The beauty of laparoscopy is that these surgeries are virtually painless. The quick recovery is evident since the patient is moving around in less than four hours of surgery. To keep the post-operative period pain-free oral acetaminophen is sufficient in most cases!
For laparoscopic hernia repair the typical admission-to-discharge time is 24 hours! Yes, a single day of admission covers surgery and post-op recovery as well.
Stitch removal is a painful experience for most and hence we use dissolvable sutures and glue. This lets you take bath right from the post-operative day one! Feeling fresh after reading this?
Fast recovery is the norm with laparoscopic hernia surgery, not exception. We encourage walking four hours after the surgery. Climbing stairs, doing household chores and walking outside the house is acceptable. We strongly recommend you to pay attention to your pain; your pain is the best indicator. Any activity that gives you pain should be stopped.
No, but it wise to avoid lifting heavy objects for first 4-6 weeks. This is the period body needs to integrate the mesh within.
For safety and the comfort of the patient laparoscopic hernia surgery is best performed under general anaesthesia.
Good sugar control is mandatory before any planned hernia surgery. The same is verified by doing your HbA1C level.
Obesity is a known risk factor that complicates a given hernia. It also adds to increased risk of infection and recurrence post surgery. In an elective setting, If your BMI is above 40 kg/m2 then weight loss is encouraged either via strict medical regime or surgical help. To know more about surgical weight loss options click here.
Smoking should be stopped at least 4 weeks prior to surgery. Best is to stop it forever. Smoking causes impaired healing, increased chances of infection, poor integration of mesh and risks related to anaesthesia. Your hernia expert might ask you to undergo test to prove abstinence.
Blood thinners prevent blood clotting and hence should be stopped 5-7 days before the planned surgery.
An array of tests are mandatory before any planned surgery. This includes blood tests and evaluation of cardiac and lung function. A complex or recurrent hernia may need CT scan of the abdomen. In view of COVID-19 pandemic a RT-PCR is mandatory before undergoing surgery.
Advanced hernia surgery focuses on giving positive outcomes. The risk of recurrence can be dependant on patient related factors like age, diabetes, smoking status, collagen disorders etc. or an implant related like mesh rupture.
There are special formulas available now that enables us to decide the correct size of the mesh for a given hernial defect before surgery. A correct sized mesh is one of the factor for prevention of recurrence.
We give utmost priority to quality and we use only high quality implants from reputable companies. A combination of such strategies and high skills brings the recurrence down.
It depends. The choice of putting in a mesh or not depends upon many factors. Hernial size defect is an important factor along with BMI, presence of infection or a strangulated hernia which guides your hernia surgeon to decide whether to put mesh or not. A 2 cm or less hernial defect may get away without putting in a mesh. However, the same defect is in obese individual may need mesh. It’s also important to understand that the recurrence rates are as high as 50% when mesh is not used. This decision is best taken after careful evaluation and mutual discussion.
There always exists a minor chance of infection, bleeding, chronic pain and the risk of recurrence. However, utmost care is taken to optimise the patient and high standards are maintained throughout to ensure that the complications rate is minuscule.
Follow ups ensure that proper post-operative care is extended throughout. Complications, if any, can be picked up sooner.
First post-operative follow up is after 07 days of surgery, 2nd follow up is 1 month after and 3rd follow up after 6 months and 4th follow up is after 1 year and then annually once. Complex cases need annual CT scan of the abdomen for evaluation of abdominal core health and to find out early recurrence.