recurrence due to reinforcement of the diaphragmatic hiatus.
- Improved digestive comfort without persistent discomfort.
Procedures are performed in leading surgical and gastroenterological clinics in Belarus using modern laparoscopic techniques. Experienced specialists ensure accurate diagnosis, safe intervention, and comfortable postoperative recovery.
This text has been translated using machine translation technology (DeepL API) and may contain inaccuracies.
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