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Diaphragmatic Hernia Repair

Surgical correction of a defect in the diaphragm — congenital (Bochdalek, Morgagni) or acquired hiatal or traumatic — through which abdominal contents protrude into the chest.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Genel Cerrahi department. Book Appointment →

What is Diaphragmatic Hernia Repair?

Diaphragmatic hernia is a defect in the diaphragm through which abdominal organs herniate into the thorax; the most common types are sliding hiatal hernia, paraesophageal hernia, traumatic diaphragmatic injury, and congenital Bochdalek and Morgagni hernias.

In adults, surgery is most commonly performed for symptomatic paraesophageal or large sliding hernias with severe gastroesophageal reflux disease, and traumatic ruptures require emergency repair.

Repair is most often performed laparoscopically with hiatal closure and a fundoplication for hiatal hernias, while large defects may require mesh reinforcement; congenital defects in newborns are repaired by pediatric surgical teams in specialized centers.

Symptoms

Severe and persistent heartburn or regurgitation in hiatal hernia
Chest pain, dysphagia, and postprandial fullness in paraesophageal hernia
Chronic anemia from chronic blood loss (Cameron lesions)
Sudden severe pain or vomiting suggesting incarceration or strangulation
Respiratory distress in newborns with congenital diaphragmatic hernia

Risk Factors

Advanced age and obesity
Pregnancy and chronically increased intra-abdominal pressure
Trauma — blunt or penetrating thoracoabdominal injury
Congenital developmental defects
Connective tissue disorders

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Severe symptomatic gastroesophageal reflux disease unresponsive to medical therapy
  • Dysphagia, chest pain, or postprandial fullness suggesting paraesophageal hernia
  • Sudden severe pain, vomiting, or bleeding — emergency evaluation
  • Suspected diaphragmatic injury in chest or abdominal trauma

Treatment Methods

01
Preoperative evaluation with upper GI endoscopy, manometry, pH monitoring, and CT or MRI
02
Laparoscopic hiatal hernia repair with cruroplasty and tailored fundoplication (Nissen, Toupet, or Dor)
03
Mesh reinforcement for large hiatal defects when indicated
04
Emergency open or laparoscopic repair of traumatic diaphragmatic ruptures
05
Specialized pediatric surgical management of congenital diaphragmatic hernia and long-term respiratory and nutritional follow-up

Which Department to Visit?

You can visit our Genel Cerrahi department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.