Acency Title: Barifa Sağlık ve Turizm Travel Agency
The widest part of the stomach, located under the area where the esophagus and the stomach meet, is the displacement of the fundus part from the normal place of the abdomen through the opening on the diaphragm, where the esophagus passes from the thorax to the abdominal cavity, towards the rib cage.
Classical findings of a hernia;
Sour water in your mouth,
Burning under the faith board in the chest,
Occasional dry cough (as a result of stomach acid irritating the throat)
These complaints are less and uncertain in some patients depending on the size of the hernia, and in some patients, they are serious and excessive in a way that disrupts the life standard, eating and drinking habits. The cause of the complaints is a disorder in the function of the valve mechanism between the esophagus and the stomach as a result of the herniation of the stomach into the chest cavity. Due to the dysfunction of this valve, acid-containing liquids in the stomach escape from the stomach into the esophagus and cause irritation and burns (esophagitis), especially in the lower part of the esophagus. This irritation in the esophagus causes the complaints mentioned above in patients. These burns and irritation are long and intense,
The diagnosis of the disease is made by an upper digestive system endoscopy to be performed in line with your existing complaints.
Drug treatment and surgical treatment options are available in the treatment of gastric hernia and reflux complaints. Although drug therapy is partially effective in minor and mild cases, they correct the symptoms of the disease, not the disease. Drug treatment does not correct the hernia in your stomach. It is the definitive treatment method for patients who do not respond to medication, have intense symptoms, and severe irritation and burns in the esophagus during endoscopy. With surgery, hernia and related reflux complaints are permanently treated. If the damage to the esophagus (Barret esophagus and esophagitis condition) after the operation, the duration of the reflux, the severity of the burn and irritation either improves or its progress is prevented.
Surgery is required in patients with symptomatic and uncontrollable complaints, large gastric hernia on endoscopy, “Barret esophagus” at the lower end of the esophagus, and severe esophagitis (esophageal irritation and inflammation).
Procedures such as blood tests (liver, kidney function tests, metabolic function tests, bleeding-coagulation status, etc.), lung film, anesthesiologist evaluation are performed before
Reflux and gastric hernia surgeries are now performed with laparoscopic surgery as standard. In surgery, the herniated stomach is taken from the rib cage into the abdomen, which is its standard place, and the enlarged esophagus opening in the diaphragm muscle is brought to its standard size and narrowed. Subsequently, the front wall of the large area of the stomach called the fundus is turned from the front of the esophagus and the back wall is stitched together by turning it behind the esophagus. In this way, a dressing is created around the esophagus to prevent gastric fluids from escaping into the esophagus by increasing the pressure in this area. The name of this surgery is called “Nissen Fundoplication”.
Since your surgery is a surgical procedure to be performed on the digestive system;
It is okay to use drugs other than blood thinners that you have to use routinely until the night of the surgery. Blood pressure medication, heart medication can be drunk with a little water on the morning of the surgery, within the knowledge of your doctor, at least 2 hours before the operation.
If you are using blood thinners, you should definitely warn your doctor about this and give your doctor time to stop these drugs and start alternative drugs.
If you smoke, it is necessary to quit smoking at least 1 week before the surgery or to reduce it to the minimum possible level. This is a situation that will directly affect your postoperative lung performance.
One night before the surgery, you should generally stop all solid or liquid food intake at around 22-23 o’clock, and be ready with at least 6 hours of fasting the morning of the surgery.
Take a bath at home before you go to the hospital before the operation. Do not forget that you will not have a bath for at least 2 or 3 days.
Do not wear nylon-containing underwear while coming to the hospital. Nylon underwear can interact with some electrical devices used during surgery and cause skin burns.
When you come to the hospital, it is useful to bring slippers, personal cleaning materials (toothbrush, toothpaste, shaving kit, etc.) and sufficient underwear.
Although your hospital stay is affected by many factors such as whether you are in the hospital the night before or on the morning of the surgery, how long your surgeon takes the principle of keeping the patient in the hospital after surgery, whether your surgical problem develops after surgery, it is usually up to 1-2 nights.
If you have been hospitalized the night before the surgery, you should use protective blood thinners in your home if you are going to bed in the morning of the surgery. This treatment will be planned and applied by your doctor. Before you go to the operating room on the morning of the surgery, you should definitely go to the toilet and meet your needs. The period between being taken from your bed for surgery and returning to your bed will usually be 2-3 hours. All of this time is not the time taken for the operation, the preparation period in the operating room, your surgery and your post-surgery wake up process are in this process. Mostly, you will be taken to your bed on the floor after surgery, there is usually no need for postoperative intensive care. In the days after the surgery, the process takes place as follows;
On the day of surgery: Approximately 4-5 hours after returning to your bed, you lift you for the first walk and take a small walk in the room. On the day of the surgery, all your treatments are performed intravenously and food intake is not allowed.
1st day after the operation: Today is the day when oral nutrition is started. You will be served a tea, cream cheese and biscuit-style breakfast in the morning and you start the day. You are allowed to consume as much liquid as you want during the day and you are provided with grainy soup at meals. In these operations, a drain is not usually placed in the operation area. Patients can generally be discharged towards the evening of the next day following the operation day. This period may sometimes extend up to the 2nd day after the operation.
Your time to return to normal life is highly related to your job. If you are doing a desk job, you will be able to do your job on the 2nd or 3rd day after you are discharged from the hospital. But the standard rest period is 7-10 days for this work group. If you are working in a job where you need to work physically, you can rest for a period of 15-20 days and then be at your job.
