Para-Esophageal Hernia Repair
Understanding Para-esophageal Hernia Repair
A para-esophageal hernia occurs when part of the stomach pushes up into the chest beside the esophagus, often through a large opening in the diaphragm. Unlike simple hiatal hernias, this condition can lead to serious risks such as obstruction, bleeding, or strangulation of the stomach if left untreated. Para-esophageal hernia repair is performed laparoscopically, where the stomach is repositioned back into the abdomen, the diaphragm opening is tightened, and sometimes a mesh is placed for added support. Often, a fundoplication is performed to strengthen the valve and reduce reflux.
- Minimally invasive, with small incisions and faster recovery
- Restores stomach to its normal position in the abdomen
- Reduces reflux and prevents dangerous complications
What Difference Does Para-esophageal Hernia Repair Creates?
This surgery doesn’t just fix anatomy - it restores daily comfort and safety. Many patients find relief from persistent reflux, bloating, or difficulty swallowing. More importantly, the surgery eliminates the risk of life - threatening complications such as stomach strangulation. Life after surgery often means eating without fear, breathing more comfortably, and feeling stronger without the constant drag of reflux and hernia symptoms.
This surgery doesn’t just fix anatomy - it restores daily comfort and safety. Many patients find relief from persistent reflux, bloating, or difficulty swallowing. More importantly, the surgery eliminates the risk of life - threatening complications such as stomach strangulation. Life after surgery often means eating without fear, breathing more comfortably, and feeling stronger without the constant drag of reflux and hernia symptoms.
Safe & Proven
Globally performed procedure with excellent success rates.
Lasting Results
Prevents complications and restores digestive function.
Quick Recovery
Laparoscopic approach means less pain and faster return to life.
Is Para-esophageal Hernia Repair Right for You?
This procedure is recommended for patients with symptomatic para-esophageal hernias or those at risk of complications. Surgery is especially considered if the hernia causes difficulty swallowing, chest pain, or breathing issues.
Let’s explore if Para-esophageal Hernia Repair is the right solution for you
- Symptomatic para-esophageal hernia (chest pain, bloating, reflux)
- Risk of stomach strangulation or obstruction
- Difficulty swallowing or frequent regurgitation
- Failure of lifestyle changes and medications to control symptoms
How Does This Procedure Work for Weight Loss?
Para-esophageal hernia repair restores normal anatomy by repositioning the stomach, repairing the diaphragm opening, and reinforcing the area to prevent recurrence.
Stomach repositioning
Moves the herniated stomach back into the abdomen.
Diaphragm repair
Tightens the enlarged opening to stop re-herniation.
Reflux prevention
Often combined with fundoplication for long-term relief.
Minimally invasive
Laparoscopic approach ensures safety and faster recovery.
How it works
What to Expect Before, During, and After Surgery
Your journey begins with diagnostic tests like endoscopy, CT scans, or barium swallow studies to confirm hernia type and severity. Surgery typically takes 2–3 hours and is performed laparoscopically. Most patients stay in the hospital for 1–3 days and return to normal activities within 2–3 weeks.

Before Surgery: Diagnostic evaluation and preparation
Tests like endoscopy or imaging confirm the diagnosis, with diet guidance provided.

During Surgery: Laparoscopic hernia repair
Stomach is moved back into place, diaphragm tightened, and sometimes mesh reinforcement used.

After Surgery: Diet progression and follow-up
Transition from liquids to solids gradually, with follow-up visits to ensure safe healing.
How Does Para-esophageal Hernia Repair Improve Health Beyond Symptom Relief?
Repairing this hernia isn’t just about reflux – it prevents major risks and restores confidence in daily living. Patients enjoy better digestion, improved breathing, and freedom from constant worry about complications
Relieves reflux & regurgitation
Improves digestion and comfort
Better swallowing
Restores natural food passage
Improves breathing
Less pressure on chest and diaphragm
Enhanced quality of life
Sleep, nutrition, and energy improve long-term
Why Choose Dr. Hrishikesh Salgaonkar?
With global training in advanced bariatric techniques and a compassionate, patient-first approach, Dr. Hrishikesh provides precise, safe, and ethical care at every step. From your first consultation to long-term follow-up, you’ll have expert guidance and a team focused on your success.
- Fellowship-trained in bariatric & metabolic surgery
- Expertise in laparoscopic and robotic techniques
- Transparent, ethical treatment approach
- Personalized nutrition and recovery programs
- Strong track record of successful patient outcomes
Everything You Want to Know About Para-esophageal Hernia Repair
Choosing weight-loss surgery is a big decision and it’s normal to have lots of questions. We’ve gathered the most common concerns patients share, from how the surgery works to what life looks like afterward, so you can feel confident and informed
Yes. It is performed laparoscopically, which reduces pain, scarring, and risks. Serious complications are rare in expert hands.
Recurrence is possible but uncommon, especially when mesh reinforcement is used and lifestyle advice is followed.
HowMost patients return to normal activity in 2–3 weeks with proper care.
Yes, most patients experience significant relief, especially if a fundoplication is performed.
Only short-term dietary modifications are required after surgery. Over time, patients return to a normal, healthy diet.
Don’t wait to regain your health and confidence. Talk to our bariatric expert now.
