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hiatal hernia surgery twice since March. in pain...

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I have had hiatal hernia surgery twice since March 2013. The stitches came loose the first time. My dr. had never seen this before but is now aware that it does happen sometime. My last surgery was August 1st. I am now having pain when swallowing and heartburn. I see my dr. next week. I think he is a good dr. but wonder if I should see a dr at Emory or the Mayo Clinic for the possible 3rd surgery. He may use mesh if I need surgery again. Can you advise me?

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replied April 18th, 2014
Hernia Answer A46788
Welcome to the ehealthforum and I am really glad to help you out.

There are reported cases of hiatal hernia surgery failure and these include a too tight closure of the crurae, a too tight fundoplication, recurrent hiatal hernia, total or partial disruption of the wrap and a slipped fundoplication in the chest or down onto the stomach.

You need to get it re evaluated from your surgeon and find out the cause of recurrence. The fundoplication procedure cannot be reversed, and in some cases it may not be possible to relieve the symptoms of these complications, even with a second surgery. So discuss the use of mesh in further surgery with your gastro surgeon before getting it done.

I must admit it is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps. Take care.

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