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A Hiatal Hernia is when the stomach extends up into the chest through an opening in the diaphragm. Hiatal hernia surgery is a surgical procedure to repair and return the stomach to its normal location and is normally performed when the symptoms are severe or it did not respond well to other treatments.
Hiatal hernia surgery can be performed as a laparoscopic or open surgery; both are done under general anesthetic. With open surgery, your surgeon makes a single large incision in your abdomen and returns your stomach to where it belongs and wraps it around the lower part of the esophagus to create a tighter sphincter. With laparoscopic surgery, your surgeon will make 3 to 5 small incisions to insert surgical instruments and the laparoscope. The laparoscope transmits images of the internal organ to a monitor, guiding your surgeon through the surgery.
You may need to stay in the hospital for 1 to 3 days, but you should plan to stay in Dominican Republic a lot longer. Plan to stay for at least 7 to 14 days or when you get sign-off from your surgeon. During your stay, you will need to attend scheduled follow up appointments and also removal of the stitches.
A full recovery may take about 10 to 12 weeks, but you can resume some of your daily routines and work within 6 to 8 weeks. If you have a physically demanding job, you probably need around 3 months before you can return. However, when the surgery is performed through a laparoscopic method, you may be able to recover in just a few weeks.
After a hiatal hernia surgery, you need to avoid baths, hot tubs, or pools. Instead, you can wash your body by taking a shower. You will have a restricted diet to prevent your stomach from extending, this diet involves eating four to six meals per day rather than 3 large meals, as well as avoiding food that causes gas. Your doctor will also give you coughing and breathing exercises to help strengthen your diaphragm.
A hiatal hernia surgery is effective and safe, with around 90% to 95% success rate. The mortality rate after the laparoscopic method is 0.57%, while the mortality rate after open surgery is about 1.0% - 2.7%. Just like any surgery, there are risks, complications, and that you need to be aware of, including bleeding, injury to internal organs, infection, diarrhea, abdominal bloating, and recurrence of the hernia.
Hiatal hernia surgery is effective for those that experience severe symptoms. If your symptoms are mild, you can opt for medications or home treatment.
Once you have fully recovered, the symptoms that you experience before the surgery, such as nausea and heartburn, should subside.
Whilst the information presented here has been accurately sourced and verified by a medical professional for its accuracy, it is still advised to consult with your doctor before pursuing a medical treatment at one of the listed medical providers
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The Dominican Republic can be found on the island of Hispaniola and is a part of the island group, the Great Antilles. The nation has diverse natural environments and land features. Characterized by rugged mountains on one side and the other side consist of low lying valleys and coastal plains. It is the world’s leading producer of professional baseball players. It is also home to the highest mountain, Pico Duarte, and the largest lake, Lago Enriquillo in the Caribbean Region.
In recent times, the Dominican Republic has become popular with medical tourists. Tourists, particularly from the United States, visit the country for Plastic and Reconstructive surgeries, especially for Breast Augmentation procedure. About 25,000 to 30,000 patients visit the Dominican Republic yearly for various medical treatments. The most sought-after services are general, Plastic and cosmetic surgeries, dental procedures, weight-loss, oncology, and orthopedic treatments.
Most medical service providers are situated around the capital city Santa Domingo and Santiago. The medical establishments offer competitive healthcare services with highly-qualified and internationally-trained surgeons. The following clinics can be found in Santa Domingo: Dr. Rafael E. Estevez - Plastic, Reconstructive, and Aesthetic Surgeon, Dr. Gustavo Almanzar Plastic Surgery Clinic, Alba Reyes Skin, and Hair Transplant Institute and Dr. Ivan Strachan Bariatric Clinic.
The Dominican Republic is an unmatched destination with amazing natural sceneries, intriguing history, and diverse culture. It offers ecotourism adventures in splendid national parks, mountain ranges, beaches, and rivers.
Top attractions of the Dominican Republic:
Jarabacoa, Sosua, La Romana, Las Aguilas, and Puerto Plata & Playa Dorada are several other popular tourist spots in the Dominican Republic.
The Dominican Republic has a tropical weather climate, and constant temperature throughout the year, with average yearly temperature, is around 77°F.
The hottest and humid period is from May to October. The mild winter season is from December to March. The period between November and April are the moderate seasons.
Rainfall is seasonal. The eastern and southern coasts experience rains between April and October. The northern coast receives rains throughout the year due to the influence of the north-eastern trade winds. The southern region is prone to hurricanes, with most striking in the months of August and September.
The Dominican Republic offers easy access to the rest of the world with a myriad of flight options from North America and Europe. The main ports of entry into the country by air are the international airports in Santa Domingo, Punta Cana, and Puerto Plata. Santiago and Samana airports are other points of entry.
There are many flights from major cities of Canada and the US. The most frequent flights are from New York, Miami, Toronto, and Montreal. JetBlue, the budget airlines, operates flights from North America to Santo Domingo, Santiago, and Puerto Plata.
The Dominican Republic has a well-developed inter-country transport infrastructure with a large network of roads. It has many types of public transportation for moving around within cities such as buses, the metro, carro publicos, guaguas, and the motoconchos.
Carro Publicos are small car-public taxis and have a specific route displayed on their roof. Guaguas are privately-owned minivans and pick up travelers from any point and drop them off close to their desired location. Motoconchos are private motorcycle taxis that have reasonable fares and are ideal for short journeys.
Citizens of countries such as the UK, USA, and Canada, and Schengen countries are not required to have a tourist visa to enter the Dominican Republic, under a bilateral agreement between the countries. However, they do need to:
Nationals of countries like India, Sri Lanka, China, and Russia need to get a tourist visa to travel to the Dominican Republic. The visas are multiple-entry type and are valid for 60 days.