Vishal Soni

Hernia Questions Answered!

FAQs, Hernia /

Hernia 1. Can my #Hernia kill me? Yes. A blunt & honest statement is that any untreated hernia can turn out to be a potentially lethal disease & can result in mortality. 2. Do all Hernia need #Surgery? Eventually, Yes. However small mid-line abdominal hernia, direct inguinal hernia can be observed till they start giving trouble. This needs to be evaluated & opined by a Surgeon keeping in mind risks & benefits involved. 3. Is #Mesh necessary or can I avoid it? Mesh is a Synthetic material that is used to reinforce the muscles and is central to any Hernia repair. However, there are Non-Mesh repairs ( #Desarada & #Shouldice Repair) but they have increased chances of failure & thus recurrence of Hernia. Its best to discuss this with your Surgeon. 4. Is #Laparoscopic Surgery always better than Open Surgery? If the Hernia is amenable to both approaches, Laparoscopic Meshplasty has a distinct advantage. However there are cases where Laparoscopic Meshplasty is not feasible (Large Hernia, Intra abdominal issues) or the patient is not fit for General Anaesthesia. Here, Open surgery can give great & safe results. 5. Can I get both Left & Right #Inguinal Hernia Operated Together? Yes, Infact if there is evidence of hernia occurring bilaterally, we recommend getting both sides operated together . This holds true more so in Laparoscopic Surgery Approach where the ports (entry points for instruments) remain common for both sides. 6. Is it advisable to get #Umbilical & Inguinal Hernia Operated together? Yes, Often patients have weakness of entire lower abdomen with resultant more than one Hernia. Its usual to use Mesh in Inguinal Region & a Suture Repair of Umbilical hernia, specially if its small. Else a Mesh at both or all 3 places may be used. 7. Can I undergo Laparoscopic #Cholecystectomy & Inguinal / Umbilical #Meshplasty? One “may” choose this option, with small caution. The bile/Gallstones in Gall bladder, if harbouring bacteria, can infect the mesh & cause severe complications. Its not unusual to plan both surgeries together, whereby the Gall bladder is attended first & depending on the situation the Surgeon may or may not proceed with Hernia Repair. 8. Is Laparoscopic #Fundoplication with Umbilical/Inguinal Meshplasty Safe? Again, the answer is Yes. But only if the Fundoplication goes smooth & unevetful. So the decision is best left to the operating surgeon. 9. Can I #exercise/swim after Hernia Surgery? The recommended schedule is that of gradual increment in intensity.   Routine walks in 2 days. Walking > 30 mins in about 7 days. Fast walking in 14 days. Swim in 4 weeks Cycling & Weights after 6 weeks. Heavy Intensity work-outs, contact sports etc after 3 months. 10. Can Hernia Recure? Rarely, Yes. The Mesh that’s place needs to be held by the body in place. This process of healing & fibrosis takes time & has its own course. Any interruptions or adverse events can hamper the same with resultant recurrence. The usual recurrence rates are about 1% or less.If you are suffering from Hernia, have any such symptoms or have been advised Surgery for Hernia, kindly consult Expert Laparoscopic Hernia Surgeon Dr Vishal Soni OPD @ Zydus Hospitals, Ahmedabad, Gujarat for an Opinion, alternatively schedule a Tele-Consultation from the Home Page.

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FAQs Answered: Peri Anal Fistula & Abscesses

