Diaphragm Hernia

Hiatal Hernia
Surgery in Chennai

Get the best hiatal hernia surgery in Chennai from Dr. Kumar, a top gastrointestinal and hernia specialist in Chennai. Experience advanced laparoscopic and robotic fundoplication for lasting relief from reflux.

Understanding

The GERD Connection

Understanding the relationship between hiatal hernia and gastroesophageal reflux disease.

How They Are Connected

The diaphragm has a natural opening called the hiatus where the esophagus passes through to connect with the stomach. When part of the stomach bulges through this opening, it is called a hiatal hernia.

This hernia disrupts the normal barrier mechanism that prevents stomach acid from flowing back into the esophagus, leading to chronic GERD symptoms.

Important: Over 90% of patients with GERD have some degree of hiatal hernia. Treating the hernia can significantly improve reflux symptoms.

01

Sliding Hiatal Hernia

Most common type where the stomach slides up and down through the hiatus. Usually causes reflux symptoms.

02

Paraesophageal Hernia

Part of the stomach pushes alongside the esophagus. More concerning as it can lead to strangulation.

03

Mixed Hernia

Combines features of both sliding and paraesophageal types, carrying risks of both conditions.

Hiatal Hernia reflux connection
Symptoms

Recognizing a Hiatal Hernia

Symptom Consultation
Expert Clinical Diagnosis A professional physical examination is the essential first step to confirm any hernia diagnosis.

Acid Reflux / Heartburn

Burning sensation in the chest, especially after meals or when lying down. The most common symptom.

Chest Pain

Often mistaken for cardiac pain. Can be severe and accompanied by difficulty swallowing.

Difficulty Swallowing

Feeling of food stuck in the chest or throat. May indicate significant hernia size.

Bloating & Gas

Excessive burping and feeling of fullness even after small meals.

Regurgitation

Sour or bitter-tasting acid coming back up into the mouth, especially at night.

Hoarseness

Chronic throat irritation and voice changes from acid affecting the vocal cords.

Fundoplication Sub-Types

Tailored anti-reflux procedures performed laparoscopically or robotically.

360°

Nissen Fundoplication

Full 360-degree stomach wrap around the lower esophagus. The most common and effective technique for severe reflux control.

270°

Toupet Fundoplication

Partial 270-degree wrap. Often preferred for patients who have weak esophageal motility to avoid postoperative swallowing issues.

HERNIA

Hiatal Hernia Repair

Performed simultaneously to restore the stomach to its correct position below the diaphragm and close the hiatal opening.

Personalized Consultations

Ready to Discuss Your Treatment?

Book an appointment with Dr. Kumar today for a comprehensive evaluation and personalised treatment plan.

Surgical Approaches

How Dr. Kumar Repairs Hiatal Hernia

Dr. Kumar specializes in advanced minimally invasive techniques. Laparoscopic and Robotic approaches are preferred for faster recovery, less pain, and tiny scars. Open repair is reserved for select cases.

★ Preferred Approach

Advanced Laparoscopic Hiatal Hernia Repair

Minimally Invasive · Keyhole Surgery

Laparoscopic hiatal hernia repair with fundoplication (Nissen 360° or Toupet 270°) restores the stomach below the diaphragm and reconstructs the anti-reflux valve. Tiny incisions, minimal pain, and rapid return to normal eating — typically 1–2 day hospital stay.

  • Nissen or Toupet fundoplication
  • Restores anti-reflux valve
  • Tiny incisions
  • Rapid return to eating
★ Preferred Approach

Advanced Robotic Hiatal Hernia Repair

Latest Technology · 3D Vision

State-of-the-art advanced robotic platform for unmatched precision in the confined space around the diaphragm and oesophagus. Superior for large hiatal defects, para-oesophageal hernias, and re-do anti-reflux surgery.

  • Superior 3D HD vision
  • Wristed instruments in tight space
  • Best for large & re-do hiatal
  • Precise crural closure
When Needed

Open Hiatal Hernia Repair

Time-tested open technique (mesh repair) reserved for select cases — large, infected, contaminated, or emergency hernias, and patients unsuitable for keyhole surgery.

🤷‍♂️ FAQ

Frequently Asked Questions

A hiatal hernia occurs when the upper part of the stomach slips upwards through the opening in the diaphragm (the hiatus) into the chest cavity. This displacement weakens the natural valve between the esophagus and stomach, allowing gastric acid to escape upwards and cause chronic acid reflux (GERD).