All you wanted to know about Hernia Surgery
Dr. Manish Joshi is a Consultant Surgical Gastroenterologist, GI Oncologist and Advanced Laparoscopic Surgeon at the Trustwell Hospitals, Bangalore. He aslo consults at Apollo Spectra – Koramangala & Apollo Clinic – Kundalahalli Gate . He had earlier served as Head of Surgical Gastroenterology services at St. John’s Medical College Hospital & BGS Gleneagles Global Hospital, Bangalore. Dr.Manish Joshi is an expert for Hernia surgery in Bangalore.
What is Hernia?
A hernia occurs when an internal organ or other body part protrudes through a weakness in the muscle or surrounding tissue wall. This weakened spot can be due to a natural opening or a previous injury.
Hernia is a very common disease and affects most of the population. Most of the Hernias are not fatal (see complications of Hernia below) and patients have sufficient time to cure it. It is recommended to consult a doctor for advise.
Hernia Disease Illustration
Advanced & Comprehensive Care for All Types of Hernia
Inguinal Hernia Surgery
Inguinal hernia is one of the most common types of hernia. It develops in the groin area (near your abdomen) when the intestinal or fatty tissues push through the inguinal canal located near the base of the abdomen.
Symptoms of Inguinal Hernia : The most obvious sign of these types of hernias is their appearance. The inguinal hernia can be spotted by bulges along the groin and pubic areas. These bulges grow when you stand up and disappear when you lie down. Other symptoms of the inguinal hernia include:
- Burning & Heavy sensation in groin area.
- Pain in the groin area when coughing, bending, or exercising.
- Swelling of the scrotum.
- Acute pain.
Inguinal Hernia Surgery Options:
Dr Manish Joshi is one of the few Gastrointestinal surgeon in Bangalore to have expertise on all the above treatment options. With Dr.Manish Joshi (18+ yrs exp) – You are in Trusted Hands.
Umbilical Hernia Surgery
An umbilical hernia is an abnormal bulge that can be seen at the belly button. This hernia develops when a portion of the lining of the abdomen, part of the intestine protrudes through the muscle of the abdominal wall. This can happen to infants and adults as well.
Symptoms of Umbilical Hernia : The most obvious sign of these types of hernias is their appearance. The umbilical hernia can be spotted by bulge near the navel or belly button. Other symptoms of the umbilical hernia include:
- Tenderness & Discoloration at hernia site
- Pain & discomfort
- Vomitting
Umbilical Hernia Surgery Options:
Dr Manish Joshi is one of the few Gastrointestinal surgeon in Bangalore to have expertise on all the above treatment options. With Dr.Manish Joshi (18+ yrs exp) – You are in Trusted Hands.
Hiatal Hernia Surgery
A hiatal hernia occurs when the upper part of the stomach pushes through an opening in the diaphragm and into the chest cavity. The diaphragm is the muscle wall that separates the chest cavity from the abdomen.
Symptoms of Hiatal Hernia : (Important – Visit our page on GERD to know – how GERD & Hiatal hernia are related)
- Heartburn
- Stomach acid reflux or reflux of food or liquids into the mouth
- Abdomen Pain & discomfort
- Breathlessness
Hiatal Hernia Surgery Options: Most people with a hiatal hernia are asymptomatic and won’t need any treatment. Only patients with recurrent heartburn and acid reflux may need medication or surgery.
Dr Manish Joshi is one of the few Gastrointestinal surgeon in Bangalore to have expertise on all the above treatment options. With Dr.Manish Joshi (18+ yrs exp) – You are in Trusted Hands.
Incisional Hernia Surgery
An incisional hernia occurs when the intestine pushes through the abdominal wall at the site of previous abdominal surgery. If you have had a previous abdominal surgery, the muscles around the scar/stitches become weak resulting in the intestine protruding out of it and causing incisional hernia.
Symptoms of Incisional Hernia : The most noticeable symptom of an incisional hernia is a bulge near the incision site. It’s often most visible when you strain your muscles, such as when you stand up, lift something, or cough.
- Constipation, Narrow stool
- Nausea, vomiting, fever or rapid heart rate
- Abdomen Pain & discomfort around the hernia
Incisional Hernia Surgery Options:
Dr Manish Joshi is one of the few Gastrointestinal surgeon in Bangalore to have expertise on all the above treatment options. With Dr.Manish Joshi (18+ yrs exp) – You are in Trusted Hands.
Other Hernia Types
Other Hernia types, which are not very much common includes Femoral Hernia, Epigastric Hernia, Spigelian Hernia, Sports Hernia, diaphragmatic Hernia, etc.
As these are not very common, they are not described in detail. Incase you have a query related to these types of hernia, kindly use the Ask a Doctor form on this website and Dr.Manish Joshi’s team will be happy to answer the same.
Hernia Surgery Options:
Dr Manish Joshi is one of the few Gastrointestinal surgeon in Bangalore to have expertise on all the above treatment options. With Dr.Manish Joshi (18+ yrs exp) – You are in Trusted Hands.
Inguinal Hernia Surgery
Inguinal hernia is one of the most common types of hernia. It develops in the groin area (near your abdomen) when the intestinal or fatty tissues push through the inguinal canal located near the base of the abdomen.
Symptoms of Inguinal Hernia : The most obvious sign of these types of hernias is their appearance. The inguinal hernia can be spotted by bulges along the groin and pubic areas. These bulges grow when you stand up and disappear when you lie down. Other symptoms of the inguinal hernia include:
- Burning & Heavy sensation in groin area.
- Pain in the groin area when coughing, bending, or exercising.
- Swelling of the scrotum.
- Acute pain.
Inguinal Hernia Surgery Options:
Dr Manish Joshi is one of the few Gastrointestinal surgeon in Bangalore to have expertise on all the above treatment options. With Dr.Manish Joshi (18+ yrs exp) – You are in Trusted Hands.
Umbilical Hernia Surgery
An umbilical hernia is an abnormal bulge that can be seen at the belly button. This hernia develops when a portion of the lining of the abdomen, part of the intestine protrudes through the muscle of the abdominal wall. This can happen to infants and adults as well.
