DIVARICATION OF RECTI

Dr Kumar- Billroth Hospitals/Best Hernia Surgeon/Gallbladder stone Specialist:

Divarication of recti, also known as Diastasis of rectus muscle is a condition where the vertical abdominal muscles (rectus abdominis) separate, causing a gap or bulge in the abdominal wall in the midline.

CAUSES
Pregnancy,Obesity,
Weakening of abdominal muscles over time,Previous abdominal surgery, such as a cesarean section.fluid accumulation-ascitis . Most commonly after pregnancy.
SYMPTOMS
Visible bulge in the midline of the abdomen ,Abdominal weakness,Back pain,Urinary incontinence in severe case.
PREVENTION
Wearing compression garments or binders after any abdominal surgery,after pregnancy, Maintain a healthy weight,Engage in regular exercise, Practice good posture,Avoid heavy lifting.
Treatment of diastasis Recti is usually surgery . Can be done by Laparoscopy. Surgery involves bringing both the Rectus muscle to the midline and reinforcing with mesh.. when Divarication is associated with excessive fat , open surgery is performed – correction of the Diastasis along with removal of the excess fat- Lipectomy. This procedure is called Abdominoplasty.
For Best treatment of Divarication of Recti, schedule your appointment with DrKumar Billroth Hospitals-Best Hernia surgeon/Gallbladder stone specialist.

Ventral Hernia Repair Works

A hernia is a gap or hole in the tough abdominal tissue. Weakness in this tissue allows organs like intestines to protrude, forming a sac. This condition can lead to pain or complications, necessitating urgent surgery to repair the hernia and prevent further issues.
A ventral hernia occurs in the abdominal region, typically near a surgical scar, which is the location where a surgeon made an incision during a previous operation.

Unusual symptoms of GERD

Gastro Esophageal reflux disease is a common disorder encountered in many patients . This is characterised by reflux of the Gastric juice into the Esophagus causing inflammation and ulceration of the Esophagus.
GERD is characterised by Retrosternal Burning or pain Frequent belching or burping Sometimes the Retrosternal pain can mimic even cardiac pain These are the common symptoms presenting in GERD. However some patients present with atypical symptoms. These include
1) Chronic Cough : Repeated Reflux can cause repeated cough and ulceration and inflammation of the Larynx. The cough is most often precipitated by lying down flat and usually comes down and sitting upright.
2) voice change : due to repeated reflux and laryngitis, there maybe voice change
3) Excessive salivation . Repeated acid reflux can lead to excessive stimulation of the salivary glands and increased salivation.

LAPAROSCOPIC HERNIA SURGERY -KEYHOLE SIRGERY.

LAPAROSCOPIC HERNIA SURGERY -KEYHOLE SIRGERY. HERNIA Different types , Different Locations. -one solution – LAPAROSCOPIC SURGERY – Lesser pain , lesser scaring,smaller incisions, lesser hospital stay, quicker recovery. Even though Hernias maybe of different types like direct , indirect, complete , incomplete,etc and in different locations like INGUINAL, FEMORAL,UMBILICAL,VENTRAL,EPIGASTRIC,HIATUS HERNIA,ETC., one solution cures all types of Hernia – Laparoscopic Hernia surgery.
Laparoscopic method offers keyhole method and faster recovery and minimal pain and scarring. By Laparoscopic method all types of Hernia can be cured and Dr kumar is an expert in Laparoscopic Hernia surgery and repair . With more than two decades of expertise in Laparoscopic Hernia surgery, Dr kumar( billroth Hospitals) gives you the best and the latest in Hernia laparoscopic surgery. Book your consultation today to take the first step to freedom from Hernia.

Inguinal Hernia treatment in chennai

INGUINAL hernia. A hernia occurring in the region of the groin or the region between the lower abdomen and the upper thigh and the genitals is called the INGUINAL region.. in this region there is a natural passage between the abdominal cavity and the genitalia known as the INGUINAL canal . Normally this canal transmits the spermatic vessels in the males and the round ligament in the females.A hernia occurring through this canal is called the INGUINAL Hernia.It is more common in males. Drkumar (Billroth Hospitals ) has huge experience in treating patients with INGUINAL hernia and especially laparoscopic INGUINAL hernia surgery.


INGUINAL Hernia treatment in chennai. A hernia occurring through the INGUINAL region is called INGUINAL hernia. INGUINAL hernia treatment involves surgery . Two types of surgery are done 1) laparoscopic and

open . Dr kumar Is an expert in Laparoscopic INGUINAL hernia treatment and surgery. Laparoscopic surgery offers faster recovery and lesser pain.
INGUINAL hernia surgery in chennai. INGUINAL hernia surgery can be done laparoscopically or by open method . Laparoscopically approach gives faster recovery and minimal scar. Drkumar is an expert in laparoscopic INGUINAL hernia surgery.
Best INGUINAL hernia doctor in chennai : Drkumar with his experience of more than two decades can be considered as one of the Best INGUINAL hernia doctor in chennai.