FAQs /

Peri-Anal Sepsis Fistula in Ano Can I avoid #Surgery & not get operated? Anal #Fistula once formed, persists for life, unless treated. In case of #Ischiorectal or a #Perianal #Abscess it would increase In size & ultimately rupture from the weakest portion in the wall. These are purely Surgical Illnesses needing some form of intervention for complete cure. Is #MRI Pelvis a must? It’s a standard advice to all our patients to undergo MRI of Pelvis. Although a thorough clinical examination can give plenty information. Having a cross-sectional study helps in better treatment planning, risk stratification & understanding. Hence recommended. Is #Sigmoidoscopy / #Colonoscopy a must? Not in all patients. However if there is a history of Abdominal Pain, Weight loss, Bleeding in Stool then its worthwhile getting the colon thoroughly checked. Is #Laser the best treatment? The inquiry & preference for LASER originate from an incorrect myth that it’s a pain free & side-effect less modality! Few points here, its not a new technique but an energy source and has been there around since decades. The use doesn’t guarantee pain-free state. There are few fistula where the use is recommended! Other techniques like #VAAFT, #LIFT etc which have emerged over last decade & been used successfully. We use the concept of PersonalSpaceSurgery to decide the best possible treatment & surgical approach for you. How bad can the pain be after surgery? It can range from mild to severe. There are plenty of factors that come into picture for the same. But in any situation we ensure that the pain is taken care of & the patient is comfortable. Can pain be prevented or minimized? Yes. With newer & advanced techniques, we can precisely predict which patients are likely to develop issues with pain & manage them proactively. Our #Algologist (Pain Specialist – Dr Milan Mehta) is internationally trained in managing these cases to ensure a pain-free recovery Will there be any incontinence? The techniques of surgery we rely on, ensure a fine balance between Sphincter Preservation & avoidance of recurrence. All our efforts are focused on ensuring continence & it remains central to the care offered. The above concerns are duly addressed in our Approach to the entire spectrum of Fistulous Disease with #PersonalSpaceSurgery. Is Personal Space Surgery a new Surgical Technique? #PSS is an aggregation of all our efforts in managing patients with various Peri-Anal Conditions, including Anal Fistula Disease. It includes Investigations, Treatment planning, Surgery & Post-Operative Care. It ensures best possible outcomes. How tough is wound care & can I do it at home?   The standard post-operative recovery involves stay in the hospital for a day or two where wound care is done under strict supervision. Meanwhile the patient & the family members actively participate in wound care & continue it at home, very comfortably. We have a team of trained & experienced Staff to help the patient at home with wound care. Its very rare for the patient to have to visit hospital for daily Wound Care. Does it recure? Very rarely. Cure from fistula has two components – Surgical & Patient healing. Patient healing can be influenced only in a limited fashion & all surgical techniques have a limitation too. Our recurrence rates match global standards & stand at less than 1%. Can I eat normally after Surgery?   Absolutely Yes. The Surgery is planned in such a way that the bodily functions & the wound would not interfere in daily food habits. Almost all our patients go back to normal full diet in less than a week after surgery. Schedule an OPD appointment to get yourself evaluated & to inquire regarding Personal Space Surgery @ Zydus Hospitals, Ahmedabad, Gujarat.

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Empathy: The Essential Superpower!

Myths and Facts /

Empathy The field of medicine deals with pain, suffering, losses & death at each stage. It won’t be an over statement to say that Empathy comes across as a very powerful emotion & a very strong virtue to be a #SuperDoctor. #Empathy is an experience of emotional resonance where the observer identifies and transiently experiences the subject’s emotional state. However, being empathetic not only means understanding patients’ experiences, concerns and perspectives, but also, being able to #communicate the same your patients. In simpler words its “I get how you feel” or that “We are with you!” It goes without saying that physicians cannot fully experience the suffering of each patient. However, the point is that empathy is more of an intellectual rather than emotional form of knowing. The implication of which is, it can be learnt! And in the process of being learning how to be empathic, Doctors end up actually being empathic. The function of empathy isn’t merely to label an emotional state, but to recognize what it feels like to experience something. That is why empathy is needed even when it is quite obvious what emotion label applies to a patient. Physicians who allow their patients to move them enrich their own experience of doctoring. As the goal of medicine is to alleviate suffering and not simply cure disease – empathy becomes a necessary clinical skill to treat the patient holistically!    Beyond the obvious benefits of a healthy Doctor-Patient Relationship, we see empathy playing a major determinant role with fringe benefits – Patients who are empathised with, tend to like their physicians & are more likely to be compliant with their treatment plan translating into better #health outcomes. – After acceptance of #insurance plan, bedside manner/empathy is the top factor adults consider while selecting a physician for themselves or a loved one. – Empathetic Surgeons are likely to not get litigation in face of adverse events. – Doctors who are more attuned to the psycho-social needs of their patients are less likely to experience #burnout – Empathy is used by Quacks to convince their patients of good intentions & thus as a trust building measure Lastly, the physician must perform a difficult internal balancing act: by becoming too emotionally involved with the patient, one may lose objectivity; by not becoming involved enough, one may be unable to relate as a human being.

