Hiatal Hernia Repair
The herniated stomach is reduced from the chest back into the abdomen and the diaphragmatic opening is repaired — usually combined with fundoplication for reflux control.
What is Hiatal Hernia Repair?
Hiatal hernia repair is performed when part of the stomach has herniated through the diaphragmatic hiatus into the chest, causing reflux, chest pain, regurgitation, or dysphagia. Through five laparoscopic ports, the hernia sac is dissected from the chest, the stomach is reduced into the abdomen, the crural opening is closed (sometimes with mesh reinforcement for large defects), and a fundoplication is added to control reflux. Dr. Abhishek performs hiatal hernia repair at Lux Hospitals — restoring normal anatomy and resolving symptoms.
How the Procedure Works
Anaesthesia & Port Placement
General anaesthesia is given; five laparoscopic ports are placed in the upper abdomen.
Hernia Sac Dissection
The hernia sac is carefully dissected from the mediastinum and reduced back into the abdomen.
Oesophageal Mobilisation
Adequate intra-abdominal length of oesophagus is achieved (at least 2.5–3 cm).
Crural Repair
The diaphragmatic crura are approximated with sutures; mesh reinforcement is used for large defects.
Fundoplication
A Nissen (360°) or Toupet (270°) wrap is added to provide reflux control and prevent recurrence.
Outcomes
Who Needs This Treatment?
- →Restores normal anatomy of stomach and diaphragm
- →Resolves reflux, chest pain, and regurgitation
- →Prevents emergency complications (gastric volvulus, strangulation)
- →Combined with fundoplication for reflux control
- →Five small keyhole incisions — minimally invasive
- →Mesh reinforcement reduces recurrence in large hernias
Large hiatal hernias are not just about reflux — they cause chest pain, breathlessness, and even emergency gastric strangulation. Repair restores normal anatomy and gives patients a remarkable improvement in their quality of life.
— Dr. Abhishek Katha, Consultant General & Advanced Laparoscopic Surgeon, Lux Hospitals, Hyderabad
Hiatal Hernia Repair Cost in Hyderabad
The cost of hiatal hernia repair in Hyderabad depends on the size and type of hiatal hernia, severity of acid reflux or GERD symptoms, condition of the esophagus and stomach, pre-operative investigations, surgical complexity, anesthesia, and hospital stay. Hiatal hernia repair is a surgical procedure used to reposition the stomach below the diaphragm and repair the enlarged opening through which the stomach has moved upward. In appropriate patients, the repair may be combined with an anti-reflux procedure to help control persistent reflux symptoms. The estimated cost ranges from ₹1,50,000 to ₹3,00,000, with an average cost of approximately ₹2,25,000.
| Procedure | Approximate Cost Range |
|---|---|
| Hiatal hernia with reflux | ₹1,50,000 ₹3,00,000 |
The actual cost may vary depending on the size and type of hiatal hernia, severity and duration of reflux symptoms, presence of esophagitis or other associated findings, and the complexity of the repair. The overall expense may include consultation, endoscopy, imaging, blood investigations, esophageal or reflux testing when required, anesthesia, operating-room charges, hospital admission, medicines, and follow-up care.
The surgical approach depends on the patient's anatomy, symptoms, and investigation findings. In selected patients, hiatal hernia repair may be performed laparoscopically and may be combined with an anti-reflux procedure such as fundoplication when clinically appropriate. The final treatment plan is determined after a detailed evaluation rather than based on reflux symptoms alone.
Factors Affecting Hiatal Hernia Repair Cost
The cost of hiatal hernia repair can differ between patients because the size of the hernia, severity of reflux, esophageal findings, and surgical requirements vary. Pre-operative testing and any additional anti-reflux treatment performed during the same operation can also influence the total expense.
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Size and type of hiatal hernia: Larger or more complex hernias may require more extensive surgical repair.
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Severity of GERD: Persistent or severe reflux symptoms may require additional evaluation and an anti-reflux procedure along with hernia repair.
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Esophageal condition: Esophagitis, narrowing, or other abnormalities may influence treatment planning and pre-operative assessment.
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Stomach position: The extent to which the stomach has moved through the diaphragmatic opening can affect surgical complexity.
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Pre-operative investigations: Upper GI endoscopy, contrast studies, imaging, reflux testing, or esophageal manometry may be recommended depending on the clinical situation.
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Surgical approach: Laparoscopic or another suitable surgical approach may be selected according to the patient's condition and surgeon's assessment.
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Anti-reflux procedure: Fundoplication or another anti-reflux procedure may be considered in selected patients and can affect the overall treatment cost.
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Previous upper abdominal surgery: Prior operations or adhesions may make the procedure more technically demanding.
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Anesthesia and hospital care: Anesthesia, operating-room charges, inpatient admission, monitoring, nursing, and recovery services contribute to the total expense.
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Mesh or reinforcement: Certain complex hiatal hernia repairs may require additional surgical materials where clinically appropriate.
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Additional procedures: Treatment of associated gastrointestinal conditions during the same surgery may increase the total cost.
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Post-operative care: Medicines, dietary guidance, follow-up consultations, and monitoring during recovery may also contribute to the final expense.
Insurance Coverage for Hiatal Hernia Repair
Hiatal hernia repair may be covered by health insurance when it is medically necessary for a documented hiatal hernia or complications associated with significant reflux. Coverage depends on the diagnosis, medical indication, policy terms, waiting periods, exclusions, insurer guidelines, applicable limits, and pre-authorization requirements. Patients should confirm coverage for the surgery, hospitalization, diagnostic investigations, surgical materials, and any associated anti-reflux procedure with their insurance provider before planned admission.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Abhishek Katha
Consultant General & Laparoscopic Surgeon
Dr. Abhishek Katha, Consultant General & Advanced Laparoscopic Surgeon at Lux Hospitals, Hyderabad, evaluates patients with hiatal hernia, acid reflux, GERD, and other gastrointestinal surgical conditions. During consultation, he reviews symptoms such as heartburn, regurgitation, chest or upper abdominal discomfort, difficulty swallowing, bloating, symptoms after meals, duration of reflux, response to medicines, and previous gastrointestinal treatment. He also reviews relevant medical and surgical history along with available endoscopy, imaging, reflux-testing, and other diagnostic reports to understand the severity of the condition and determine whether a structural hiatal hernia is contributing to the symptoms. When surgery is being considered, Dr. Abhishek Katha assesses the size and type of hiatal hernia and discusses whether repair alone or repair combined with an anti-reflux procedure may be appropriate. He explains the recommended surgical approach, preparation before surgery, expected hospital stay, recovery, dietary progression, possible need for additional investigations or procedures, and potential factors that can affect treatment outcomes and cost. The consultation also provides an opportunity to discuss the estimated treatment expense and the components that may be included or billed separately.
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