Best INGUINAL hernia treatment in chennai. Drkumar(Billroth hospitals ) has more than two decades of experience of operating almost daily on INGUINAL hernia patients especially laparoscopic INGUINAL hernia surgery making Drkumar as the Best INGUINAL Hernia treatment in chennai.

Best doctor for INGUINAL hernia treatment and surgery in chennai .Drkumar(Billroth Hospitals) with his immense experience.can be considered as Best doctor for INGUINAL hernia treatment and surgery in chennai.


INGUINAL hernia specialist in chennai. Drkumar (Billroth hospital) has more the two decades of treating patients with INGUINAL hernia. He treats and operates on patients with INGUINAL hernia almost on a daily basis, making him truly a INGUINAL hernia specialist.

TREATMENT FOR GALLSTONES

TREATMENT FOR GALLSTONES

Many times the gallbladder stones are small and asymptomatic and need to be observed. Medical treatment many times may not dissolve the stones.

It is advised to avoid fatty and oily food which can precipitate complications in patients with silent stones. Symptomatic stones and in the patients with complications, surgery is advised.

Surgery is usually done with Laparoscopy. DR.KUMAR is an expert in LAPAROSCOPIC GALLBLADDER SURGERY.

Femoral Hernia

A femoral hernia is a type of hernia that occurs in the groin area where the femoral canal is located. It is more common in females, but it can also affect males. This type of hernia is less frequent compared to inguinal hernias, but it still requires medical attention and, if necessary, surgical repair.

Here’s a brief explanation of femoral hernias:

  1. Anatomy: The femoral canal is a passage in the lower abdomen located just below the inguinal ligament (a band of tissue that runs from the pubic bone to the anterior superior iliac spine). The femoral canal contains blood vessels, nerves, and lymphatics. In some cases, a weakness or opening may develop in the femoral canal’s lower wall, allowing abdominal contents to protrude through it.
  2. Causes: Femoral hernias often result from increased pressure in the abdomen, which can occur due to factors such as heavy lifting, straining during bowel movements, chronic coughing, obesity, pregnancy, or other conditions that cause increased intra-abdominal pressure.
  3. Symptoms: Common symptoms of a femoral hernia include a bulge or lump in the groin or upper thigh area, especially when standing or straining. The lump may be reducible, meaning it can be pushed back into the abdomen initially, but it may become incarcerated, where the herniated tissue becomes stuck and cannot be pushed back in. Incarceration can lead to severe pain and requires immediate medical attention. Strangulation, a more serious complication, occurs when the blood supply to the herniated tissue is compromised, leading to tissue damage and potentially life-threatening consequences.
  4. Diagnosis: A healthcare professional can usually diagnose a femoral hernia through a physical examination. Sometimes, additional imaging tests, such as ultrasound or CT scan, may be performed to confirm the diagnosis or evaluate the hernia’s size and content.
  5. Treatment: The primary treatment for femoral hernias is surgical repair, especially if the hernia is causing symptoms or complications. As mentioned earlier, femoral hernia repair can be performed using open surgery or laparoscopic (minimally invasive) techniques. The choice of the surgical approach depends on various factors, as discussed in the previous response.

Femoral Hernia Repair

Femoral hernia repair is a surgical procedure performed to treat a femoral hernia, which occurs when a part of the abdominal contents (often the small intestine) protrudes through a weak point or defect in the abdominal wall near the femoral canal. This type of hernia is more common in females, hence the name “femoral hernia.”

Femoral hernia repair can be done using two main techniques:

  1. Open Surgery: In this traditional approach, the surgeon makes an incision near the hernia site and manually pushes the herniated tissue back into the abdomen. The weakened area in the abdominal wall is then reinforced using sutures or a mesh patch to prevent the hernia from recurring. The incision is then closed with stitches.
  2. Laparoscopic Surgery: This is a minimally invasive procedure where the surgeon makes small incisions and inserts a laparoscope (a thin, flexible tube with a camera) and specialized surgical instruments into the abdomen. The surgeon views the hernia and surrounding tissues on a video monitor and repairs the hernia using sutures or a mesh.

The choice of surgical technique depends on various factors, including the patient’s overall health, the size and complexity of the hernia, and the surgeon’s expertise. Laparoscopic surgery is generally associated with smaller incisions, less postoperative pain, and a quicker recovery compared to open surgery.

After the procedure, patients usually stay in the hospital for a brief period for observation and pain management. They are encouraged to gradually resume their normal activities but should avoid heavy lifting and strenuous exercises during the recovery period.

As with any surgery, there are potential risks and complications associated with femoral hernia repair, including infection, bleeding, recurrence of the hernia, and damage to nearby structures. However, the vast majority of femoral hernia repairs are successful, and patients experience relief from their symptoms after the surgery.

If you suspect you have a femoral hernia or are experiencing symptoms such as a bulge in the groin area, pain, or discomfort, it is essential to consult a healthcare professional for a proper evaluation and treatment recommendation. They will assess your condition and determine the most appropriate treatment approach for your specific case.

