HERNIA

Best Hernia Surgeon in Chennai – Dr. Kumar

DR KUMAR has huge experience of more than 29 years in the field of hernia surgery & treatment and especially hernia laparoscopic surgery. He has experience of thousand of complex and complicated hernia surgeries behind him. he has been operating on hernia’s almost on a daily basis for 29 years making him one of the best hernia surgeon and best hernia doctor . He has been doing laparoscopic hernia surgery for more than two decades now .

Best hernia laparoscopic surgeon . He is truly a hernia specialist and best doctor for hernia treatment and best doctor for hernia surgery. Most of the hernia surgeries he does laparoscopically he has also trained numerous junior surgeon in laparoscopic hernia surgeries and he has numerous fellowships in laparoscopic and Hernia Surgeries

HERNIA TREATMENT AND HERNIA SURGERY:

Best doctor for hernia treatment and hernia surgery,
WHAT IS HERNIA;

Hernia happens when an abdominal organ pushes out and comes out through an gap in the abdominal wall or in the groin . The gap is called the defect and the organ or part of the organ coming out is called the content. So in an hernia the main component is the gap or defect and second is the content and the treatment of hernia aims at closing this gap after pushing the contents inside.

WHO CAN DEVELOP HERNIA ;

Hernia can develop at any age – newborn to the elderly and both the women and men can develop . Newborn can have hernia especially premature babies due to muscle weakness resulting in congenital hernia . Elderly can have muscle weakness and elderly men have prostate enlargement and straining during urination resulting in hernia. Elderly also have constipation resulting in straining and increase in abdominal pressure and hernia .Men are likely to develop inguinal hernia and female more likely to develop ventral hernia , incisional and femoral hernia.

WHAT FACTOR CAN PREDISPOSE TO HERNIA;

Straining resulting in increase in intra-abdominal pressure which can push out the intra-abdominal organ resulting in hernia.
Second when there is a weakness of the muscle resulting as a hole or defect.
  • 1) Chronic cough – COPD
  • 2) Constipation staining for motion
  • 3)Staining for urination – prostate hypertrophy, bladder outlet obstruction.
  • 4)Weight lifting without proper and scientific supervision.
  • 5)Pregnancy and post pregnancy resulting in increased intra abdominal pressure and stretching muscle . Improper rehabilitation after pregnancy results in persistent divarication of rectus(muscle on the both sides are pushed apart) and umbilical hernia.
  • 6)Fluid accumulation/ ascites due to any diseases in the abdomen can cause hernia – inguinal umbilical.
  • 7) Previous abdominal surgeries – like cesarean , hysterectomy , laparotomy can lead to weak scar and also can lead to incisional / ventral hernia
WHEN AND HOW DO YOU SUSPECT YOU BOWEL HERNIA;

Hernia normally present as a bulge in the abdomen or groin. Patients most of the time can themselves point out the bulge and usually the bulges decreases in size when you lie down and in the early morning and starts to come out and increases in size once you start getting up and walking or while straining . Sometimes the bulge may not be visible or prominent and patient may present with vague pain only. Especially obese individuals the hernia may not be visible initially.
Some patients may present straight away with complication like obstruction resulting in abdomen distension and vomiting, only the doctor or investigation can diagnose the hernia at that time

ARE THERE ANY STAGES OF HERNIA :

Yes , Hernia can have four stages

1) REDUCIBLE:

Initial Stage : When the bulge comes out when you stand or strain up and disappears when you lie down

2) IRREDUCIBLE :

The bulge stays the same and does not disappear / decrease its size when the patient lies down

3) OBSTRUCTION / INCARCENATED ;

When the bowel is the hernia gets obstructed and strongly caught in the defect . Patient develop abdomen distension and vomiting and constipation not passing gas or motion. This is an emergency situation where patients has to be operated

4) STRANGULATION/ GANGRENE;

The blood supply to the bowel caught in the hernia and becomes cut off and the bowel dies resulting in gangrene .(i.e the bowel becomes rotten) . This is a life threatening situation which requires emergency surgery and removal of the rotten bowel.

