A hernia is an abnormal protrusion of a part or whole of viscus through an internal opening in the wall of the cavity that contains it. Umbilical hernias constitute about 8.5% to 9% of all hernias. Any kind of hernia is usually caused either due to a weakness in the abdominal muscles or increased abdominal pressure which forces the content through the normal abdominal musculature.
This usually happens through a weak umbilical scar due to sepsis in the neonatal period. This kind of hernia is more common in male babies than females. 90% of these close spontaneously. Surgery is warranted only if they fail to close by 18 months of age.
In adults the hernia does not protrude through the umbilical cicatrix. It protrudes either through the linea alba just above the navel or just below it. Hence it is called as para-umbilical hernia.
In most cases the contents of the hernia are formed by omental fat. In some cases it is accompanied by small intestines and rarely by large intestines.
laparoscopic umbilical hernia surgery in mumbai is the treatment of choice for hernia repair. If delayed it places the patient at risk of irreducibility and strangulation.
Laparoscopic umbilical hernia surgery is a surgical procedure used to repair umbilical hernias. In laparoscopic umbilical hernia surgery in Mumbai and elsewhere, the abdomen is usually entered using an optical trocar at the Palmar’s point. Remaining trocars are inserted through the incisions shown in the figure. Surgeon then inserts a small tube with a camera on its end known as a laparoscope. The laparoscope assists the surgeon in viewing the hernia on a TV monitor. The surgeon typically looks into a TV monitor and operates.
During laparoscopic umbilical hernia repair surgery in Mumbai and elsewhere, first the hernial contents are visualized. These can be omentum or intestines depending on the patient. These are gently reduced with the help of graspers. After this the hernial defect is closed with non-absorbable sutures and an adequate sized dual mesh is placed around the defect and fixed with sutures and tackers. Hemostasis is checked and carbon dioxide removed. Ports are closed and sutured.
Laparoscopic umbilical hernia repair surgery in India and elsewhere should be performed because of the high risk of further complications. Indications for adult umbilical hernia repair surgery in mumbai in adults include pain, skin ulceration, incarceration, hernia rupture, strangulation and defects exceeding 1 cm.
Advantages of laparoscopic umbilical hernia surgery in mumbai technique
Common complications of laparoscopic umbilical hernia repair surgery include:
After laparoscopic umbilical hernia repair surgery in india, the patient is transferred to a postanesthesia care unit. The nursing team closely monitors the patient until he or she is stable. The amount of time spend in the postanesthesia care unit depends on the type of anesthesia used and the patient’s progress. If a patient is given general anesthesia, he or she must be awake and coherent before leaving the postanesthesia care unit.
While in the postanesthesia care unit, the patient is given ice chips, and if they are tolerated, the patient can also be given water after 6 hours. IV lines stay in place until the patient is able to take or tolerate clear liquids and this mostly occurs immediately after the surgery and if a general anesthesia was used.
Mostly, patients are discharged on the next day.
Generally, umbilical hernia repair surgery cost in mumbai, india is determined by different factors. Some of the factors which determine the umbilical hernia surgery cost in mumbai include type of the hospital and type of room. Laparoscopic umbilical hernia repair surgery cost also depends on the duration of hospital stay and the type of mesh used. Adult umbilical hernia repair surgery cost is usually covered by insurance.
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Dr. Aparna Govil Bhasker is an accomplished Bariatric Surgeon and Laparoscopic GI Surgeon. Extremely passionate about her field of specialization. She completed her MBBS and MS in General Surgery in 2006, from Mahatma Gandhi Institute of Medical Sciences (MGIMS), Sewagram. Set up in 1967 by none other than the first health minister of India, Ms. Sushila Nayar, MGIMS is deeply rooted in Gandhian ethics. Read more
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