Symptoms of Umbilical Hernia : The most obvious sign of these types of hernias is their appearance. The umbilical hernia can be spotted by bulge near the navel or belly button. Other symptoms of the umbilical hernia include:
- Tenderness & Discoloration at hernia site
- Pain & discomfort
- Vomitting
Umbilical Hernia Surgery Options:
Dr Manish Joshi is one of the few Gastrointestinal surgeon in Bangalore to have expertise on all the above treatment options. With Dr.Manish Joshi (18+ yrs exp) – You are in Trusted Hands.
Hiatal Hernia Surgery
A hiatal hernia occurs when the upper part of the stomach pushes through an opening in the diaphragm and into the chest cavity. The diaphragm is the muscle wall that separates the chest cavity from the abdomen.
Symptoms of Hiatal Hernia : (Important – Visit our page on GERD to know – how GERD & Hiatal hernia are related)
- Heartburn
- Stomach acid reflux or reflux of food or liquids into the mouth
- Abdomen Pain & discomfort
- Breathlessness
Hiatal Hernia Surgery Options: Most people with a hiatal hernia are asymptomatic and won’t need any treatment. Only patients with recurrent heartburn and acid reflux may need medication or surgery.
Dr Manish Joshi is one of the few Gastrointestinal surgeon in Bangalore to have expertise on all the above treatment options. With Dr.Manish Joshi (18+ yrs exp) – You are in Trusted Hands.
Incisional Hernia Surgery
An incisional hernia occurs when the intestine pushes through the abdominal wall at the site of previous abdominal surgery. If you have had a previous abdominal surgery, the muscles around the scar/stitches become weak resulting in the intestine protruding out of it and causing incisional hernia.
Symptoms of Incisional Hernia : The most noticeable symptom of an incisional hernia is a bulge near the incision site. It’s often most visible when you strain your muscles, such as when you stand up, lift something, or cough.
- Constipation, Narrow stool
- Nausea, vomiting, fever or rapid heart rate
- Abdomen Pain & discomfort around the hernia
Incisional Hernia Surgery Options:
Dr Manish Joshi is one of the few Gastrointestinal surgeon in Bangalore to have expertise on all the above treatment options. With Dr.Manish Joshi (18+ yrs exp) – You are in Trusted Hands.
Other Hernia Types
Other Hernia types, which are not very much common includes Femoral Hernia, Epigastric Hernia, Spigelian Hernia, Sports Hernia, diaphragmatic Hernia, etc.
As these are not very common, they are not described in detail. Incase you have a query related to these types of hernia, kindly use the Ask a Doctor form on this website and Dr.Manish Joshi’s team will be happy to answer the same.
Hernia Surgery Options:
Dr Manish Joshi is one of the few Gastrointestinal surgeon in Bangalore to have expertise on all the above treatment options. With Dr.Manish Joshi (18+ yrs exp) – You are in Trusted Hands.
Complications of Hernia
Incarcerated Hernia
An incarcerated hernia occurs when protruded tissue becomes trapped and cannot easily be moved back into place. An incarcerated hernia can lead to a bowel obstruction or strangulation.
Prompt Medical advice is recommended if you have incarcerated hernia.
Strangulation of Hernia
A strangulated hernia is a medical emergency. Fatty tissue or a section of the small intestines pushes through a weakened area of the abdominal muscle. The surrounding muscle then clamps down around the tissue, cutting off the blood supply to the small intestine. This strangulation of the small intestine can lead to intestinal perforation, shock, or gangrene of the protruding tissue.
What is a Hernia Mesh?
Surgical mesh is a medical device which is used to provide extra support to the weakened area where hernia bulges out. These mesh patches are sewed over the weak spot after pushing the hernia inside. Surgical mesh reduces the chance of recurrence of hernia in future by decreasing the pressure in the abdominal wall. They are generally constructed from synthetic materials or animal tissue.
Dr. Manish Joshi & team will use the most advanced and latest hernia mesh for your surgery.
More information about Hernia mesh can be found on the US FDA website.
We Treat Most Hernia Types
Hiatal Hernia or Hiatus Hernia is a medical term which defines a medical condition in which an organ of the body intrudes into an area where it does not essentially belong. This is called Hernia. Hiatus or Hiatal is an aperture in the diaphragm. A diaphragm is a wall that separates the abdomen from the chest region. The pipe, through which the food passes, oesophagus, passes from this aperture and into the stomach. What happens in hiatal or hiatus hernia is the stomach pushed into the chest cavity through this aperture.
Most of the patients suffering from hiatal hernia of any type do not face any obvious symptoms of it, whereas, others may feel medical problems related to the stomach and the abdominal region like heartburn, and other issues related to gastroesophageal reflux disease, or GERD. However, as strange as it may sound, many times people do not face any symptoms or issues of GERD despite having the problem of hiatal hernia whereas others have GERD but do not face ant type of hiatal hernia. This is bewildering since both these factors seem to correlate and lie closely to each other.
On the other hand, many times people who are suffering from heartburn are thought of having chest pains or a heart attack, whereas in reality they are suffering from hiatal hernia. Therefore, it is important to go through all the relevant tests before getting the treatment.
There are mainly two common types of hiatal hernia, sliding hiatal hernia and paraesophageal hiatal hernia. The first type of hiatal hernia, sliding hiatal hernia, is the most common type of all. This medical condition causes the stomach and the part in the oesophagus attached to it to climb up in the chest through the cavity in the diaphragm. This type of hernia can be cured easily.
The second type of hiatal hernia, the paraesophageal hernia, is not as common as the first one but it is more dangerous than the first one . Seemingly, in this type of hernia, the oesophagus and the stomach do not go to the chest cavity however, the stomach is squeezed through the aperture and it gets placed next to the oesophagus. There is a potential danger in this case that the stomach is been squeezed and strangled and the blood supply can be cut to this organ.
It is not difficult to diagnose hiatal hernia, if the patient undergoes the appropriate testing. A specialized X-ray is used to diagnose this medical condition which helps the doctor access what is going on the oesophagus or an endoscopy is performed.