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Anal Fissure: Tearing away doubts – Part 1

FAQs /

1. How do I know that I have an Anal #Fissure? Fissure-in-Ano presents as episodes of Pain & Bleeding while passing Stool. People who suffer, tend to be well aware & usually self manage by alteration in the food & bowel habits to avoid the painful bowel movement. The usual duration of symptoms is 10-15 days, followed by gradual improvement only to recur again in about 3-4 months. Typically, this happens 3-4 times every year until medical opinion is sought. 2. What is better, Liquid or Bulk forming #laxatives? During an acute painful episode, its unwise to increase in stool bulk, thus Bulk forming laxatives are best avoided during ACUTE EPISODE. Here laxatives like Liquid Paraffin, Lactulose, Lactitol can be used. Once the episodes settle and there is no spasm, Ispaghula Husk can be used. 3. Which #Ointment is best? There are numerous Ointments with a wide variety of Drug combinations available. Its best to use one after a complete Surgical Consultation. All these would contain some numbing agent, a muscle relaxant. Steroid containing Ointments are best avoided. 4. Role of #Sitz Bath? The concept is to use heat to relax the muscles that have gone into spasm, by sitting immersed in a Tub full of water. Plain heated water (Temperature as per individual preference) works best. No need to add Betadine / Savlon / Dettol.   A frequency of 2 times a day & time duration of about 15 mins is adequate. There are numerous Ointments with a wide variety of Drug combinations available. Its best to use one after a complete Surgical Consultation. All these would contain some numbing agent, a muscle relaxant. Steroid containing Ointments are best avoided. 5. Is #Surgery the only treatment? Anal Fissure Anal Fissure Only about 5% patients need Surgery, which means 95% times a surgery can easily be avoided. A thorough evaluation using our concept of Personal Space Surgery & a curated treatment can help avoid a Surgery in great majority & achieve optimum results when Surgery is necessary. The Surgery described is called as #LateralInternalSphincterotomy. It can be performed in Open or Closed fashion. 6. Would the surgery hamper the control of Stool (Continence)? Lateral Internal #Sphincterotomy is division of the internal (Autonomous) muscle that results in relief from Spasm & narrowing. The External Sphincter remains intact. More so the defect in internal muscle gets bridged by fibrosis in due course of time. Thus, any clinically significant incontinence to Stool or Flatus is rarely encountered. 7. How useful is #Botox Injection in treatment? Anal Fissure Botulinum Toxin (Botox) has been used to relieve the spasm of the Internal Sphincter by injection into the muscle causing temporary paralysis (Up to 6 months).   However, the biggest issue (Side effect) with use is that if both (Internal & External) sphincters get paralyzed, there will be incontinence to stool which cant be reversed by any means & may take up to 6 months to recover. Due to safer alternatives, its not routinely prescribed. 8. What is Key-Hole Defect? It’s a complication when a Surgeon chooses to do Lateral Internal Sphincterotomy through the Fissure itself or performs a Fissurectomy. The Fissure behaves like a chronic wound with precarious blood supply. The wound thus may never heal and result into a permanent defect. Thus, the sphincter division is performed at sides (Lateral) rather than front or back & Fissurectomy should be avoided. 9. Can it recur? Very rarely, esp. if the constipation-bowel habits & diet changes haven’t been followed up. These changes to be followed are not temporary but lifelong. Even if there is recurrence, once the surgery is done the fissures tend to be very mild 10. Cost of Surgery & details? The recommended surgery is Examination Under Anaesthesia with Lateral Internal Sphincterotomy. The usual cost would be about 45-50 thousand in a Single Occupancy Room. The usual length of stay is 1 day. Resumption of Daily routine & Diet is from next day. There is no wound that needs any complex dressings. If you suffer from Anal Fissure symptoms, have been diagnosed or advised Surgery for the same schedule an appointment with Dr Vishal Soni @ Zydus Hospitals, Ahmedabad, Gujarat for evaluation & treatment options.

