Laparoscopic Hernia Surgery: Med Access India

Laparoscopic hernia surgery in India

Laparoscopic Cholecystectomy in India

A hernia is an abnormal protrusion, or bulging out, of part of an organ through the tissues that normally contain it. A hernia may develop in almost any part of the body; however, the muscles of the abdominal wall are most commonly affected. In this condition, a weak spot or opening in a body wall, often due to laxity of the muscles, allows part of the organ to protrude. Hernias by themselves usually are harmless, but nearly all have a potential risk of having their blood supply cut off (becoming strangulated). If the hernia sac contents have their blood supply cut off at the hernia opening in the abdominal wall, it becomes a medical and surgical emergency. There are many different types of abdominal wall hernias. They are:

Inguinal hernia: Making up 75% of all abdominal wall hernias and occurring up to 25 times more often in men than women, these hernias are divided into 2 different types, direct and indirect. Both occur in the area of where the skin crease at the top of the thigh joins the torso (the inguinal crease), but they have slightly different origins. Both of these types of hernias can similarly appear as a bulge in the inguinal crease. Distinguishing between the direct and indirect hernia, however, is not that important because both are treated the same.
Femoral hernia:The femoral canal is the way that the femoral artery, vein, and nerve leave the abdominal cavity to enter the thigh. Although normally a tight space, sometimes it becomes large enough to allow abdominal contents (usually intestine) into the canal. A femoral hernia causes a bulge below the inguinal crease in roughly the middle of the thigh. Rare and usually occurring in women, femoral hernias are particularly at risk of becoming irreducible and strangulated.
Umbilical hernia:These common hernias (10-30%) are often noted at birth as a protrusion at the bellybutton (the umbilicus). This is caused when an opening in the abdominal wall, which normally closes before birth, doesn’t close completely. If small (less than three quarters of an inch) this type of hernia usually closes gradually by age 2. Larger hernias and those that do not close by themselves usually require surgery at age 2-4 years. Even if the area is closed at birth, umbilical hernias can appear later in life because this spot remains a weaker place in the abdominal wall. Umbilical hernias most often appear later in elderly people and middle-aged women who have had children.
Incisional hernia: Abdominal surgery causes a flaw in the abdominal wall that must heal on its own. This flaw can create an area of weakness where a hernia may develop. This occurs after 2-10% of all abdominal surgeries, although some people are more at risk. After surgical repair, incisional hernias have a high rate of returning (20-45%).
Other rare hernias: there are also other hernias like Spigelian hernia, obturator hernia,epigastric hernias. All these are generally named after the region in which they appear.

How is it diagnosed?

All newly discovered hernias or symptoms that suggest that one might have a hernia, should prompt a visit to the doctor. Hernias, even those that ache, if they are not tender and easy to reduce (push back into the abdomen), are not surgical emergencies, but all have the potential to become serious. If one has an obvious hernia, the doctor will not require any other tests (if the person is healthy otherwise) but may diagnose by just examining the patient. This means that the doctor will ask the patient to cough or stand. This increases the intra-abdominal pressure and forces the hernia to bulge out.

What are the Treatment options?

Although non-operative treatments existed in the past, they proved to be ineffective, so surgery is currently the primary treatment for all hernias. The treatment of every hernia is individualized, and a discussion of the risks and benefits of surgical versus non-surgical management needs to take place. One will be surprised to know that herniorrhaphy is one of the Top 10 surgeries performed in the United States alone.

For most people who develop a hernia, it is always advisable to see a doctor, even if there are no symptoms other than the protrusion. In order to reduce the risk of future strangulation, the doctor may recommend surgery which is called herniorrhaphy. There are two basic methods which are followed. They are:

What is laparoscopic cholecystectomy?

The surgery to remove the gallbladder is called a cholecystectomy. The gallbladder is removed through a 5 to 8 inch long incision, or cut, in your abdomen. The cut is made just below your ribs on the right side and goes to just below your waist. This is called open cholecystectomy.

A less invasive way to remove the gallbladder is called laparoscopic cholecystectomy. This surgery uses a laparoscope (an instrument used to see the inside of your body) to remove the gallbladder. It is performed through several small incisions rather than through one large incision.

Laparoscopic method

Repair of simple and complex abdominal hernias by the laparoscopic technique is now the method of choice in many centers. Laparoscopic repair offers equivalent outcomes to open repair, with the additional benefits of greater patient satisfaction and reduced hospitalization. For some hernias, like incisional, the outcome appears to be superior using the minimally invasive technique. Laparoscopic hernia repair is similar to other laparoscopic procedures. This type of operation is done using a tiny telescope called a laparoscope. It is linked to a special camera. The device allows the doctor to see the hernia on a video screen. It requires smaller incisions (usually 1/5 to 1/2 of an inch). The laparoscopic approach to both inguinal and ventral hernias has resulted in a reduced hospital stay and faster recovery time.

