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Laparoscopic Hernia Treatment in Pune, India

When an internal organ or other body component protrudes through the muscle or tissue wall that typically surrounds it, it is called a hernia. The majority of hernias develop between the chest and the hips, in the abdominal cavity. Although most hernias aren't life-threatening, they don't go away on their own. They may require surgery to avoid serious complications. Dr. Shrikant Kurhade is one of the best Hernia Specialist in Pune, provides complete Hernia Treatment in Pune and Pimpri Chinchwad.

What is HERNIA?

A hernia occurs when the inside layers of the abdominal wall weaken and then bulge or tear. In the same way an inner tube pushes through a damaged tire, the inner lining of the abdomen pushes through the weakened area to form a balloon-like sac. This, in turn, can cause a loop of intestine or abdominal tissue to slip into the sac, causing severe pain and other potentially serious health problems.

  • Requires only 3 or 4 tiny openings
  • Much less postoperative pain
  • Heal faster
  • Earlier return to work
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Frequently Asked Questions

Inguinal and femoral hernias are caused by weakened muscles that might be present from birth or develop as a result of age and frequent stresses on the abdomen and groin regions. Physical exercise, weight, pregnancy, regular coughing, or straining on the toilet due to constipation can all cause strain. Adults can develop an umbilical hernia by straining their abdominal muscles, being overweight, coughing for a long time, or giving birth. Hiatal hernias are not completely understood, however, they may be caused by a weakening of the diaphragm with age or strain on the abdomen.

A hernia in the belly or groin can cause a lump or bulge in the abdomen or groin that can be pushed back in or disappear when lying down. After the lump has been pushed in, laughing, sobbing, coughing, straining during a bowel movement, or physical activity may cause it to reappear. Other signs and symptoms of a hernia include:

  • Increased pain at the site of the bulge.
  • Pain while lifting.
  • A dull aching sensation.
  • Increase in the bulge size over time.
  • A sense of feeling full or signs of bowel obstruction.
  • Swelling or bulge in the groin or scrotum

Inguinal hernia
The spermatic cord and blood arteries going to the testicles pass via the inguinal canal in males. The circular ligament that supports the womb is seen in the inguinal canal in women. In an inguinal hernia, fatty tissue or a section of the intestine protrudes from the top of the inner thigh into the groin. This is the most common form of hernia, and males are more likely than women to have it.
Umbilical hernia
Near the navel, fatty tissue or a part of the intestine pushes through the abdomen (belly button).
Hiatal (hiatus) hernia
Through a hole in the diaphragm, a part of the stomach rises into the chest cavity (the horizontal sheet of muscle that separates the chest from the abdomen).
Femoral hernia
At the top of the inner thigh, fatty tissue or a portion of the intestine protrudes into the groin. Femoral hernias are far less prevalent than inguinal hernias, and they mostly afflict women in their later years.
Epigastric hernia
Between the navel and the lower section of the sternum, fatty tissue protrudes through the abdominal region (breastbone).
Incisional hernia
Tissue from a distant abdominal or pelvic procedure protrudes through an abdominal scar.
Diaphragmatic hernia
Organs in the abdomen pass through a diaphragm opening into the chest.
Spigelian hernia
The intestine pushes through the abdomen below the navel, on the side of the abdominal muscle.

A bulge in the area where a hernia has developed may generally be seen or felt during a physical examination. Your hernia specialist in Pune feels the area around the testicles and groin while the patient coughs as part of a normal physical exam for inguinal hernias in men. Soft-tissue imaging, such as a CT scan, can sometimes effectively detect the illness.

We at Dr Kurhade's best hernia spcialialist clinic provides laparoscopic treatment with state of art facility in Pune. A 3- to 5-inch incision is made through several layers of skin, fatty tissue and muscle to reveal the hernial sac. The incision is made on an angle just above the line where the abdomen meets the thigh.

The most important part of the surgical repair involves removal of the hernial sac and closure of the opening in the inguinal canal. This closure is accomplished by sewing the edges of the remaining tissue together after the hernial sac is removed or by attaching a mesh patch to the outside of the abdominal wall just beneath the layer of muscle.

