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   

Surgery for Recurrent Hernia Recurrent hernias can be more challenging to treat, and surgical repair is often required. In this blog post, we will discuss recurrent hernia surgery, including what it is, how it is performed, and what to expect during recovery. What is Recurrent Hernia Surgery? Recurrent Hernia Surgery is a procedure performed when a hernia reoccurs after a previous surgery. Hernia recurrence can happen for various reasons, such as improper technique during the initial surgery, inadequate healing, or a failure of the mesh used to support the weakened tissue. During recurrent hernia surgery, the surgeon will identify the cause of the recurrence and repair the hernia using a variety of techniques, including suturing the weakened tissue, reinforcing the area with mesh, or a combination of both. How is Recurrent Hernia Surgery Performed? Recurrent hernia surgery is typically performed under general anesthesia. The surgeon will make an incision at the site of the previous hernia repair in Open Approach, allowing them to access the area of the recurrence. The surgeon will then carefully examine the area and identify the cause of the recurrence. If the previous mesh has failed, they will remove it and replace it with a new mesh. If the weakened tissue is the cause of the recurrence, the surgeon will suture it to strengthen the area. Once the repair is complete, the surgeon will close the incision with stitches or staples and cover it with a dressing. What to Expect During Recovery? Recovery from recurrent hernia surgery can take several days to weeks, depending on the extent of the surgery and the individual’s overall health. Immediately after the surgery, the patient will need to rest and avoid strenuous activity for several days. Pain and discomfort are common after surgery and can be managed with over-the-counter pain medications or prescribed pain relievers. The patient may also experience swelling, bruising, or redness at the incision site. The team will provide specific instructions on caring for the incision, including keeping it clean and dry and changing the dressing as needed. The patient will also need to avoid lifting heavy objects or participating in unaccustomed strenuous activities until cleared by the surgeon. It is essential to follow the surgeon’s instructions carefully to ensure a smooth recovery and prevent further complications. In conclusion, recurrent hernias can be a challenging condition to manage, but surgery is often an effective treatment option. Recurrent hernia surgery involves repairing the hernia site after a previous surgical repair has failed. The procedure is typically performed under general anesthesia, and recovery can take several weeks or months. It is essential to follow the surgeon’s instructions carefully to ensure a smooth recovery and prevent further complications.       #RecurrentHernia #Hernia #Meshplasty #Mesh #HerniaSurgery

Incisional Hernia Surgery is a procedure performed to repair a hernia that occurs at the site of a previous surgical incision. A hernia is a medical condition where an organ or tissue bulges through a weak spot in the surrounding muscle or tissue. Incisional hernias usually occur after a surgical incision has weakened the abdominal muscles, and the bulge can appear days, months, or even years after the surgery Surgery is the only treatment for incisional hernias. If left untreated, they can become larger and cause significant discomfort, pain, and complications. Incisional hernia surgery aims to repair the weakened muscles and tissues, preventing the hernia from recurring. In this blog, we will discuss incisional hernia surgery in detail. Types of Incisional Hernia Surgery There are two main types of incisional hernia surgery: open surgery and laparoscopic surgery. Open Surgery: In open surgery, a single incision is made in the abdomen, and the hernia is repaired through this incision. The surgeon will first push the bulging tissue or organ back into the abdominal cavity, and then the weakened area is reinforced with a mesh or sutures. The incision is then closed with sutures or staples. Open surgery is more invasive than laparoscopic surgery and requires a longer recovery time. Robotic/Laparoscopic Surgery: Robotic/Laparoscopic surgery is a minimally invasive procedure where several small incisions are made in the abdomen, and a laparoscope (a thin, flexible tube with a camera and light) is inserted into one of the incisions. The surgeon uses specialized surgical tools