Low Cost Hernia Repair Surgery in India

Hernia Repair Surgery in India is performed by highly skilled consultants and surgeons in India at the best hospitals having most advanced techniques. Medicare Spots is a medical value provider in India having association with the Best surgeons and Hospitals, providing world-class treatment at affordable prices

What Is Hernia?

A hernia is a medical condition in which an internal organ or fat or tissue bulges out of the skin through a weak spot in the outer skin membrane. This weak spot can either be the natural opening of the body, such as the groin and the belly button, or the site of any previous injury.

The abdomen is the most common site for hernias to develop, however, they can outgrow in the chest, upper thigh and groin areas as well. Hernias are not a fatal condition and give an ample amount of time to the person to address and cure it. Failing to do so, however, can cause unwanted complications in the later life. Sometimes, hernia also appears in the groin area and the upper thigh.

Facts about Hernia Repair Surgery:

Hernia can happen to both men and women, but men are more prone to hernia. In many cases, babies can also get hernias.

The small hernia may not cause pain to the patients so they could not be aware of it Hernia surgery can be performed in a day, and the patient can go home on the same day Hernia surgeries are safely secured, there is nothing to worry about.

Obesity is a major contributor of hernia. If you are overweight, you have a higher risk of developing a hernia.

What are the causes of Hernia Repair Surgery?

Weak muscles and strain are the two most common causes of hernia. Hernia can develop very quickly in some cases, whereas in others, it can develop over a long period of time.Some of the major causes that can lead to the problem of hernia are:

Heavy weightlifting- Lifting heavy weights or doing strenuous exercises for a long period of time has been found out to be a prime factor leading to hernia.
Constipation or diarrhea- If you suffer from chronic constipation or diarrhea for long, you have a potential risk of developing a hernia.

Persistent cough– Any factor that leads to chronic cough, such as smoking, can lead you suffer from hernia.

Poor nutrition- Your diet plays a major role in the formation or prevention of a hernia. One can develop a hernia due to the consumption of poor quality diet or too much spicy food.

In addition to these, there are factors than increase the chances of a hernia. These are:

Family history
Aging
Pregnancy
Premature birth
Cystic fibrosis

Symptoms of hernia:

Hernia is generally painless and causes no immediate problems. But, a hernia that keeps growing needs medical attention. Hernia, when grows big, can lead to constant discomfort and pain.

This condition gets worse when the person stands for long, strains too much while urinating or bowel movement, or lifts anything heavy. If you notice that the swelling has increased or there is soreness, it is advisable to consult a doctor.

In some worse cases, a hernia can develop too much and become strangulated. In that case, the person needs to go for an immediate surgery. The most common symptom of hernia is a bulge that becomes clearly visible.

Depending upon the type of hernia, your symptoms may vary. Common symptoms of hernia include:

Heartburn along with pain in the chest and burning.
Nausea
Vomiting and sometimes retching (make the sound and movement of vomiting)
Sour eructations (A sour taste in the mouth)
Belching
Excessive salivation in the mouth as reflex due to acidity.
Asthma
Repeated infection of the lungs causing pneumonia and bronchitis
Coughing spasm due inhalation or aspiration of gastric acid
Pain while swallowing food
Aggravation of symptoms after food.
Symptoms are better or may resolve either by sitting up or lying down.
Acidic or sour taste in the mouth
Sore throat
Sweating
Raspy voice
Difficulty to pass bowel
Feeling heaviness and a sense of general discomfort due to gas.

The most frequently seen types of hernia include:

Hernias can be of various types depending upon the places they occur. Some of the most common hernias are listed below:

Inguinal hernias – the most common hernia, seen more in men, causes a bulge in your groin. The inguinal hernia appears through your inguinal canal, a narrow passage that blood vessels pass through in your abdominal wall and, may reach your scrotum.
Femoral hernias – also a bulge in your groin, relatively uncommon and seen more in women. The femoral hernia happens at the hole in your abdominal wall where the femoral artery and vein pass from the abdomen into your leg.
Hiatus hernias – occur in your upper chest area when part of your stomach pushes up into your chest by squeezing through a gap in your diaphragm called the hiatus.
Umbilical/periumbilical hernias – This form of hernia is witnessed commonly among babies and children, but can happen to adults too. In this hernia, the intestines of the child bulge out through the abdominal wall near the belly button
Incisional hernia – occurs through a scar from past abdominal surgery as tissue pokes through the weak healed site in your abdominal wall.

Diagnosis For Hernia Repair Surgery in India

The doctor will perform a physical exam to diagnose the hernia. The doctor may also examine the bulge in the groin area. You may be asked to stand and cough or strain, this will help the doctor diagnose the hernia better. If the hernia isn’t apparent from the physical test, you may be recommended an imaging test like a X-ray, CT scan, an abdominal ultrasound, MRI or Endoscopy.

Types of Hernia Repair Surgery In India

The most effective way to treat a hernia is through surgical repair. If the condition of the hernia is severe, surgery is the best treatment. Painful hernias can lead to a lot of discomfort and to prevent any potential risks in the future, it is recommended that the person undergoes a surgery.Generally, there are two types of operations for hernia.

