Our Summary

This study tests a new method for repairing hiatal hernias (a condition where part of the stomach pushes up into the chest through an opening in the diaphragm) at the same time as a type of weight-loss surgery called a bikini line sleeve gastrectomy (BLSG). The researchers did this by making the incisions along the bikini line, which is thought to have better aesthetic results. They tested this method on a group of patients between September 2020 and October 2022, looking at various factors such as how easy the procedure was to carry out, how long it took, how satisfied patients were with their scars, how much pain they felt, and how successful the surgery was in terms of weight loss and reduction of symptoms of gastroesophageal reflux disease (GERD, a digestive disorder that affects the ring of muscle between your esophagus and your stomach).

The results showed that this new method was both possible and safe, with a high rate of patient satisfaction with their scars and significant weight loss and improvement in GERD symptoms. No major complications were reported. The researchers concluded that this new method is a good option, as it does not compromise the aesthetic benefits of the original BLSG surgery.

FAQs

  1. What is the new method for repairing hiatal hernias that this study tested?
  2. What were the results of the study on the new method of hiatal hernia repair?
  3. How did the new method affect the aesthetic benefits of the original bikini line sleeve gastrectomy (BLSG) surgery?

Doctor’s Tip

A helpful tip a doctor might tell a patient about hiatal hernia repair is to follow post-operative instructions carefully, including avoiding heavy lifting, eating smaller meals, and taking prescribed medications as directed. It is also important to attend follow-up appointments to monitor healing and ensure the success of the surgery. Additionally, maintaining a healthy weight and avoiding triggers for GERD, such as spicy foods and caffeine, can help prevent future issues with the hiatal hernia.

Suitable For

Patients who are typically recommended for hiatal hernia repair are those who have symptoms such as heartburn, chest pain, difficulty swallowing, regurgitation, and shortness of breath due to the hernia. Additionally, patients with a hiatal hernia that is causing complications such as Barrett’s esophagus or severe GERD may also be recommended for repair. Patients who are undergoing weight-loss surgery and have a hiatal hernia may also be candidates for repair at the same time, as seen in the study mentioned above. Ultimately, the decision to recommend hiatal hernia repair will depend on the individual patient’s symptoms, medical history, and overall health.

Timeline

Before the hiatal hernia repair and BLSG surgery:

  • Patient is diagnosed with a hiatal hernia and/or GERD
  • Patient undergoes pre-operative testing and consultations with their healthcare provider
  • Patient may be advised to make lifestyle changes or take medications to manage symptoms

After the hiatal hernia repair and BLSG surgery:

  • Patient undergoes surgery, with incisions made along the bikini line
  • Patient is monitored post-operatively for any complications
  • Patient may experience pain and discomfort, which can be managed with pain medication
  • Patient is advised to follow a specific diet and activity plan to aid in recovery and weight loss
  • Patient attends follow-up appointments with their healthcare provider to monitor progress and address any concerns
  • Patient may experience significant weight loss and improvement in GERD symptoms over time

Overall, the timeline for a patient before and after hiatal hernia repair and BLSG surgery involves pre-operative preparations, surgery, recovery, and follow-up care to ensure successful outcomes.

What to Ask Your Doctor

Some questions a patient should ask their doctor about hiatal hernia repair using the bikini line sleeve gastrectomy method may include:

  1. What are the specific risks and benefits of combining hiatal hernia repair with a bikini line sleeve gastrectomy?
  2. How experienced are you in performing this combined procedure?
  3. What is the success rate of this new method in terms of weight loss and improvement of GERD symptoms?
  4. How long is the recovery process expected to be, and what can I expect in terms of pain and discomfort?
  5. Are there any specific dietary or lifestyle changes I should make after the surgery to ensure optimal results?
  6. What follow-up care will be needed after the procedure?
  7. Are there any potential long-term complications or risks associated with this combined surgery?
  8. How do the aesthetics of the scars from this new method compare to traditional methods of hiatal hernia repair?
  9. Are there any alternative treatment options available for my hiatal hernia that I should consider?
  10. Can you provide me with any patient testimonials or success stories from others who have undergone this combined procedure?

Reference

Authors: Abdelbaki TN. Journal: Obes Surg. 2023 Dec;33(12):3879-3888. doi: 10.1007/s11695-023-06881-z. Epub 2023 Oct 20. PMID: 37857940