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Hernia treatment in India

Hernia treatment in India

A hernia is a “defect” or weakness in the abdominal wall. There are several locations and types of hernias, the common areas being the groin (inguinal or femoral), belly button (umbilical), above or below the belly button (ventral), and the site of a previous operation (incisional).

Causes

A hernia develops due to the combination of a muscle weakness in the abdominal wall and a persistent pressure over this weakness, over a period of time. The causes of hernia are –

  • A congenital defect
  • Age – muscles can weaken over time.
  • Poor nutrition
  • Constipation.
  • Straining during urination.
  • Constant coughing or sneezing.
  • An abdominal injury or surgery
  • Improper lifting of heavy weights
  • Being overweight/obese.
  • Ascites – a fluid buildup in the abdominal cavity.
  • Peritoneal dialysis.
  • Smoking.

Types

  
  • Inguinal Hernia: It is more common in men than in women.
  • Femoral Hernia: It is most common in women, especially those who are pregnant or obese.
  • Incisional Hernia: This type is most common in elderly or overweight people who are inactive after abdominal surgery.
  • Umbilical Hernia: This is one of the most common hernias. Common in newborns, it also commonly afflicts obese women or those who have had many children.
  • Hiatal Hernia
  • Epigastric Hernia
  • Spigelian Hernia
  • Muscle Hernia

Prevention

Muscle weakness that allows a hernia to occur cannot be prevented. However, the following may help avoid a hernia or keep an existing hernia from getting worse:

  • Don’t smoke
  • Avoid developing a persistent cough
  • Maintain a healthy body weight
  • Avoid straining during bowel movements or urination
  • Lift objects with your knees and avoid weights that are too heavy for you over time all hernias get bigger, never smaller! Treatments such as diet, exercise, trusses, belts, briefs, medications and vitamins are of little use. An untreated hernia can put too much pressure on nearby tissues, which can cause swelling and pain in the surrounding area. If the bowel gets obstructed, it can lose its blood supply and get strangulated. This can be life threatening and will require emergency surgery.

Who Should consider Hernia Surgery?

The surgery is meant for those who have the following conditions –

  • If the hernia is growing larger.
  • If the hernia is restricting your daily activities or causing any discomfort.
  • If you are worried about the bowel getting trapped.

Hernia Repair

The surgical procedure for fixing a hernia is termed as hernia repair. Herniorrhaphy is the other name for this procedure. There are 2 kinds of hernia repair –

  • Laparoscopic Hernia Repair : This minimally invasive procedure involves some holes in the skin. Through these holes, long-handled surgical instruments and a laparoscope are inserted. The entire procedure is performed under general anesthesia and also involves a proper evaluation of the patient’s health that include physical exam and history, EKG and lab work. There is no feeling of pain during the surgery. With the help of carbon dioxide gas, the abdomen is inflated that enables the doctor to view internal structures. In order to expose the weakness in the abdominal wall, the inner lining of the abdomen (peritoneum) is cut. Also to secure the weak area, a patch is attached below the peritoneum. The inner lining of the abdomen is then sutured
  • Traditional (open) Hernia Repair : During open hernia surgery, an opening in the skin is created by making a cut. Then hernia is fixed through this opening which is many inches long.

Benefits of Laparoscopic Hernia Repair Surgery

  • Quick recovery time and the patient can return to its daily activities earlier.
  • 3 small incisions are made instead of 1 large incision.
  • Less postoperative pain.
  • A quick return to work.