Hernia causes and risk factors, Symptoms, Diagnosis, Types of hernia , Hernia treatment

Hernia Clinic Navi Mumbai

Hernia Surgeon in Navi Mumbai Dr Nitish Jhawar at our hernia clinic uses either flat or 3D mesh to bridge the hernia gap. A hernia is a protrusion of an organ or tissue through an abnormal opening in the body. This can cause a painless lump in the abdomen/ groin or the pressure of tissue pushing its way through the weakened area. Core Expertise

• Laparoscopic Hernia repair
• Tension-free Hernia repair
• Standard Open repair
• TEP (Total Extraperitonial repair, key hole technique for inguinal hernia repair)
• TAPP (Trans Abdominal Pre Peritoneal repair)
• IPOM (Intra Peritonial Onlay Mesh, Dual mesh)
• Laparoscopic Nissen Fundoplication for Hiatal Hernia/GERD

What are the Causes & Risk Factors of Hernia?

Hernias are usually caused by a combination of muscle weakness and strain. Muscle weakness may be due to congenital defect, old age or after some surgery. Increased pressure of the abdomen cavity such as in obesity, pregnancy, heavy weight lifting, straining during bowel movement or urination (constipation or enlarged prostrate), persistent coughing, sneezing.

What are some of the Symptoms of Hernia?

Small hernia may not be noticed by patients and often general surgeons find it during a routine physical check-up. Hernia Symptoms vary from a painless lump to a painful, tender and swollen protrusion which is difficult to be pushed back into the abdomen

• A noticeable protrusion in the groin area, abdomen or scrotum : The bulge is usually painless, more obvious in the upright position OR on straining /coughing and disappears in the lying position or with gentle pressure.
• Abdominal pain while lifting objects, straining
• A dull aching sensation or mild discomfort
• A vague feeling of fullness
• Constipation & Urinary difficulties

Hernia is dangerous if it gets trapped in the weak spot in the abdominal wall (obstructed Hernia) and blood supply cut off (strangulated Hernia). Strangulated hernia is an emergency requiring surgery. It usually causes severe pain, redness and tenderness.

How to Diagnose Hernia?

• A surgeon through a simple physical examination usually diagnoses hernia. He can feel a hernia by placing a finger at the groin and asking the patient to cough (impulse on coughing).
• Different types of hernia can be identified by the sites of hernia location.
• A hernia that bulges out with abdominal pressure such as coughing but returns inside the body when the pressure is gone or with gentle pressure from the outside is reducible hernia.
• A Hernia that cannot be pushed back and remains outside is “irreducible” or incarcerated hernia.
• If bulging tissue loses blood flow it is strangulated hernia, patient may have unbearable pan and urinary or bowel obstruction.
• Ultrasonography, USG abdomen and CT scan abdomen is sometimes required.

Types of Hernia We Treat at our Center

• Inguinal hernia- mostly occur in Men
• Femoral hernia- female predominance
• Umbilical hernia- often noted at birth
• Incisional Hernia /Ventral Hernia
• Epigastric hernia
• Hiatal Hernia
• Complicated hernia such as Large hernia, Hernia in Obese, Recurrent hernia

What is the Treatment of Abdominal Hernia? Is Surgery Must?

There is no medical treatment and Surgery is the only treatment option for abdominal hernia. It is better to undergo surgery when it is uncomplicated. The possible complications include obstruction or strangulation which may be life threatening. On the type & location of Hernia, your Hernia surgeon will decide the type of hernia repair surgery. The surgery involves pushing hernia content back inside and inserting a special strong ‘mesh’ for tension free hernia repair to cover the ‘defect’ and prevent the herniation. This surgery can be done by conventional surgery or Laparoscopically. A person after a hernia surgery can live a healthy and active lifestyle without fear of complication of hernia.

What is Laparoscopic Hernia Repair?

Best hernia surgeons in Mumbai treat hernia by Laparoscopic hernia surgery. This surgery is minimally invasive and very cosmetic. The post-operative pain is significantly less, hospital stay is short and recovery is fast. Read More about Laparoscopic hernia Surgery. Now you can get all these world-class facilities for Hernia repair under one roof of Fortis Hiranandani Hospital, Vashi, Navi Mumbai by best Hernia surgeons in Mumbai.

Robotic Surgery for hernia and GERD- fundoplication in Navi Mumbai

Apollo Hospital Navi Mumbai is providing state of the art robotic surgery facilities. Dr Nitish Jhawar is a Senior Laparoscopic & Robotic Surgeon at Apollo Hospital with 20 years’ experience. Dr jhawar is trained in robotic surgeries and performs following surgeries by Robotic assistance:

• Hernia surgery
• Nissen fundoplication for GERD when medical management fails
• Colorectal surgeries

Robotic surgery-Is Robot operating on me?

Robotic-assisted surgery with the “da Vinci” surgical system uses 3D high definition camera for a crystal-clear, magnified view of hernia. Together, the robotic technology and highly skilled surgeon perform complex procedures. Robots does not think and operate on its own. The surgeon controls and directs the Robot, Robotic arm holds tiny instruments through tiny incisions and translates surgeons hand movements into more precise real time movements.

What happens in Robotic Surgery?

Following is expected step wise during Robotic surgery, it usually takes 1-2 hours depending on the procedure.

• Surgeon makes tiny incisions in your body.
• Surgeon inserts robotic instruments and a High definition camera for clear view which is sent to the monitor screen).
• Surgeon sits at a nearby console looking at real time images on screen to direct the procedure.
• Another assistant surgeon stands near you to adjust any tool if needed.
• The instruments act as extended arms and translates surgeons’ movements into precise, real-time movements inside your body.
• The robotic system has greater dexterity and range of motion than a human, allow your surgeon to successfully perform delicate surgeries in hard-to-reach places.

What to expect in robotic surgery?

You are probably worried about taking decision about Robotic surgery. Probably thinking “how long will it take to perform surgery “does it pain during or after robotic surgery” or “how many days you will stay in the hospital” or “how many days you have to take leave” or “whether the surgery will be successful”. In answer to all these good news is that The good ‘robotic da-vinci’s surgical system and advanced surgical technology, you can expect a smooth surgery experience at Apollo Hospital Navi Mumbai. It usually takes 1-2 hours to perform robotic surgeries depending on the type of procedure. Because of general anesthesia you won’t feel any pain during surgery. Pain after the procedure is lesser than open surgeries alike any other minimal invasive surgery which can be very well managed with pain killer medications. Some gaseous discomfort for 3-4 days can be manged by balanced diet and medications.

Benefits of Robotic Surgery

• Significantly less pain
• Less blood loss and fewer blood transfusions
• Fewer complications and risk of infection
• Shorter hospital stay
• Faster recovery and return to normal activities
• Small, dime-sized incisions for minimal scarring

Benefits of Robotic System

• Greater range of motion and precision than with surgeons hand.
• A magnified, high definition three-dimensional view when operating.
• Tiny Instruments become an extension of the doctor’s wrists, hands and fingers to move in a delicate, precise manner.

Hernia, Fundoplication for GERD and Colorectal Surgeries can be successfully performed using Robotic system. Enquire more about Robotic Surgeries or book an appointment for Dr Nitish Jhawar at Apollo Hospital Navi Mumbai call 9833290590 or Book Appointment