Treatment of Hiatal Hernia:
Many patients do not feel any kind of problem or physically obvious symptom even if they are suffering from this problem. Therefore, in many cases, no special treatment is performed. In other cases, like in the case of paraesophageal hernia, it is important to undergo a surgery since the stomach of the patient is being strangled. The issues of GERD and heartburn are also treated.
If a patient is suffering from paraesophageal hernia, the doctor performs a type of surgery called laparoscopic on him/her. This type of procedure involves small incisions in the patient’s body through which the doctor monitors the conditions and handle them according. This procedure is easy, safer, quicker, less painful and therefore the recovery is more rapid as well.
Note: Please note this information is intended for general knowledge purpose only. Please consult your surgeon for the treatment plan of your hernia. Treatments will be tailored as per each patient.
Disclaimer: Information provided in this article is for general knowledge purposes only. It is, in no means, a replacement for your doctor’s advice. Please consult your doctor and surgeon with your particular case for effective treatment and recovery of your condition.
It is not difficult to diagnose hiatal hernia, if the patient undergoes the appropriate testing. A specialized X-ray is used to diagnose this medical condition which helps the doctor access what is going on the oesophagus or an endoscopy is performed.
Treatment of Hiatal Hernia:
Many patients do not feel any kind of problem or physically obvious symptom even if they are suffering from this problem. Therefore, in many cases, no special treatment is performed. In other cases, like in the case of paraesophageal hernia, it is important to undergo a surgery since the stomach of the patient is being strangled. The issues of GERD and heartburn are also treated.
Inguinal hernia is one of the most common types of hernia. It develops in the groin area (near your abdomen) when the intestinal or fatty tissues push through the inguinal canal located near the base of the abdomen. In men, the testicles usually descend through this canal. In women, this canal is where the uterine ligament resides. If you have a hernia in this area, it can lead to swelling or an enlarged scrotum that causes pain during movement. However, you should prompt medical treatment to prevent further discomfort and swelling.
The most obvious sign of these types of hernias is their appearance. The inguinal hernia can be spotted by bulges along the groin and pubic areas. These bulges grow when you stand up and disappear when you lie down. Moreover, the hernia is sensitive and may cause pain on touch.
Other symptoms of the inguinal hernia include:
- Burning sensations.
- Pain in the groin area when coughing, bending, or exercising.
- Swelling of the scrotum.
- Acute pain.
- Heavy sensation in the groin
A doctor will perform a physical exam to detect inguinal hernia. In some cases, the bulge or swelling in the groin area will primarily indicate the presence of this type of hernia. However, the doctor is most likely to ask you to stand and cough for checking the severity of the inguinal hernia formed
The primary treatment for inguinal hernia is surgery. The operation is very common and has a high success rate when performed by a trained surgeon. Your doctor will recommend one of the following for the treatment:
- Open Repair (Herniorrhaphy) Surgery: This involves making an incision in the groin and repairing the abdominal wall defect by replacing abdominal tissues in the abdomen. This surgery has a longer recovery period with similar outcome.
- Laparoscopic Surgery: This involves making several small incisions into the groin and treating the hernia (by replacing the abdominal tissues). This is preferred when you want a short recovery period with the treatment.
Even though there is no perfect solution for genetic defects that may cause hernia, there are still ways to lessen the severity of hernia and prevent it from recurring after surgery. These include:
- Maintain a high-fiber diet that ensures you have a healthy weight.
- Avoid lifting heavy weights and intense exercise.
- If you are a smoker, restrict (or even stop) your smoking after the surgery.
There is always a risk of recurrence and complications involved after surgery. If you face symptoms of the inguinal hernia again or if there are severe side effects after surgery, you should contact your doctor immediately.
Disclaimer: The information that has been provided in this article is for general knowledge purposes only. It is, in no way, a replacement for your doctor’s advice. Please consult your doctor and surgeon with your particular case for effective treatment and recovery of the inguinal hernia.
http://www.mayoclinic.org/diseases-conditions/inguinal-hernia/home/ovc-20206354
http://www.healthline.com/health/inguinal-hernia#Treatment6
http://www.nhs.uk/conditions/Inguinalherniarepair/Pages/Whatisitpage.aspx
Disclaimer: Information provided in this article is for general knowledge purposes only. It is, in no means, a replacement for your doctor’s advice. Please consult your doctor and surgeon with your particular case for effective treatment and recovery of your condition.
Generally, hernias develop in the abdominal wall, where a particular area weakens and starts developing a hole or tear. Part of the intestines or abdominal tissue may push through this weakened area, resulting in potentially serious complications and severe pain.
Ventral hernias are a kind of abdominal hernia that can occur at any place on the abdominal wall. These hernias may develop due to incomplete closure of part of the abdominal wall, as a defect at birth, or develop where an incision was once made during an abdominal surgery, occurring because the incision didn’t recover properly.
Ventral hernias are a kind of abdominal hernia that can occur at any place on the abdominal wall. These hernias may develop due to incomplete closure of part of the abdominal wall, as a defect at birth, or develop where an incision was once made during an abdominal surgery, occurring because the incision didn’t recover properly.
This condition can produce a number of symptoms. It may be possible that one patient feels not even a single symptom, whereas, the other suffers from severe pain. These symptoms may take many days or even months to emerge. The physician generally diagnoses a ventral hernia by monitoring the patient’s symptoms as well as studying imaging tests to find that whether there is a presence of a ventral hernia.
The symptoms may include pain or discomfort in the area of the hernia, which might worsen as you try to lift heavy objects or stand. You may feel or see a growth or bulging in the area that feels sensitive to the touch. Make sure to consult the doctor immediately if you experience any of the following symptoms.
- Vomiting
- Nausea
- Mild discomfort in the abdominal area
- Outward bulging of tissues or skin in the abdominal area
- Pain in the abdomen
The doctor will perform a physical examination for a complete diagnosis. He may need to look inside the body for ventral hernia confirmation. Following are the diagnostic tests to diagnose the ventral hernia.
