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Hernia Surgery

What is Hernia?
• Body cavity contains internal body contents enclosed in membranes. Hernia is caused when the body content tears through the membrane and protrudes out.
• Hernias are Asymptomatic and do not produce any symptom that can help in their diagnosis. But, it can cause mild to severe pain in cases when they are under continued stress or in contact with other body parts.
• Overweight, obesity and morbid obesity are the fifth leading health risk for global deaths. At least 2.8 million adults die each year as a result of being overweight or obese.
• In addition, according to WHO, 44% of the diabetics, 23% of the ischaemic heart disease and between 7% and 41% of certain cancer are attributable to overweight and obesity.

Types of Hernia
Inguinal Hernia
• 75% of all abdominal-wall hernias are Inguinal Hernia
• Its more common in men than in women (27% lifetime risk in men and 3% in women)
• Inguinal hernias are divided into two different types, direct and indirect
• Both of these occur in the area where the skin of the thigh joins the torso (the inguinal crease).
• But both of these have different origins and for the purpose of treatment of Inguinal Hernia, it is important to diagnosis the exact type of Inguinal Hernia

Incisional Hernia
• Incisional hernia develops through weak abdominal walls after abdominal surgery.
• Up to 10% of abdominal surgeries can develop Incisional Hernia.
• If the process of Incisional Hernia treatment is flawed, it can come back.

Umbilical Hernia
• It is a common type of Hernia and constitutes around 25% of all Hernia cases.
• Umbilical Hernia is often noted at birth as a protrusion at the bellybutton (the umbilicus).
• Umbilical Hernia is caused due to weakened opening in the abdominal wall, which should normally close before birth but fails to close completely.

Ventral Hernia
• Ventral Hernia is a hernia that surfaces on any part of the Ventral surface of the human body.
• It results is a bulge or tear in the Ventral surface that develops like a balloon-like sac.

What is Hernia Surgery?
• Pressure over body content either for a moment or continuous, when coupled with a weak opening caused due to weakness of muscles or fascia, results in hernia.
• Hernia Surgery focuses on reducing the pressure over the body content, relieve the pain and put back the protruding body content back with the membrane. It is followed by covering and strengthening the weak opening minimizing the chances of re-occurrence.

Hernia repair is one of the most common types of Hernia treatment surgical procedure.
The two types of surgical process used to treat Hernia are as follows:

• Traditional (open) hernia repair
• Laparoscopic hernia repair

Types of Hernia Surgery
The treatment of every Hernia is individualized, and a discussion of the risks and benefits of surgical versus nonsurgical management needs to take place between the doctor and patient before they choose to move ahead with option of Hernia surgery for treatment of the condition.
• However, it is advised that all Hernias should be repaired to avoid the possibility of strangulated Hernia.
• In conditions where preexisting medical conditions make surgery unsafe, the doctor can decide against surgical treatment of Hernia.
• In cases of Reducible Hernia the surgery can wait if the patient decides to wait.
• But all acutely irreducible Hernias need emergency treatment because of the risk of strangulation.

The two types of surgical process used to treat Hernia are as follows:
• Traditional (open) Hernia repair
• Laparoscopic Hernia repair

Traditional (open) Hernia repair
What it is?
• As per need and as agreed with patient, local or general anesthesia is induced.
• An intravenous line is also inserted into one of your veins to deliver fluids and medications.
• In this process the surgeon cuts through the skin and repairs the Herniated part.
• The surgical process start with the surgeon makes an incision several inches long near the Hernia.
• Then the surgeon gently pushes the protruded part back into its proper place.
• The weakened part of the wall is then repaired and stitched.
• In the final stage the outer skin is closed and stitched.
• Benefits of Traditional (open) Hernia repair
• It is considered the best possible surgical option for inguinal Hernia and for several other types of Ventral Hernia.
• Better long term results
• Lesser complications in comparison to other types of Hernia surgery.

Disadvantages of Traditional (open) Hernia repair
• It takes longer time to heal.
• Patients require to consult doctor for change of stitches
• It takes weeks to resume normal routine.
• The surgery invokes pain

Traditional (open) Hernia repair
What it is?
• It is a minimal invasive procedure to repair Hernia.
• Laparoscopic Hernia repair requires general anesthesia.
• In the process a harmless gas is injected into the damaged area to inflate it and to give the surgeon more room to work and a better view.
• Then the laparoscope and other instrument are inserted through small holes.
• A camera on the laparoscope transmits images from of the interior part of the body part to a viewing screen allowing surgeons a greater precision.
• The surgical procedure remains to be the same and then a mesh is used for better results.
• The openings are stitched and the area is deflated by releasing the gas which was initially used to inflate the body part.

Benefits of Laparoscopic Hernia repair
• It gives best cosmetic results, and leaves no scars.
• The recovery time is less.
• Least surgical pain
• Patient can resume daily activity after a week.
• Disadvantages of Laparoscopic Hernia repair
• Not ideally suited for complex Hernia cases.
• Higher chances of re-occurrence, unless surgery is carried out perfectly by highly trained surgeon.

You could mail your query at
info@curisglobal.com for an estimate and evaluation by the Surgeon