15+ Years Of Experience

Dr Shrikant Kurhade

MBBS, MS Surgery (GMC, Mumbai) Fellowship of National Board-FNB-MAS FMAS, FIAGES, FALS - Robotic Surgery, Consultant laparoscopic, endoscopic and Robotic surgeon

Dr Shrikant Kurhade is considered as one of the best General and Laparoscopic Surgeon and he is also known as one of the best Bariatric Surgeon in Pune. Dr Shrikant Kurhade has expertise as a GI, Bariatric, Robotic, colorectal and gastro surgeon and is a reputed Hernia and Piles specialist in PCMC and Pune city. He has expertise in managing large and recurrent hernias with Abdominal Wall Reconstruction techniques. He is expert in piles treatment, with special interest in stapler and Laser surgery.

  • Practicing since 2011 in Pune
  • He has perform various laparoscopic & complicated surgeries of Hernia
  • Our centres available at Alandi, Charholi & Pimple Saudagar

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Dr. Shrikant Kurhade is best Hernia specialist provides all types of hernia surgeries. A hernia does not heal on its own and needs to be corrected surgically, especially since it has a tendency to increase in size. Read about hernia causes, symptoms and treatment. Dr. Shrikant Khurade from Pune Mahrashtra India.

What is HERNIA?

A rupture may be a weakness or gap within the wall that always ends up in bulging out of fat or associate in nursing organ like gut, that then occupies house below the skin. The gap within the wall through that the fat or organs protrude is termed the rupture defect. Hernia will have an effect on anybody – going by statistics one-in-ten folks can have herniation at some purpose in our lives. It is found in each sexes, will occur at any age and generally infants could also be born with it. Surgery for rupture is one among the foremost usually performed operations worldwide with variant cases being treated once a year.

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Thus, a wise call would be to search out a rupture specialist and find the rupture repaired as before long as potential. A useful rule of thumb is that once you are sure you have a hernia, it is best to have it treated as early as possible and as well as possible.

Treatment of Hernia

The definitive treatment of hernia is a surgery. With loads of hernias remaining well for long, an evident question that may arise in one's mind is, ' What if I leave my hernia untreated?' Well, the overall accord among the medical fraternity is that 'All hernias ought to be repaired unless severe pre-existing medical conditions build surgery unsafe'. Many patients, particularly those having a smaller, asymptomatic hernia who are anxious of undergoing a surgery still choose to stay away from a surgical treatment. However it should be borne in mind that:

A well rupture typically causes pain and discomfort with time. Also, in those with gentle existing symptoms, the symptoms typically worsen with time. In case you delay a surgery, the rupture can presumably increase with time, making a future repair technically more difficult. Typically, an additional speedy recovery is achieved when surgery for a smaller rupture. The possibility of strangulation always looms large. It is typically additional common with the smaller hernias Associate in Nursing you definitely don't need it whereas you're on a vacation in some remote place or before an important event like a wedding.

Learn more about your treatment

understanding the basics of a hernia surgery

The goal of a rupture surgery is to repair the weak tissue within the wall and seal the defect in order that fat or intestines cannot appear it once more. Depending upon the surgical approach used, there are 2 forms of repairs; Open repair and Laparoscopic (keyhole) repair. In Associate in Nursing Open surgery, one long incision (cut) is formed within the space of the rupture. The herniated organs are pushed back in place and the area is then sutured back with/without placing a mesh to strengthen the weak area of the abdomen. The basic principles of a Laparoscopic repair stay an equivalent, the only significant difference being that instead of a single long cut, several small (3-5) nicks are made each being about a centimeter long. A laparoscopic repair is finished below anesthesia and carries additional advantages sort of a faster recovery, lesser post-operative pain and lower infection rate. However, a laparoscopic repair may not be possible if you have a large hernia or you can't receive general anesthesia. It is best to depart the choice to your doctor UN agency are in an exceedingly higher position to come to a decision that approach would profit you additional relying upon varied factors like location/type/severity of rupture likewise as your medical record.

1. Inguinal hernia repair surgery : Primary Muscular Repair aka should ice’s Repair

Requires only 3 or 4 tiny openings

This methodology involves pushing back the herniated organs and stitching the wall tissues back in conjunction with the assistance of sutures. However, the abdominal muscles are perpetually below tension when the stitching and therefore might probably sink another time within the future. Hence, this procedure has a high recurrence rate.

