Key-hole or laparoscopic surgeries to repair hernias have been performed at Lilavati Hospital, Mumbai.
Usually, hernias are repaired through cutting open the body through surgical operations which require longer hospital stay for recovery as some hernias could lead to complications.
However, with a new surgical technique performed live at the Lilavati Hospital demonstrated that most of the hernias – even the toughest ones like incisional hernia can be repaired through a small ‘key-hole’ opening.
Dr B S Shastri, consultant – general surgery, Lilavati Hospital and internationally acclaimed Dr Eduardo Parra-Davila, co-director of minimally invasive and bariatic surgery at Celebration Hospital in Florida, who together them performed three hernia surgeries at Lilavati Hospital through the modern key-hole technique.
The key-hole surgery for hernia involve minimum amount of blood loss the abdomen is not cut open and reduced hospital stay and far less recovery time as there are no deep surgical wounds are formed as in the case of conventional hernia operations.
The surgeons at Lilavati Hospital showed that all the three types of hernias — incisional,component separation and iguinal can be effectively cured through key-hole surgical technique.
Inguinal hernia is a very common ailment found in around 27% of men and 3% of women. Inguinal hernia is a protrusion of abdominal-cavity contents through the inguinal canal.
Inguinal hernia is normally repaired through open surgery and this is one of the most frequently performed surgical operations.
Component separation hernia repair – reconstruction of the abdominal wall to repair ventral hernias continues to pose a challenge to surgeons due to relatively high rates of recurrence and morbidity.
Incisional hernias occur in areas of weakness caused by an incompletely-healed surgical wound. Traditional “open” repair of incisional hernias can be quite difficult and complicated operations.
These can be among the most frustrating and difficult hernias to treat.
The weakened tissue of the abdominal wall is re-incised and a repair is reinforced using a prosthetic mesh.
Complications frequently occur because of the large size of the incision required. These are primarily wound complications.
Unfortunately, a mesh infection after this type of hernia repair most frequently requires a complete removal of the mesh and ultimately results in surgical failure.
In addition, large incisions required for open repair are commonly associated with significant postoperative pain.
Laparoscopic or key hole technique is offered as a new effective and less-risky procedure for incisional hernia repair.
The operation is performed using surgical telescopes and specialised instruments.