Laparoscopic Inguinal Hernia Repair
Inguinal hernias are repaired with a 1cm incision for the camera and two 5mm ports. The preperitoneal repair, developed 40 years ago by Dr. Stoppa as an open operation and recently translated into a laparoscopic approach, is used to recreate the pelvic floor. The peritoneum is mobilized to the level of the umbilicus to create a large space behind the rectus abdominal muscle. A 6-by-6-inch piece of mesh is introduced into the concavity of the pelvis, which covers the origin of the defect from the inside, rather than the more traditional one that lay on top of the hernia. Currently, the two most popular laparoscopic techniques are :
TAPP (Trans abdominal preperitoneal)
TEP (total extra peritoneal)
The most ardent critique of the TAPP procedure is that it is an intra-abdominal procedure with significant potential morbidity. On the other hand, the TEP procedure avoids intra-abdominal access. A major advantage of laparoscopic inguinal hernia repair is that bilateral hernias, which are not uncommon, can be repaired during the same operation. The laparoscopic procedure also allows the physician to see and repair small hernias not detected by a physical examination. Patients who cannot have laparoscopic inguinal hernia repair are those who have had bladder surgery, open prostate surgery, radiation for prostate cancer, or other prior invasion of the preperitoneal space.
Laparoscopic Ventral Hernia Repair
Incisional, Ventral, Epigastric, or Umbilical hernias are defects of the anterior abdominal wall. They may be congenital (umbilical hernia) or acquired (incisional). Incisional hernias form after surgery through the incision site or previous drain sites, or laparoscopic trocar insertion sites. About 95% of ventral hernias can be repaired laparoscopically. It is recommended that patients with hernias resulting from prior incisions, patients with umbilical hernias that have increased over time, patients who are substantially overweight, or patients with hernias larger than 4cm, have the hernia repaired laparoscopically with mesh. The only patients who cannot have a laparoscopic ventral repair are those who have experienced a loss of domain or those with severe adhesions that cannot be safely reduced laparoscopically.
The mesh has a smooth surface that faces the small bowel and prevents it from adhering to the mesh, while a rougher surface on the side facing the abdominal wall allows for rapid tissue ingrowth. Because the mesh is placed inside the abdomen, behind the defect, any strain tends to push it more tightly against the abdominal wall and distributes the pressure throughout the mesh. In comparison, traditional mesh repair uses an incision extending beyond the length of the hernia on either side to gain access to the hernia. Mesh is placed on the outside of the defect, and any strain would tend to push the mesh away, thus increasing the likelihood of a recurrence.

Advantages of Laparoscopic Hernia Repair

Latest & better mode of treatment for hernia is laparoscopic repair.
Done by imported state of art miniature karl storz instrumentation.
Done through small hole in the abdominal wall.
Short hospital stay.
No scar at the hernial site.
Cosmetically superior.
Best for recurrent or bilateral inguinal hernias.
Almost no pain or infection.
Bigger hernia can be treated laparoscopically.
Less need of medications.
Minimal blood loss.

Affordable Cost of Laparoscopic hernia surgery in India at Best Hospital in India.

Laparoscopic Hernia Surgery Package Cost in India:$3500 USD

Note:-
Cost Estimate above include stay in a Private Room for specific number of days where a companion can stay with the patient, surgeon fee, medicines and consumables, nursing care and food for the patient. More accurate treatment cost estimates can be provided if medical reports are emailed to us or after the patient is examined by doctors after arrival in India and medical tests are done

Why choose Med Access?

A Respected Reputation: Because of our reputation, patients from across the continents come through Med Access for consultations and treatment to India
Outstanding, Multidisciplinary Approach:
Our selected team includes board-certified physicians who have earned national and international recognition among their peers. Working as a team, our physicians, audiologists, speech-language pathologists bring together a wide range of expertise that enhances patient care.
Thorough Diagnostics & multiple opinions:
Med Access believes in conducting an extensive diagnostic process to fully understand each patient’s problem and its causes. With clearer insight into the patient’s condition, we recommend targeted treatments that can be more effective.
Innovative Treatment Approaches:
Our selected team uses innovative techniques that address the patient’s disorder yet minimize unpleasant side effects or complications.

Why you should get Laparoscopic cholecystectomy and appendectomy surgery in India

Indian doctors are known all over the world for their skill and knowledge and have the experience of studying and working at the best laparoscopy hospitals in the world.
Laparoscopy Hospitals in India are now equipped with the latest and high end technology.
Doctors, nurses and hospital staff are English speaking, and thus no language barrier. Translators are available, if you cannot speak or understand English.
Hospitals in India are designed to provide complete patient care and care for the attendants- coffee lounges, money changers, travel desks, wi-fi zones etc.
Best Medicines and drugs are produced in India and exported all over the world. The cost of thus best medicines and drugs in India is thus much less.
Cost of laparoscopy surgery in India at best laparoscopy hospitals in India is very low as compared to the cost best hospitals in America or UK with the same level of care and services.
Most advanced Technology Infrastructure – Blood Bank with 24 hour apharesis facility, advanced laboratory and microbiology (infection control) support, advanced cardiology, DSA and interventionalradiology, portable and colour ultra-sonology, Liver Fibro-scan, 64 slice CT scanner, 3 T MRI, PET-CT and nephrology (including 24 hour dialysis and CVVHD).