Best Hernia Surgeon in Delhi – Dr. Sushant Wadhera
What is Hernia?
When a part of the intestine, intra-abdominal fat or other organs present in our abdomen starts bulging out due to a defect, hole, or a weakness of the muscles, then this condition is defined as a hernia.
A hernia can be present since birth. These are congenital hernias and are caused due to incomplete closure of membranes present inside the abdomen. Sometimes, such defects can manifest or become symptomatic in later years.
Hernia, Which occurs in old age is mainly due to muscle weakness and loss of muscle tone.
- If the bulge spontaneously disappears on lying down or by pressing upon the bulge, it is a reducible hernia.
- If the bulge is permanent and does not disappear, then it is an irreducible hernia.
Risk factors for the development of hernia
Any condition which increases the pressure inside the abdomen can lead to hernia formation.
- Multiple pregnancies
- Chronic constipation or straining while passing urine
- In young individuals, heavy weight lifting or excessive workouts.
Certain abdominal diseases like liver cirrhosis and kidney disease may cause fluid or water to accumulate in our stomach, which over some time may cause a hernia. Hernias may be congenital ( present since birth) or it may be caused by a combination of muscle weakness and strain. A hernia can develop very quickly or over a long period, depending on its cause. it’s advised to seek the timely & best hernia treatment in Delhi.
Types of Hernia
Hernia can occur at different parts of the body, most commonly between the lower end of chest till the groin. They are named depending upon their location.
Inguinal Hernia: In this condition, we observe the hernia or bulge is present in the upper part of the thigh, also known as the groin.
Femoral Hernia: This condition occurs at a similar location to inguinal hernia and is more common in females.
Incisional Hernia: They occur in a previously surgically operated site, usually on the abdomen
Ventral Hernia: Any hernia over the anterior abdomen wall like epigastric hernia , Umbilical hernia, spigelian hernia.
Epigastric Hernia: This type of hernia occurs between the umbilicus ( belly button) and chest.
Umbilical Hernia: Usually observed when the bulge pushes through the belly button or just over it.
Spigelian Hernia occurs just below and to the side of the navel.
Inguinal & Femoral Hernias
These hernias occurs in the groin area. In other words, it is situated in the upper part of the thigh. It is the most common type of hernia & is seen in many people of all ages.
The inguinal hernia can be treated by these mentioned treatments:
- Open or conventional surgery
- Laparoscopic approach
Open Inguinal Hernia Repair
This surgery is performed by placing a 5-6 cm incision in the groin area. A small mesh is placed over the weakened area to minimize the recurrence. As per Best Laparoscopic Hernia Surgeon in Delhi this is offered only to those patients who are unfit for general anesthesia or if patient is desirous of getting an open surgery only.
In laparoscopic surgery, the entire procedure is carried out using three small holes. A much larger piece of mesh can be placed laparoscopically as compared to Open surgery.
In Open surgery usually a mesh of 11 x 5 cm is used each side while in laparoscopic approach a much larger 15 x 12 cm mesh is used on either side behind the defect, which provides a larger area of coverage and has a lower recurrence rates.The entire procedure for the hernia surgery is carried out in general anesthesia. It means the patient is completely put to sleep.
The laparoscopic surgery for treatment of inguinal hernia can again be of two types:
Totally Extra Peritoneal Repair
Trans Abdominal Pre Peritoneal Repair
We tailor make the approach as per patient’s condition and body habitus.
The major advantages of laparoscopic repair are:
If the hernia is present on both sides, it can be repaired with the same three small ports. With the help of laparoscopic treatment, no additional holes or cuts are required. Patients are walking after a few hours and are usually discharged within 24 hours.
An incisional hernia is a hernia in the previous made surgical incision in the abdominal wall.
They unfortunately are a common complication of open abdominal surgery, with an incidence of around 50 % cases following laparotomy.
In the presence of increased intra-abdominal pressure and implicit risk factors ( like smoking or Obesity) the contents of the abdomen are able to push through the weakness in the operated scar, forming an incisional hernia.
As with any hernia, complications like intestinal obstruction, strangulation can occur.
The natural factors that play a part in the development of IH are collagen and metalloproteinase synthesis, smoking, and nutritive scarcities like protein deficiencies.
Incisional hernia should be repaired, because if left it’ll enlarge and lead to complications.
The surgical treatment of IH is indicated to relieve symptoms (abdominal pain, swelling and discomfort), to help avoid and / or treat the possible complications (obstruction, strangulation, skin ulceration)
Incisional hernia treatment involves safe reduction of the intra-abdominal contents and placing a mesh . It is performed either as an open procedure (morphological and functional abdominal wall reconstruction with sublay mesh placement) or as a minimally invasive procedure (laparoscopic surgery with mesh placed in the intraperitoneal onlay mesh (IPOM) position or in the Sublay fashion).
Larger hernias may require Anterior or Posterior Compartment Separation. This can be done using open or laparoscopic method.
A ventral hernia occurs along the perpendicular center of the abdominal wall. Symptoms include pain in the stomach, especially when lifting or straining. Treatment is with surgery, including open, laparoscopic and robotic hernia form. Umbilical and incisional hernias are specific types of ventral hernias. The cause of a ventral hernia can differ depending on its position as well as your medical history, health and particular deconstruction. The weakness in the abdominal wall through which the intestine protrudes may be part of your body’s natural conformation.
Specific treatment for a ventral hernia will be determined by your doctor grounded on multiple factors similar as your general health, anatomy, extent and position of the hernia, and asked position of unborn physical conditioning.
To know whether you are suitable candidate for Laparoscopic hernia repair consult with Best Hernia Surgeon in Delhi.