How high is the success rate of hiatal hernia surgery?

Patient's question:

I am 34 years old. Recently, I don't know why I always feel nauseous and like vomiting. My stomach aches sometimes with symptoms of heartburn and acid reflux. I went to the hospital, and it was fine for a while, but then it started again. Could you please tell me how high the success rate is for hiatal hernia surgery?

Doctor's answer:

The esophageal hiatal hernia surgery itself is one of the most difficult types of abdominal hernia surgeries. Based on the mainstream data from abroad, the recurrence rate of large esophageal hiatal hernias is estimated to be around 20%. Among these, 10% are asymptomatic, and this portion of Type III hernia patients can be followed up. Another 10% of patients with esophageal hiatal hernia or exacerbation of gastroesophageal reflux disease may require further surgery. In patients with esophageal hiatal hernia and gastroesophageal reflux disease, less than 90% can completely stop after surgery, while the remaining 10% may need medication treatment.

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