Hernia Surgery in Pune – Laparoscopic Repair

Advanced laparoscopic and open hernia repair by expert surgeon

What is a Hernia?

A hernia occurs when internal tissue (usually part of the intestine) protrudes through a weakness in the surrounding muscle or connective tissue. This creates a visible bulge or lump, often felt when standing, coughing, or straining.

While many hernias are not immediately dangerous, they can cause discomfort, enlargement, and risk of serious complications if the protruding tissue becomes trapped (strangulated).

Types of Hernias

Inguinal Hernia (70%)

Most common type. Appears in groin area when intestine pushes through abdominal wall weakness.

Umbilical Hernia (10%)

Bulge near belly button. More common in infants but can occur in adults, especially after pregnancy.

Incisional Hernia (10%)

Develops through scar from previous surgery. Risk increases with infection or poor healing.

Hiatal Hernia (10%)

Part of stomach pushes into chest through diaphragm. Causes reflux and heartburn.

Symptoms of Hernia

Visible Bulge: Noticeable lump that may come and go with position changes

Discomfort or Pain: Aching, heaviness, especially with lifting or prolonged standing

Pressure Sensation: Feeling of fullness or pressure in affected area

Referred Pain: May radiate to groin or thigh (for inguinal hernia)

Reflux Symptoms: Heartburn and regurgitation (for hiatal hernia)

When Is Hernia Surgery Needed?

Surgery Recommended

Painful or enlarging hernia
Obstruction or blockage
Risk of strangulation
Affecting quality of life
Symptomatic hiatal hernia

Can Be Monitored

Small asymptomatic hernia
No discomfort or pain
Not affecting activities
No enlargement over time
Good overall health

Laparoscopic vs Open Surgery

Aspect	Laparoscopic	Open Surgery
Incisions	3-4 small (0.5-1cm)	1 larger (3-5cm)
Recovery Time	1-2 weeks	3-6 weeks
Pain Level	Minimal	Moderate to Severe
Hospital Stay	Day-care or 1 night	1-2 days
Return to Work	3-5 days	2-4 weeks
Scarring	Minimal	Significant
Recurrence Rate	5-10%	10-15%

Hernia Repair Procedure Steps

Laparoscopic Repair

1. Anesthesia: General anesthesia administered

2. Insufflation: CO2 gas inflates abdomen for visualization

3. Identification: Hernia site identified with camera

4. Mesh Placement: Mesh inserted and fixed over hernia

5. Closure: Incisions closed with minimal scarring

Open Repair

1. Anesthesia: Local or general anesthesia

2. Incision: Single larger incision made

3. Dissection: Tissue separated to expose hernia

4. Repair: Hernia reduced and mesh or tissue reinforcement

5. Closure: Layer-by-layer closure with sutures

Recovery Timeline

Days 1-3: Rest at home. Pain management and antibiotics. Limited activity.

Week 1-2: Gradual increase in activity. Avoid heavy lifting (over 5kg). Return to light activities.

Week 3-4: Resume normal daily activities. Avoid strenuous exercise. Light work possible.

Week 6+: Resume all activities including exercise. Complete healing and mesh integration.

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Other Treatments Available

Piles Treatment

Fissure Treatment

Fistula Treatment

Hernia Repair: Laparoscopic and Open Options

Hernias occur when tissue protrudes through a weakness in the abdominal wall—inguinal and umbilical types are common. Surgical repair reinforces the defect, often with mesh. Laparoscopic repair may offer smaller incisions and quicker return to activity for suitable candidates.

Pre-operative assessment

Fitness for anaesthesia, hernia size, and prior surgery guide TEP/TAPP versus open repair. Risks including seroma, chronic pain, and recurrence are discussed individually.

Recovery

Gradual lifting restrictions protect the repair; follow-up confirms healing.

Frequently Asked Questions

What is a hernia?

A hernia is when internal tissue or organs push through a weak spot in the surrounding muscle or connective tissue, creating a visible bulge.

When should I have hernia surgery?

Surgery is needed if hernia is painful, enlarging, causing obstruction, or if there is risk of strangulation. Some small asymptomatic hernias can be monitored.

What is the difference between laparoscopic and open hernia surgery?

Laparoscopic is minimally invasive with smaller incisions, faster recovery, and less pain. Open surgery has longer recovery but may be needed for large hernias.

Is hernia surgery dangerous?

Hernia surgery is safe with modern techniques. Complications are rare (1-2%) and include infection, bleeding, or recurrence.

How long does hernia surgery take?

Laparoscopic surgery typically takes 30-60 minutes. Open surgery may take 45-90 minutes depending on hernia size and complexity.

What is the recovery time after hernia surgery?

Laparoscopic recovery: 1-2 weeks. Open surgery recovery: 3-6 weeks. Full recovery and mesh integration takes 3 months.

Can hernias recur after surgery?

Recurrence rates are 5-10% for laparoscopic repair and 10-15% for open repair. Using mesh significantly reduces recurrence.

What can I eat after hernia surgery?

Start with clear liquids, progress to soft foods. Avoid heavy, fatty, and spicy foods for 1-2 weeks. Maintain high-fiber diet to avoid constipation.

This procedure is performed at Sharvari Hospital

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