to repair the hernia through the other incisions. A mesh is used to reinforce the weakened area, and the incisions are closed with sutures or staples. Robotic and Laparoscopic surgery are less invasive than open surgery and requires a shorter recovery time. Recovery from Incisional Hernia Surgery The recovery time after incisional hernia surgery depends on the type of surgery performed, the size of the hernia, and the patient’s overall health. In general, patients can expect to be discharged from the hospital within a few days of the surgery. After surgery, patients may experience pain, swelling, and bruising around the incision site. Pain medication may be prescribed to manage these symptoms. Patients are advised to avoid strenuous activity and heavy lifting for several weeks following surgery to allow the incision to heal properly. Complications of Incisional Hernia Surgery Like any surgical procedure, incisional hernia surgery carries a risk of complications. Some potential complications include infection, bleeding, blood clots, damage to surrounding organs, and hernia recurrence. However, with proper care and follow-up, the risk of complications can be minimized. Incisional hernia surgery is a safe and effective treatment for repairing a hernia that occurs at the site of a previous surgical incision. Open surgery and Robotic/Laparoscopic surgery are the two main types of incisional hernia surgery. Both procedures aim to repair the weakened abdominal muscles and tissues, preventing the hernia from recurring. While recovery time and potential complications may vary, incisional hernia surgery is generally a successful procedure with a high success rate. If you are experiencing symptoms of an incisional hernia, it is important to seek an expert opinion about your treatment options.     #DrVishalSoni #IncisionalHerniaSurgery #Hernia #HerniaSurgery #RoboticSurgery #LaparoscopicSurgery #Mesh #Meshplasty #Hernioplasty #HerniaRepair #DaVinci #DaVinciXi #RobotAssistedSurgery #RoboticIncisonalHerniaSurgery     

Robotic Hernia Surgery Robotic Hernia Surgery is a minimally invasive surgical procedure that uses a robotic system to repair hernias. A hernia is a condition in which an organ or tissue protrudes through a weak spot in the muscle or tissue that surrounds it. Hernias can occur in various parts of the body, including the abdomen, groin, and diaphragm. We perform Robotic hernia surgery using the most advanced da Vinci surgical system by Intuitive Surgical, which is a computer-assisted system that allows the surgeon to operate with unmatched precision and control. The system consists of a console that the surgeon uses to control the robotic arms, which are equipped with surgical instruments. During the procedure, small incisions are made on the abdomen through which the robotic “arms” and a camera are inserted. We use the surgeon console to control the robotic arms and perform the repair. The camera provides a high-definition 3D view of the surgical area, allowing us to see the area more clearly than with traditional open/laparoscopic surgery. The benefits of robotic hernia surgery include less pain and scarring, faster recovery time, and a lower risk of complications such as infection and bleeding. Robotic surgery also allows the surgeon to perform more complex procedures with greater precision, reducing the risk of damage to surrounding tissue and organs. Robotic hernia surgery may not be suitable for everyone and the decision to undergo this procedure should be made in consultation with a qualified surgeon. Patients with certain medical conditions or previous surgeries may not be candidates for robotic surgery. Dr Vishal Soni is an Expert Robotic Surgeon & one of the few Proctors in India with Intuitive Surgicals. He is a master in Hernia & Abdominal Wall Reconstruction Surgeries. He can be consulted at Zydus Hospitals for Opinion & Surgery.     #Hernia #AbdominalWallReconstruction #RoboticSurgery #RobotAssistedSurgery #RoboticHerniaSurgery #HerniaSurgery #Robot #DaVinci #DaVinciX #DaVinciXi