Hiatus hernia

A hiatus hernia, also known as a hiatal hernia, is a medical condition that occurs when a part of the stomach pushes up through the diaphragm and into the chest cavity. To understand a hiatus hernia, it’s helpful to know a bit about the anatomy involved:

The diaphragm is a large muscle that separates the chest cavity (containing the lungs and heart) from the abdominal cavity (containing the stomach, liver, intestines, etc.). There is an opening in the diaphragm called the hiatus, through which the esophagus (the tube that carries food from the mouth to the stomach) passes.

In a hiatus hernia, part of the upper stomach squeezes through the hiatus and ends up in the chest cavity, above the diaphragm. This can happen for two primary reasons:

  1. Sliding Hiatus Hernia: This is the most common type. The junction between the esophagus and stomach (lower esophageal sphincter) and a portion of the stomach slide up into the chest when pressure in the abdominal cavity increases, such as during swallowing or straining.
  2. Paraesophageal Hiatus Hernia: In this less common type, a portion of the stomach squeezes through the hiatus and lies alongside the esophagus, without the esophagus itself moving. This type can sometimes be more concerning, as there is a risk of the herniated stomach becoming strangulated (twisted) and causing blood supply issues.

Hiatus hernias can be caused by various factors, including age-related changes in the diaphragm, increased pressure in the abdominal cavity due to pregnancy or obesity, chronic coughing, lifting heavy objects, or persistent straining during bowel movements.

A hiatus hernia, also known as a hiatal hernia, is a medical condition that occurs when a part of the stomach pushes up through the diaphragm and into the chest cavity. To understand a hiatus hernia, it’s helpful to know a bit about the anatomy involved:

The diaphragm is a large muscle that separates the chest cavity (containing the lungs and heart) from the abdominal cavity (containing the stomach, liver, intestines, etc.). There is an opening in the diaphragm called the hiatus, through which the esophagus (the tube that carries food from the mouth to the stomach) passes.

In a hiatus hernia, part of the upper stomach squeezes through the hiatus and ends up in the chest cavity, above the diaphragm. This can happen for two primary reasons:

  1. Sliding Hiatus Hernia: This is the most common type. The junction between the esophagus and stomach (lower esophageal sphincter) and a portion of the stomach slide up into the chest when pressure in the abdominal cavity increases, such as during swallowing or straining.
  2. Paraesophageal Hiatus Hernia: In this less common type, a portion of the stomach squeezes through the hiatus and lies alongside the esophagus, without the esophagus itself moving. This type can sometimes be more concerning, as there is a risk of the herniated stomach becoming strangulated (twisted) and causing blood supply issues.

Hiatus hernias can be caused by various factors, including age-related changes in the diaphragm, increased pressure in the abdominal cavity due to pregnancy or obesity, chronic coughing, lifting heavy objects, or persistent straining during bowel movements.

Complications of Untreated Hernia

An untreated hernia can lead to several complications that may worsen over time. A hernia occurs when an organ or tissue pushes through a weak spot in the surrounding muscle or connective tissue. While some hernias may not cause immediate problems, others can become serious if left untreated. Here are some potential complications of untreated hernias:

  1. Incarceration: A hernia can become incarcerated when its contents get trapped in the weak spot or hernia sac, leading to the inability to push the protruding tissue back into place. This can cause significant pain, swelling, and discomfort. Incarcerated hernias require immediate medical attention as they can progress to the next stage.
  2. Strangulation: Strangulation is the most severe and life-threatening complication of a hernia. It occurs when the blood supply to the trapped hernia contents is cut off, leading to tissue death (necrosis). Symptoms may include intense pain, nausea, vomiting, fever, and a discolored bulge. Strangulated hernias are medical emergencies that require prompt surgical intervention to prevent gangrene and sepsis.
  3. Obstruction: In some types of hernias, such as hiatal or inguinal hernias, the protruding tissue can obstruct the normal flow of food, fluids, or waste through the affected area. This can cause symptoms like severe abdominal pain, vomiting, and difficulty passing stools or gas. If the obstruction persists, it can lead to more severe complications.
  4. Infection: A hernia can become infected if bacteria enter the weakened tissue and multiply, leading to redness, warmth, tenderness, and fever around the hernia site. Untreated infections can spread and lead to abscess formation, which requires drainage and antibiotic treatment.
  5. Chronic pain: Untreated hernias can cause chronic pain and discomfort as the protruding tissue puts pressure on nearby nerves and tissues. This can lead to limitations in daily activities and a reduced quality of life.
  6. Growth and enlargement: Over time, some hernias may grow larger, making them more challenging to treat and increasing the risk of complications.
  7. Tissue damage: Continual pressure on the hernia can lead to damage to the protruding organ or tissue, potentially affecting its function.

It is essential to seek medical attention if you suspect you have a hernia. Most hernias will require surgical repair to prevent complications and improve the individual’s overall health and well-being. If you have a known hernia and experience severe pain, nausea, vomiting, or the inability to reduce the hernia, seek immediate medical attention, as these may indicate complications requiring urgent treatment.

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