Hernia Surgeon in Pune — Advanced Laparoscopic & Complex Ventral Hernia Expert (1,200+ Hernia Surgeries)

Hernia fundamentals

A hernia is a gap in the muscle/fascia layer allowing contents (commonly intestine or fat) to bulge. Inguinal hernias dominate male surgical lists; umbilical and incisional types track obesity, pregnancy, and prior surgeries. India’s rising metabolic disease burden increases incisional hernias after open abdominal operations. Untreated groin hernias risk incarceration or strangulation — a surgical emergency.

Large, recurrent or incisional defects need reconstruction rather than a simple patch — see complex ventral hernia repair (eTEP, TAR, Rives-Stoppa).

Dr. Kundan Kharde explains why hernias happen: a weak abdominal wall — congenital or after previous surgery — combined with pressure that pushes tissue through it. Common drivers are chronic constipation and straining, heavy lifting, persistent cough, smoking and obesity. Because the muscle gap cannot close itself, a hernia does not heal without surgical repair.

Symptoms and emergencies

Groin ache, visible bulge that worsens with cough, constipation strain, or gym. Red flags: painful non-reducible lump, vomiting, distension — possible strangulation; seek emergency care immediately.

Elective opinion with Dr. Kundan Kharde when a bulge is new, enlarging, or symptomatic enough to limit work near Wakad / Hinjawadi / Baner.

Dr. Kundan Kharde explains how to recognise a hernia: a bulge in the groin or near the navel that grows on standing, coughing or straining; dragging discomfort or pain on lifting; and a lump that flattens on lying down. See a surgeon when the bulge hurts, keeps enlarging, or will not push back.

A recent case: a 15-year-old umbilical hernia that strangulated overnight

A woman in her late 60s had lived with an umbilical hernia for about 15 years and came to me at night with vomiting, pain and a swelling that would not go back. That combination is a strangulated hernia until proven otherwise, so I operated the same night. The trapped loop of bowel recovered its colour once I released it, and no bowel had to be removed. I did a sutured repair without mesh because of the emergency setting. She went home in 3 days.

Read the full case with clinical images and video →

Types at a glance

Complex ventral, incisional and recurrent hernia

A hernia that has come back after a previous mesh repair, a large incisional hernia after abdominal surgery, or a defect with loss of domain is not a routine case. Dr. Kundan Kharde is a complex ventral hernia repair expert who plans these with CT mapping and uses eTEP, Rives-Stoppa retro-muscular repair and transversus abdominis release (TAR) as needed, with 1,200+ hernia surgeries behind that judgement. Complex ventral hernia surgeon in Pune →

First clinic visit

History explores cough, constipation, lifting job, prior mesh infection, and fitness comorbidities. Examination standing and supine measures reducibility. Ultrasound sometimes clarifies occult groin pain. Hernia clinics at Dr. Kharde’s locations allocate time for mesh consent discussions.

Treatment ladder

Watchful waiting

Only for tiny asymptomatic inguinal hernias in selected studies — most symptomatic bulges eventually need repair.

Open mesh repair

Lichtenstein tension-free mesh under local/regional anaesthesia remains gold-standard for many groin hernias — especially if laparoscopy is risky.

Laparoscopic TEP / TAPP

Ports behind the abdominal wall allow posterior mesh placement with quicker return to desk roles in many (not all) patients — candidacy depends on prior surgery, size, and anaesthesia fitness.

*Typical; varies.

Why Dr. Kharde for hernia in Pune

Laparoscopic abdominal work is a discipline, not a gadget. 19+ years and 6,000+ surgeries background mean he chooses Sharvari Hospital lists when mesh sterilisation, instrument sets, and anaesthesia depth match risk — patients from PCMC to Aundh get the same transparent counsel on open vs lap trade-offs.

Procedure day

Nil-by-mouth per anaesthesia team; antibiotic prophylaxis when protocols demand. Laparoscopic stack creates pneumoperitoneum (TAPP) or extraperitoneal space (TEP), meshes deployed, fixation per technique, ports closed. Recovery checks swallow, walk, pain scores — many groin cases discharge same day or next morning.

Recovery timeline

Week 1: walking encouraged; driving when you can stamp brakes pain-free. Weeks 2–4: graded return to gym — no ego lifting. Month 2+: heavy manual labour often cleared if clinically healed. Mesh seromas can puff temporarily — photograph changes if worried.

Risks

Seroma, haematoma, mesh infection (low but serious), chronic pain, recurrence, urinary retention post-TAPP, rare vascular injury. You receive written red-flag guidance.

Cost bands

Unilateral lap inguinal mesh repair often quoted ₹85,000–₹1,85,000+; complex incisional hernias escalate — confirm after ultrasound/CT planning. Cashless insurance common for symptomatic hernias.

Composite cases

Startup founder: bilateral lap repair Friday, desk Monday with caveats. Teacher: open repair under spinal due to lung issues — still back to classroom in 10 days. Driver: incarcerated hernia emergency elsewhere stabilised, elective definitive mesh later.