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Hemorrhoids No More!

Hemorrhoids /

Hemorrhoids 1. Are Hemorrhoidal vessels normally seen? Yes, there are a bunch of normal vessels present at the Ano-rectal Junction. They contribute to better control (Continence) of Stool. Only when one suffers from #Constipation & Straining at stool for a long duration these small vessels enlarge & stretch to become Hemorrhoids. 2. Can i avoid Hemorrhoid Surgery? As a matter of fact only about 5% patients with Hemorrhoids need Surgery. For a single bleeding/prolapsed Internal hemorrhoid there are pain-free Office procedures like Rubber Band Ligation (#RBL) before a major surgery is adviced. 3. Is #Ayurvedic & #Homeopathic Treatment worth trying? Any Practitioner who can do complete examination, do a Per-Rectal Check-up, Advice regarding need for Sigmoidoscopy or Colonoscopy, Can Diagnose Inflammatory Bowel Disease, understands the Anatomy, Patho-Physiology & knows how to manage complications can be consulted. 4. Is Per-Rectal examination a must? 100%. Its would be highly inappropriate to prescribe any treatment unless an examination has been done. If there is a co-existent condition like an Anal #Fissure then the examination can be carried out in few days, but complete examination is a must! 5. Is #Laser the best modality? I see patients with very high infatuation with #LASER, in part due to marketing by the Manufacturing companies and also the practitioners who purchase them. The fact that its NOT a new/latest technology isn’t discussed. Also, use of LASER not a completely pain-free modality. The option is good in selected patients and should be discussed with the Surgeon instead of demanding it. Ultimately #LASER is an energy source and many more such sources & other latest techniques like DG-HAL etc exist. 6. Is #Stapler Surgery the best? Stapler Hemorrhoidopexy works by excision & stapling of a segment of the layer that holds hemorrhoidal vessels using a disposable Stapling Device. It works great in patients with Grade 3 Internal Hemorrhoids with or without External Components. However, its use cant be recommended as universal for all the patients. We developed a concept of Personal Space Surgery precisely to answer the question about the best treatment option for you. 7. What happens if I don’t opt for Surgery, when I have been adviced? The possible complications of Hemorrhoids can be Severe Bleeding & #Anemia, #Ulcerations, #Thrombosis of Hemorrhoids, Pain while passing stool & progressive swelling. The larger the hemorrhoids, extensive the surgery gets. Also the healing & recovery time also get subsequently influenced. 8. After Surgery what can I eat? Depends on what Surgery has been done, but ultimately all our patients resume normal diet after the healing process completes. 9. Is there a chance that I will lose my stool control (#Continence) permanently after Surgery? We ensure that when we operate, the Sphincter function is well preserved & such events are avoided at all costs. 10. Can #Hemorrhoids recur? Yes, as these arise from normal veins that get distended & stretched, if the causes of constipation & straining are not addressed the hemorrhoids may recur. The chances are about 2-5% If you suffer from symptoms suggestive of Hemorrhoids or have been adviced a Surgery, consult Dr Vishal Soni for expert opinion & for possibility of medical management.   OPD services at Zydus Hospitals, Ahmedabad, Gujarat or through Tele-Consultation.