- MRI (magnetic resonance imaging)
- CT (computerized tomography) scans
- Ultrasound of the abdomen area
Those ventral hernias that have grown above 10 centimeters are categorized as giant ventral hernias. These hernia load the abdominal cavity, thus making it complicated to detach the hernia from the organs in the surroundings. As the size of hernia keeps on growing, the recurrence risk also increases. Here are the major complications if ventral hernia remains untreated.
- Incarceration: This is a condition in which your intestines get trapped outside the abdomen, stopping blood supply or resulting in blockage of the intestines.
- Strangulation: When blood to the intestines is blocked, strangulation occurs. Part of the intestines begin to decay or it may die. This may even block the bowel, thus immediate surgery is essential.
Ventral Hernia requires surgical correction. The options for surgical treatment are as follows:
- Laparoscopic removal: In this type of surgery, the surgeon makes several small openings and then fixes the hernia through the use of a small camera that helps in directing the surgery.
- Non-laparoscopic (Open Hernia Repair): The surgeon pushes the tissue back into place by making a large opening in the body and then sew it.
You may have to spend a few nights after the surgery in the hospital. The surgery is generally safe and complications are not common. The risk of complications, such as blood clots and pneumonia is further reduced when the patient tries to get out of bed after surgery and move as soon as the doctor allows.
- Hernia recurrence: Ventral Hernia can recur up to many years after surgery and this may cause the patient to undergo a second operation.
- Incidence: Most of the patients suffer from ventral hernia in their 5th decade of life. Some common risk factors include obesity, diabetes, smoking, lung disease, steroids and wound infections.
Disclaimer: Information provided in this article is for general knowledge purposes only. It is, in no means, a replacement for your doctor’s advice. Please consult your doctor and surgeon with your particular case for effective treatment and recovery of your condition.
An Incisional Hernia is a result of weakness in the muscles of abdomen and is likely to occur after any abdominal surgery. When abdominal muscles go through weakness, then, the abdomen tissues are extended through them. Actually, the incision which is made at the time of surgery causes the Incisional Hernia. Hernia appears under the skin as a knot and can cause pain if touched. Do remember, if a person is having the problem of hernia in abdomen but has not gone through any abdominal surgery, then the hernia in not the Incisional hernia.
People at the risk of having Incisional hernia are:
- Who have gone through any abdominal surgery
- Pregnant women
- Who lift heavy things after surgery
- Who have gained weight after surgery
- Who have gone through two surgeries in the same incision or have had wound infection
Feeling a lump or swelling in the abdominal part can lead you to the diagnosis of the Incisional hernia. What you have to do is get involved in activities which tend to increase the pressure on the abdominal. For instance, you can cough, sneeze or lift something heavy to detect if there is any change in that part of swelling or lump. If it is there while doing these activities and is hidden after that or when you simply lay down, then, there are more chances that it is an Incisional hernia.
If the Incisional hernia is small enough then it can be cured by wearing a garment that is similar to weight belt. This garment will help to cure the hernia by applying a constant pressure on it. On the contrary if the hernia is large and causes pain, then a surgery is recommended. Mainly there are three methods by which the Incisional hernia can be cured and these are:
- Open surgery and stitching
- Laparoscopic surgery or Keyhole surgery
- Tension-free mesh
In the Open Surgery, a large incision is made where there is a hernia and then the bulge of peritoneum is pushed back through the incision. After that, the incision is closed by applying stitches on it. Normally, many stitches are placed to ensure that the joint will hold for the rest of patient’s life.
In the Laparoscopic Surgery, the hernia is repaired using a laparoscope. The surgeon will make small incisions in the abdominal wall which can be two to four in number. One is used for inserting the laparoscope and others for putting in the additional surgical instruments. The actual operating is accomplished by the instruments and space for these operations is made by inflating the abdominal cavity of patient with CO2. Then, mesh is taken from inside the abdomen to cover the hernia hole. For fixing the mesh, the muscle tissues are stapled.
The tension free method is similar to the laparoscopic surgery, with the difference that in the former one, only one incision is made through which the mesh is placed at the opening of hernia and incision is closed. There is no need to stitch the muscle tissues together in this approach.
Disclaimer: Information provided in this article is for general knowledge purposes only. It is, in no means, a replacement for your doctor’s advice. Please consult your doctor and surgeon with your particular case for effective treatment and recovery of your condition.
If the Incisional hernia is small enough then it can be cured by wearing a garment that is similar to weight belt. This garment will help to cure the hernia by applying a constant pressure on it. On the contrary if the hernia is large and causes pain, then a surgery is recommended. Mainly there are three methods by which the Incisional hernia can be cured and these are:
- Open surgery and stitching
- Laparoscopic surgery or Keyhole surgery
- Tension-free mesh
In the Open Surgery, a large incision is made where there is a hernia and then the bulge of peritoneum is pushed back through the incision. After that, the incision is closed by applying stitches on it. Normally, many stitches are placed to ensure that the joint will hold for the rest of patient’s life.
In the Laparoscopic Surgery, the hernia is repaired using a laparoscope. The surgeon will make small incisions in the abdominal wall which can be two to four in number. One is used for inserting the laparoscope and others for putting in the additional surgical instruments. The actual operating is accomplished by the instruments and space for these operations is made by inflating the abdominal cavity of patient with CO2. Then, mesh is taken from inside the abdomen to cover the hernia hole. For fixing the mesh, the muscle tissues are stapled.
The tension free method is similar to the laparoscopic surgery, with the difference that in the former one, only one incision is made through which the mesh is placed at the opening of hernia and incision is closed. There is no need to stitch the muscle tissues together in this approach.
Disclaimer: Information provided in this article is for general knowledge purposes only. It is, in no means, a replacement for your doctor’s advice. Please consult your doctor and surgeon with your particular case for effective treatment and recovery of your condition.
