Dr. Samrat Jankar is a gastroenterologist who practices in Pune. He is affiliated with Symbiosis University Hospital and Research Centre, where he established the Minimal Invasive & Surgical Gastroenterology department. He has performed over 1000 hernia surgeries in Pune using laparoscopy, the most popular and advanced surgical approach. He is incredibly prolific and active in organizing conferences, CMEs, and other events in the medical community’s best interests.
Dr. Samrat Jankar, a hernia specialist, would like to share his ideas on hernia and related issues in this post.
A variety of factors causes hernias.
A hernia develops when pressure pulls an organ or tissue out via a hole or a weak muscle of the patient’s fascia, according to the hernia specialist in Pune. This weakness may be present from birth or develop later in life. Any abdominal pressure can cause a hernia, which can occur as a result of any of the following conditions:
• Consistent sneezing or coughing
• Constipation or diarrhea
• Lifting heavy objects without proper abdominal muscle support
• Other factors that can cause weak muscles and thus hernia include smoking, obesity, a poor diet, and so on.
Diagnosis and Treatment
An essential physical examination can aid in the diagnosis of a hernia. According to Pune’s hernia surgery specialist, the hernia lump or swelling is apparent when standing and maybe felt when a hand is moved over it. Hernia Specialists in Pune propose ultrasound or abdominal x-rays for a more precise evaluation of the size and location of the hernia.
Types of hernia.
1. Hiatal Hernia.
The hiatal hernia arises between the stomach and the chest at the aperture of the diaphragm. The stomach bulges into the chest area with this hernia.
Paraesophageal and sliding hiatal hernias are the two forms of hiatal hernias. The stomach forces its way through the gap and lies adjacent to the esophagus in a paraesophageal hernia. Because the blood supply is likely to be cut off, this disease may result in a strangulated hernia. The sliding hernia, on the other hand, is the most frequent. The stomach and the lower end of the esophagus enter the chest through the diaphragm and rest there in this situation.
2. Hernia in the inguinal canal
A hernia in the inguinal or groin area is known as an inguinal hernia. Abdominal fat or intestines pass through the lower abdominal wall and bulge outwards in the inguinal area in this form of hernia.
Congenital inguinal hernia occurs when a defect in the abdominal wall is present at birth. The intestines or fat from the abdomen expand through the lower abdominal wall into the inguinal, or groin, area, causing an inguinal hernia. Inguinal hernias can be either indirect or direct. Weaker abdominal wall muscles cause the direct hernia. Adult guys who have strained or done a lot of strenuous lifting are more likely to develop it.
3. A femoral hernia.
Femoral hernias develop in the upper thigh near the groin, below the inguinal ligament. This area, which develops due to natural weakness, is sometimes referred to as the femoral canal by Hernia Specialist in Pune. The treatment of a femoral hernia necessitates emergent surgery due to the significant risk of complications.
4. Umbilical hernia.
Because of weakening in the umbilical area, umbilical hernia forms in and around the belly button, pregnant women and overweight persons are more likely to develop a hernia during or after delivery. Hernia repair surgery is required because the hernia can grow in size and become strangulated, posing a life-threatening situation.
There are a variety of therapeutic options available, including:
1. Repairing an open hernia.
A person is given local anesthesia in the belly or spine to numb the area, general anesthetic to sedate or help the person sleep, or a combination of the two in open hernia repair, also known as herniorrhaphy.
Next, the surgeon creates a groin incision, pulls the hernia back into the abdomen, and sutures the muscle wall together. An incision, or cut in the groin, is used during open hernia surgery. The bulging intestine is identified in the hernia sac. The hernia is subsequently pushed back into the abdomen, and the abdominal wall is strengthened with stitches or synthetic mesh.
Hernioplasty is a procedure that involves reinforcing the area of muscular weakness using a synthetic mesh or screen to provide additional support. Most patients are discharged within a few hours of surgery and can return to work within a few days. For the first four to six weeks after surgery, strenuous activities and exercise are prohibited.
2. Repairing an inguinal hernia laparoscopically
The laparoscope is introduced into a small incision during laparoscopic (minimally invasive) hernia surgery. Other small incisions in the lower belly are used to implant the instruments needed to repair the hernia. This technique (laparoscopic surgery) is typically performed under general anesthesia; thus, the patient’s general health will be assessed before the surgery. During this surgery, there is no or minimal pain.
3. TEP (Total extraperitoneal preperitoneal repair) – In this operation, the hernia specialist will seal the hernia using a mesh from outside the peritoneum. This thin membrane covers the organs in the belly.
4. TAPP (Transabdominal preperitoneal repair) – In this treatment, the surgeon penetrates the peritoneal cavity by three small incisions across the abdomen and inserts a mesh covering the hernia site from the inside.
5. Laparoscopic Ventral Hernia Repair: Ventral Hernia is a protrusion in the abdomen caused by an opening in the muscles. Surgery, either open or laparoscopic, is a simple way to treat it.
Dr. Samrat Jankar, renowned hernia specialist in Pune, specializes in laparoscopic hernia surgery and has performed hundreds of procedures successfully. He does Laparoscopic Ventral Hernia Repair using the following techniques:
6. IPOM (Intraperitoneal On-lay Mesh Repair) – This is a one-of-a-kind procedure that involves placing a specific mesh from inside the abdomen over the hernial location.
7. eTEP-TAR – This is a new treatment for treating complex hernias that were introduced in 2012. They create more space in this way to deal with giant hernias. During hernia surgery in Pune, the doctors implant the mesh in the retro muscular gap between layers of the abdominal wall. According to hernia specialists in Pune, this surgery results in fewer fixation difficulties, less pain, fewer recurrences, and fewer bowel adhesions.
