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Laparoscopic hernia repair surgery is rapidly gaining popularity in the West and in India despite early criticism of the futility of this procedure since Open hernia repair is being done for centuries with ‘excellent’ results then why complicate issues with this new technique is what most people ask. Most surgeons would agree that Laparoscopic re move al of gall bladder is now the best way of treating gall stones and gall bladder diseases but for hernia repair, they still have their reservations. A hernia commonly occurs in the groin when the fat and intestines from the tummy force their way out of a defect in the muscle. Bulging out of tummy contents through this causes pain and there is a danger of the intestine getting strangulated. The problem increases with time and unfortunately the only treatment for this condition is surgery. This traditionally involves a cut over the hernia, reduction of the contents back to the tummy and some form of stitching of the defect to pre vent the hernia from coming back. The main problem with a hernia operation is the average six weeks of rest after surgery and the chance of the hernia coming back (failed operation that is known in medical terms as a recurrent hernia). Many proud surgeons would say that their patients don’t get recurrent hernias but studies a broad have shown that a patient with recurrent hernia seldom goes to the same surgeon.
Causes of Hernia, as Indian Doctor’s:
The wall of the abdomen has natural areas of potential weakness. Hernias can develop at these or other areas due to heavy strain on the abdominal wall, aging, injury, an old incision or a weakness pre sent from birth. Any one can develop a hernia at any age. Most hernias in children are congenital. In adults, a natural weakness or strain from heavy lifting, persistent coughing and difficulty with bowel movements or urination can cause the abdominal wall to weaken or separate.
Treatment options in India for laparoscopic hernia repair surgery:
There is no acceptable surgical medical treatment for a hernia. The use of a truss (hernia belt) can help keep the hernia from bulging but eventually will fail. The truss also causes the formation of scar tissues around the hernia making the re pair more difficult. If you suspect you have a hernia, consult your physician or surgeon promptly. Delayed hernia repair can result in intestinal incarceration (intestine is trapped inside the hernia sac) or strangulation (intestine is trapped and develops gangrene). The latter is a surgical emergency. The hernia will not go away with out treatment; it will only get bigger. The bigger the defect the bigger the operation required to fix it.
Under certain circumstances the hernia may be watched and followed closely by a physician. These situations are unique to those individuals who are at high operative risks (i.e. those with severe heart or lung disease or bleeding problems). Of course, even in the high risk person, if the symptoms become severe or if strangulation occurs, then an operation must be per formed.
Advantage of laparoscopic hernia repair surgery over open surgery in India:
Laparoscopic Hernia Repair is a technique in India to fix tears in the abdominal wall (muscle) using small incisions, telescopes and a patch (mesh). It may offer a quicker re turn to work and normal activities with a decreased pain for some patients.
- Some people may prefer laparoscopic hernia repair because it causes less pain and they are able to re turn to work more quickly than they would after open re pair surgery.
- Repair of a recurrent hernia of ten is easier using laparoscopic techniques than using open surgery.
- It is possible to check for and re pair a second hernia on the opposite side at the time of the operation.
- Because smaller incisions are used, laparoscopy may be more appealing for cosmetic reasons.
What if operation can’t be per formed by laparoscopic method in India?
In a small number of patients the laparoscopic method cannot be performed. Factors that may increase the possibility of choosing or converting to the “open” procedure may include obesity, a history of prior abdominal surgery causing dense scar tissues, in ability to visualize organs or bleeding problems during the operation. The decision to perform the open procedure is a judgment decision made by your surgeon either be fore or during the actual operation. When the surgeon feels that it is safest to convert the laparoscopic hernia repair procedure to an open one, this is not a complication, but rather a sound surgical judgment. The decision to convert to an open procedure is strictly based on patient safety.
Laparoscopic hernia repair surgery: Procedure in India
In laparoscopic hernia repair surgery, a telescope is attached to a camera is inserted through a small incision that is made under the patient’s belly button. Two other small cuts are made (each no larger than the diameter of a pencil eraser) in the lower abdomen. The hernia defect is re in forced with a ‘mesh’ (synthetic material made from the same material that stitches are made from) and secured in position with stitches/staples/titanium tacks or tissue glue, depending on the preference of your individual surgeon.
Risks of Laparoscopic hernia repair surgery in India:
- Any operation may be associated with complications. The primary complications of any operation are bleeding and infection, which are uncommon with laparoscopic hernia repair.
- There is a slight risk of injury to the urinary bladder, the intestines, blood vessels, nerves or the sperm tube going to the testicle.
- Difficulty urinating after surgery is not unusual and may require a temporary tube in to the urinary bladder.
- Any time a hernia is repaired it can come back. This long term recurrence rate is not yet known. Your surgeon will help you decide if the risks of laparoscopic hernia repair are less than the risks of leaving the condition untreated.
India offers World Class Medical Facilities, compare able with any of the western countries. India has state of the art Hospitals and the best qualified doctors for surgery of Laparoscopic hernia repair surgery in India. With the best infrastructure, the best possible Medical facilities, accompanied with the most competitive prices, you can get the treatment done in India at the lowest charges. Health care centers of Delhi, Goa, Mumbai and Kerala have best avail able facilities for the laparoscopic surgery. For more information regarding laparoscopic hernia repair surgery in India, log on to: www.indialaparoscopysurgerysite.com or mail your queries at email@example.com , +91-9579129423