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Robotic Surgery FAQs

FAQs, Robotic /

Robotic Surgery 1. Is Robot Surgery & Robot Assisted Surgery the same? Yes, #RobotAssistedSurgery is the correct technical term for the Surgery performed using a surgical robot, other terms being #RoboticSurgery 2. Does Robot perform surgery on its own? No, The robot is an intelligent machine where a computer and a special purpose software are integrated with surgical instruments. The computer needs orders & inputs from the Surgeons’ hands, whose movements are then replicated in the patient. 3. Is it a single machine? No, As opposed to Humanoid Robots which are a unibody Robots, the Surgical robots would usually have 3 parts – The Surgeon Console, The patient Cart and the Vision Cart. Its big enough to need a large room. 4. How is Robot Assisted Surgery different from #Laparoscopic Surgery? The instruments in Laparoscopic Surgery are handled directly by the surgeons with a limited range of movements & limited vision capabilities. A #SurgicalRobot allows far greater maneuverability and better vision to perform surgeries with great ease and unbelievable precision. 5. How is Robot Assisted Surgery beneficial then Laparoscopic Surgery? Due to better vision, improved ergonomics & matchless maneuverability surgeries which were considered difficult or nearly impossible with Laparoscopic Surgery are now very much possible & the conventional routine Laparoscopic Surgeries have become easier with better outcomes. 6. Which Surgeries are performed by #RoboticSurgery? Cavitatory Surgeries involving organs in the Abdomen & Chest are performed routinely. However Thyroid surgeries have been done trans orally. 7. What is the name of the Robot? The most famous and widely used surgical robot platform is #daVinciXi by #Intuitive Surgical is the latest version 8. How many cuts would I get in Robotic Surgery? Usually 3 or 4 cuts 8mm cuts would be needed for a robotic Surgery depending on the arms used. More than 4 cuts might be needed if additional assistant ports are used. 9. Since when are Robot Assisted Surgery being performed? Its been over 2 decades that Robotic surgeries are being performed. Safety & feasibility of this platform has been extensively studied & improvised to near-perfection. 10. How costly is Robotic Surgery? Robotic Surgery involves usage of disposable instruments with limited life. This makes the recurring cost of the robot a significant proportion of the expenses. One should expect a minimum of INR 1L (1300 USD) to INR 2L (2600 USD) above the conventional routine Laparoscopic Surgery cost.

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Tele Medicine: Creating the Uber of Healthcare!

Myths and Facts /

Tele Medicine: Creating the Uber of Healthcare! Covid 19 pandemic induced cessation of routine life and services has affected everyone. The healthcare industry has been affected in a little weird way though, on one hand the pandemic is keeping Doctors super busy, with overwhelmed hospitals and on other hand the non-covid treating Doctor fraternity is idle. The readiness of doctors, availability of snappy internet, acceptance of online interactions and the currently idling healthcare system has fuelled an exponential rise in online platforms for easy connect with Doctors, especially in India. The platforms provide video, audio and text-based opinions and consultations by Doctors for a fee. It has grown into a race to become the Facebook-of-Healthcare, considering this is a multi-level revenue generating venture across the services – Laboratory Services, Radiology Services, Pharmacy, Nursing and Care-taker Services etc. All disruptive changes started with a beautiful intention at the outset – Facebook was supposed to be an interface for college students to interact and Amazon had intentions to just sell books. We know what these ventures have shaped up today. Telemedicine has been touted to help people in remote area, tide over the difficult times of social distancing and prevent crowding in hospitals. Give it few years and we’ll see what this grows into. Doctors and Patients are both venturing into an unknown and potentially dangerous territory. There are some uncomfortable truths deserving attention here. Issues are expected after the novelty factor fades and Tele-Medicine assumes a routine role. A privilege turning into service-on-demand kind of transformation – something we have started to witness. A Doctor search would match a product and service search, with rates and ratings being used to differentiate. Further when the convenience-addiction takes over, the decisions would narrow down to charges and availability. The available and cheaper option getting consumed higher and faster! Lack of in-person interaction and talking to screens may translate to over/complete reliance on Laboratory and Radiological Investigations – the only available and safe objective cues to rely on. Medical data have consistently shown that a good clinical examination and history can match and even augment results from investigations. However, the business-school trained health care industry leaders care less and are busy in capacity augmentation for “testing services” making the “human” component cheaper, at times free and almost frivolous. An addition to the worry is reduction of Medical Consultation to a Service A Doctor to a Provider! It’s pushing a serious Healthcare business to go the Shopping way – a traffic/herd like behaviour, algorithm dependant, SEO motivated and IT driven! Online interactions tend to be fluid and less dense. Internet has rarely succeeded in generating lasting bonds, even basic ones like friendship! A strong and a lasting Doctor-Patient relationship involves patience and time to develop. Online interactions fuel impatience and lack of faith with a tendency to Doctor Shop-Hop!