If the Incisional hernia is small enough then it can be cured by wearing a garment that is similar to weight belt. This garment will help to cure the hernia by applying a constant pressure on it. On the contrary if the hernia is large and causes pain, then a surgery is recommended. Mainly there are three methods by which the Incisional hernia can be cured and these are:
- Open surgery and stitching
- Laparoscopic surgery or Keyhole surgery
- Tension-free mesh
In the Open Surgery, a large incision is made where there is a hernia and then the bulge of peritoneum is pushed back through the incision. After that, the incision is closed by applying stitches on it. Normally, many stitches are placed to ensure that the joint will hold for the rest of patient’s life.
In the Laparoscopic Surgery, the hernia is repaired using a laparoscope. The surgeon will make small incisions in the abdominal wall which can be two to four in number. One is used for inserting the laparoscope and others for putting in the additional surgical instruments. The actual operating is accomplished by the instruments and space for these operations is made by inflating the abdominal cavity of patient with CO2. Then, mesh is taken from inside the abdomen to cover the hernia hole. For fixing the mesh, the muscle tissues are stapled.
The tension free method is similar to the laparoscopic surgery, with the difference that in the former one, only one incision is made through which the mesh is placed at the opening of hernia and incision is closed. There is no need to stitch the muscle tissues together in this approach.
Disclaimer: Information provided in this article is for general knowledge purposes only. It is, in no means, a replacement for your doctor’s advice. Please consult your doctor and surgeon with your particular case for effective treatment and recovery of your condition.
If the Incisional hernia is small enough then it can be cured by wearing a garment that is similar to weight belt. This garment will help to cure the hernia by applying a constant pressure on it. On the contrary if the hernia is large and causes pain, then a surgery is recommended. Mainly there are three methods by which the Incisional hernia can be cured and these are:
- Open surgery and stitching
- Laparoscopic surgery or Keyhole surgery
- Tension-free mesh
In the Open Surgery, a large incision is made where there is a hernia and then the bulge of peritoneum is pushed back through the incision. After that, the incision is closed by applying stitches on it. Normally, many stitches are placed to ensure that the joint will hold for the rest of patient’s life.
In the Laparoscopic Surgery, the hernia is repaired using a laparoscope. The surgeon will make small incisions in the abdominal wall which can be two to four in number. One is used for inserting the laparoscope and others for putting in the additional surgical instruments. The actual operating is accomplished by the instruments and space for these operations is made by inflating the abdominal cavity of patient with CO2. Then, mesh is taken from inside the abdomen to cover the hernia hole. For fixing the mesh, the muscle tissues are stapled.
The tension free method is similar to the laparoscopic surgery, with the difference that in the former one, only one incision is made through which the mesh is placed at the opening of hernia and incision is closed. There is no need to stitch the muscle tissues together in this approach.
Disclaimer: Information provided in this article is for general knowledge purposes only. It is, in no means, a replacement for your doctor’s advice. Please consult your doctor and surgeon with your particular case for effective treatment and recovery of your condition.
Hernia, in the simplest medical terminology, means the displacement of organs and their intrusion in the capacity of another organ. There are many different types of hernia. One of them is femoral Hernia. This is generally an uncommon type of hernia and women are more likely affected by this than the men. In Femoral Hernia, the intra-abdominal tissues of a person push through the muscular wall due to the gap in the muscles due to strain. When a part of a tissue pushes through the femoral canal wall, this medical condition is known as a femoral hernia. This issue appears in the shape of a protrusion on the thigh or near the groin of a person. Femorocele is another name for this medical condition.
Basically there are two types of conditions that occur which lead up to the symptoms of Femoral Hernia. Firstly, some hernias are small and therefore the protrusions resulting from them are small in size too or in some cases, they are not noticeable at all. In second case scenario, the size of the hernia is considerably large and it may also hurt badly. This can become worse with time and you can face difficulty and pain in walking, lifting things etc.
In some severe cases, femoral hernia causes a lot of pain and my end up blocking your intestines. This phenomenon is called Strangulation. This may cause your bowel and intestinal tissues to expire which may pose a serious danger to your life. Other severe symptoms of femoral hernia include severe and sudden pain in stomach or groin, frequent nausea and vomiting.
If you face any of the above symptoms, it is very important that you consult your doctor at the earliest. The doctor will examine the area carefully by touching it gently in order to conclude if you have femoral hernia or not. After this, an ultrasound of the area is performed in order to confirm the diagnosis.
If the bulges caused by femoral hernia are small, they are usually not treated by the doctor, as they are potentially harmless and pose no serious threat to the patient. However, if the size of the protrusions is large and the symptoms are severe, a doctor needs to surgically remove them. The procedure that is applied is laparoscopic and is performed under general aesthesia. This procedure requires the surgeon to make incisions at the place of hernia. The size of the incision depends on the size of the bulge. Though the laparoscopic procedure is more costly than the normal one, it involves less pain and scarring as well. The hernia is extracted out through the incisions made and if any tissue is misplaces, it is put back to its right position and the incisions are then sewed up.
Laparoscopic procedure is basically a less painful and less scarring procedure. It is efficient and quick and therefore the recovery time after the surgery is also short. The recovery, however, depends on other factors as well such as the size of the hernia and its severity, the proficiency of the doctor and most importantly, the will of the patient.
Note: Please note this information is intended for general knowledge purpose only. Please consult your surgeon for the treatment plan of your hernia. Treatments will be tailored as per each patient.
Disclaimer: Information provided in this article is for general knowledge purposes only. It is, in no means, a replacement for your doctor’s advice. Please consult your doctor and surgeon with your particular case for effective treatment and recovery of your condition.
Laparoscopic procedure is basically a less painful and less scarring procedure. It is efficient and quick and therefore the recovery time after the surgery is also short. The recovery, however, depends on other factors as well such as the size of the hernia and its severity, the proficiency of the doctor and most importantly, the will of the patient.
Note: Please note this information is intended for general knowledge purpose only. Please consult your surgeon for the treatment plan of your hernia. Treatments will be tailored as per each patient.
Disclaimer: Information provided in this article is for general knowledge purposes only. It is, in no means, a replacement for your doctor’s advice. Please consult your doctor and surgeon with your particular case for effective treatment and recovery of your condition.