Its always better to get the hernia operated early by a HERNIA SPECIALIST like DR KUMAR and to prevent these complication.

A STICH IN TIME SAVES NINE

WHAT ARE THE TYPES OF HERNIA

The region in the lower abdomen where the abdomen meets the thigh is called the groin region or the inguinal region . The blood vessels to the testes and the spermatic cord transverse through this region . An hernia occurring there is called an inguinal . DR KUMAR is one of the BEST DOCTOR for INGUINAL HERNIA SURGERY. Especially LAPAROCOPIC INGUINAL HERNIA SURGERY and he is an expert specialist in inguinal hernia surgery.

An hernia occurring in the naval is called umbilical hernia . It is more common in the post pregnancy and after delivery . The gravid uterus stretches the abdomen muscle during pregnancy and the resultant increases in the umbilical size after delivery the stretched umbilical hole fails to close or decreases in size resulting in a big hole through which the hernia occurs . DR KUMAR  is one of the BEST UMBILICAL HERNIA SURGEON and BEST DOCTOR for UMBILICAL HERNIA LAPAOSCOPIC SURGERY.

An hernia occurring just by the side of the umbilical is called para umbilical hernia and DR KUMAR has vast experience in operating on para umbilical hernia especially laparoscopically.

An hernia occurring through a previous scar is called incisional hernia. It can occur in any scar, mostly previous cesarean scar , hysterectomy scar, any previous abdominal surgery scar. DR KUMAR has wide experience in incisional hernia surgery and is one of the BEST SURGEON for incisional hernia surgery.

An hernia occurring above the umbilicus is called supra umbilical hernia.

An hernia occurring in the upper part of the abdomen in the middle is called epigastric hernia

 

An hernia occurring through a hole below the region of the umbilicus is called infra umbilical.

An hernia occurring through the femoral canal and projects as swelling on the upper thigh more common in women than men.

This is an type of hernia occurring in between the muscle layers occurring through the lateral border of the rectus and maybe a incomplete hernia.

Diaphragm is a  of muscle which like a shelf separate the chest and abdomen . Any hole in the diaphragm may result in abdomen content to protrude into the chest , resulting in a diaphragmatic hernia . This require surgery and DR KUMAR has done numerous diaphragmatic hernia surgeries

The food pipe ( esophagus)  transverse through a hole in the diaphragm to join with the stomach . This hole is called the hiatus, if this hole is patulous a part of stomach can go up into the chest resulting in hiatus hernia and it is managed with medical treatment. Initially, and Bigger hiatus hernia require surgery - LAPAROSCOPIC FUNDOPLICATION  and DR KUMAR is one of the best surgeon for laparoscopic fundoplication.

In this the rectus muscle an both sides are pushed apart resulting in a gap between both the rectus and this is called divarication of recti or DIASTASIS of RECTI . This occurs most commonly following pregnancy after delivery . Mostly associated with umbilical hernia. Proper rehabilitation after delivery may bring back the rectus. Treatment is surgery to bringing the rectus together and DR KUMAR is one of the best doctor for surgery for divarication recti especially laparoscopic surgery for divarication correction.

 

ABDOMINOPLASTY: Many times divarication can be associated with pendulous abdomen overhanging and extra fat and treatment could be surgery abdominoplasty which is called tummy tuck involves tightening the rectus and removing the extra fat abdominoplasty . DR KUMAR is one of the best surgeon for abdominoplasty / Tummy tuck and has vast experience in abdominoplasty

WHAT IS THE TREATMENT FOR HERNIA

since hernia is a mechanical defect , the treatment is closure of the defect and hence the treatment is surgery , medicine cannot cure hernia . Earlier stage hernia may be managed with hernia belt . Especially very old and bedridden patient with early stage hernia may be manged with hernia belt called truss otherwise, The treatment for hernia is surgery , involves Closure of the hole and placement of a net or mesh to give more strength and the mesh is the gold standard in this Surgery .

