Now when that hiatal muscle or valve becomes weakened, faulty, or enlarged, it no longer serves as an effective valve. If the hiatus muscle or hiatus valve is working properly, then all the food we eat travels down and empties right into the stomach without difficulty, and does not reflux back up into the esophagus or give us heartburn or regurgitation. Stomach acid feels fine when it is in the stomach, but when it refluxes upward through that valve and into the esophagus it burns the esophageal lining, and causes the common symptom of “heartburn.” The hiatus can be thought of as a circular ring of muscle from the diaphragm that acts as a valve to limit the acids and the digesting food that is already in the stomach from traveling back up to the esophagus. That transition point occurs right at the hiatus. Imagine swallowing some food, and that food then passes down the tube of the esophagus until it reaches the transition point into the stomach. The diaphragm is the muscle with which we breathe and it creates the bellows effect for our lungs to move air in and out. This transition occurs right at the diaphragm, which is a broad muscle that separates the chest cavity from the abdominal cavity. The easiest way to think about a hiatal hernia is first to understand what is the “hiatus” and what is a “hernia.” The hiatus in this case refers to an opening or a valve that is present where the esophagus transitions into the stomach. So, let’s talk a little bit about what a hiatal hernia is: Sometimes the information they have been given, both by doctors and laypeople, is confusing. Many Reno patients have been told that they have a hiatal hernia. Hiatal Hernia Surgery What is a hiatal hernia? Patients can also schedule an in-person consultation to speak with Dr. Sasse performs at his practice in Reno, NV by viewing the procedures in the dropdown menu below. Patients can learn more about what types of hernia repairs Dr. Sasse teaches a cadaver lab on such techniques to visiting surgeons from around the country, offering these courses at the University of Nevada School of Medicine. Sasse has contributed to the growing expertise in component separation technique of large, complex, and recurrent ventral hernias, and he frequently performs these complex abdominal wall reconstructions. All three surgeons have decades of experience with hernias of all types. Sasse, Rembetski, and Ayzengart’s philosophy is that a minimally invasive approach is the best, most comfortable, most effective, and most durable repair. With respect to most types of hernia repairs, Drs. Better Results, Faster Recovery, More Durability, More Comfort Dr.
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