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Another surgical procedure called fundoplication is needed when hiatus hernias become severe. Chronic acid reflux may be involved in these cases. This condition can seriously injure the food pipe.

The upper portion of the stomach, called as gastric fundus, is wrapped tightly. Wrapping is performed around the inferior part of the food pipe. The herniation of the stomach is thus prevented. The reflux brought out by the gastric acid is also brought under control. The general advantages of laparoscopic techniques can be applied. These include less post-operative pain, less time for recovery, less number of scars etc.

Complications are rare, and if present shall include dumping syndrome, dysphagia, gas bloat syndrome etc.