PreOp Patient Education
Thursday, March 28, 2024

Audio Presentation

Hernia - Hiatal

Laparoscopic


Your Procedure
  Your Body
  Alternatives
  Medical Record
  Anesthesia
  Before Surgery
  Your Procedure
  Recovery
This information is not intended to replace the advice of your doctor. MedSelfEd, Inc. disclaims any liability for the decisions you make based on this information.
Now it's time to talk about the actual procedure your doctor has recommended for you.

On the day of your operation, you will be asked to put on a surgical gown.
On the day of your operation, you will be asked to put on a surgical gown.
You may receive a sedative by mouth and
You may receive a sedative by mouth and
an intravenous line may be put in.
an intravenous line may be put in.
You will then be transferred to the operating table.
You will then be transferred to the operating table.
In the operating room, a nurse will begin preparation by clipping or shaving the abdomen.
In the operating room, a nurse will begin preparation by clipping or shaving the abdomen.
The anesthesiologist will begin to administer anesthesia - most probably general anesthesia.
The anesthesiologist will begin to administer anesthesia - most probably general anesthesia.
The surgeon will then apply antiseptic solution to the skin around the area where the incisions will be made,
The surgeon will then apply antiseptic solution to the skin around the area where the incisions will be made,
... place a sterile drape around the operative site.
... place a sterile drape around the operative site.
After allowing a few minutes for the anesthetic to take effect ...
After allowing a few minutes for the anesthetic to take effect ...
a small incision is made above the umbilicus;
a small incision is made above the umbilicus;
then, a hollow needle will be inserted through the abdominal wall.
then, a hollow needle will be inserted through the abdominal wall.
And the abdomen will be inflated with carbon dioxide.
And the abdomen will be inflated with carbon dioxide.
An umbilical port is created for the laparoscope.
An umbilical port is created for the laparoscope.
Four more incisions will be made, with care taken to keep the openings as small as possible.
Four more incisions will be made, with care taken to keep the openings as small as possible.
Once in place, the laparoscope will provide video images,
Once in place, the laparoscope will provide video images,
so the surgeon can insert the instruments used to locate and pull back the liver...
so the surgeon can insert the instruments used to locate and pull back the liver...
in order to see the upper part of the stomach.
in order to see the upper part of the stomach.
First, the surgeon pulls the stomach away from the hiatus, or opening, in the diaphragm.
First, the surgeon pulls the stomach away from the hiatus, or opening, in the diaphragm.
Then, the surgeon cuts away the tissue that connects the liver and the stomach.
Then, the surgeon cuts away the tissue that connects the liver and the stomach.
The surgeon can then dissect part of the diaphragm around the esophagus... This gives better access to the diaphragm and the esophagus.
The surgeon can then dissect part of the diaphragm around the esophagus... This gives better access to the diaphragm and the esophagus.
Next, the surgeon pulls the esophagus upwards...
Next, the surgeon pulls the esophagus upwards...
and closes the hiatus with sutures.
and closes the hiatus with sutures.
Some hiatal hernias can cause persistent and painful acid reflux and your doctor may decide to correct the problem surgically. In this case, the surgeon divides and separate the arteries that supply blood to the top of the stomach.
Some hiatal hernias can cause persistent and painful acid reflux and your doctor may decide to correct the problem surgically. In this case, the surgeon divides and separate the arteries that supply blood to the top of the stomach.
After freeing the stomach from the spleen,
After freeing the stomach from the spleen,
your doctor wraps the upper portion of the stomach around the esophagus and sutures it into place.
your doctor wraps the upper portion of the stomach around the esophagus and sutures it into place.
A rubber tube is placed in the esophagus to keep the wrap from becoming too tight.
A rubber tube is placed in the esophagus to keep the wrap from becoming too tight.
All of the instruments are withdrawn...
All of the instruments are withdrawn...
the carbon dioxide is allowed to escape...
the carbon dioxide is allowed to escape...
the muscle layers and other tissues are sewn together and the skin is closed with sutures or staples.
the muscle layers and other tissues are sewn together and the skin is closed with sutures or staples.
Finally, sterile dressings are applied.
Finally, sterile dressings are applied.

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