Epigastric hernia is a common type of hernia which results due to some weakness or tear in the muscles of the abdomen. The abdominal tissues through the muscle and causes the hernia. Epigastric hernia is usually a birth defect. It occurs in babies when they are born because of some weakness in their abdominal muscles. Epigastric hernia may get better without any treatment as a baby grows up. His/her muscles begin to strengthen and therefore, the hernia gets treated in its own. The Epigastric hernia is also very much similar in terms of development to umbilical hernia.
Usually the Epigastric hernia is small tears of bulges in the muscles of the wall of the abdomen. However, in more severe cases, a Epigastric hernia can result in organs pushing through the muscular walls. This is an extreme case and need instant medical attention. Epigastric hernia mostly occurs in babies at the time of their birth. The Epigastric hernia is usually diagnosed by a doctor easily as it is quite visible. Apart from this, there are no obvious signs of Epigastric hernia. A patient may cry a lot, have problems in bowel movement, abdominal pressure etc.
Epigastric hernia requires medical attention and proper examination. It can get better on its own as a child grows up and his/her muscles become more strong. However, this medical condition cannot go away on its own. It requires proper treatment and medical attention. In some extreme cases, the Epigastric hernia needs to be treated through a surgery. However, this is usually not too urgent and can be postponed till a child grows up.
Epigastric hernia can become a fatal medical condition too – if not given proper medical attention. This is why doctors and nurses are urged to properly examine the new born children and check for any symptoms and signs of Epigastric hernia. It is very important for the family and the doctors to be vigilant enough to detect any symptoms of Epigastric hernia because new borns are unable to explain what is wrong with them.
Epigastric hernia is usually and preferably performed after a child grows up, unless of course the hernia possesses a danger to the life of the baby. The surgery for Epigastric hernia is performed by the Laparoscopic repair method. Small incisions are made in the abdominal region – which is affected. A small laparoscope like machine is then placed inside the body of the patient through these incisions to see the tears and bulges created in the abdomen of the person. With the help of the small laparoscope a physician is able to fix the damaged and torn muscles of the abdomen.
The defects in the abdominal muscles are fixed by using mesh or other synthetic materials. Sutures are also used to fix these tears and bulges and prevent them from happening again in the future. Epigastric hernia is not a very dangerous disease and can be prevented as well as treated.
Disclaimer: Information provided in this article is for general knowledge purposes only. It is, in no means, a replacement for your doctor’s advice. Please consult your doctor and surgeon with your particular case for effective treatment and recovery of your condition.
Epigastric hernia is usually and preferably performed after a child grows up, unless of course the hernia possesses a danger to the life of the baby. The surgery for Epigastric hernia is performed by the Laparoscopic repair method. Small incisions are made in the abdominal region – which is affected. A small laparoscope like machine is then placed inside the body of the patient through these incisions to see the tears and bulges created in the abdomen of the person. With the help of the small laparoscope a physician is able to fix the damaged and torn muscles of the abdomen.
The defects in the abdominal muscles are fixed by using mesh or other synthetic materials. Sutures are also used to fix these tears and bulges and prevent them from happening again in the future. Epigastric hernia is not a very dangerous disease and can be prevented as well as treated.
Disclaimer: Information provided in this article is for general knowledge purposes only. It is, in no means, a replacement for your doctor’s advice. Please consult your doctor and surgeon with your particular case for effective treatment and recovery of your condition.
Epigastric hernia is usually and preferably performed after a child grows up, unless of course the hernia possesses a danger to the life of the baby. The surgery for Epigastric hernia is performed by the Laparoscopic repair method. Small incisions are made in the abdominal region – which is affected. A small laparoscope like machine is then placed inside the body of the patient through these incisions to see the tears and bulges created in the abdomen of the person. With the help of the small laparoscope a physician is able to fix the damaged and torn muscles of the abdomen.
The defects in the abdominal muscles are fixed by using mesh or other synthetic materials. Sutures are also used to fix these tears and bulges and prevent them from happening again in the future. Epigastric hernia is not a very dangerous disease and can be prevented as well as treated.
Disclaimer: Information provided in this article is for general knowledge purposes only. It is, in no means, a replacement for your doctor’s advice. Please consult your doctor and surgeon with your particular case for effective treatment and recovery of your condition.
Epigastric hernia is usually and preferably performed after a child grows up, unless of course the hernia possesses a danger to the life of the baby. The surgery for Epigastric hernia is performed by the Laparoscopic repair method. Small incisions are made in the abdominal region – which is affected. A small laparoscope like machine is then placed inside the body of the patient through these incisions to see the tears and bulges created in the abdomen of the person. With the help of the small laparoscope a physician is able to fix the damaged and torn muscles of the abdomen.
The defects in the abdominal muscles are fixed by using mesh or other synthetic materials. Sutures are also used to fix these tears and bulges and prevent them from happening again in the future. Epigastric hernia is not a very dangerous disease and can be prevented as well as treated.
Disclaimer: Information provided in this article is for general knowledge purposes only. It is, in no means, a replacement for your doctor’s advice. Please consult your doctor and surgeon with your particular case for effective treatment and recovery of your condition.
Spigelian Hernia or also known sometimes as “Lateral ventral” hernia is an unconventional type of hernia that develops throughout the Spigelian fascia. While most types of hernia grow below the fatty layers of the human body, Spigelian hernia is different. This type of hernia grows in between the abdominal wall and the muscles. As it is deep under the layers of the human body, this type of hernia usually does not show any obvious symptoms and therefore remains undetected for long durations.
While most of the hernias are situated at the fat layers of the patient’s body and therefore cause swelling that is noticeable, Spigelian hernia, on the other hand, is situated deep inside and therefore does not show any such symptom. This type of hernia is known as “interparietal hernia” and it develops inside the abdominal walls and muscles. This is why there is no swelling or bulges that could be witnessed externally. Also, the size of this kind of hernia is considerably very small and therefore leaves no chances to identify it externally. However, it can be identified if the patient pays careful attention. Spigelian hernia can cause constant abdominal discomfort and this is what will help you identify it.
