LATEST TECHNIQUES FOR THE MANAGEMENT OF HERNIA
- By: Author /
- 12 Nov, 2018
The basic fundamentals for any hernia repair include strongest repair of the defect with least possible discomfort, fast recovery and least chance of recurrence.
Read moreDr. Kapil Agrawal, a renowned best hernia surgeon in Delhi, India, is widely recognized as one of the foremost experts in his field. He is Well Known for his outstanding expertise in performing laparoscopic hernia surgeries. With a wealth of experience spanning over 22 years, he has successfully treated a multitude of patients, offering them exemplary care and consistently achieving outstanding surgical outcomes. Dr. Agrawal holds professional affiliations with prestigious institutions such as Apollo Hospital and manages his own clinic, Habilite Clinics, where he provides comprehensive surgical solutions to individuals seeking his expertise.
Hernia is a medical condition that affects a large number of people worldwide. It is a condition where an organ or fatty tissue protrudes through a weakened area of muscle or connective tissue, causing a visible bulge under the skin. Hernias can occur in various parts of the body, including the abdomen, groin, and upper thigh. In this article, we will discuss what hernia is, its causes, symptoms, diagnosis, and treatment options.
A hernia occurs when an organ, such as the intestine or stomach, or fatty tissue pushes through a weak spot in the surrounding muscle or connective tissue. The protruding organ or tissue can cause a visible bulge or lump under the skin. Hernias can occur in different parts of the body, such as the groin, belly button, upper thigh, or diaphragm.
Hernias can occur due to various reasons, including aging, pregnancy, obesity, heavy lifting, chronic coughing or sneezing, constipation, or diarrhea. Certain medical conditions, such as cystic fibrosis or connective tissue disorders, can also increase the risk of developing hernias. Some people are born with weak abdominal muscles, making them more susceptible to hernias.outcome and permanent cure, but also rapid recovery and minimal pain.
The most common symptom of hernia is a visible bulge or lump under the skin, which may be painful or discomforting. Other symptoms may include a dull ache or pain in the affected area, particularly when lifting heavy objects, coughing, or straining. Some people may experience nausea, vomiting, or difficulty passing stools, depending on the location of the hernia.
A hernia can usually be diagnosed through a physical exam, where the doctor may ask you to cough or strain while examining the affected area. In some cases, imaging tests, such as ultrasound, CT scan, or MRI, may be required to determine the size and location of the hernia.
Sometimes untreated hernia can lead to serious, life threatening complications.
Entrapment of Intestines : The intestine can get trapped into the defect present in abdominal wall. This can cause obstruction of bowel leading to severe pain, distention of abdomen, inability to pass stool and vomiting.
Permanent Damage to Bowel : Sometimes entrapment of intestine can cause disruption of its blood supply (Strangulated Hernia). It is a life-threatening condition requiring urgent surgical intervention.
The treatment of hernia depends on its size, location, and symptoms. In some cases, a small hernia may not require any treatment, and the doctor may advise you to monitor it regularly for any changes. However, larger or symptomatic hernias may require surgery to repair the weakened muscle or connective tissue. In most cases, hernia surgery is performed using minimally invasive techniques, such as laparoscopy, which involves making small incisions and using a camera to guide the surgical tools.
Umbilical hernia is also known belly button hernia and occurs in and around navel. It can be present since birth or it may occur in old age due muscles weakness.
Epigastric hernia occurs in midline between navel and the chest. It usually occurs in middle or old age due to tear in the abdominal wall muscles.
Ventral or incisional hernia usually occur at scars of previous abdominal surgeries. It may occur either as a result of technical failure (improper closure of surgical wound, breakdown of stitches) or because of infection resulting in wound dehiscence.
These all are abdominal hernias and these can be repaired by
Open surgery is only advised in very specific group of patients where laparoscopic is contraindicated.
In open surgery, an incision is placed over the hernia defect and repair along with mesh placement is done.
Open surgery is usually associated with delayed recovery.
A very effective and most advanced treatment modality for management of these types of hernia.