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Robotic Hernia Surgery – FAQs answered

Hernia, Robotic /

Robotic Hernia Surgery 1. Does the Robot perform the surgery on its own? No, the surgical robot is a sophisticated and an advanced instrument set-up with specially designed hardware & software making it “intelligent” but not “independent”. It needs the brain & the hands of the surgeon to help in the surgery. 2. Is Hernia Surgery possible with Robot? Yes, #RoboticSurgery is an Advanced form of #Laparoscopic Surgery where a specialized Robotic device is used to “assist” in the surgery performed by the Surgeon. Just like other Laparoscopic Surgeries got upgraded to Robotic platform, Hernia Surgery can also be performed safely & with better precision using the surgical robot. 3. How is #RoboticSurgery different than Laparoscopic Surgery? Laparoscopy uses long slender instruments with moving parts at the tip of the instrument that help in performing the surgical steps. However, the robotic ‘arms’ replicate the movements of human hands & arms, providing better and wider range of movements. This allows exact replication of the hand movements of the Surgeon in the patient. 4. How costly is #RoboticHerniaSurgery? As opposed to the instruments of Laparoscopic Surgery, which are reused till they malfunction, the instruments in robotic surgery are designed with predefined & limited shelf-life. The delicate moving parts and the need for precision necessitates usage of disposable instruments. This makes the Robotic Surgery platform premium as compared to Laparoscopic Surgery. The average addition to the surgery charges would be about 1L (1300 USD) to 2L (2600 USD) over and above the conventional charges. 5. Would #Mesh be still needed? Yes, as I mentioned above, Robotic surgery is an advanced Laparoscopic Surgery Platform to perform the surgery in a more precise fashion & with better ergonomics for the surgeon. The repair of hernia would need mesh-augmentation irrespective of the type of minimal access surgery – Laparoscopic or Robotic. 6. How many cuts are needed? Three/Four cuts would be needed to accommodate the camera system and the instrumentations. 7. Would my insurance cover it? Yes, it should. However, one must check the TPA & the sum-insured to avail the benefits. 8. Is #RoboticHerniaSurgery good for all the hernia repairs? Latest & advanced technology helps in delivering better cure & results for all surgeries, however this technology is costly. Laparoscopic Hernia Surgery can be an accepted modality for smaller hernia repair. 9. Would #RHS be less painful than Laparoscopic Hernia Repair RHS enables fixation of the mesh with sutures instead of tacking (Fixation with a screw) the mesh. This should translate to better pain relief. 10. Can Robotic Hernia Surgery be performed after #ProstateSurgery / #PelvicSurgery / #PreviousHerniaSurgery / #RecurrentHerniaSurgery? Yes. As a matter of fact, the robotic platform has distinct advantages in these very situations where the Laparoscopic platform may have limitations. Better 3D vision, finer & precise movements & maneuverability allows extremely-difficult-to-operate case with minimal invasive surgery.

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Robotic TARUP / Robotic TARM – What is it?

Robotic /

Robotic TARUP / Robotic TARM Robotic TARUP (Trans Abdominal Retro-muscular Umbilical Prosthesis) or the TARM (Trans Abdominal Retro-muscular Meshplasty) is a term for a Robotic Hernia repair. In this surgery a surgical Robot is used in an intra-abdominal approach and the mesh is placed behind the rectus abdominis muscle by creating a retro-muscular space and lowering the posterior rectus sheath-peritoneum complex. Thus the mesh gets sandwiched in between the layers of the abdominal wall resulting in a stronger repair as compared to an onlay or a sublay technique. The end result is a mesh that is extra-peritoneal leaving the intestines and other organs undisturbed. Usage of Surgical robot allows a HD-3D vision with magnification, a tremor-free instrument control with very high degree of precision. The robotic arms allow secure and a strong closure of the hernial defect/s. The robotic surgery is cost effective as it mitigates usage of a very costly dual-layered mesh and any fixation device. For primary & recurrent ventral / umbilical / epigastric hernia Robotic TARUP / Robotic TARM is now a preferred procedure. If you are suffering from any of such hernia or have been adviced a surgery for same kindly visit us for an opinion. For surgery details you can visit the link mentioned below. Robotic TARUP / TARM Video #RoboticTARUP #RoboticTARM #RoboticVentralHerniaSurgery #RoboticVentralHerniaRepair #RoboticHerniaSurgery #DrVishalSoni #DaVinciXi #Hernia #Meshplasty #HerniaSurgery

