Specialty Surgical Associates

Hiatal Hernia

A hiatal hernia occurs when a portion of the stomach pushes through the diaphragm into the chest cavity, often causing symptoms such as heartburn, regurgitation, chest discomfort, and difficulty swallowing. While small hiatal hernias may not require treatment, larger or symptomatic hernias can lead to complications like gastroesophageal reflux disease (GERD) or esophagitis.

Our board-certified general surgeons provide expert hiatal hernia evaluation and surgical treatment, including minimally invasive and robotic-assisted approaches, to relieve symptoms, restore digestive function, and improve quality of life.

Schedule Your Hiatal Hernia Consultation

If you are experiencing heartburn, chest discomfort, or other digestive symptoms,
Call our office today or request a consultation online to discuss evaluation and treatment options.

What Does Hiatal Hernia Surgery Treat?

Hiatal hernia treatment addresses:

  • Symptomatic hiatal hernia causing reflux or chest pain
  • GERD caused by hernia
  • Esophagitis from chronic acid exposure
  • Strangulated or incarcerated hernia – rare but serious complication
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Who Can Benefit?

  • Adults with persistent heartburn or regurgitation despite medical therapy
  • Patients with difficulty swallowing or chest discomfort related to a hernia
  • Individuals at risk for complications like esophageal damage or ulceration

Early diagnosis and treatment can prevent serious complications and improve daily comfort.

How to Prepare for Hiatal Hernia Surgery

Preparation may include:

  1. Comprehensive evaluation and imaging (endoscopy, barium swallow, or CT scan)
  2. Review of medications and medical history
  3. Fasting instructions prior to surgery
  4. Guidance on arranging post-operative support at home

Our team ensures patients are fully informed and ready for a safe surgical experience.

Before the Procedure

  • Arrive at the hospital or surgical center early for check-in
  • Bring ID, insurance card, and medication list
  • Meet your surgical and anesthesia team
  • Review the procedure, potential risks, and recovery plan

Patient comfort and understanding are priorities before surgery.

During the Procedure

Hiatal hernia repair may be performed using:

  • Laparoscopic Repair – minimally invasive, small incisions, faster recovery
  • Robotic-Assisted Repair – enhanced precision and visualization for complex cases
  • Open Surgery – reserved for large or complicated hernias
  • Procedure typically lasts 1–2 hours under general anesthesia

Advanced techniques reduce complications and improve surgical outcomes.

After the Procedure

Recovery may include:

  • Hospital Stay: 1–2 days for laparoscopic surgery; longer for open surgery
  • Mild to moderate chest or abdominal discomfort
  • Gradual return to normal diet and activities
  • Follow-up visits to monitor healing and symptom resolution

Contact your doctor immediately if you experience:

  • Fever or signs of infection
  • Persistent vomiting or difficulty swallowing
  • Severe abdominal or chest pain
  • Uncontrolled bleeding

Post-operative care ensures safe recovery and optimal outcomes.

Risks & Benefits

Benefits

  • Relief from heartburn, regurgitation, and chest discomfort
  • Correction of anatomical defect to prevent future complications
  • Minimally invasive approaches for shorter recovery and less scarring
  • Improved digestive function and quality of life

Risks

  • Infection or bleeding
  • Temporary difficulty swallowing
  • Recurrence of hernia in rare cases
  • Complications related to anesthesia or surgical technique

Our surgeons provide individualized discussion of risks and expected benefits before surgery.

Patient Resources & Education

We provide:

  • Pre- and post-operative dietary and activity guidelines
  • Educational resources on hiatal hernia and GERD
  • Insurance and billing support
  • Online patient forms and care instructions

Our team ensures patients have the tools and knowledge for a smooth recovery.

Frequently Asked Questions

How do I know if I have a hiatal hernia?

Symptoms may include persistent heartburn, regurgitation, chest discomfort, or difficulty swallowing. Diagnosis is confirmed via imaging or endoscopy.

Small or asymptomatic hernias may be managed with medications and lifestyle modifications, but surgery is recommended for symptomatic or complicated hernias.

Recovery typically ranges from 2–4 weeks for minimally invasive surgery, with gradual return to normal activity.

Yes. Laparoscopic and robotic-assisted repairs are safe, effective, and associated with faster recovery and smaller scars.

Surgery significantly reduces or eliminates reflux in most patients, though lifestyle changes may still be necessary.

Schedule Your Hiatal Hernia Repair Consultation

Correct the hernia, relieve reflux, and improve digestion.