Laparoscopic Hernia & AWR Complex Hernia Surgery
Dr. Bhushan Chittawadagi is a consultant and an Advanced Laparoscopic, Gastro, and GI Cancer Surgeon practicing at Hosmat Hospital, Bangalore, Karnataka. He has more than 18 years of experience in the field of Laparoscopic GI & HPB Surgery making him one of the best laparoscopic surgeons in Bengaluru, Karnataka. He is specialized in Laparoscopic hernia surgery, Gall bladder stone, Obesity, liver and pancreas diseases, GI surgery, Piles, and Breast & Thyroid diseases. He is a well qualified and accomplished surgeon tip in the field of Gastrointestinal Surgery, which includes all kinds of GI cancer, Liver & Pancreatic, Bariatric, and minimally invasive surgery, with a keen interest in the postoperative/intensive care of patients in his unit. He has previously worked at HCG Cancer Unit Bangalore, Sparsh Hospital Bangalore, and Prestigious GEM Hospital & Research Center, Chennai.
Dr. Bhushan’s career has combined research, education, and clinical care. His clinical areas of expertise are on both the cancerous and non cancerous disorders of the esophagus and stomach. Non cancerous disorders such as the treatment and diagnosis of GERD, Barrett’s esophagus, achalasia, hiatal hernia, and para esophageal hernia among others. The cancerous disease of the esophagus and stomach as squamous cell carcinoma, adenocarcinoma, GIST, and Neuroendocrine carcinoma.
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large or complex abdominal wall defects are a particularly challenging surgical problem. Abdominal wall reconstruction surgery is an advanced surgical procedure that strengthens a weakened or damaged abdominal muscle and restores the normal function of the abdominal wall. It is a procedure recommended for patients with advanced hernias and requires specialized surgical expertise.
What is a hernia?
Hernias are bulges in the belly where intestines and abdominal fat come out under the skin through a defect or hole or weak spot in the abdomen. The defect may be in a scar from a previous operation or a naturally present gap in the abdomen. Hence, the common sites for hernias are the groin, navel, abdomen, or a previous operation site. A hernia is becoming a very prevalent disease these days and people are availing hernia surgery to address them effectively.
Who needs abdominal wall reconstruction?
Patients who have complex hernias, the return of previously repaired hernias, or patients who have suffered trauma to the abdomen. Many patients have large hernias that result in deformity of the abdomen.
What is a complex hernia?
A complex hernia often occurs at the site of an earlier hernia repair and the hernia has returned. With repeated attempts at the repair of hernias, the surrounding tissue can become weak or stretched and it may need to be augmented or replaced. Large hernias of the abdominal wall can result in deformity of the abdominal wall requiring a complex hernia repair. The presence of a fistula makes the repair even more complicated.
What are the different types of hernia?
Inguinal hernia:
An inguinal hernia occurs when a small portion of the bowel bulges out through the inguinal canal into the groin. It mostly occurs in men.
Causes:
Some inguinal hernias have no proven cause. Others might occur due to:
• Increased pressure within the abdomen.
• A weak spot in the abdominal wall from before.
• Strain during bowel movements or urination.
• Strenuous activity.
• Chronic coughing or sneezing.
Symptoms:
• Several symptoms will let you know that you have an inguinal hernia:
• A bulge may appear on either side or both sides of your pubic bone.
• An aching or burning sensation in the area of the bulge.
• Pain or discomfort in your groin which you will mostly feel when bending over, coughing, or lifting.
• A dragging and heavy sensation in your groin.
• Weakness or pressure in your groin.
Femoral hernia:
It mostly occurs in women. A femoral hernia occurs when a portion of tissue pushes through the wall of the femoral canal.
Causes:
• Childbirth.
• Chronic constipation.
• Heavy lifting.
• Being overweight.
• Difficulty in urination due to an enlarged prostate.
• Pregnancy.
• Chronic coughing.
Symptoms:
• Severe stomach pain.
• Sudden groin pain.
• Nausea.
• Vomiting
Umbilical hernia:
Most common in infants, an Umbilical hernia occurs when part of the intestine sticks out through the opening in the abdominal muscles through which the umbilical cord passed before a child is born.
Causes:
• Obesity.
• Multiple pregnancies.
• Fluid in the abdominal cavity.
• Previous abdominal surgery.
• Long term dialysis treatment to treat kidney failure.
Symptoms:
For babies: The bulge may be visible only when they cry, cough, or strain.
For adults: It may cause abdominal discomfort.
Incisional hernia:
It develops after abdominal surgery at the same place where the incision has been done.
Causes:
• Putting too much pressure on your abdomen.
• Becoming pregnant before the cut fully heals.
• Doing physical activities too soon after surgery.
• For some reason, when a surgical cut doesn’t properly heal.
Symptoms:
• Nausea and vomiting.
• Fever.
• Burning or aching near the hernia.
• Abdominal pain and discomfort, particularly around the hernia.
• Faster heartbeat than usual.
• Constipation.
• Diarrhea.
• Thin, narrow stool.
Hiatal hernia:
When the upper part of your stomach bulges through the large muscle separating your abdomen and chest it is known as a hiatal hernia.
Causes:
• Age related changes in your diaphragm.
• Injury to the area after certain types of surgery.
• Being born with an unusually large hiatus.
• Continuous and intense pressure on the surrounding muscles.