- Prof Berney’s preference is to offer a partial fundoplication to his patients as it reduces the risk of post-operative complication.
- In the presence of a large paraoesophageal HH the hernia sac is dissected out from the chest and totally excised. Furthermore, the diaphragmatic repair is reinforced with placement of a prosthetic mesh that is fixed with fibrin glue.
- Once the repair is satisfactory, a small drain (plastic tube) is left overnight to ensure that no blood collects in the abdomen.
- The patient may start drinking only few hours after surgery and will be discharged home on a soft (puree) diet for 1-2 weeks.
- Once discharged home, the small waterproof dressings covering the wounds can be safely removed 5 days later and there is no need to remove the stiches as they spontaneously dissolve within few weeks.
- Follow-up appointment is made for 2 weeks after surgery.
Acid Reflux Surgery
Acid reflux is a common condition than affects around 40% of the adult population in Western societies.