Dr. Kapil Agrawal is one of the best hernia surgeon in Delhi, NCR, and has performed thousands of hernia surgeries. With 22 years of extensive experience, he is an expert in performing a complete range of advanced laparoscopic hernia surgeries. He has treated numerous complex hernia cases with consistently excellent results, making him one of the best hernia specialist surgeons. Dr. Agrawal has been delivering his services at some of the best hospitals in Delhi, NCR. He also manages Habilite Clinics, providing comprehensive surgical solutions to individuals seeking his expertise.
Hernia is a gradually progressive medical condition affecting millions of patients worldwide. It is characterized by a tear or weakness in the muscle wall, which leads to the protrusion of various organs contained in the muscle wall. This protrusion manifests itself as a noticeable bulge beneath the skin. Hernia can involve various body regions, including the abdomen, groin, or upper thigh.
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.
Hernia can manifest in different areas of the body. Based on the location or area involved, the hernia can be broadly classified into:
Inguinal Hernia: One of the most common hernias, occurs in the groin or upper thigh.
Femoral Hernia: Femoral hernia is more common in females and occurs in the groin or upper part of the thigh.
Umbilical Hernia: This hernia occurs in the umbilical or navel region of the body.
Epigastric Hernia: This hernia occurs between the umbilicus and the rib cage.
Incisional Hernia: The incisional hernia occurs at a previous surgical incision or scar site due to compromised repair.
Depending upon the site, size, and complexity, the hernia can manifest itself as:
Visible bulge: The most common symptom of hernia is a bulge beneath the skin that becomes more prominent when straining and standing and disappears when lying down. This is known as a Reducible Hernia. When the bulge becomes permanent and does not disappear, it is known as an Irreducible Hernia.
Pain and discomfort: Pain and discomfort occur when the hernia becomes entrapped by the defect. Around the hernia site, pain can be mild to severe.
Hernia is a progressive disease characterized by muscle tear, which results in organ protrusion. Hernia can never be cured with medicines, and surgery is the only definitive treatment that can provide a permanent solution. Recent advancements have refined these traditional methods, improved outcomes, and reduced recovery times.
The two main surgical options include:
Open or conventional Surgery: This involves making an incision over the hernia site and reducing the protruding content. The defect is then closed and reinforced by a non-absorbable material known as mesh.
The procedure is usually reserved for patients unfit for laparoscopic surgery due to compromised heart or lung conditions.
The procedure is often associated with delayed recovery, more pain, and increased chances of recurrence.
Laparoscopic Hernia repair: This is a minimally invasive approach. It has become one of the best and gold-standard techniques for managing hernia.
With the help of three incisions of half cm each, the entire surgery is conducted, making recovery relatively fast with minimal pain.
A thin tubular telescope fitted with a camera is introduced into the abdomen, projecting images on high-definition monitors.
The entire repair uses specialized instruments, and the mesh is placed to strengthen the repair.
Patients are discharged within 24 hours of surgery, and most return to normal activity within three days.
Complex hernias are defined as:
Management of such hernias is technically challenging, and an attempt to repair such extensive defects in an unprepared abdomen can lead to severe complications and even mortality.
Their management is entirely different from that of simple and uncomplicated hernias. Such hernias require vast experience and expertise for successful outcomes, and their method of repair is altogether different from that of uncomplicated hernias.
Our team offers both open and laparoscopic surgeries for the management of such complex hernias. A history of previous surgeries, the size of the defect, and the associated medical illness are some of the factors considered when deciding the treatment modality.
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:
Patients undergoing laparoscopic hernia repair are usually discharged within 24 hours of surgery. After discharge, the patient can walk normally and can carry out normal routine activities.
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
Expertise and experience
Dr Kapil Agrawal, one of the best hernia surgeons in Delhi, has over two decades of valuable experience, making him one of the most trustworthy authorities in his field.1
Insurance and EMI Options
At Habilite Clinics, we have a team of dedicated professionals who handle all the cashless insurance facilities with all the insurance providers. Additionally, our EMI options make quality hernia treatment accessible to a broader range of patients.
Dr Kapil Agrawal is affiliated with some of the premiere hospitals in New Delhi, which have state-of-the-art facilities. The facilities are tailored to enhance patient comfort and ensure optimal surgical outcomes.
Complete range of procedures
One size does not fit all regarding the best outcomes in hernia treatment. Dr.Kapil Agrawal offers a comprehensive range of advanced laparoscopic surgeries to address diverse patient needs.
A team of nutritionists and endocrinologists
Empanelled with the best hospitals in NCR
Best quality Mesh and Tackers
We are committed to using premium mesh and tackers for laparoscopic hernia repair. These high-quality implants ensure durable support and minimize the chances of mesh migration.