Treatment Options for Hernia
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.
Treatment for Inguinal Hernia and Femoral Hernia
Open or Conventional Surgery:
- An incision of about 5-6 cm is given in the groin area.
- We usually perform this procedure only in patients who are unfit to undergo laparoscopic surgery
or in whom general anaesthesia is a contraindication.
- The contents of hernia are pushed back into the abdomen after dissection
and a small mesh is placed over the defect to minimize recurrence.
- Majority of our patients are discharged within 24 hours of surgery.
Laparoscopic Surgery for Inguinal Hernia & Femoral Hernia:
- This is the latest and best treatment for groin hernia. The entire procedure is carried out using 3 small incisions, each of about 0.5 cm.
- Even in laparoscopic surgery, there are three methods to perform the repair.
- All the three procedures have got specific indications and our team excels in performing all these procedures with excellent results.
- Laparoscopic Surgery is carried out with the help of long and thin specialized instruments and a high-definition camera.
- With an expertise and experience of more than 20 years, our team offers this modality in almost all the patients.
Treatment of Umbilical Hernia, Epigastric Hernia & Ventral Hernia
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 or Conventional Surgery:
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.
Laparoscopic Repair for Epigastric Hernia, Umbilical Hernia and Ventral Hernia
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:
IPOM Plus Repair:
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.
E TEP technique for ventral hernia:
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.
eTEP TAR Procedure
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.