Inguinal Hernia Surgery
Inguinal Hernia Surgery in India
Hernia are bulges protruding form a weak point on belly (abdomen) through which intestine and abdominal fat comes out to lie just below the skin. It can also be found in groin, upper thigh and chest. There are several types of hernia like inguinal hernia (direct and indirect), femoral hernia, umbilical hernia, umbilical hernia, epigastria hernia and incision hernia.
Dr Atul Mishra is expert and specialized hernia surgeon and has already operated more than 5000 cases of hernia. He has vast experience in treating complicated and large hernias. He is a pioneer in latest advanced laparoscopic (keyhole) minimally invasive techniques for hernia repair.
๐๐๐ค ๐๐๐ฉ ๐๐๐ง๐ฃ๐๐?
Conditions that lead to increased abdominal pressure are at more risk of developing hernia โ
o Persistent cough
o Being overweight or pregnant
o Lifting, carrying or pushing heavy loads
o Straining on the toilet: constipation
๐๐๐๐ฉ ๐๐ง๐ ๐ฉ๐๐ ๐จ๐ฎ๐ข๐ฅ๐ฉ๐ค๐ข๐จ ๐ค๐ ๐๐๐ง๐ฃ๐๐?
o Mostly they are asymptomatic/ no symptoms.
o People just notice a swelling or bulge which gets bigger while standing or straining and disappear while lying down/sleeping.
o Some might feel a dragging/aching sensation.
o The swelling tends to get bigger with time.
o Symptoms develop when there is a complication like strangulation. This happens when the content of abdomen (intestine) come out and can not go back. There will be severe pain in the region and vomiting. Overlying skin will become red. Urgent surgery is needed in this situation otherwise the blood supply to intestine gets cut-off and the intestine in hernia might die (gangrene).
๐๐ค๐ฌ ๐๐ง๐ ๐๐๐ง๐ฃ๐๐ ๐ฉ๐ง๐๐๐ฉ๐๐?
Surgery is the only treatment for hernia. Now a days, most of the hernias are operated laparoscopically (key hole or minimally access technique)
Minimally Invasive Hernia Repair – The surgery is done with a laparoscope which has a small tiny camera, hernia mesh and small tool with it. So the patient can return back to their normal routine earlier as the incision made is smaller.
๐ผ๐๐ซ๐๐ฃ๐ฉ๐๐๐๐จ ๐ค๐ ๐๐๐ฅ๐๐ง๐ค๐จ๐๐ค๐ฅ๐ฎ:
Laparoscopy has clear advantage over open repair in the way of less pain, less complications like wound infection, small and more cosmetic scar, shorter hospital stay, early return to work and daily activities and less chance of recurrence (repeat formation of hernia after surgery).
๐ฝ๐๐๐ค๐ง๐ ๐ช๐ฃ๐๐๐ง๐๐ค๐๐ฃ๐ ๐๐๐ง๐ฃ๐๐ ๐จ๐ช๐ง๐๐๐ง๐ฎ:
* One week before surgery it is much essential to stop taking drugs that are causing the thinning of the blood. Drugs like Clpodogrel and Acitrome or Warfarin should be stopped with the doctorโs advice.
* Stop herbal supplements and check the fitness of your cardio and diabetes.
* Gain adequate knowledge about surgery and be prepared for post surgical care.
๐ผ๐๐ฉ๐๐ง ๐๐๐ง๐ฃ๐๐ ๐จ๐ช๐ง๐๐๐ง๐ฎ:
* Avoid heavy weight lifting, exercises, and physical works with excessive strain a few weeks after surgery
* Cough or laugh loud only with support to the surgical site until one week after surgery
๐ฟ๐โ๐จ & ๐ฟ๐๐โ๐โ๐จ ๐๐ฃ ๐ฅ๐๐ฉ๐๐๐ฃ๐ฉ๐จ ๐ค๐ ๐๐๐ง๐ฃ๐๐:
๐ฟ๐โ๐จ:
1. Increased intake of fibers in diet. ( Fruits, vegetables and grains)
2. Drink plenty of water and other fluid to prevent constipation.
3. Exercise regularly: sweat and loose excess weight and toxins.
4. Eat small meals more frequently in place of one or two large meals
๐ฟ๐๐โ๐โ๐จ:
1. Stop smoking and drinking
2. Donโt reduce the amount of food you eat
3. Avoid lying down or bending after meal
4. Avoid wearing tight clothes
5. Avoid food difficult to digest
6. Avoid strenuous activities like heavy weight lifting
๐ง๐๐ฝ๐ฒ๐ ๐ผ๐ณ ๐๐ฒ๐ฟ๐ป๐ถ๐ฎ๐:
๐๐ฃ๐๐๐จ๐๐ค๐ฃ๐๐ก ๐๐๐ง๐ฃ๐๐:
This happens at the site of previous surgery. This occurs as a result of poor wound healing at the time of previous surgery or as a result of complications like in infection. It is rare after laparoscopic or key hole surgery.
๐๐ข๐๐๐ก๐๐๐๐ก ๐๐๐ง๐ฃ๐๐:
This occurs through or around belly button (umbilicus). It can be present at the time of birth and needs no repair as most of them resolve by the end of one year. If it persists or appears after 5 years of age then operation is required.
๐๐ฃ๐๐ช๐๐ฃ๐๐ก ๐๐๐ง๐ฃ๐๐:
These are most common hernias and occur in groin region. They are more common in men.
๐๐จ๐ฎ ๐๐๐ง ๐ฐ๐๐ญ๐๐ก ๐ ๐ฏ๐ข๐๐๐จ ๐จ๐ ๐ฅ๐๐ฉ๐๐ซ๐จ๐ฌ๐๐จ๐ฉ๐ข๐ incisional ๐ก๐๐ซ๐ง๐ข๐ ๐ซ๐๐ฉ๐๐ข๐ซ ๐๐จ๐ง๐ ๐๐ฒ ๐๐ซ ๐๐ญ๐ฎ๐ฅ ๐๐ข๐ฌ๐ก๐ซ๐ ๐๐ญ ๐จ๐ฎ๐ซ ๐๐จ๐ฎ ๐๐ฎ๐๐ ๐๐ก๐๐ง๐ง๐๐ฅ
๐๐จ๐ฎ ๐๐๐ง ๐ฐ๐๐ญ๐๐ก ๐ ๐ฏ๐ข๐๐๐จ ๐จ๐ ๐ฅ๐๐ฉ๐๐ซ๐จ๐ฌ๐๐จ๐ฉ๐ข๐ inguinal ๐ก๐๐ซ๐ง๐ข๐ ๐ซ๐๐ฉ๐๐ข๐ซ ๐๐จ๐ง๐ ๐๐ฒ ๐๐ซ ๐๐ญ๐ฎ๐ฅ ๐๐ข๐ฌ๐ก๐ซ๐ ๐๐ญ ๐จ๐ฎ๐ซ ๐๐จ๐ฎ ๐๐ฎ๐๐ ๐๐ก๐๐ง๐ง๐๐ฅ
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