Benign Esophageal Surgery in Southern New Hampshire

Merrimack Thoracic & Esophageal Surgery now provides access to benign esophageal surgery at Parkland Medical Center in Derry, New Hampshire.

Dr. Paresh P. Mane is a board-certified thoracic and general surgeon with extensive experience in esophageal surgery. Patients with gastroesophageal reflux disease (GERD), hiatal hernias, paraesophageal hernias, and other benign esophageal conditions can be evaluated through our independent surgical practice and, when appropriate, undergo surgery at Parkland Medical Center.

Our goal is to provide patients in Southern New Hampshire with access to specialized esophageal surgical care close to home.

Benign Esophageal Conditions We Treat

Benign esophageal surgery includes operations for conditions that affect swallowing, reflux, and the relationship between the esophagus, diaphragm, and stomach.

Conditions we evaluate include:

  • Gastroesophageal reflux disease (GERD)
  • Hiatal hernia
  • Paraesophageal hernia
  • Recurrent or failed hiatal hernia repair
  • Persistent reflux despite appropriate medical therapy
  • Selected swallowing disorders, including achalasia
  • Other benign disorders of the esophagus requiring surgical evaluation

Not every patient with reflux or a hiatal hernia requires surgery. Dr. Mane reviews the patient’s symptoms, previous treatment, imaging, endoscopy, and esophageal testing before determining whether an operation is appropriate.

Reflux Surgery

Most patients with GERD are initially treated with lifestyle modification and medications.

Surgery may be considered when symptoms remain significant despite appropriate treatment, when a structural problem such as a hiatal hernia contributes to reflux, or when there are other appropriate indications for operative treatment.

Operations for reflux may include hiatal hernia repair with an antireflux procedure, such as fundoplication, depending on the patient’s anatomy and diagnostic testing.

The objective is to restore the normal relationship between the stomach, diaphragm, and esophagus while improving reflux control.

Hiatal and Paraesophageal Hernia Surgery

A hiatal hernia occurs when part of the stomach moves through the opening in the diaphragm through which the esophagus normally passes.

Some hiatal hernias cause few symptoms. Others may contribute to:

  • Acid reflux
  • Regurgitation
  • Difficulty swallowing
  • Chest or upper abdominal discomfort
  • Early fullness after eating
  • Shortness of breath
  • Anemia or gastrointestinal bleeding in selected patients

Large or symptomatic hiatal and paraesophageal hernias may require surgical repair.

Dr. Mane also evaluates patients who have persistent or recurrent symptoms following previous hiatal hernia or antireflux surgery.

Minimally Invasive Esophageal Surgery

Whenever appropriate, benign esophageal operations can be performed using a minimally invasive approach.

Depending on the patient’s condition and anatomy, surgery may be performed laparoscopically or with robotic assistance.

Minimally invasive surgery uses several small incisions rather than a traditional large abdominal incision. For appropriately selected patients, this approach can reduce the physical impact of surgery and support earlier recovery while accomplishing the same fundamental surgical repair.

The choice of operative technique is individualized. The priority is performing the operation safely and achieving a durable anatomical and functional result.

Surgery at Parkland Medical Center in Derry, New Hampshire

Patients in Southern New Hampshire now have the option of undergoing appropriate benign esophageal operations with Dr. Mane at Parkland Medical Center in Derry, New Hampshire.

This provides an additional local option for patients who may otherwise travel into Massachusetts or farther into the Boston healthcare system for benign esophageal surgery.

Parkland Medical Center provides modern operating room facilities and supports minimally invasive and robot-assisted surgical care.

Merrimack Thoracic & Esophageal Surgery remains an independent surgical practice. This allows us to work with gastroenterologists, primary care physicians, and other specialists across different healthcare systems while helping patients select an appropriate location for their surgery.

A Focused Approach to Benign Esophageal Surgery

Esophageal surgery requires more than simply repairing a hernia.

Successful treatment depends on understanding the patient’s symptoms, anatomy, esophageal function, and the underlying reason for reflux or swallowing difficulty.

Before recommending surgery, evaluation may include:

  • Upper endoscopy
  • Barium swallow or esophagram
  • Esophageal manometry
  • Ambulatory pH testing
  • CT imaging when appropriate
  • Review of previous operative reports and imaging in patients who have undergone prior surgery

Dr. Mane personally reviews the available information and discusses whether surgery is appropriate, what operation is recommended, and what patients should expect from recovery.

Patients from Derry, Manchester, Concord and Southern New Hampshire

We accept patients from throughout Southern New Hampshire, including Derry, Manchester, Concord, Londonderry, Salem, Windham, Bedford, Nashua, and surrounding communities.

Patients may be referred by their gastroenterologist or primary care physician, or they may contact us directly for a surgical consultation.

Our practice coordinates evaluation and treatment with the physicians already involved in each patient’s care.

Second Opinions and Previous Esophageal Surgery

We also provide surgical second opinions for patients who:

  • Have been told they need hiatal hernia or reflux surgery
  • Have persistent symptoms despite medical treatment
  • Have a large or complex paraesophageal hernia
  • Have recurrent symptoms after previous surgery
  • Have previously undergone fundoplication or hiatal hernia repair
  • Want to understand whether a minimally invasive surgical option is appropriate

Complex and recurrent cases are evaluated individually, and the most appropriate hospital and operative approach are selected based on the patient’s needs.

Schedule a Benign Esophageal Surgery Consultation

Patients seeking evaluation for GERD surgery, hiatal hernia surgery, paraesophageal hernia surgery, or other benign esophageal conditions in Southern New Hampshire can contact Merrimack Thoracic & Esophageal Surgery to schedule a consultation.

For appropriate patients, surgery can now be performed at Parkland Medical Center in Derry, New Hampshire, providing access to specialized benign esophageal surgical care closer to home.