Open Hernia Repair surgery In India – In this process, the doctor makes an incision in the groin area and pushes the bulging tissue into the abdomen. The surgeon stitches the weak area, mostly with a synthetic mesh. After this is done, the surgeon closes the opening using a surgical clue or stitches it. This is the conventional process of surgery and the patient might require 3-5 weeks to completely recover.
Laparoscopic Hernia Repair Surgery In India : A laparoscopic hernia surgery is a minimally invasive approach that involves the use of a laparoscope that allows a laparoscopic surgeon to repair the weakened area through several small incisions that are about half-centimetre in size, using a non-absorbable mesh to cover the weak area. In this process, the doctor inserts a tiny camera called a laparoscope through the minute incision. Using the camera, the doctor diagnoses the hernia better and repairs it using synthetic mesh. This process is not painful and requires a much shorter time for the person to recover.
Hybrid Laparoscopic Technique : A technique where skin incision may be given in some cases to improve the outcome and also remove the excess/ redundant skin for better cosmetic outcomes.

What complication can happen after the hernia Repair surgery In India?

Hernia Repair surgery is a routine procedure, but as with all surgeries there are risks of complications. These may vary depending upon the exact hernia operation you have and your health. Your surgeon will discuss these with you in detail.

Often the greatest complication risk is a reoccurrence of the hernia. Other hernia surgery side effects include: build-up of seroma or a fluid-filled sac under the surface of the skin, inability or difficulty urinating, organ or tissue damage, wound infection and, rejection of the mesh.

How soon will I recover after the hernia repair surgery In India?

Recovery time after hernia repair surgery is usually two to three weeks. Most patients will return to normal daily activities and go back to work within a week. You should not do any heavy lifting for at least six weeks. Your surgeon will talk to you about what you can and cannot do for your specific hernia operation.

You’ll have sixty days of post discharge outpatient care commencing the day you leave a Ramsay Hospital including a follow up with your surgeon to check on your hernia as part of your aftercare package.

How to Treat a Hernia at Home?

Here are some of the simple practices that a person with a hernia can follow at home:

Follow a healthy lifestyle
Eat small meals six times a day
Avoid spicy food and caffeinated drinks
Don’t go to bed immediately after having a meal
Lose weight to cut down pressure off your abdomen
Wear a brace or truss to support the hernia
Do exercises like incline leg lifts, inclined cycling, pillow squeezes etc.

What to eat when you suffer from a hernia?

You diet should include the following:
Leafy greens
Nuts and seeds
Whole grains
Peas and Beans
Non-citrus fruits and juices
Lean proteins
Fish and tofu
Cinnamon
Ginger
Apple cider vinegar

What to avoid eating when you suffer from a hernia?

Fried or oily food
Red meat
Caffeine
Alcohol
Tomatoes
Chocolate
Carbonated drinks

Risks and complications:

A hernia, if left untreated, can lead to several complications like:

Incarcerated hernia – If the hernia gets trapped in the weak abdominal wall, it can obstruct the bowel movement leading to severe pain and vomiting.
Strangulation – The hernia, if continuously keeps growing, can strangulate the intestine. This is very risky and can often be life threatening.
Pressure on nearby tissues – If not surgically repaired, a hernia can grow or enlarge and extend to the scrotum, causing discomfort and pain.

Exercises to do if you suffer from hernia?

The following exercises will help you get relief if you suffer from a hernia. These exercises are very easy and can be followed at home without any professional help.

Single leg raising – Lie down on the floor with both arms by your side. Slowly inhale and raise one leg up without bending the knee. Repeat the process with the other leg. Keep repeating this for 15-20 times.
Embryo – Lie down with your arms stretched. Bend your knees, raise your legs and inhale slowly. Now exhale and bring your knees close to your chest. Hold the position for a few seconds. Bring your chin close to the knees. Now stretch your leg and rotate it in the air. Repeat this for 5 times, with each leg.
Head lifting – Stretch your arms on your side and lie down. Raise your head, arms and shoulders. Exhale while doing this. Hold for a few seconds. Inhale and come down to the old position. Repeat this for 20 times.

What is the cost of hernia repair surgery in India?

Laparoscopic Hernia Repair Surgery In India $1,100
Open Hernia Repair Surgery In India $2,000

Best Surgeon For Hernia Repair Surgery in India

Dr. Ajay Kumar Kriplani

Director , MBBS, MS
33 Years of Experience
Gurgaon, India.

Dr. A.K. Kriplani is one of the most respected surgeon in the field of laparoscopic and gastrointestinal surgery in India .
With an experience of over 33 years, he is among the first few surgeons to introduce laparoscopic surgery in India & also advancing it to the next levels.
He was the first one to perform laparoscopic adrenalectomy, laparoscopic splenectomy and laparoscopic live donor nephrectomy for renal transplant in India.
He has been awarded with many International awards and honour’s including the prestigious Dr S.R. Joglekar Award and Dr N. Sethuraman Oration.
He has trained hundreds of surgeons in laparoscopic surgery from India and adjoining countries like Nepal, Afghanistan, Pakistan, etc.
Dr. Kriplani completed his MBBS & MS from the Ravi Shankar University in Raipur, Madhya Pradesh
Dr. Kriplani has been invited nationally and internationally for delivering guest lectures and demonstration of live laparoscopic surgeries.

