The aim of the operation is to recreate an anti-reflux valve or fundoplicature. Normaly, the procedure takes place by laparoscopy (Camera using small incisions).
The procedure takes place in two stages:
bring the lower oesophagus back into the abdomen and treat a possible hiatal hernia by bringing the pillars of the diaphragm closer together,
wrap the lower oesophagus with the top of the stomach.
There are 3 different fundoplicatures:
The most common procedure
Total posterior fundoplicature
Possible depending on pre-operative tests
There are the usual risk associated with any surgery: phlebitis, pulmonary embolism, hemorrhage and infection. During the procedure, it may be necessary to convert, from laparoscopy to open surgery, to control a hemorrhage for example.
Complications of hiatal hernia surgery include:
Spleen injury: Exceptional but the risk is real due to its proximity to the stomach.
Dysphagia: difficulty swallowing: this disorder should regress in the following months. If it persists, the fundoplication may be too tight. It can be corrected but requires a second surgery.
These complications may appear dramatic but remain exceptionally rare.