Component Separation Surgery Component separation surgery, also known as Abdominal Wall Reconstruction (AWR), is a complex surgical procedure that is used to repair large, complex & recurrent abdominal wall defects. These defects can be caused by a variety of factors, including trauma, infection, tumors, or previous surgeries. The surgery involves separating and moving the various components of the abdominal wall in order to close the defect. The abdominal wall is made up of several layers of muscle and tissue, including the external oblique, internal oblique, transversus abdominis, and rectus abdominis muscles. These muscles work together to support the organs in the abdomen and protect them from injury. When there is a defect in the abdominal wall, these muscles may be weakened or damaged, making it difficult to maintain the proper structure and function of the abdomen. Component separation surgery is typically performed in a hospital under general anesthesia. During the procedure, the surgeon will make incisions in the abdomen and carefully separate the various layers of muscle and tissue. The surgeon will then use sutures or mesh to close the defect and reposition the muscles and tissue to restore the strength and integrity of the abdominal wall. One of the most important aspects of component separation surgery is preserving the blood supply & Nerve Supply to the muscles and tissue. The surgeon must be careful to avoid damaging the blood vessels that supply the muscles, as this can lead to complications such as tissue necrosis or infection. In some cases, the surgeon may need to use tissue flaps to provide additional blood supply to the repaired area. Recovery from component separation surgery can be a lengthy process and patients will need to follow a strict post-operative plan to ensure proper healing. This may include bed rest, pain management, and physical therapy to help restore strength and mobility to the abdominal muscles. Component separation surgery is a complex and challenging procedure that requires specialized training and expertise. It is typically reserved for patients with large or complex abdominal wall defects who have not responded to other treatments. While the surgery carries risks, including bleeding, infection, and complications related to anesthesia, it can be highly effective in restoring the function and structure of the abdominal wall and improving overall quality of life.

Abdominal Wall Hernia As a domain expert in Hernia surgery, I often come across misconceptions about various medical conditions, and one that frequently arises is the belief that hernias can be effectively managed without a surgery. I’d like to address this myth and provide you with valuable insights into why hernia is primarily a surgical problem that typically requires surgical intervention. Understanding Hernias Before delving into the surgical aspect of hernias, let’s first understand what a hernia is. A hernia occurs when an organ or tissue protrudes through an opening or weak spot in the surrounding muscle or connective tissue. This can happen in various parts of the body, but the most common types are inguinal (groin), umbilical (belly button), hiatal (upper stomach), and incisional (resulting from a surgical incision). Hernias Can’t Heal Themselves One of the most common misconceptions about hernias is that they can resolve on their own without surgery. While it’s true that some small hernias may remain asymptomatic and not require immediate surgical intervention, they won’t ever magically disappear. Hernias tend to worsen over time due to increased pressure, physical strain, or other factors. Neglecting a hernia can lead to complications like incarceration (when the herniated tissue becomes trapped), strangulation (when blood flow to the hernia contents is compromised), and severe pain. Medical Management and Hernias Some individuals might attempt to manage hernias using non-surgical methods, such as trusses or belts. These devices are designed to provide support and prevent the hernia from bulging outward. However, it’s crucial to understand that these are not a cure for hernias; they merely offer temporary relief by holding the herniated tissue in place. They do not address the underlying problem. Occasionally they cause more harm than benefits due to pressure on the muscles & the organs. The Surgical Solution The definitive treatment for hernias is surgical repair. Surgery involves returning the herniated tissue to its proper place and reinforcing the weakened muscle or connective tissue to prevent a recurrence. There are various surgical techniques available, including open surgery and minimally invasive – Robotic / Laparoscopic procedures, which allow for faster recovery and reduced postoperative pain. Why Surgery Is Necessary 01/Prevention of Complications As mentioned earlier, untreated hernias can lead to severe complications, including bowel obstruction, tissue damage, and infection. Surgery is the most effective way to prevent these potentially life-threatening issues. 