Hernia Treatment in Thane

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A hernia is a weakness or hole in the abdominal muscle wall through which abdominal contents protrude causing a bulge. The protruding contents push out a pouch of the abdominal lining or peritoneum through the weakness forming the “sac of the hernia”.

Why do they occur?

There are sites of potential weakness in the abdominal wall. The areas in which hernias most commonly develop are the umbilicus, the groin and where there has been an abdominal incision.

There is frequently an opening in the muscle layer at the umbilicus that may have been present since birth. It may enlarge due to anything that causes raised abdominal pressure, such as muscular strain or pregnancy. A hernia may then appear.

In male patients, blood vessels running through the groin muscles to the testicle create a weak area where an indirect inguinal hernia may develop. Strain or muscle deterioration can enlarge this weak spot and force through it, abdominal contents resulting in the development of a hernia. Inguinal hernias may occur in women, although less commonly, and follow the round ligament of the uterus.

Other causes include incisions from old operations which may weaken the abdominal wall, if they do not heal properly after surgery or are weakened by infection. Muscle wall deterioration with age, inactivity or strain which may allow the muscle wall to tear or bulge, resulting in the development of various forms of hernias.

Why should it be repaired?

Dr. Hemant Patil

Advanced Laparoscopic & AWR Surgeon

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Currae Hospital

Dr. Kushal Mittal

Gastroenterologist, Proctologist Surgeon

He had done MS(1992) from MLN Medical College, Allahabad, UP, India He has been an Medical director of MEDICARE Hospital (since July 2001) He is an SURGEON since Jan 1993 and having specialities as Surgical Gastroenterologist, Proctologist He was an Honorary Surgeon, RGMC & CSMH Kalwa Also he is an Editor (India) of Jour Diseases of Colon and Rectum (USA)

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Dr. Mandar Gadgil

Consultant - Laparoscopic and General Surgery

He completed DNB ( General Surgery ) from Rajiv Gandhi Medical College, Kalwa in 2005, Fellowship in Minimal Access Surgery, Mumbai in 2006 and Fellowship in Gastroenterology from Lilavati Hospital, Mumbai in 2006.

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Currae Doctor

Dr. Nayna Dedhia

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Dr. Rajan Relekar

Dr. Rajan Relekar

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Currae Doctor

Dr. Rajiv Vaishampayan

Consultant - General & Laparoscopic Surgeon

Dr. Rajiv Vaishampayan is a General Surgeon in Thane West, Thane and has an experience of 44 years in this field. Dr. Rajiv Vaishampayan practices at Akshay Hospital in Thane West, Thane.

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Dr. Ramesh Punjani

Consultant - Laproscopic & General Surgeon

Dr Ramesh Punjani is a Practicing General Surgeon for Past 27 Yrs. & Laparoscopic Surgeon for Past 17 Yrs. He has Performed thousands of Laparoscopic Surgeries, Basic as well as advanced.

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Dr. Rangan Iyer

Laparoscopic & General Surgery

Dr. Rangan Iyer practices in Currae Specialty Hospital, Thane. Professional qualification's of the Doctor are MBBS and MS and specializes in General Surgery.

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Dr. Sachin Wani

Consultant - Gastroenterology & GI Surgery

He completed his MBBS from Rajiv Gandhi Medical College, MS from Govt. Medical College. He has done his DNB in GI Hepatobiliary surgery from National Board of Examination. He has underwent a training in Laparoscopic GI Once surgery at Tata Memorial Hospital in 2009. He has also done his training in Laparoscopic Hepatobiliary surgery & Laparoscopic Liver resection at NHS...

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Currae Doctor

Dr. Sarang Alaspurkar

Consultant - General Surgeon

Dr. Sarang Alaspurkar is a General Surgeon in Thane West, Thane and has an experience of 17 years in this field. Dr. Sarang Alaspurkar practices at Jupiter Hospital in Thane West, Thane. He completed MBBS from Maharashtra Institute of Medical Sciences & Research (MIMSR) in 1997,FCPS - General Surgery from National Board Of Examination in 2003 and DNB from National...

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Dr. Sunil Bangera

Eminent Laparoscopy surgeon .

He has done his M.B.B.S and M.S from the reputed Grant medical college, Mumbai. He is the first surgeon to start Laparoscopy surgery in Thane in the year 1995. He has 23 years experience of doing laparoscopic surgery and has operated more than fifteen thousand laparoscopy cases. He is a pioneer in advance Laparoscopy surgery. He has operated in over...

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Currae Doctor

Dr. Sunil Sathe

He worked under the guidance of finest teachers of Medical Field like Dr. R D Bapat, Dr. S K Mathur, Dr. A N Supe and Dr. A N Dalvi. He is practicing for last 25 years with teaching experience of 2.5 years and clinical experience of 4.5 years

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Currae Doctor

Dr. Vishwanathan Masurkar

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Why choose laparoscopic repair?

I believe that laparoscopic repair is less painful than conventional repair, both in the short and long term. It allows for shorter hospitalisation and the patients are able to resume normal activities at an earlier stage, than with traditional repairs. Dr Ritchie has only seen one recurrence in an inguinal laparoscopic repair in over 3500 cases, whereas traditional methods carry a 5% recurrence rate. The only disadvantages are that the procedure requires a general anaesthetic and that there are more equipment expenses namely; the laparoscopic ports, the mesh and the hernia tacker, that is used to fix the mesh in place. As mentioned however, hospital stays and convalescent times tend to be shorter than with open repairs.

How is it performed?

This description refers to extra-peritoneal laparoscopic repair for an inguinal or femoral hernia. Under a general anaesthetic, three small incisions are made in the abdominal wall. The largest of these is a vertical incision about 2cm just below the umbilicus. A small transverse incision in the superficial sheath of the rectus abdominis muscle, the only cutting of muscle in this procedure, is made and a balloon dilating device is passed downwards to the pubic bone between the abdominal muscles and the lining of the abdomen, the peritoneum. The balloon is blown up separating the peritoneum from the muscle layer. This separates easily with little bleeding. The balloon is withdrawn after deflation and replaced by a tube-like structure called a laparoscopic port. The space is inflated with CO2 and a telescope inserted into the space. The abdominal cavity is not entered during this procedure, therefore greatly reducing the likelihood of damage to the abdominal organs or production of adhesions. Two further 0.5 cm incisions are made between umbilicus and pubic bone on the opposite side of the abdominal wall to the hernia to puncture into the space two fine 0.5 cm diameter ports to accommodate operating instruments. The peritoneum is then gently pushed away from the muscle layer until a sizeable space is created and the muscle defect is revealed. The sac of the hernia is pulled back into this space. Other structures that are revealed include the back of the pubic bone and the blood vessels running to the leg and, in a male patient, those running to the testicle and the abdominal wall. Once the muscle layer is cleared a piece of flexible polypropylene mesh measuring 12 X 15cm approximately, is then slid down the large port and manoeuvred so as to cover the hole in the muscle and also all other potential areas where hernias can occur in this area. The mesh is held in place with approximately 8-10 tiny absorbable tacking devices. The space is filled with local anaesthetic and the ports withdrawn.

The positive pressure in the abdominal cavity pushes the peritoneum onto the mesh trapping it like the meat in a sandwich. Any increase in the abdominal pressure, as in straining, simply pushes the mesh firmly against the abdominal wall. Straining therefore, does not have the effect of pulling apart the repair as it does in sutured repairs. This contributes enormously to the strength and durability of the repair. As the repair is tension free, it is less painful than sutured techniques. Skin wounds are closed with dissolving sutures.

What are the complications?

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