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Best and Low Price Hernia Surgery in Bangalore

Does your hernia wet your cornea?
What is a hernia? You got it? If you have it, how do you know? It is painful? Is it hereditary? What exactly causes it? Does the lump in the belly cause hernia, the lump? Do you need surgery to correct it? Many questions! Let’s start by addressing the first.
What are the different types of hernia? Depending on the site of the uneventful, there are different types of hernias. Umbilical hernia, femoral hernia, incisional hernia, epigastric hernia and hiatus hernia. In this article, the inguinal hernia is discussed.
A hernia is an abnormal protrusion of an organ or part of an organ through a weak spot in the body. Inguinal hernia is the most common among hernias and affects mainly men than women in a ratio of 7:1, respectively. You do not want equality in these matters, ladies, trust me! The hernia can be direct or indirect. In GOT (game of thrones), do you remember Hodor? The scene where the white walkers attack Bran and run for their lives? Hodor holds the door so the white walkers don’t kill Bran and turn him into one of them. If Hodor played security at the tower entrance and the white walkers still entered? It would be an indirect hernia. Here the white walkers may be the abdominal viscera mainly the colon and Hodor is the deep inguinal ring. Similarly, and also as it happened in GOT, Hodor stood at the back door of the tower and the white walkers finally came out. Here, it is a direct hernia and the iconic Hodor, being the posterior wall of the inguinal canal.
What is this inguinal canal? It is a muscular channel that contains structures that pass through it. They are the spermatic cord (in males), the round ligament (in females), the ilioinguinal nerve, there is a genital branch of what is called the genitofemoral nerve and finally a remnant of the processes vaginalis. The weak area of ​​all inguinal hernias is the site between the inguinal ligament and the iliopubic tract called the myopectineal orifice of Fruchaud.
What causes hernia? Sometimes people are born with it. There may be a collagen disorder due to weakened ligaments, prune belly syndrome is congenital, and acquired collagen deficiency is due to smoking. Yes, smoking not only causes cancer but also hernia. They forgot to put that in the package. Basically, anything that increases intra-abdominal pressure adds to the cause of the hernia, such as cough, constipation, ascites, obesity, pregnancy, straining during urination, and heavy lifting. Cases of hernia after appendectomy have also been reported.
An indirect hernia is younger and a direct hernia is older. Inguinal hernia usually presents as a swelling in the groin and is painful in nature and can radiate to the umbilical region.

The normal investigations performed for diagnosis are,
• Routine blood tests and urine tests. The elderly may need a lot of additional tests, such as a chest x-ray, ECG, and PFT. Urinary complaints are checked for prostate enlargement and urethral problems.
• Ultrasound can detect a sac where the hernia cannot be diagnosed by clinical evaluation. It is useful in postoperative swellings, bruises and recurrences.
• CT (computed tomography) for giant hernias.
• Magnetic resonance imaging (MRI) is ideal for athletes, to differentiate between a muscle spasm and a hernia.
The treatment of a hernia depends on its presentation. Herniotomy, herniorrhaphy, and hernioplasty are the three major surgical techniques that are performed. For adolescent patients with hernia, herniotomy is preferred.
Herniorrhaphy: Modified Basini herniorrhaphy is now performed for patients who have good muscle tone with indirect and direct hernia. In this procedure, the surgeon repairs the stretched ligament and a herniotomy is also performed. Shouldice repair is another type of herniorrhaphy where the herniotomy is performed with correction of the hernia using the surrounding tissues using absorbable and non-absorbable sutures in different layers.
The third surgical method is hernioplasty, which is performed in patients with or without good muscle tone who present indirect or direct hernia and also in recurrent hernia. This approach is performed to strengthen the posterior wall of the inguinal canal. Firming is done by repairing the weakened posterior wall with a prolene mesh or Marlex mesh. Therefore, a thick fibrous layer is formed that acts as a foreign body and our immune system provides it with the necessary cement. An artificial deep ring is also made. This mesh technique is quite brilliant as it has a long life, preferably socioeconomic; the risk of infection is minimal when handled in a sterile environment and also due to its amazing biocompatibility. Prolene dare is also done in some cases, which basically consists of sewing up the loose ends and strengthening them.
There are some other techniques like Kuntz operation which is usually done on older people, Mcvay, Nyphus repair, Stoppa repair, Marcy repair. The most recent advances are game changing procedures such as the Dasarda technique which creates a hernia system that is exceptional and mesh plug repairs are gaining popularity as they have much better patient compliance.
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Laparoscopic surgery or open surgery? In my opinion, open is a better option for this condition. But both have their own pros and cons. Open surgery interferes with bowl function. Also, if there are any complications during laparoscopic surgery, the surgeon would have to open up and go old school. Also, open surgeries are cheaper than laparoscopic ones, but the recovery period varies indistinguishably.
Complications are common after surgery. They can be during, before or after surgery. They are not worrisome but few need to be attended by the surgeon. Care must be taken to avoid infection of the postoperative wound by the patient or caregivers. In very few cases, patients complain of lower abdominal pain, a characteristic persistent pain months after surgery, which could be due to injury to surrounding nerves. This is treated with nerve blocks with numbing agents and steroid injections.
If the hernia is not treated at the right time, it can give rise to a series of complications that are bothersome like,
• An obstructed hernia.
• A strangulated hernia is quite noticeable as it can cause shock and sepsis and needs immediate surgical attention as the intestine can become gangrenous.
• A sliding hernia is an incarcerated hernia where stool can slide into it.
• Inflammation is another impediment that can range from a simple hernia to a life-threatening one.
• Recurrent hernia is common in 10 percent of those who have been treated before.

With all the due advancements in the surgical and medical field, hernia is one of the most common cases till date that needs effective, relentless and instant treatment. So don’t ignore a lump because it’s not so Gump.

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