02/Improved Quality of Life Hernias can cause discomfort, pain, and limitations in daily activities. Surgery can provide relief, improve your quality of life, and allow you to return to your regular routines. 03/Long-term Solution Surgical repair offers a long-term solution by addressing the root cause of the hernia. Unlike non-surgical methods, surgery can provide a permanent fix. Conclusion In summary, hernias are primarily surgical problems that require surgical intervention to prevent complications and provide lasting relief. While it’s natural to seek non-surgical alternatives, it’s crucial to understand that these methods only offer temporary relief and do not treat the underlying issue. If you suspect you have a hernia or have been diagnosed with one, I strongly recommend consulting with a surgeon to discuss your treatment options and ensure the best possible outcome for your health and well-being. Remember, a hernia cure without surgery remains a desire but with no scientific basis. #HerniaCure #HerniaTreatment #HerniaMedicine #HerniaTreatmentwithoutSurgery #HerniaBelt #Hernia #HerniaManagement #HerniaSurgery #HerniaOperation #DrVishalSoni

Giant Inguinal Hernia Dr Vishal Soni Giant inguinal hernias present a unique set of challenges for both patients and surgeons alike. These massive hernias, often characterized by their extensive size and complex nature, require a specialized approach to ensure successful outcomes and optimal patient recovery. In this blog, we will delve into the intricacies of managing giant groin hernias, exploring the preoperative considerations, surgical techniques, and postoperative care that contribute to a comprehensive and effective treatment plan. Understanding Giant Inguinal Hernias A giant groin hernia is typically defined as an inguinal hernia that extends below the midpoint of the inner thigh when the patient is standing. These hernias pose significant risks, including compromised blood supply to the herniated tissues, increased susceptibility to incarceration or strangulation, and a considerable impact on the patient’s quality of life. Preoperative Assessment A thorough preoperative assessment is crucial for planning a successful surgical intervention. This includes evaluating the patient’s overall health, comorbidities, and the specific characteristics of the hernia. Imaging studies, such as CT scans, may be employed to assess the extent of the hernia, the involvement of surrounding structures, and the overall anatomy of the abdominal wall. Surgical Techniques Component Separation Technique One of the key surgical approaches for giant groin hernias is the component separation technique. This involves releasing and advancing the lateral abdominal wall muscles to reconstruct the hernia defect. While this technique provides improved coverage and reduces tension on the repair, it requires meticulous dissection and expertise. Mesh Reinforcement Mesh reinforcement is often essential in giant groin hernia repairs to provide additional support and reduce the risk of recurrence. Choosing the appropriate mesh and ensuring proper placement are critical considerations. The surgeon must weigh the benefits of reinforcement against potential complications, such as infection or mesh-related issues. Abdominal Wall Reconstruction In cases where the abdominal wall has undergone significant stretching and tissue loss, abdominal wall reconstruction techniques may be necessary. This may involve the use of acellular dermal matrices or other advanced materials to restore the integrity of the abdominal wall. Feasibility of Minimally Invasive Techniques The sheer size of the hernia may make MIS as less feasible option. However with better pre-op protocols, even these Giant Hernia can be operated upon using 3 – 4 small holes typically less than a centimeter large. Loss of Domain Issues & Prevention of Abdominal Compartment Syndrome Repositioning of herniated organs back in the abdomen can give rise to increased pressure and resulting severe complications. We do a thorough evaluation to identify the “at-risk” patients and take risk mitigation steps to avoid the same. Postoperative Care Postoperative care is a crucial aspect of managing giant groin hernias and promoting successful recovery. Patients are closely monitored for signs of complications and are treated under supervision of an intensivist & a pulmonologist. Physical therapy and rehabilitation is recommended to restore strength and function to the abdominal muscles under guidance of an expert Physiotherapist. Additionally, a comprehensive follow-up plan