Dr. Samrat Jankar is an expert Gastroenterologist in Pune. He has performed more than 1000+ Hernia Surgery in Pune
through the laparoscopy, the most preferred and advances surgical method. He is associated with Symbiosis University Hospital and Research Centre where he has led setting up the department of Minimal Invasive & Surgical gastroenterology. He is extremely prolific and active in organizing conferences, CMEs and much more in the best interest of the medical fraternity.
Hernia Specialist in Pune say that hernia occurs when pressure pushes an organ or a tissue out through an opening or a weak muscle of a fascia of the patient. This weak spot could be at birth or occurs later on. Any sort of pressure in the abdomen can lead to a hernia, which could happen in event of any of the following situations -
- Persistent sneezing or coughing
- Constipation and/or diarrhea
- Lifting heavy objects without proper support to the abdominal muscles
- The other factors that could lead to weak muscles and hence hernia are smoking, obesity, lack of nutritious diet, and so on.
Treatment & Diagnosis
Diagnosis of Hernia
A simple physical examination helps in diagnosing a hernia condition. The hernia lump or swelling is visible on standing or can be felt when a hand is moved over it. Ultrsound and/or abdominal x-rays are recommend by Hernia Specialist in Pune for more accurate diagnosis relating to its size and location.
Different types of Hernias
The hiatal hernia occurs at the opening of the diaphragm which is located between the stomach and the chest. In this hernia, the stomach bulges into the chest area.
The two types of hiatal hernias are paraesophageal and sliding. In a paraesophageal hernia condition, the stomach pushes its way through the hiatus and rests next to the esophagus. This condition may lead to a strangulated hernia as the blood supply is likely to get cut off. On the other hand, the sliding hernia is the most commonly occurring hernia. In this condition the stomach and the lower end of the esophagus enter the chest through the diaphragm and rest there.
- Inguinal hernia
An inguinal hernia occurs in the inguinal or the groin area. In this type of hernia, abdominal fat or the intestines travel through the lower abdominal wall and bulge outwards in the inguinal area.
An inguinal hernia occurs when the intestines or fat from the abdomen bulge through the lower abdominal wall into the inguinal, or groin, area. Inguinal hernias can be indirect or direct in nature. Indirect inguinal hernia is congenital i.e. present at birth due to a defect in the abdominal wall. Direct hernia occurs due to weakened muscles in the abdominal walls. It is usually found in adult males who have strained or done a great amount of heavy lifting.
- Femoral hernia
Femoral hernia occur below the inguinal ligament and in the upper area of the thigh near the groin. At times, this area is referred to as the femoral canal by Hernia Specialist in Pune, which develops on account of natural weakness. Treatment of a femoral hernia involves an emergency surgery considering the high chances of likely complications.
- Umbilical Hernia
As the name suggests, umblical hernia occurs in and around the belly button due to weakness in the umbilical area. The hernia occurs most in pregnant women or after their delivery and in overweight people. Hernia repair surgery is a must as the hernia grows in size and can get strangulated leading to life-threatening condition.
- Incisional hernia (from an incision)
Incisional hernia occur at a healing surgical site. It is identified by a bulge or a protrusion of tissue and is visible when doing a physical activity or standing. Surgery is the only way to heal an incisional hernia. Hence, people are refrained from performing heavy exercises, lifting weights or any other strenuous activity after surgeries or pregnancies.
Elaborating on surgery that is already present
Open Hernia Repair
- In open hernia repair, also called herniorrhaphy, a person is given local anesthesia in the abdomen or spine to numb the area, general anaesthesia to sedate or help the person sleep, or a combination of the two.
- Then the surgeon makes an incision in the groin, moves the hernia back into the abdomen, and reinforces the muscle wall with stitches Open hernia surgery is performed with an incision, or cut in the groin. The hernia sac containing the bulging intestine is identified. The surgeon then pushes the hernia back into the abdomen and strengthens the abdominal wall with sutures or synthetic mesh. Most patients are discharged a few hours after surgery, and resume normal work within a few days. Strenuous activity and exercise are restricted for four to six weeks after the surgery. Usually the area of muscle weakness is reinforced with a synthetic mesh or screen to provide additional support; an operation called hernioplasty.
Laparoscopic Inguinal Hernia Repair
A laparoscopic (minimally invasive) hernia surgery uses a small incision into which the laparoscope is inserted. The instruments to repair the hernia are inserted through other small incisions in the lower abdomen. This procedure (Laparoscopic surgery) is usually performed under general anaesthesia, so before the surgery, patient will have an evaluation of his/her general state of health. There is no or less pain during this surgery.
TEP (Total extraperitoneal preperitoneal repair) – In this procedure, the hernia specialist will not enter the peritoneal cavity and seal the hernia using a mesh from outside the peritoneum which is the thin membrane that covers the organs in the abdomen.
TAPP (Transabdominal preperitoneal repair) – During this procedure, the surgeon enters the peritoneal cavity through the 3 small incisions over the abdomen and place a mesh covers hernia site from inside.
Laparoscopic Ventral Hernia Repair: Ventral hernia is a bulge that usually occurs on the abdomen through the opening in the muscles. It can be easily treated with surgery, either open or laparoscopic.
Dr. Samrat Jankar, a proficient Hernia specialist in Pune, is an expert in laparoscopic Hernia Surgery in Pune and has successfully carried out hundreds of surgeries. He does Laparoscopic Ventral Hernia Repair through these procedures:
IPOM (Intraperitoneal On-lay mesh repair) – This is a unique technique in which the special mesh is placed from inside the abdomen covering over the hernial site.
eTEP-TAR – This is a novel procedure introduced in 2012 to tackle complicated hernias. In this, they create a larger space to deal with large hernias. Here the surgeons place the mesh in the retro muscular space in between layers of the abdominal wall while performing Hernia Surgery in Pune.
Hernia Specialist in Pune say that this procedure provides fewer fixation issues, less pain, lower chances of recurrence, and fewer bowel adhesions.