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Care after Hernia Surgery

Hernia /

Care after Hernia Surgery In Hospital 1. You would be allowed sips of water about 2 hours after surgery, followed by Liquids / Soft diet as per post op orders 2. The urine catheter will be removed next morning. There would be sensation of wanting to pass urine due to the catheter bulb, it is expected. 3. You might feel sleepy for upto 6 hours after surgery due to post-anesthesia effect. 4. Some Nausea is expected for upto 6 hours after the surgery, You would be given medicines for the same.  5. Having dry throat & throat irritation is common, it is a temporary event due to anesthesia and should maximally last till night. Hot tea / soup, lozenges, steam inhalation & voice rest help. 6. You would be given adequate pain relief injections for comfort. Kindly ask for additional dose, if severe pain/Inability to sleep. 7. In case of Spinal anesthesia sudden onset of pain might occur when the effect wears off, don’t be alarmed. Additional painkiller can be demanded & would be given to make you comfortable. 8. You should be allowed to sleep on right or left side positions / turning in bed once the effect of Anaesthesia wears off. Usage of a pillow below the knees help in decreasing the abdominal pain and discomfort. 9. In case of spinal anesthesia, you would be allowed to walk next morning, In case of general anesthesia, you can start walking once comfortable. 10. It is advised to avoid visiting washroom & straining to poop till next day morning. It is advised to not be on the commode for more than 5 mins at a stretch & the door not be latched. 11. Bathing should be allowed from next morning, the dressings would normally be water-proof. 12. There might be some residual swelling at Hernia Site, it should decrease in next 3-7days 13. If the pain/ discomfort is better, expect the discharge late in evening or next morning. Care At home 1. Blood sugars & Blood Pressure are expected to be deranged (High or Low) for a day or two after surgery & shouldn’t be seen as a panic situation. 2. No individual food / food product restrictions are applicable with respect to the Surgery, however medical-based restrictions would continue. 3. Walking is allowed & encouraged, Atleast 30 mins per day, once pain & swelling have decreased. 4. Usage of Western Style washroom with a foot rest is recommended. 5. Usage of Scrotal Support / Abdominal Binder / Pressure dressings would be explained to you. Use it all the times except while sleeping. 6. Avoid straining or lifting heavy weights (>5kgs), participation in contact sports, riding two-wheeler, squatting on floor, sitting on floor crossed legged, excessive forward bending for atleast 6 weeks post-surgery. 7. Promptly seek medical help for any issues with Constipation, Urinary issues or Coughing. This can interfere with Mesh. 8. Follow-up is usually after 7 days. Ordinarily no change of dressing is needed. 9. Kindly keep a copy of discharge card safely with you all the time with details of the Surgery and the type of Mesh used. 10. Strictly avoid smoking for atleast 3 months after surgery. 11. For females, avoid planning pregnancy for atleast 1 year post surgery This is a non exhaustive list of points for care after hernia surgery. These are standard set of instructions for our patients operated by Robotic or Laparoscopic method for Hernia Surgery “Wish you a healthy & an uneventful recovery”   #DrVishalSoni #ZydusHospitals #PatchOfHappyness   #RoboticHerniaSurgery #LaparoscopicHerniaSurgery #HerniaSurgery #Hernioplasty #Mesh #Hernia #HerniaRepair #MinimallyInvasiveHerniaSurgery #InguinalHernia #GroinHernia #FemoralHernia #SpigelianHernia #IncisionalHernia #RecurrentHernia #UmbilicalHernia #ParaUmbilicalHernia   

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