ensures ongoing assessment and early detection of any issues that may arise. A dietary protocol is adviced post-operatively. Conclusion Managing giant groin hernias requires a multidisciplinary approach, combining surgical expertise, careful preoperative planning, and attentive postoperative care. As a robotic hernia surgeon, utilizing advanced technology and techniques can enhance precision and facilitate minimally invasive approaches when appropriate. By addressing the unique challenges posed by giant groin hernias, surgeons can contribute to improved patient outcomes and quality of life. If you have been diagnosed with a Giant Groin Hernia, kindly contact us at The Hernia Clinic, 2nd Floor, Zydus Hospitals, Ahmedabad, Gujarat with Dr Vishal Soni for further treatment options. #GroinHernia #InguinalHernia #FemoralHernia #InguinoscrotalHernia #Hernia #AbdominalWallReconstruction #AWR #RoboticSurgery #RoboticGroinSurgery #RoboticInguinalHerniaSurgery #RoboticHerniaSurgery #RoboticInguinalMeshplasty #RoboticInguinalHerniaRepair #RoboticMeshplasty #DrVishalSoni #ZydusRobotics #TheHerniaClinic

Surgery for Hiatus Hernia A hiatus hernia is a medical condition where a portion of the stomach protrudes into the chest through an opening in the diaphragm known as the hiatus. While some individuals may experience no symptoms, others may suffer from heartburn, regurgitation, chest pain, or difficulty swallowing. If left untreated, hiatus hernias can lead to complications such as gastroesophageal reflux disease (GERD) and esophageal damage. In this blog, we’ll explore the benefits of early surgical intervention for hiatus hernia and the advantages of the newer robotic approach over traditional laparoscopy in this complex condition. The Importance of Early Surgical Intervention 01/Preventing Complications One of the key advantages of early surgery for hiatus hernia is the prevention of potential complications. Hiatus hernias can lead to chronic acid reflux, which, over time, can cause damage to the esophagus, leading to conditions like Barrett’s esophagus or even esophageal cancer. Early surgery can halt this progression, reducing the risk of severe complications. 02/Improved Quality of Life Patients with hiatus hernias often experience discomfort and pain due to symptoms like heartburn and regurgitation. Early surgery can provide relief from these symptoms, leading to an improved quality of life. 03/Reducing Medication Dependency Many patients with hiatus hernias rely on medications such as proton pump inhibitors (PPIs) to manage their symptoms. Early surgical intervention can reduce or eliminate the need for long-term medication use, which may have side effects and impact overall health. These factors make early surgery as the best treatment modality to cure hiatus hernia. The surgery is accomplished in 4 steps: Getting the herniated organ back to its position – Reduction narrowing the aperture through which the herniation occurred – Cruroplasty Creation of a Fundal wrap – Fundoplication Optional / Occasional Augmentation of the repair – Meshplasty These steps are performed via small holes using either the laparoscopic approach or the more advanced and modern Robotic Surgery Approach. Watch the Laparoscopic Fundoplication Surgery here Watch Robotic Hiatus Hernia Surgery here Conclusion Early surgical intervention for hiatus hernia can offer numerous benefits, including the prevention of complications and improved quality of life. When considering surgical options, the robotic approach stands out as a state-of-the-art technique that offers enhanced precision, reduced postoperative pain, and shorter recovery times compared to traditional laparoscopy. Ultimately, the choice of surgical approach should be made in consultation with a skilled surgeon who can assess individual patient needs and provide the best treatment plan for a successful hiatus hernia repair. If you suspect you have a hiatus hernia or are experiencing symptoms, don’t hesitate to consult with a healthcare professional to explore your treatment options. #GERD #AcidReflux #PPI #HiatusHernia #SlidingHernia #RollingHernia #ParaesophagealHernia #HiatusHerniaSurgery #HiatalSurgery #Fundoplication #Cruroplasty #MeshAtHiatus #Phasix #NissensFundoplication #ToupetsFundoplication #LaparoscopicFundoplication #RoboticFundoplication #LaparoscopicNissensFundoplication #RoboticNissensFundoplication #LaparoscopicToupetsFundoplication #RoboticToupetsFundoplication #BestHiatusHerniaSurgeonInIndia #BestHiatusHerniaSurgeonInGujarat #BestHiatusHerniaSurgeonInAhmedabad