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Hiatus Hernia

Hiatus Hernias occur when part of the stomach protrudes or bulges through the hiatus in the diaphragm. There is know known cause of hiatus hernias but there are contributing factors (see list below).

A Video about Laparoscopic Hiatus Hernia Repair


Generally Hiatus Hernias demonstrate no obvious symptoms. Sometimes a patient might experience pain and discomfort in the form of reflux or gastric acid, air or bile. This type of hernia can also mimic other serious types of illnesses but is generally non life threatening. Symptoms include:

  • Dulls pain in the chest
  • shortness of breath
  • heart palpitations (caused by irritation of the vagus nerve)


Some factors which contribute to Hiatus Hernia include:

  • Heavy lifting or bending ove to pick up something
  • Violent or frequent coughing or sneezing
  • Delivery and pregnancy
  • Straining when going to the toilet
  • Violent Vomiting
  • Family history of hernias
  • Smoking
  • Drug use
  • Stress


Repair of a Hiatus Hernia is best carried out laparoscopically and involves wrapping of the upper part of the stomach around the inferior part of the esophagus which prevents herniation of the stomach through the hiatus in the diaphragm. When performed laparoscopically this procedure has low complication rates and a very speedy recovery time.

Read more about different types of hernias.