Laparo Surgeon - Dr Senthil Hosur

Comprehensive Hernia Treatment: The Path to Healing

Understanding Hernia Treatment

Laparoscopic surgery has changed the way the surgeries have been performed in the past. With shorter stay in the hospital along with lesser Complications and early recovery and mobility, the laparoscopy surgery is the most preferred way to approach a surgical patient.

Laparoscopic surgery is today a fixed part of the therapeutic spectrum of surgeons. The therapeutic success depends, besides the great operative skills, on the right instruments that are used.

We are equipped with state of art modular dedicated laparoscopic operation theatre with high end instruments and trained staffs.

INGUINAL HERNIAS

An inguinal hernia occurs when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles. The resulting bulge can be painful, especially when you cough, bend over or lift a heavy object. Inguinal hernias present as a bulge in the groin. They are more common in men than women. Inguinal hernias usually occur when fatty tissue (omentum) or part of a bowel, bulge out through a part of the lower abdominal wall known as inguinal canal.

FEMORAL HERNIA

Femoral hernia is also groin hernia. It occurs just below the groin crease. It is more common in women than men. It presents as small swelling very low down next to the groin skin crease, sometimes just below the crease so the swelling seems to be at the top of the thigh. These hernias are more prone to complications and hence should be repaired once they are diagnosed. Almost half of all femoral hernias first come to light as emergencies.

UMBILICAL HERNIA

An Umbilical (navel) hernia occur actually in the middle of the navel. The inside of the navel sticks out. Sometimes the swelling is just above the navel so you will see a swelling just above the umbilicus. A part of the intestine protrudes through the umbilical opening in the abdominal muscles. These hernias may occur in infants at or just after birth and may resolve by three or four years of age. If the area of weakness persists, umbilical hernia can present at any time in life.

VENTRAL HERNIA

Ventral hernia is a hernia that occurs in the anterior abdominal wall. There are three common types of ventral hernias. An Incisional Hernia is a hernia that occurs through a previously surgical incision. A Periumbilical hernia occurs around the umbilicus. An Epigastric hernia occurs between the lower part of rib cage and the umbilicus.

HIATAL HERNIA

Unlike an abdominal (or groin) hernia, a hiatus hernia occurs in the chest area and affects the digestive system. This type of hernia occurs when part of the stomach pushes through the diaphragm. The diaphragm normally has a small opening for the oesophagus. This opening can become the place where part of the stomach pushes through.

DIAPHRAGMATIC HERNIA

This is usually a birth defect causing an opening in the diaphragm, which allows abdominal content to push through into the chest cavity.

What methods of repair are there?

There are several different approaches to hernia repair. Whatever method is used to repair a hernia, the basic principles are:

1. To push back the protruding bulge and return the intestine to where it belongs inside the peritoneal cavity

2. To close the defect through which the hernia came out in the first place

3. To strengthen the defective area.

Methods of Repair
Laparoscopic mesh repair
Open Mesh repair
Stitching

ADVANTAGES OF LAPAROSCOPIC SURGERY OVER OTHER TECHNIQUES

Less pain because of smaller incisions.
Early return to work.
Better cosmetic results.
Gall bladder removal
Thyroid surgeries
Breast surgeries

Stomach cancer
Colon cancer
Bariatric surgery
Endoscopy surgery
Colonoscopy surgery

WHAT ARE THE SIGNS AND SYMPTOMS AND COMPLICATIONS?

The signs and symptoms of a hernia can range from noticing a painless lump to the severely painful, tender, swollen protrusion of tissue that you are unable to push back into the abdomen (an incarcerated strangulated hernia).

- REDUCIBLE HERNIA: Appears on straining and standing and often disappear temporarily when you lie down or can be manipulated back into the abdomen.

- IRREDUCIBLE HERNIA: The contents may become stuck and the hernia is permanently protruding (an irreducible hernia).

- BOWEL OBSTRUCTION: The bowel can be blocked causing abdominal pain and vomiting.

- STRANGULATION: The Blood supply may be nipped off suddenly at narrow neck of the sac. Strangulation and bowel obstruction require emergency surgery.