Hiatal Hernia Treatment: Sliding hiatal hernias that cause no symptoms may be monitored. Symptomatic sliding
hiatal hernias (those associated with heartburn) should be repaired. All paraesophageal
hiatal hernias should be repaired.
Repair usually involves tightening the hole in the diaphragm around the esophagus,
followed by wrapping the top part of the stomach around itself to decrease heartburn
(called a fundoplication.) Sometimes, a piece of biologic/organic mesh
is used if the hole in the diaphragm is really large to reinforce the repair.
Repair can be performed either laparoscopically/Minimally Invasive (several small incisions) using a
camera and long instruments, or through an open technique (one larger incision).