हर्निया के ऑपरेशन का सही वक्त क्या है और हर्निया का सही इलाज क्या है ? Hernia treatment is surgery as there is no medical treatment for hernia. Hindi me video, Dr Nitish Jhawar, laparoscopic and Robotic Hernia Surgeon at Apollo Hospital, Navi Mumbai, India.

You can contact 9833290590 for appointment or visit www.drnitishjhawar.com
Listen till end of the video to understand is the right time to undergo hernia operation and what operation is best for the hernia repair or treatment.
Hernia is asymptomatic bulge or swelling from abdominal wall, which come out while sneezing, coughing exercise etc and goes back inside in lying position. That's why early small hernia may be missed in sonography.

With time bulge increases in size, goes back inside when pushed, and symptoms start, such as dragging pain in groin.

With time it becomes irreducible and may not go back even with pressure, contents of hernia remains in the sac.. and it can get stuck at the neck of the sac (obstruction phase) symptoms such as vomiting, pain may start. immediate hospitalization and surgical treatment is needed at this stage.

Strangulation is next stage, gangrene of the intestine may occur which may cause sepsis in abdomen and become life threatening. ( listen more about hernia stages in upcoming video)

Types of hernia - location
Inguinal
Umbilical
Femoral

When to do surgery- Hernia Ki surgery kab karna chahiye?

Group one- these patients need Immediate surgery without wait Irrespective of hernia size symptom and duration -
Too young, too old patients
Complicated DM
Heart diseases
Lung diseases
Systemic illness
Those who travel a lot to areas where good health facility is not available.

Group -2 - According to Stages
हर्निया किस stage में है इसके अनुसार हर्निया के ऑपरेशन का टाईम निर्धारित किया जाता है, reducible छोटे शुरुआती हर्निया को minimal दूरबीन या रोबोट से ऑपरेशन कर सकते हैं.

Small reducible hernia, no pain or vomiting- Elective surgery during convenient time can be done, meanwhile start controlling risk factors, Obesity and Smoking .. these can cause of hernia and recurrence of hernia

Important point: Weight reduction should be with cardio, running, swimming, Avoid abdominal exercises, as it increases size of hernia and complications.

Irreducible Hernia-
Now surgery wait become in terms of weeks, should be done as soon as possible as complication may start soon.
In Adults mesh is put to reinforce muscle strength, before infection sets in these can be used effectively.

Obstructive strangulated hernia- requires emergency surgery

Type of surgery-

Minimal invasive surgeries-
Laparoscopic and Robotic surgery can be performed in early stages of hernia. As size of hernia increases we loose advantage of these minimal invasive surgery and open surgery may be required.

Advantages-
Less pain
Early return to work
Mesh put inside Muscle without damaging
Long term pain less
Day care

In complications of Hernia like obstruction, strangulation, gangrene peritonitis, options are limited
No mesh can be placed.
Hernia repair may not be possible and emergency complication management becomes priority, Like excising necrosed bowel, managing sepsis, peritonitis etc
In young patient with good muscle strength, chances of success is best..

What is best hernia surgery for me?
Conclusion- 3 points about hernia surgery-
-Get hernia treated as early as possible
-If Complication, seek early treatment
-Minimal laparoscopic and robotic surgery is best for treatment of hernia

Contact -9833290590 for details or appointment and visit drnitishjhawar.com