A patient starts to feel some amount of pain in the place of hernia after a while. This pain is constant and may come and go in intervals. However, it is still a strong symptom to look out for. Initially, it may not hurt in the immediate area of hernia but after a while, the location becomes clearer as the hernia begins to hurt more specifically. These symptoms are usually for hernias that are small in size and are made up of small lumps of soft tissues. Another symptom of Spigelian hernia is that it causes disturbances in the bowel functioning of the person.
Due to the fact that Spigelian hernia has no as such obvious symptoms, it is hard to diagnose this. Therefore, the doctor needs to go through an extensive examination in order to confirm a diagnosis regarding Spigelian hernia. He/she will check the size of the abdomen and will examine it by touching it gently in order to know if there are any lumps or not. Furthermore, a confirmed diagnosis for Spigelian hernia can also be passed after obtaining the CT scan results.
Spigelian hernia is very consistent with strangulation. This means that it can cause the congestion and cause the blood supply to be cut. Like most other hernia types, Spigelia hernia is also operated using a laparoscopic procedure. Incisions are made at the location of the hernia to extract it out and misplaced tissues are placed in their appropriate positions. The abdominal wall that is damaged due to the hernia is fixed by the help of a surgical mesh. This is to avoid any further chances of the hernia returning.
The recovery depends solely on the type of surgical procedure used, the expertise of the physician, the willpower of the patient and the severity of the hernia. However, the recovery time is usually around two weeks and if the laparoscopic method is used, the chances for recovery are faster.
Disclaimer: Information provided in this article is for general knowledge purposes only. It is, in no means, a replacement for your doctor’s advice. Please consult your doctor and surgeon with your particular case for effective treatment and recovery of your condition.
The recovery depends solely on the type of surgical procedure used, the expertise of the physician, the willpower of the patient and the severity of the hernia. However, the recovery time is usually around two weeks and if the laparoscopic method is used, the chances for recovery are faster.
Disclaimer: Information provided in this article is for general knowledge purposes only. It is, in no means, a replacement for your doctor’s advice. Please consult your doctor and surgeon with your particular case for effective treatment and recovery of your condition.
Spigelian Hernia or also known sometimes as “Lateral ventral” hernia is an unconventional type of hernia that develops throughout the Spigelian fascia. While most types of hernia grow below the fatty layers of the human body, Spigelian hernia is different. This type of hernia grows in between the abdominal wall and the muscles. As it is deep under the layers of the human body, this type of hernia usually does not show any obvious symptoms and therefore remains undetected for long durations.
While most of the hernias are situated at the fat layers of the patient’s body and therefore cause swelling that is noticeable, Spigelian hernia, on the other hand, is situated deep inside and therefore does not show any such symptom. This type of hernia is known as “interparietal hernia” and it develops inside the abdominal walls and muscles. This is why there is no swelling or bulges that could be witnessed externally. Also, the size of this kind of hernia is considerably very small and therefore leaves no chances to identify it externally. However, it can be identified if the patient pays careful attention. Spigelian hernia can cause constant abdominal discomfort and this is what will help you identify it.
A patient starts to feel some amount of pain in the place of hernia after a while. This pain is constant and may come and go in intervals. However, it is still a strong symptom to look out for. Initially, it may not hurt in the immediate area of hernia but after a while, the location becomes clearer as the hernia begins to hurt more specifically. These symptoms are usually for hernias that are small in size and are made up of small lumps of soft tissues. Another symptom of Spigelian hernia is that it causes disturbances in the bowel functioning of the person.
Due to the fact that Spigelian hernia has no as such obvious symptoms, it is hard to diagnose this. Therefore, the doctor needs to go through an extensive examination in order to confirm a diagnosis regarding Spigelian hernia. He/she will check the size of the abdomen and will examine it by touching it gently in order to know if there are any lumps or not. Furthermore, a confirmed diagnosis for Spigelian hernia can also be passed after obtaining the CT scan results.
Spigelian hernia is very consistent with strangulation. This means that it can cause the congestion and cause the blood supply to be cut. Like most other hernia types, Spigelia hernia is also operated using a laparoscopic procedure. Incisions are made at the location of the hernia to extract it out and misplaced tissues are placed in their appropriate positions. The abdominal wall that is damaged due to the hernia is fixed by the help of a surgical mesh. This is to avoid any further chances of the hernia returning.
The recovery depends solely on the type of surgical procedure used, the expertise of the physician, the willpower of the patient and the severity of the hernia. However, the recovery time is usually around two weeks and if the laparoscopic method is used, the chances for recovery are faster.
Disclaimer: Information provided in this article is for general knowledge purposes only. It is, in no means, a replacement for your doctor’s advice. Please consult your doctor and surgeon with your particular case for effective treatment and recovery of your condition.
The recovery depends solely on the type of surgical procedure used, the expertise of the physician, the willpower of the patient and the severity of the hernia. However, the recovery time is usually around two weeks and if the laparoscopic method is used, the chances for recovery are faster.
Disclaimer: Information provided in this article is for general knowledge purposes only. It is, in no means, a replacement for your doctor’s advice. Please consult your doctor and surgeon with your particular case for effective treatment and recovery of your condition.
Spigelian Hernia or also known sometimes as “Lateral ventral” hernia is an unconventional type of hernia that develops throughout the Spigelian fascia. While most types of hernia grow below the fatty layers of the human body, Spigelian hernia is different. This type of hernia grows in between the abdominal wall and the muscles. As it is deep under the layers of the human body, this type of hernia usually does not show any obvious symptoms and therefore remains undetected for long durations.
While most of the hernias are situated at the fat layers of the patient’s body and therefore cause swelling that is noticeable, Spigelian hernia, on the other hand, is situated deep inside and therefore does not show any such symptom. This type of hernia is known as “interparietal hernia” and it develops inside the abdominal walls and muscles. This is why there is no swelling or bulges that could be witnessed externally. Also, the size of this kind of hernia is considerably very small and therefore leaves no chances to identify it externally. However, it can be identified if the patient pays careful attention. Spigelian hernia can cause constant abdominal discomfort and this is what will help you identify it.
