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Expert hernia repair surgery by Dr. Himanshu Yadav. Treat inguinal, umbilical, incisional, and hiatus hernias with advanced techniques, including open and laparoscopic approaches.
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Hernia: Causes, Symptoms, and Expert Treatment.
A hernia occurs when an internal part of the body, such as an organ or tissue, pushes through a weak spot in the abdominal wall, creating a noticeable bulge. This bulge, often referred to as a hernia lump, frequently appears in the groin area and is known as an inguinal hernia. Hernias can arise due to a variety of factors including chronic straining, aging, or complications from previous surgeries, such as an incisional hernia.
Understanding Hernias: Causes and Risk Factors
Hernias can develop due to several underlying causes and risk factors:
Chronic straining: This can be caused by activities like heavy lifting, chronic coughing, or constipation.
Aging: Weakening of the abdominal muscles over time can contribute to hernia formation.
Obesity: Excess weight puts additional pressure on the abdominal wall.
Previous surgeries: Incisional hernias can occur at the site of a surgical incision.
Genetic predisposition: Some individuals may have a genetic predisposition to developing hernias.
Meet the Hernia Specialist – Dr. Himanshu Yadav
For expert hernia repair and management, consult Dr. Himanshu Yadav at Ujala Cygnus Rainbow Hospital, Sarkar Nursing Home, or his private clinic. Dr. Yadav is renowned for his proficiency in both open and laparoscopic hernia surgeries, providing tailored care to ensure optimal recovery and results.
Types of Hernias and Their Treatments
Inguinal Hernia: The most common type, especially in men, often resulting from heavy lifting or chronic straining. Symptoms include a visible bulge in the groin that may extend into the scrotum. Surgery is the primary treatment, with options including open hernia repair and laparoscopic hernia repair. Laparoscopic surgery is favored for its minimal recovery time and reduced scarring.
Hiatus Hernia: This occurs when part of the stomach pushes through the diaphragm into the chest cavity, frequently linked with acid reflux and heartburn. Treatment strategies may involve lifestyle modifications or surgical intervention. Laparoscopic surgery is often used to correct the hernia and alleviate reflux symptoms.
Umbilical and Paraumbilical Hernias: Located near the belly button, these hernias are common in adults with weakened abdominal muscles or following pregnancy. Repair typically involves a mesh, applied through either open surgery or laparoscopic techniques to ensure a durable solution.
Incisional Hernia: Develops at the site of a previous surgical incision that has not healed properly. These hernias can vary in size and may require complex repair methods, often using a mesh for reinforcement. Dr. Yadav offers both open and laparoscopic options, depending on the hernia’s characteristics.
Femoral Hernia: Occurs just below the groin and is more common in women and older adults. Although less frequent, this type of hernia requires surgical repair to prevent complications.
Surgical Options for Hernia Repair
Dr. Yadav provides two primary methods for hernia surgery:
Open Hernia Repair: Involves a single incision at the hernia site to return the protruding tissues to their proper place, followed by the placement of a mesh for reinforcement.
Laparoscopic Hernia Repair: This minimally invasive approach uses small incisions and a camera to guide the surgery. Benefits include reduced postoperative pain, quicker recovery, and smaller scars. A larger mesh is used for comprehensive support. Dr. Himanshu is pioneer in using 3D laparoscopic surgery and has started with Robotic repairs in collaboration with teams of Delhi’s top notch hospitals.
Why Choose Dr. Himanshu Yadav?
Dr. Yadav’s extensive experience in hernia repair and his commitment to patient-centered care make him a top choice for those seeking effective and personalized treatment. Whether through open surgery or laparoscopic techniques, his expertise ensures that each patient receives the best possible outcome.
Post-Operative Care After Hernia Repair Surgery: Your Comprehensive Recovery Guide.
Recovering from hernia repair surgery involves several key steps to ensure a smooth and effective recovery. This guide provides essential tips on diet, wound care, activity, and more to help you manage your recovery and avoid complications.
