Diaphragmatic Hernia Surgery | Symptoms, Causes, Recovery

Acquired Diaphragmatic Hernia Surgery Procedure:

Fetoscopic Endoluminal Tracheal Occlusion (FETO) is a surgical procedure to treat both acquired and congenital diaphragmatic hernia. The procedure of FETO for acquired diaphragmatic hernia is explained below:

• First, an incision is made in the lower abdomen to access the hernia. Then, the hernia sac is opened, and the moved organs are manually pushed back into the abdomen. The hernia sac is then closed with sutures or staples. In some cases, a hernia repair mesh may be used to support the hernia repair. 
• Following the hernia repair, the abdominal muscles and fascia are sutured together to close the incision and prevent a recurrence. At this point, the patient is typically placed in a recovery position and monitored for any signs of bleeding or infection. 
• Then a synthetic patch over the hernia repair site. This patch helps to reinforce the repair and reduce the risk of recurrence. The patch is then secured with sutures or staples. 

Finally, the patient is taken to the recovery room for observation. After the patient is stable and the incision has healed, the patient can resume regular activities. Diaphragmatic hernias can be successfully treated with the Feto procedure with proper care and follow-up.

FETO Procedure for Congenital Diaphragmatic Hernia

With Congenital Diaphragmatic Hernia, surgeons may perform surgery as early as 48 to 72 hours after the baby is delivered. First, the baby needs to be stabilized and its oxygen levels increased. Infants are stabilized and assisted with breathing using a variety of medications and techniques. Neonatal Intensive Care (NICU) is best equipped to treat these babies. Once the baby is stabilized, surgery will begin. The process will be the same as with the Acquired diaphragmatic hernia. 

Preparation Before Diaphragmatic Hernia Surgery

Some common preparation tips to get prepare for Diaphragmatic Hernia Surgery are mentioned below to avoid complications during and after the surgery. 

• Take a shower properly before the surgery. 
• Do not eat or drink anything just before the surgery. 
• Stop taking medications like aspirin and warfarin, as they can act as blood-thinning agents and may lead to severe blood loss during the surgery. 
• Avoid smoking and alcohol consumption at least 2-3 weeks before the surgery. 
• Arrange someone to be with you during hospitalization and take you back home after the surgery. 
• If you have an insurance policy, keep all the documents with you before going for hospitalization. 
• Avoid any strenuous activities as they can make the hernia condition worst. 

Follow these suggestions to prepare for the surgery and make the treatment successful. 

Recovery Tips After Diaphragmatic Hernia Surgery

Recovering from diaphragmatic hernia surgery can take some time. However, with proper care and monitoring, the recovery process can go smoothly. 

• Follow the doctor’s instructions carefully and take all medications as prescribed and attend follow-up appointments. 
• It is important to get plenty of rest and to be sure not to lift anything heavy or do any strenuous activity. 
• Make sure to pay attention to signs of infection or complications. These can include fever, shortness of breath, chest pain, and redness or swelling at the surgical site. If any of these symptoms occur, contact the doctor right away. 
• Eating a healthy diet full of fruits, vegetables, and lean proteins can help the body heal and get back to normal. 
• Drinking plenty of fluids is also important to avoid dehydration and constipation. 
• It is important to keep an eye out for any signs of depression or anxiety. 

Following these tips can help patients recover from diaphragmatic hernia surgery as quickly and safely as possible.

Risks and Complications Associated with Diaphragmatic Hernia Surgery

While the procedure is a new surgical procedure and has proven to be effective, there are risks and complications associated with it. 

• Bleeding can occur both at the time of the procedure and afterwards during the healing process. 
• Infection can occur if the patient’s immune system is weakened or if the procedure is not performed correctly. 
• Fluid accumulation can occur if there are any leaks in the trachea or if the tracheal wall becomes too weak. 
• Airway narrowing can occur if the tracheal ring becomes too tight, which can lead to difficulty in breathing. 
• Difficulty swallowing, changes in voice, and changes to the structure of the trachea. 

It is important to be aware of the risks and complications associated with FETO in order to ensure the best possible outcome.

Prevention Tips for Diaphragmatic Hernia

There are steps that you can take to prevent the chances of diaphragmatic hernia occurrence. 

• Maintain a healthy weight: Being obese or overweight can put extra pressure on the diaphragm and increase the risk of diaphragmatic hernia.
• Avoid heavy lifting: Lifting heavy objects or participating in activities that require using the abdominal muscles can increase the risk of diaphragmatic hernia.
• Stop smoking: Smoking increases the risk of diaphragmatic hernia.
• Avoid contact sports: Sports involving heavy physical activity may increase the risk of diaphragmatic hernia.
• Regular Checkups: If you have any symptoms of diaphragmatic hernia, consult your doctor immediately.
• Wear protective gear: Wearing protective gear, such as a back brace, during activities that involve physical exertion may help to reduce the risk of diaphragmatic hernia.
• Improve your posture: Poor posture can cause strain on the diaphragm and increase the risk of diaphragmatic hernia.
• Get regular checkups: Regular checkups with your doctor to monitor for any signs and symptoms of diaphragmatic hernia.

A diaphragmatic hernia is always a medical emergency and needs immediate medical intervention, so it is important to be watchful for the symptoms of a diaphragmatic hernia and follow preventive measures. 

Risks and Side Effects of Diaphragmatic Hernia

It is important to be aware of the risks and side effects associated with it. Some risks and side effects associated with diaphragmatic hernia are mentioned below:

Risks

• Diaphragmatic hernia can cause bowel obstruction, which may lead to pain, vomiting, difficulty in breathing, and various severe complications. If it is left untreated, it can become life-threatening. 
• It can also cause pulmonary problems, such as pneumonia or atelectasis. These conditions can cause difficulty breathing, chest pain, and an increased risk of respiratory infections.

Side effects

• There are a number of side effects that can occur due to diaphragmatic hernias. These include pain in the abdominal area, nausea, vomiting, and difficulty swallowing. Patients may also experience bloating, a feeling of fullness, and constipation.
• Diaphragmatic hernias can also increase the risk of developing additional health conditions. These include herniation of organs, gastroesophageal reflux disease, and hiatal hernias.

If you are experiencing any symptoms or are concerned about your risk, it is important to contact your doctor for further evaluation and treatment.