A patient starts to feel some amount of pain in the place of hernia after a while. This pain is constant and may come and go in intervals. However, it is still a strong symptom to look out for. Initially, it may not hurt in the immediate area of hernia but after a while, the location becomes clearer as the hernia begins to hurt more specifically. These symptoms are usually for hernias that are small in size and are made up of small lumps of soft tissues. Another symptom of Spigelian hernia is that it causes disturbances in the bowel functioning of the person.
Due to the fact that Spigelian hernia has no as such obvious symptoms, it is hard to diagnose this. Therefore, the doctor needs to go through an extensive examination in order to confirm a diagnosis regarding Spigelian hernia. He/she will check the size of the abdomen and will examine it by touching it gently in order to know if there are any lumps or not. Furthermore, a confirmed diagnosis for Spigelian hernia can also be passed after obtaining the CT scan results.
Hernia Surgery Options
Open Hernia Surgery
Depending upon the type of your hernia, this procedure might be done with local anesthesia or general anesthesia. Dr. Manish Joshi & team will make an incision in the area near your hernia and push the protruding tissue back into your abdomen. Dr. Manish will reinforce the weakened area (abdominal wall) with a synthetic mesh (hernioplasty) and close the opening with either stitches, staples or surgical glue.
Most of the patients will be able to start walking a few hours after the surgery and should resume normal activities in a few days. Strenuous activity and exercise are restricted for four to six weeks after the surgery.
Laparoscopic Hernia Surgery
Dr.Manish Joshi & team will make small incisions (key-hole) in patients abdomen after general anesthesia has be provided. The abdomen is inflated with a harmless gas (carbon dioxide), which creates space & allows your surgeon to view your internal structures.A tube with a tiny video camera will be inserted into the abdomen through one of the incisions. Dr.Manish Joshi & team will watch the video monitor in the operation theater & use the surgical tools inserted through the other incisions in the abdomen to repair the hernia.
Dr. Manish will push the protruding tissue back into your abdomen & will reinforce the weakened area (abdominal wall) with a synthetic mesh (hernioplasty).The small abdominal incisions then are closed with a stitch or two, or with surgical tape and are barely visible in few months.
Most of the patients are discharged the next day and can return to normal life in a couple of weeks.Strenuous activity and exercise are restricted for four to six weeks after the surgery.
Key Benefits of Laparoscopic Hernia Surgery
Key Hole Surgery
No Bigger Cuts
Shorter Hospital Stay
Safe & Stress Free Surgery
Less Pain & Discomfort
Faster Healing
| Hernia Surgery | Open | Laparoscopic | Robotic |
|---|---|---|---|
|
Safety |
|
|
|
|
Mesh |
|
|
|
|
Cost of Mesh |
Less |
More |
More |
|
Cost of Procedure |
Less |
High |
Highest
|
|
Post of Recovery |
Good |
Better |
Better |
|
Pain Wound Issues |
More |
Less |
Least |
|
Recurrence of Hernia |
More |
Less |
Less |
|
Hospital Stay |
Day Case (SA|LA|RA) |
24-48 hrs(GA) |
24-48 hrs(GA) |
PreOp-Instructions
-
ON THE DAY BEFORE SURGERYProceed with normal activities, normal diet & Shower
-
AFTER MIDNIGHT BEFORE THE DAY OF SURGERYDo not eat or drink anything, including water, candy, gum, mints, Brushing teeth is okay
-
ON THE DAY OF SURGERYDo not eat or drink anything Brushing teeth is okay Shower if you did not shower the night before
-
These are typical instructions. Your instructions by your surgeon or doctor may vary.
These are typical instructions. Your instructions by your surgeon or doctor may vary.
PostOp-Instructions
-
ON THE DAY BEFORE SURGERYProceed with normal activities, normal diet & Shower
-
AFTER MIDNIGHT BEFORE THE DAY OF SURGERYDo not eat or drink anything, including water, candy, gum, mints, Brushing teeth is okay
-
ON THE DAY OF SURGERYDo not eat or drink anything Brushing teeth is okay Shower if you did not shower the night before
-
These are typical instructions. Your instructions by your surgeon or doctor may vary.
These are typical instructions. Your instructions by your surgeon or doctor may vary.
Dr. Manish Joshi - area of specialization
Laparoscopic GI surgery
Hernia Surgery
Liver & Biliary Surgery
Colon & Rectal Cancer
Pancreatic Surgery
Bariatric Surgery
Hernia Surgery FAQ's
Consult with your doctor about your treatment options. Some hernia can be managed by lifestyle changes, some like Hatal hernia can be managed by medication. Surgery is the best option if your hernia is causing pain/discomfort and impacting your normal life.
- Preoperative preparation includes blood test, medical evaluation, and PAC, etc.
- Surgeon will ensure risk free surgery by providing you with all the information about the operation.
- Clean your abdomen and groin area with mild antibacterial soap.
- It is highly recommended not to eat or drink anything after midnight or the night before the operation. You can take prescribed medication from surgeon with a sip of water.
- Medicines such as aspirin, blood thinners, anti-inflammatory medications may need to be stopped temporarily for some days
- Quit smoking as it may increase the risk of the hernia recurring.
As with all surgeries, Hernia surgery also has some risks.
- negative reaction to anesthesia
- infection or bleeding at site of incision
- nerve damage
- mesh infection
- damage to intra-abdominal organs
- numbness of the skin
Recovery time depends from person to person.
- You may resume normal activities like walking, climbing stairs, mild exercise
- Avoid strenous activities & heavy lifting for 6-8 weeks
- Avoid driving for 2 weeks
- Eat fiber rich food to avoid constipation
- Stay Hydrated
- Stop smoking
The cost of the Hernia surgery depends on many factors such as the type of Hernia and the location where you are getting operated. If you have any complications the cost can vary. Also choosing the hospital room affects the cost.
Dr. Manish Joshi & team are committed to take care of you with their motto – Patient Comes First. Please book an appointment to discuss cost options for your hernia surgery.