1. Post-Surgery Diet –
After hernia surgery, it’s normal to experience a reduced appetite for a week or two. This reaction is due to the stress of the procedure, and your appetite should gradually return. If you feel persistently nauseated or have trouble keeping liquids down, please contact our office for assistance.
2. Wound care –
Proper wound care is vital for healing. Here’s how to manage your incisions:
Showering: You can start showering about 36 hours after surgery. If you have a dressing, remove it before showering. The small adhesive strips (known as **steri-strips*) are okay to get wet. They will start to peel off on their own within 7-10 days. You can remove them completely if they’re peeling, but you don’t need to keep them on for your postoperative visit.
Avoid Baths and Pools: Refrain from using baths, swimming pools, or hot tubs for at least two weeks after your surgery.
Scar Management: Avoid applying ointments or other medications to your incisions, as these do not enhance healing and might hinder the process.
3. Activity and Exercise –
Managing your post-operative activity is crucial for a smooth recovery. Follow these guidelines:
General Activity: Light activities such as walking, climbing stairs, and resuming sexual intercourse are usually fine as long as they don’t cause pain. Returning to normal activities gradually can aid in recovery, but always listen to your body. If something doesn’t feel right, take it easy and adjust accordingly.
Strenuous Activities: Avoid lifting anything heavier than 15 pounds and any strenuous activities for at least six weeks, especially after **umbilical hernia repair*. Avoid activities that increase abdominal pressure, like heavy coughing or straining during bowel movements.
Deep Breathing: Practice deep breathing exercises to keep your lungs healthy and reduce the risk of respiratory issues. If deep breathing is uncomfortable, try supporting your abdomen with a pillow while coughing.
Gentle Walks: Walking is beneficial as it helps maintain muscle strength, promotes blood flow to the surgery site, and reduces the risk of complications. Start with short walks and gradually increase the duration as you feel comfortable.
Pelvic Tilts: This exercise strengthens your core without stressing the hernia site. To do pelvic tilts:
4. Returning to Work:
Everyone’s recovery timeline is different. While some may return to work right away, most people take 1-2 weeks off. If you need a medical certificate for work, contact our office for assistance.
5. Driving:
You can usually resume driving once you have been off narcotic pain medications for at least two days.
6. Bowel Movements:
Expect your first bowel movement within 1-5 days after surgery. It’s common to have increased gas and possibly diarrhea or loose stools, as your digestive system adjusts. To prevent constipation from pain medications, consider taking increased fiber and prescribed stool softners.
7. Managing Seromas:
It’s normal to feel as though your hernia has returned immediately after surgery due to fluid accumulation at the surgery site. This post-operative fluid is typical and will usually be absorbed by your body over several weeks.
8. When to Contact Us:
Contact our office @Dr Himanshu Yadav if you experience any of the following:
Pain control techniques help you deal with pain instead of taking it away. It is important to practice the technique even when you do not have pain if possible. This will help the technique work better during an attack of pain.
Activity: It is important to start moving as soon as possible after hernia surgery. Moving helps your breathing and digestion and helps you heal faster. But, it may hurt to move even though moving and being active actually helps lessen abdominal pain over time. At first you may need to rest in bed with your upper body raised on pillows. This helps you breathe easier and may help lessen post-surgery hernia pain.
Cold and Heat: Both cold and heat can help lessen some types of post-op pain. Some types of pain improve best using cold while other types of pain improve most with heat. Caregivers will tell you if cold and/or hot packs will help your abdominal pain after hernia surgery.
Pillow: Holding a pillow firmly against your incision can help lessen the pain.
Distraction: By distracting yourself, you can focus your attention on something other than the pain. Playing cards or games, talking and visiting with family may relax you and keep you from thinking about your hernia pain. Watching TV or reading may also be helpful.
Music: It does not matter whether you listen to music, sing, hum or play an instrument. Music increases blood flow to the brain and helps you take in more air. It increases energy and helps change your mood. Music may also cause your brain to make endorphins which further lessens pain.
Relaxation Techniques: Stress and anxiety can make pain worse and may slow healing. Since it is difficult to avoid stress, learn to control it. Ask for more information on deep breathing exercises, muscle relaxation techniques, or meditation.
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