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Pacemaker and Robotic Surgery Save Man from Hernia Hell
4 Apr
Summary
- Patient's severe bradycardia was treated with a pacemaker implant.
- Robotic surgery successfully repaired a large recurrent hiatus hernia.
- Naso-jejunal tube supported nourishment during recovery and treatment.

Mr. Shivmurthi, aged 68, faced significant health challenges including a recurrent hiatus hernia and severe bradycardia, with his heart rate dropping to 40 beats per minute. Initially experiencing gastrointestinal problems, vomiting, and headaches, his condition worsened over time, impacting his daily life.
His cardiac issues were addressed first with a pacemaker implant, stabilizing his heart rate. Concurrently, a naso-jejunal tube was inserted to bypass his stomach, enabling necessary nourishment and medication intake due to persistent digestive problems.
Following these preparatory treatments, Mr. Shivmurthi underwent a complex redo robotic-assisted repair for his large recurrent hiatus hernia. The minimally invasive robotic surgery, utilizing superior 3D visualization and precision, successfully restored the anatomy despite prior scarring.
Mr. Shivmurthi is now recovering well, having gained weight and experienced a full cure of his digestive problems. He continues to manage occasional symptoms with medication, allowing him to lead a more pleasant and typical life.