The repair is carried out with the help of 3 small cuts or holes created in the belly or abdomen. The hernia contents are reduced and mesh is placed with the help of long, tiny instruments introduced through these incisions.
Different types of laparoscopic surgeries for these types of hernia include:
In this technique, we primarily close the defect using high quality sutures and then place the mesh over the closed defect. This technique is suitable for moderate size hernias. The primary repair of the defect not only ensures proper physiological function of the abdominal wall but also best and permanent repair.
The results (eRivesStoppa technique) of this technique are very promising, and the techniques have the potential to become one of the best and excellent option in laparoscopic ventral hernia repair. The two main advantages offered by this technique include: The restoration of normal anatomy and functionality of the abdominal wall by reconstruction of linea alba. The tension free repair of the posterior layer of rectus sheath acts as a barrier between the mesh and the bowel.
TAR procedure is indicated for much larger defects when Rives Stoppa technique itself is insufficient for closure of hernia defect. This is mainly a lateral extension of Rives Stoppa procedure when additional dissection in form of TAR has to be done for proper closure of the hernia defect. The main indications for this procedure are: Hernia larger than 10 cm in defect. Tension on the posterior layer when closing the defect. A limited or narrow retro rectus space.
Maximizing comfort, Accelerating recovery, Minimizing complications
Our team offers complete range of laparoscopic procedures for management of different types of hernia. The main advantages of preforming laparoscopic hernia repair are:
Complex hernias are defined are:
Management of such a hernia is technically challenging, and an attempt to repair such extensive defects in an unprepared abdomen can lead to severe complications and even mortality.
In fact, their management is entirely different as compared to the administration of uncomplicated hernias, and to deal with such a hernia; we run a unique Hernia Program.
It consists of a multi-disciplinary team of surgeons, radiologists, counselors, nutritionists, psychiatrists who works towards optimization of the patient before undergoing the hernia repair.
Pre-operative Botulin Toxin injections and Progressive Pneumoperitoneum in selected patients form a unique part of this program.
Our team offers both open and laparoscopic surgeries for the management of such complex hernias. History of previous surgeries, size of the defect, associated medical illness are some of the factors taken into consideration for deciding the treatment modality.
Our team performs component separation technique which involves separating and advancing certain layers of abdominal wall muscles so that hernia defect can be closed successfully. To achieve this, we carry out the procedure by two methods:
Quality is our first concern when it comes to your health and wellness
Our friendly staff is here to answer any questions you may have
Comfort is key to making sure you are happy with the process and outcome
We offer classes to help you maintain a healthy lifestyle after surgery
Patients undergoing laparoscopic hernia repair by our team are discharged within 24 hours following surgery. However, in cases of large, complex and recurrent hernia duration of stay can be extended.
About 95% of hernia repairs are carried out through laparoscopic approach by our team. there can be conditions like very large complex hernias, recurrent hernia, patient not fit for laparoscopic surgery where conventional or open repair has to carried out.
Hernia is a gradually progressive disease and with time, the size of hernia increases. An early repair ensures better results, faster recovery and enhanced chances of carrying the procedure through laparoscopic approach.
An uncomplicated, simple hernia can anytime develop complications making the repair difficult, delayed recovery and sometimes the option of laparoscopic repair is lost if the hernia becomes strangulated.
It is always advisable to seek an opinion of specialist surgeon for proper evaluation and management of hernia
Despite a number of online claims that hernia can be cured by yoga or medicines, there is no scientific evidence or data to support the claims. We are yet to see a single patient who get cured through these methods.
We highly recommend to trust only evidence-based medicine and adhere to scientific international guidelines for management of hernia.
The only exception to this is belly button or umbilical hernia in new born or infants in which the hernia spontaneously closes in next 2-3 years naturally without any medicines.
Our surgical team utilizes highest quality mesh and tackers to treat hernia. We therefore advice our patients to forget the surgery after three weeks and lead a completely normal life without taking any further precautions.
