CASE STUDY
Decades of Acidity Cured: Laparoscopic Repair of a Large Hiatus Hernia
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Summary
Long-standing reflux from a large hiatus hernia fixed by laparoscopic surgery — off daily acid medication.
- Procedure
- Laparoscopic Hiatus Hernia Repair & Fundoplication
- Organ
- Stomach, Diaphragm
- Condition
- gerd
- 01
Presentation
A patient with 10+ years of heartburn and regurgitation, dependent on daily acid-suppressing tablets with declining relief.
- 02
Investigations
Endoscopy and contrast study showed a large hiatus hernia with the stomach sliding into the chest, driving the reflux.
- 03
Findings
A sizeable hiatus hernia had widened the diaphragm opening, so medication could never fix the underlying mechanical problem.
- 04
Strategy
A laparoscopic repair with fundoplication was planned to restore normal anatomy and rebuild the anti-reflux barrier.
- 05
Procedure
The hernia was reduced, the diaphragm opening repaired, and a wrap created — all by laparoscopic through small incisions.
- 06
Outcome
Reflux resolved; the patient came off daily acid medication and could eat and sleep normally again.
- 07
Follow-up
Reviewed with a graded diet plan; symptom-free at follow-up.
What this case teaches
When reflux is driven by a hiatus hernia, laparoscopic surgery can offer a lasting cure where tablets only mask symptoms.
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Related videos
WHY DWARIKA HOSPITALABOUT THE HOSPITAL
Four promises.
One standard.
What every patient can expect here — from the first call to the last follow-up.
01.
Super-specialist led
Surgery here is performed by MCh-qualified surgical gastroenterologists, not general surgeons operating outside their specialty.
02.
Keyhole by default
Laparoscopic and scarless techniques are the standard approach, reserving open surgery for cases that genuinely need it.
03.
One team, one plan
Diagnosis, surgery, nutrition and follow-up sit under one roof — you are not handed between disconnected clinics.
04.
Counselling before consent
Every patient is told what the operation can and cannot achieve, with costs stated upfront, before anything is scheduled.
RELATED TREATMENT
This case is an example of
hiatus hernia.
Read what the treatment involves, who it is for and what recovery looks like.
PATIENT EDUCATIONALL LAPAROSCOPIC HIATUS HERNIA REPAIR & FUNDOPLICATION GUIDES
Learn more about
laparoscopic hiatus hernia repair & fundoplication.
Doctor-written guides from Dr. Avinash Tank's medical-education library — understand the condition before you decide on treatment.
These articles live on dravinashtank.in, Dr. Avinash Tank's own site, and open in a new tab.
Dr. Avinash Tank
Director & Chief Surgical GastroenterologistTHE SURGICAL TEAM BEHIND THIS CASE
Experienced hands.
A familiar face.
Meet Dr. Avinash Tank, the surgeon leading Dwarika’s team. Trained at SGPGIMS — India's premier GI institute — with advanced fellowships in Japan and South Korea.
MCh · SGPGIMSFellowships in Liver, Pancreas & Bariatric SurgeryInvited faculty · ASIRAJ 2026
- 25+
- Years of surgical practice
- 10,000+
- Bariatric & GI surgeries in his career
Figures reflect Dr. Avinash Tank’s career record, as published by his practice.
WATCH · LAPAROSCOPIC HIATUS HERNIA REPAIR & FUNDOPLICATIONFULL VIDEO LIBRARY
Laparoscopic Hiatus Hernia Repair & Fundoplication,
on film.
Operations, patient stories and surgeon explainers for this procedure.
TALK TO A SURGEON
Acidity or reflux
affecting your daily life?
If medicines are not controlling it, a specialist evaluation — often starting with an endoscopy — finds out why.
EVERY STEP, TOGETHER
A little clarity.
A lot of reassurance.
Knowing what comes next makes all the difference. Explore your journey, from the first conversation to care after you go home.
Your guide to patient careCall, WhatsApp or use the form. Bring any scans, reports or endoscopy results you already have — it usually saves a visit.
Your next chapter.
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