Best Hernia Surgeon in Delhi

hernia

When a part of intestine or other organs present in our abdomen start bulging out due to defect, hole or weakness of the muscles, then this condition is defined as hernia.

If a hernia disIt can be present since birth. These are congenital hernias and are caused due to incomplete closure of membranes present inside abdomen. Sometimes, such defects can manifest or become symptomatic in in later years

Hernia which occur in old age are mainly due to muscles weakness resulting in their tear.

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

  • Multiple pregnancies.
  • Chronic constipation or straining while passing urine
  • In young individuals, heavy weight lifting or excessive work outs.
  • Certain abdominal diseases cause fluid or water to accumulate in our stomach which over a period of time may cause 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 quickly or over a long period of time, depending on its cause.

Common causes of muscle weakness include:

Types of hernia

Types of hernia

Hernia can occur at different places between the chest and the thigh and depending upon their location, it can be:

  • Inguinal hernia: when the hernia or bulge is present in the upper part of thigh, also known as groin.
  • Femoral hernia: similar in location to inguinal hernia and is more common in females.
  • Epigastric hernia: when hernia occurs in between umbilicus or belly button and chest.
  • Umbilical hernia: when the bulge pushes through the belly button or just above it.
  • Ventral or incisional hernia: when hernia occurs through the previous surgical scar.

Inguinal Hernia

The inguinal hernia occurs in the groin area. In other words, it is situated in the upper part of thigh. It is the commonest type of hernia.

The inguinal hernia can be treated either by

  • Open or convention surgery
  • Laparoscopic approach
Open Mesh Repair
  • This surgery is carried out by placing a 5-6 cm incision in the groin area.
  • A small mesh is placed over the defect to minimize recurrence.
  • We advise conventional approach in patients unfit for general anesthesia, patients wish or laparoscopic approach is not possible.
Laparoscopic Approach:

In the laparoscopic surgery, the entire procedure is carried out using 3 small cuts or holes of size approximately 0.5 cm.

The entire procedure 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:

  • Total Extraperitoneal Repairli>
  • Trans Abdominal Preperitoneal Repair

We usually prefer TEP Repair though a bit technically challenging as compared to TAPP Repair. The main advantage of TEP repair is that mesh does not come in contact with bowel and there is no violation of peritoneal cavity.

The major advantage of laparoscopic repair is
faster recovery
minimal pain
better cosmesis
if hernia is present on both sides, it can be repaired with same 3 small ports. It means no additional holes or cuts are required.
Discharge within 24 hours.

inguinal hernia

Femoral hernia

The site of femoral hernia is very similar to inguinal hernia and only an experienced surgeon can differentiate between the two hernias. However, femoral hernia is more common in females.

The treatment of femoral hernia is very similar to inguinal hernia. Femoral hernia can also be repaired either by open approach or laparoscopic approach.

Open Mesh Repair
  • This surgery is carried out by placing a 5-6 cm incision in the groin area.
  • A small mesh is placed over the defect to minimize recurrence
  • We advise conventional approach in patients unfit for general anesthesia, patients wish or laparoscopic approach is not possible.

Laparoscopic Mesh Repair

In the laparoscopic surgery, the entire procedure is carried out using 3 small cuts or holes of size approximately 0.5 cm.

The entire procedure 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:

  • Total Extraperitoneal Repair
  • Trans Abdominal Preperitoneal Repair
  • Better resolution of co-morbidities like hypertension, diabetes mellitus, arthritis, sleep apnea
  • We usually prefer TEP Repair though a bit technically challenging as compared to TAPP Repair. The main advantage of TEP repair is that mesh does not come in contact with bowel and there is no violation of peritoneal cavity.

    The major advantage of laparoscopic repair is
    faster recovery
    minimal pain
    better cosmesis
    if hernia is present on both sides, it can be repaired with same 3 small ports. It means no additional holes or cuts are required.
    Discharge within 24 hours.

Umbilical Hernia

It is also known belly button hernia and hernia occurs in and around navel.

It can be present since birth or it may occur in old age due muscles weakness.

Umbilical hernia can be treated by

  • Conventional or open surgery
    Usually advised for small hernia when no mesh is required.
    If the patient is unfit for general anesthesia.
    A small cut of approximately 4-5 cm in size is made in the umbilical region to carry out the surgery
    Usually not advised for large hernia.
  • Laparoscopic approach
    The best approach for the treatment of larger defects.
    The entire surgery is carried out with 3 small cuts or holes.
    A large mesh can be easily placed to minimize recurrence and better support to abdominal wall.
    The patient is discharged in 24 hours.
    We usually advise the patient to undergo laparoscopic repair as it is associated with minimal pain, lesser chances of recurrence and faster recovery.

Epigastric Hernia

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.

The management of epigastric hernia is similar to umbilical hernia. It can be repaired both by

  • Open or conventional surgery
    A small cut of approximately 4-5 cm in size is made in the epigastric region to carry out the surgery
    Usually not advised for large hernia.
  • Laparoscopic surgery
    The best approach for the treatment of larger defects.
    The entire surgery is carried out with 3 small cuts or holes.
    A large mesh can be easily placed to minimize recurrence and better support to abdominal wall.
    The patient is discharged in 24 hours.
    We usually advise the patient to undergo laparoscopic repair as it is associated with minimal pain, lesser chances of recurrence and faster recovery.

Ventral or Incisional hernia

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 wound dehiscence.
It may manifest immediately after surgery or may not be apparent for years.
The repair of ventral hernia can sometimes be very demanding and it requires an experienced team and extraordinary skills to achieve the best results.The various treatment options are:

  • Conventional or open technique for simple hernia
    In this approach, the incision is placed over the defect, contents reduced and mesh placed.
    We advise this repair only when laparoscopic repair cannot be done due to any reason.
    Higher chances of infection and recurrence when compared to laparoscopic surgery.
  • Laparoscopic surgery
    The best approach to treat ventral hernia in majority of cases.
    The entire surgery is performed with the help of 3 small cuts or holes
    A large mesh is placed to provide adequate support to abdominal wall, thereby minimizing the chances of recurrence.
    The recovery is very fast and patient can be discharged within 24-48 hours.
    The chances of wound infection are also negligible after laparoscopic surgery.
  • Component separation technique
    Sometimes, due to recurrent hernia or because of wound infection, the abdominal wall is almost destroyed.
    In such complex hernias, the laparoscopic repair cannot be carried out and placement of mesh will not yield good results.
    In such cases, the layer by layer separation and advancement of abdominal muscles is done, so that they can be approximated. Such technique maintains the anatomical and functional integrity of the abdominal wall.

Why Choose Us

Dr. kapil agrawal has an extensive surgical experience of more than 18 years and he had performed more than 1000 hernia surgeries with excellent results.

He is one of the best hernia surgeon in Delhi and performs laparoscopic hernia repair in majority of the cases. He always believes in offering customized solutions to the patients of hernia.

His team of nutritionists and dieticians recognize unique requirements of each patients and offer tailor made diet charts for fast recovery of the patient.

FAQs

Hernias in the early stage are harmless, but sometimes if intestines got stuck in the defect or tear, the blood supply may cut off resulting in death of tissues. It is an emergency condition and can sometimes be life threatening. Such patients need to be operated with in 4-6 hours in order to prevent the tissue death.