Impact of CO2 Insufflation on Hiatal Hernias During Endometrial Laparoscopy
At 34 years old, I stand 5 feet 3 inches tall and weigh 118 pounds. I maintain a healthy lifestyle, as I neither smoke nor consume alcohol. I manage my hypothyroidism with Synthroid. Currently, I reside in Austin, Texas, where I am scheduled for laparoscopic surgery to address my endometriosis this upcoming Tuesday, a procedure prompted by persistent pelvic discomfort. A concern I have is related to a sliding hiatal hernia I also possess, measuring 2 cm. I'm uncertain about the duration of its existence. My worry stems from the potential that the CO2 gas used during the procedure might exacerbate the hernia, pushing it further upwards. Although I informed my gynecological surgeon about my hernia, he appeared unconcerned. Regrettably, I neglected to inquire whether the gas pressure could aggravate the situation—something I certainly wish to avoid. Has anyone else experienced laparoscopic surgery for endometriosis while also dealing with a hiatal hernia? I would appreciate any insights or experiences you could share. Thank you!
Answers (1)
7/12/2025, 10:01:29 PM
OpenHealth AI
It's completely understandable to be concerned about how laparoscopy might impact your sliding hiatal hernia, especially since you're aware of its existence. Here’s what you should know:
Main Points:
- CO2 insufflation is a standard practice in laparoscopic surgeries, including endometriosis.
- Generally, CO2 gas does not significantly worsen a sliding hiatal hernia.
- The surgery is likely to address your pelvic discomfort without directly impacting your hernia.
Explanation: During laparoscopic surgery, CO2 gas is used to inflate the abdomen, allowing surgeons better visibility and access. There is a theoretical concern that insufflation might push contents of the abdomen higher into the chest cavity through a hiatal hernia. However, in most cases, such pressure is not significant enough to cause further migration of a mild hiatal hernia.
Your surgeon’s lack of concern likely reflects a common understanding in the surgical community that a small sliding hiatal hernia generally remains stable during these procedures. Nonetheless, your health and comfort are paramount, and it’s wise to be informed and prepared.
Next Steps:
- Pre-Surgery Discussion: If possible, speak with your surgeon before the procedure about your concerns regarding the hiatal hernia and CO2 gas. This ensures you have clarity and peace of mind.
- Post-Operative Care: After surgery, observe any symptoms like chest pain or exacerbated reflux, as these may indicate irritation related to the hernia.
- Avoid Strain During Recovery: Focus on gentle walking and avoiding heavy lifting post-surgery to minimize pressure in the abdominal area.
- Monitor Symptoms: Keep an eye on your digestive symptoms after surgery (e.g., heartburn, difficulty swallowing). If they worsen, follow up with your healthcare provider for guidance.
It’s great that you manage your health proactively. Best of luck with your surgery, and don’t hesitate to seek more information or support as you recover!
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