Dr. Rashmi Pyasi

Senior Consultant , MBBS, MS
20 years of experience
Gurgaon, India

Currently associated as Senior Consultant with Bariatric department at Fortis Memorial Research Institute, Gurgaon.
Pioneer in coloproctology, performing over 1000 MIPH (stapled hemorrhoidectomy) and also in rectalsurgery, performing over 500 MIPHs.
Specializes in female surgical disorders, including laparoscopic (incisional) hernia repairs, weight loss surgery and breast disorders.
Experience of 20 years in surgery including Laparoscopic, Bariatric & G I Surgery and in scarless,single incision laparoscopic gall bladder surgery.

Dr. Mayank Manjul Madan

Consultant , MBBS, MS
15 Years of Experience
Gurgaon, India

Dr. Mayank M. Madan has vast experience in Advanced Laparoscopic Surgery by virtue of training in one of the best Laparoscopy centers in the country i.e. Global Hospital, Hyderabad and now associated with W Pratiksha Hospital in Gurgaon and delivering his best laparoscopic treatment in Gurgaon.
He has expertise in the field of laparoscopic procedures for gallstones, CBD explorations, TEP/TAPP hernia repairs, Bariatric procedure viz. sleeve gastrectomies and Roux-en-Y gastric bypass, Nissen’s fundoplication for Reflux disorders, lap. Hysterectomy and surgery for ovarian tumors, a variety of laparoscopic Colo-rectal surgeries, Laparoscopic Solid organ surgeries as splenectomy, cystogastrostomy and various other procedures.
He has had a meritorious academic record throughout his life. Having done his graduation and then post-graduation (M.S- General surgery) from Pt. BDS, PGIMS, Rohtak which is one of the best medical colleges in India, he served as Registrar and then as Lecturer and Asst. Professor at the said institute. He continued to enrich his skill and knowledge by pursuing IMA certified training in laparoscopic surgery. He then obtained Diploma in Advanced Laparoscopic Surgery at the renowned Gem Institute, Coimbatore under the guidance of the pioneer of laparoscopic surgery in India- Dr. C Palanivelu.
His interest in advanced laparoscopic procedure inspired him to undertake a two-year fellowship in advanced laparoscopic and Bariatric surgery at Global Hospital, Hyderabad.
He obtained rich exposure in advanced GI surgeries during this period while working at tertiary level GI surgery hospital. During this period he also published a number of papers in acclaimed journals and obtained fellowship of Indian Association of gastrointestinal and endoscopic surgeons (FIAGES).
His passion for advancing his experience and skill inspires him to continually attend conferences and share knowledge with the best brains in the field.

Case Study of Hernia Repair Surgery In India

97-years Male with Life- Threatening Hernia undergoes successful high risk surgery

The patient suffered from Multiple Morbidities- Diabetes, Hypertension, Compromised cardiac function having high pre- operative cardiac risk along with dementia.

Gurugram, July 2018:

A 97 years old male with life threatening, painful, irreducible, left sided groin hernia also suffering from multiple medical problems like heart disease, Parkinson’s disease, Lung disease, diabetes, hypertension etc underwent successful lifesaving surgery at Fortis Memorial Research Institute Gurugram.

Dr Ajay Kumar Kriplani, Head of laparoscopic and G I Surgery at FMRI said the surgery was extremely challenging as after 90 years of age, 19 % men die naturally every year without any surgery (due to heart attack, stroke, infection and age related issues), the risk of death after surgery is 27.8 % and after an emergency surgery it may be up to 49%. The patient age was on higher 90’s and was bed ridden with very limited activity which add to the risk. Complicated groin hernia is a serious surgical emergency needing immediate relief otherwise intestines may develop gangrene. Other challenges included a huge, irreducible, painful hernia containing large intestines and a suprapubic catheter placed in the lower abdomen near the area of surgery to control urinary infection.

the patient was uncooperative and could not be operated under local anaesthesia and hence General anaesthesia was required. The general anaesthesia was risky and difficult since the patient’s heart function was compromised (Ejection Fraction 38 %), breathing was not smooth and had a rigid neck. After explaining all pros and cons to the family which accepted the risk, anaesthesia was given by Dr Balkar Singh Head of Anaesthesia and Dr Sunil Malik. The surgical team included Dr A K Kriplani, Dr Shashank Rastogi, Dr Bijendra Sinha. The technique needed modification due to suprapubic catheter which enhances the risk of infection. The patient recovered smoothly and is now tolerating diet and is responsive as before surgery. The family, which includes many doctors, are highly thankful and appreciative of the care and treatment. Such cases are examples of patient centricity at Fortis Hospital Gurugram .