Laparoscopic Paraesophageal Hernia (Hiatal Hernia)

A laparoscopic paraesophageal hernia (PEH) repair is a surgery to correct a defect in the diaphragm. The defect is from an opening in the diaphragm causing the stomach to herniate (bulge) upward into the chest. Normally, the esophagus (food pipe) goes through a hiatus (small opening) in the diaphragm. The diaphragm is a muscular wall that separates your chest and abdomen (stomach). With PEH, the hiatus in the diaphragm is too large or the muscles around the hiatus are weak. A large opening may allow a sac to squeeze through and position next to the esophagus. This herniated sac may contain a part of the stomach and peritoneum (abdominal lining). As the herniated sac gets trapped in the chest, it causes stomach acid to back up into the esophagus and damage the esophagus.

Mr Nikfarjam is has been trained by some of the world experts in the USA in performing this operation, which at times can be challenging and associated with moderate risk.

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