WHAT IS THE TREATMENT FOR HERNIA

TYPES OF SURGERY

LAPAROSCOPIC HERNIA SURGERY

Laparoscopic hernia one of the best laparoscopic umbilical hernia surgeon. He is also an expert laparoscopic ventral hernia surgeon. The surgery is performed through small hole called key hole surgery and the hernia defect is closed from inside the abdomen and the mesh is placed from inside the abdomen. It is usually performed under general anesthesia.

OPEN HERNIA SURGERY

In this method the hernia is repaired by the open method by an open incision. The content bowel is reduced and mesh is placed from outside the abdomen the abdomen . This can be performed by general , spinal or even local anesthesia . DR.Kumar has performed many Hernia Surgeries under Local anesthesia in High risk Patients

HYBRID TECHNIQUE

In some cases of large hernia a combination of both laparoscopic and open technique is used called hybrid technique. DR KUMAR is an expert in laparoscopic hernia surgery and an expert in inguinal hernia laparoscopic surgery , umbilical hernia laparoscopic surgery , incisional hernia laparoscopic surgery ventral hernia laparoscopic surgery and laparoscopic surgery for all type of hernia

MESHLESS HERNIA SURGERY

In some patients , Hernia can be repaired with only Sutures and foreign body like a mesh can be avoided

Many hernia is a mechanical problem where there is a hole , the hole needs to be closed by mechanical means i.e by surgery , the hole is unlikely to close with medicine . In other words, surgery is the treatment of choice for all hernias. In some patients , early stages hernia , post delivery period abdomen belt can be tried . A stitch in time saves nine. Hence early surgery can prevent complication of hernia and prevent life - threatening situation and early surgery results in early recovery and good and long lasting result post surgery.

To prevent hernia we have to prevent all causes which increases the intra abdominal pressure , avoid constipation , avoid chronic cough , avoid straining for urination , avoid lifting heavy weights and especially in the gym better to train under supervision. Avoid squatting , post pregnancy rehabilitation for muscle strengthening is a must . All these prevention measure may be useful in hernia prevention

Hernia surgery especially laparoscopic hernia surgery gives you faster  recovery and almost normal life after hernia surgery. There are no food restriction and for a month there may be restriction in exertion or lifting heavy weights. Overall life after hernia surgery is almost normal except a few lifestyle modification , like avoid weight lifting , avoid squatting, avoid constipation , chronic cough and avoid straining for urination, otherwise life after hernia surgery especially laparoscopic surgery is as normal as it was before surgery ,especially if done in the early stage .

 

Many times the patients may have multiple defect called swiss - cheese defect and there may be multiple hernias resulting in complex hernias . This happens especially when patients has previously undergone multiple surgeries and other co morbid factor like COPD and when the patients ignore the hernia in the initial stages.

Complex hernia requires complex surgeries and DR KUMAR is an expert in complex hernia surgeries and a specialist in complex hernia surgeries .

A Hernia can come back after surgery either in the same place as operated before or in a different place and this is called a recurrent hernia . This may be due to various factor like inadequate rest, and straining after hernia surgery and various other factors. The main goal of hernia surgery is to prevent recurrence and recurrent hernia treatment and surgery requires the expertise of a hernia specialist like Doctor KUMAR who has vast experience in operating of innumerable recurrent hernia patients and expert in recurrent Hernia Surgery.

Same patients have abdominal wall muscle stretched out and thin and paper like and normal anatomy is lost resulting in loss of  domain. These patients require special approach to treatment , surgery and preoperative preparation , surgical interventions and post operative care and DR KUMAR is an expert in dealing with such patients.

They may require pre- Operative preparation with good physiotherapy and chest and breathing exercises

Creating Pneumo peritonium and other modified operation techniques to deal with such patients. Such Patients need an Expert Surgeon and also an excellent hospital facilities with good Anesthetist and good pre-operative and post operative rehabilitation. 

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