Diaphragmatic Hernia / Hiatal Hernia / Hiatus Hernia Treatment
Diaphragmatic hernia is caused by a defect in the diaphragm that allows the abdominal contents to move into the chest cavity. This in turn hinders the normal functioning of the lungs.
There are several types of Diaphragmatic Hernia –
- Congenital Diaphragmatic Hernia (CDH) – This condition of the diaphragm is a birth defect that allows abdominal organs/ contents to enter the chest cavity and affect the formation of the lungs. New born babies suffering from this disorder experience severe respiratory issues.
Congenital Diaphragmatic Hernia is further classified into:
- Bochdalek Hernia – This is the most common form of CDH which is characterised by a hole in the postero-lateral corner of the diaphragm which allows the abdominal content to bulge into the chest cavity.
- Morgagni Hernia – This condition occurs when the patient undergoes herniation through the foramen of Morgagni.
- Diaphragm eventration – This condition is characterized by abnormal contouring of the diaphragmatic dome caused when the muscles in the diaphragm are incompletely developed and replaced by a thin membrane instead. This weak membrane when stretched does not contract back to its original position.
- Hiatal Hernia/Hiatus Hernia – This form of hernia occurs when the abdominal organs slip into the middle chest cavity through the natural orifices in the diaphragm meant for passage of vessels and nerves from chest to abdomen or vice versa.
- Traumatic Diaphragmatic Hernia – This condition results from physical trauma to the diaphragm and is often linked with herniation of abdominal organs into the chest cavity.
Symptoms of Diaphragmatic Hernia or Hiatal Hernia–
- Breathing issues – Tachypnea (fast breathing) or difficulty while breathing.
- Abnormality in the development of chest in infants.
- Rapid heart rate.
- Discoloration of skin due to inadequate oxygen supply.
- Difficulty in swallowing.
- Heartburn or Gastroesophageal reflux.
Diagnosis of Diaphragmatic Hernia / Hiatal Hernia / Hiatus Hernia –
- Physical examination – A thorough physical examination of the chest, the breathing, the breathing sounds and colour of the skin help diagnose the condition.
- Imaging techniques – X-rays, Barium meal, Ultrasound, Computed Tomography Scans (CT scan) and Magnetic Resonance Imaging (MRI) can help detect the condition.
- Blood tests – Blood samples help detect the oxygen level, the acidity, carbon dioxide and pH levels in the blood.
- Upper GI Endoscopy, Manometry and pH Monitoring – These may be required to assess Hiatal Hernias.
Treatment of Diaphragmatic Hernia / Hiatal Hernia / Hiatus Hernia –
Diaphragmatic Hernia or hiatal hernia is repaired laparoscopically. As space is limited in hiatal region, laparoscopy provides an excellent vision and is much superior to conventional repair overcoming all its limitations with adequate instrumentation.
The Surgeon repositions the abdominal organs that have slipped into the chest cavity back into the abdomen and closes the hole in the diaphragm that has caused the condition.
The repair may have to be combined with an anti-reflux procedure such as Nissen Fundoplication.
Dr. Nikhil Agnihotri, expert Laparoscopic Surgeon provides Diaphragmatic Hernia Surgery and Hiatal / Hiatus Hernia Treatment in new Delhi, India. Contact us to know more about treatment and cost.