Our surgical practice and expertise decrease your odds of a recurrent hernia in the future. But a new hernia can develop in other parts of the body. To prevent formation of new hernia, you must
We always design a tailored plan for every patient depending upon the type of hernia repair, his general health and associated medical illness and nature of his job. However certain short-term precautions can be read in our blog below
The basic fundamentals for any hernia repair include strongest repair of the defect with least possible discomfort, fast recovery and least chance of recurrence.
Read moreHernias can be very painful and inconvenient, but many people are unaware of the potential dangers that come with leaving them untreated.
Read moreLaparoscopic hernia repair is gradually becoming a gold standard procedure for management of hernia unless
Read moreHernia is a common health problem which if left untreated can sometimes cause life threatening complications.A hernia occurs when a part of intestine or any abdominal
Read moreI underwent minimal invasive laparoscopic hernia surgery under Dr. Kapil Agrawal supervision. Surgery was done as planned. The hospital stay was of two days only. I was able to walk with support within 24 hours and resume office within seven days. I thank Dr. Kapil Agrawal for his medical advice and sincerely appreciate and recommend him the best hernia surgeon in Delhi, India.
I consulted Dr Kapil for treatment of my mother. As this was during Corona time, she was not ready for operation at first place. When we met with Dr Kapil, the way he explained the situation and ease of recovery, finally she became ready. She got admitted to the hospital in early morning, got operated same day and was discharged next day. The recovery had been good, no further complications in last 4 months now. Dr. Kapil is very good at listening the problem and suggesting the best solution. God forbid, if any new surgery requirement comes in future, i will certainly go for his treatment, no doubt in that. All the best and regards to Dr Kapil for his services to the society.
I want to thank Dr kapil agrawal for performing excellent hernia repair on me. I was having inguinal hernia on both sides. He repaired hernia on both sides laparoscopically. I was discharged next day of surgery. No bed rest advised. I joined my job back in 7 days. He is indeed one of the best hernia surgeon in Delhi..
Just had a laparoscopic surgery done by Dr. Kapil Agrawal and found out how easily a surgery can be done and managed by his team...He is, without doubt, the best laparoscopic surgeon and a very nice human being.... I suggest him to all those patients who r facing the same problem like me.... May God bless him with all the success and accolades in his future endeavors.... Thank u so very much sir... You were a very nice company for me during my surgery.
I had undergone surgery for surgery because my appendix got damaged. After this , I developed hernia on the operation site. I underwent surgery for hernia repair twice but it recurred again. Finally, someone recommended the name of Dr. Kapil Agrawal. I met him and he evaluated me. I had a big defect and since already operated twice, it was complex hernia. But Dr Agrawal reassured me and I underwent surgery about 6 months back. He did the surgery laparoscopically and everything went fine. I am doing pretty good with complete freedom of hernia. God bless him
If you're searching for the best hernia surgeon in Delhi Ncr, look no further than Dr. Kapil Agrawal. He is best the hernia surgeon in delhi. With his exceptional skills and expertise, he has earned a reputation as one of the leading hernia surgeons in the city. What sets him apart is his proficiency in performing all types of Laparoscopic Hernia Repair procedures, consistently achieving excellent results.
As a renowned Hernia Specialist Doctor in Delhi, Dr. Kapil Agrawal and his dedicated team utilize high-quality Mesh and Tackers to effectively address hernias. This approach not only ensures improved comfort but also promotes faster recovery with an almost negligible chance of recurrence.
Affiliated with some of the top hospitals for hernia surgery in Delhi, Dr. Agrawal and his team have access to state-of-the-art equipment and provide a world-class infrastructure that rivals the best hospitals globally.
One of their distinguishing characteristics is their commitment to providing honest and unbiased opinions, strictly adhering to international guidelines when determining the most suitable & best hernia treatment in Delhi.
Dr. Agrawal and his team prioritize delivering the best possible hernia treatment experience. They create a safe, honest, and stress-free environment for patients while guiding them through a personalized patient care program tailored to their specific needs.
With a multidisciplinary approach, Dr. Agrawal collaborates closely with team of dieticians, physicians, and endocrinologists, forming a comprehensive team that offers personalized care to every patient. The team's nutritionists develop customized dietary plans to aid in a better and faster recovery process.