Turkish clinics primarily use minimally invasive laparoscopic surgery to repair hiatal hernias, in line with international safety standards. Specialists often combine this with fundoplication techniques, such as the Nissen or Toupet wraps, to prevent future acid reflux. Robotic-assisted systems like the Da Vinci are also available for complex cases.
- Laparoscopic repair: The standard minimally invasive approach using 4–5 small incisions for faster recovery.
- Nissen fundoplication: A full 360-degree stomach wrap to create a permanent anti-reflux barrier.
- Toupet fundoplication: A partial 270-degree wrap often used to reduce postoperative swallowing difficulties.
- Mesh reinforcement: Surgeons use biosynthetic or synthetic mesh to strengthen the diaphragm in large hernias.
Bookimed Expert Insight: While laparoscopic surgery is standard, Turkey has a high concentration of Da Vinci robotic systems in JCI-accredited hubs like Memorial Bahçelievler. This technology is particularly useful for giant paraesophageal hernias. Surgeons such as Dr. Cengiz Dibekoglu at Istanbul Florence Nightingale Hospital performed Turkey's first robotic general surgery. This reflects deep institutional experience with these systems.
Patient Consensus: Patients in Turkey find that Nissen fundoplication effectively stops chronic reflux. Many choose the partial Toupet wrap to avoid the gas-bloat syndrome often associated with full wraps.