Terrible for you Syha. You already had soo much gerd problems in the past. I hope thomas can help you.

Maybe the hiatus is still good closed with the 3d delta mesh net but is only the 2 or 3 cm of esophagus (where the Les is also located) in the intra abdominal cavity pushed up through diaphragm. This can also provide a LES resting pressure drop.
If that is the case maybe a heel drop exercise (jumping from a 1,5 meter stair after 2 or 3 mocks of tea) can bring the 2 or 3 cm back in in the intra abdominal cavity.

I agree hans

I think that is a lie of him personally. When you only suture the left and right crura (without the use of a decent good mesh net) I know for sure that it cannot resist everything. I would certainlt never weight heavy stuff

Hmmm. Respect for his mentality but I dont think that it is wise what he is doing. Too much risk for getting a recidive would I think. Russian roulette

Thats a difficult one. I guess a mamotry report provide any clue if your lower esophageal sphincter funtions normally. But I dont know for sure. For some part every hiatal hernia surgery is a little bit russian roulette. But with the nissen fundoplication and linx you have somewhat more bullets in your gun with regard to getting a serious side effect (gas bloating, dysphagia, vagus nerve damagae, hiatal hernia recidive, wrap problems etc) than with loehde or bicorn

This is with 99% certaintity because your esophagus is not stretched anymore after the reoccurence of the hiatal hernia (it is now angled with pressure lost with the circular musles). When the esohagus is good orchestrated in the diapfragm and 2 o3 cm of the esopahagus (where the lower espphageal sphincter is located) is below in the abdonimal cavity the peralstatic movement is better because the circular muslces are in the optimal situation for motility

other words: Man kann es mit dem Ziehen einer Metallfeder vergleichen. Beim Herausziehen entsteht eine größere Spannung

That is the reason why the motility was good the first month after the bicorn and back worse now

Certainly not. With such a big gap in your hiatus is the loehde net I think the only futureproof solution.

I had the loehde for a 5 a 6 cm tear

No recidiv. I had the stretta but this was a procedure in the inner les and not a operation to close the hiatal hernia

No stille reflux symptoms for mich nach loehde

my question to mark david noar after my covid19 infection (begore loehde operation but one year after stretta)
Do you know if COVID (omicron) has impact on the les pressure ?
9 days ago I was positive and since that day my les is much weaker (every 20 seconds micro burps/belching). Before that I had 3 weeks on the row no problems at all
Hopefully it is temporary ..

Reaction mark david noar: I have not seen info on covid affected the LES directly. It will cause gastroparesis and that makes reflux worse.

I think you are right Hans. Maybe also linx but this is also quite Russian roulette

But I am convinced that a stretta with bicorn or loehde should work with somebody with a lite not functional closing les

Good points Marius. I understand now very good why draw your conclusion. Still personally I am very happy that their are somewhat more lite hiatal hernia operation methods like loehde and bicorn because the nissen has more risks.
But patient selection and diagnostic tests are very important. And to be honest this should be better with loehde and bicorn. For instance a normal functional les should be prerequisite for the loehde and bicorn. Because otherwise it is not going to work

And personally I think that the reason that i am still active is more rare than not. For instance I have contact with over 5 people post loehde that are 100% happy and they dont attend the fora

Ich habe Verständnis dafür, dass der Bicorn nicht geholfen hat und du immer noch jeden Tag so sehr leidest. Aber eines ist in Ihrer Argumentation nicht ganz klar. Die Reflexionen von Menschen, die im Internet schlechte Erfahrungen gemacht haben, spiegeln nur einen kleinen Teil der Menschen wider, die sich dieser Operation unterzogen haben. Die größte Gruppe hat sich vollständig erholt, führt ihr Leben weiter und verspürt kein Bedürfnis, in Fora zu posten. Allerdings finde ich es nicht gut, dass Alblassmeijer während einer normalen LES druck nicht erst prüft, ob es normal ist. Denn wenn es zu niedrig ist, funktioniert es nicht. Darüber hinaus bin ich mit meiner Loehde Operation sehr zufrieden. Mir ging es so schlecht, aber nach der Operation ging es mir wieder 100 % gut. Der einzige Nachteil ist, dass ich alles sehr gut kauen und langsam essen muss. Aber das ist nur ein kleines Opfer.

Aber im Prinzip ist jede Hiatushernien-Operation ein bisschen russisches Roulette. Bei Biocon und Loehde sind weniger Komplikationen zu erwarten als bei Nissen, Linx oder Toupet

https://www.restech.com/find-a-doctor/

5500 in Belgium but gastro is almost retired. In turkey also cheap

Wtf the toupet operation is 5500 in brussel

interesting for you achim1952: https://www.refluxgate.de/magenmotilitaet