Simple Proline Mesh Repair aka Liechtenstein’s Repair

In this 'tension-free' repair, a Polypropylene mesh is used to seal the defect so that the tension that the muscles are under in a should ice’s repair is avoided. The procedure is usually done under local anesthesia and needs 24-48 hour hospitalization. Although the procedure is time tested, safe and economical, there are chances of post-operative groin pain (Inguinodynia) due to nerve entrapment.

Laparoscopic Repair (TEP and TAPP Repair)

Heal faster

In these procedures done below anesthesia, a Polypropylene mesh is placed on the inner side of the abdominal wall (posterior compartment). However, these are technically rather more tough procedures with a repetition rate of 8-15%. Hospitalization time needed is 24-48 hours.

3-D Mesh Hernia Repair

This is the foremost advanced and most popular technique for hernia repair. It is a straightforward and promising methodology that covers the rupture defect from three sides- on top of, below and center. It is a tension-free repair during which a polyprotein mesh is employed.

  • Negligible recurrence rate,
  • No risk of chronic groin pain as no stitches are taken to repair the mesh.
  • It is an awfully short procedure requiring concerning 15-20 minutes
  • Day care procedure with a brief hospital keep of concerning twelve hours.

2. Femoral hernia repair surgery

A Femoral hernia repair surgery can be done either as an open surgery or a laparoscopic surgery. In the open surgery one long incision created is whereas in an exceedingly laparoscopic surgery concerning three little nicks are made. In either of the surgeries, the operating surgeon reduces the herniation by pushing the fatty tissues/loop of gut back to the abdomen. This is followed by securing the limb canal with a mesh to repair the weakness that let the rupture through. Both open and hole surgeries are safe and effective, though there's lesser pain and a quicker recovery when a hole surgery.

Understanding the mechanism of hernia

To choose the proper treatment, it is of utmost importance that you understand what exactly hernia is. The abdominal wall which consists of the abdominal muscles and tendons, holds the abdominal contents in place. These abdominal contents consist of fat and various organs especially the intestines. The parries envelopes these contents sort of a corset. If there is any weakness or opening in this wall, the corset like effect is lost and it gives way to the abdominal contents causing them to protrude through the defect. This bulging of the fat/organs is what we tend to decision the rupture, which is usually visible as a swelling under the skin. This mechanism is analogous to what happens with a bulge during a broken tire, where the inner tube, normally contained by the hard rubber of the tire extends out through a thin or weakened space.

Why do hernias occur?

Any condition that will increase the pressure of the cavum over a protracted amount of your time might become a cause for rupture e.g. Obesity, chronic cough, heavy lifting, chronic constipation leading to straining during bowel movement. Family history of rupture makes an extra doubtless to urge it. Some hernias may be present at birth Idiopathic, which means the cause is not known.

Symptoms of hernia

A rupture might 1st seem as a brand new lump or bulge within the groin or within the abdominal space. There is also AN associated uninteresting ache however sometimes it's not painful on bit. The lump will increase in size on standing, coughing and may be pushed back/disappear on lying down. A small painless rupture if left untreated, usually increases in size. Occasionally, the hernia may become irreducible i.e. it cannot come to the cavum on lying down or with manual pushing. At this stage it also becomes painful.

Sometimes the loop of gut that has herniated becomes stalemated. This can cause extreme pain, nausea, vomiting, constipation and desires immediate treatment. At times the rupture becomes 'strangulated' (explained any below) within which the person seems unwell with/without fever, nausea, vomiting and extreme pain even to touch. This condition is life threatening and therefore a surgical emergency.

Umbilical hernia repair surgery

Umbilical hernia in adults is turning into fairly common because of increasing incidence of fat and laparotomy (Port-site hernia). A repair is also worn out either if the subsequent ways:

Primary Muscular Repair

This methodology involves reducing the rupture and stitching the abdominal muscles back along with the assistance of sutures (surgical thread). However, this methodology contains a high repeat rate because of absence of mesh.

Proline Mesh Repair

In this method, a Polypropylene mesh is placed over the defect. However, following this procedure, there are high chances of collection of pus at the operation site which makes it an unfavorable choice.

Laparoscopic Repair

Done under general anesthesia, 4 incisions of 1 cm each are taken. The defect is closed from the posterior facet with a mesh.

Epigastric and incisional hernia repair

Umbilical hernia in adults is changing into fairly common thanks to increasing incidence of avoirdupois and laparotomy (Port-site hernia). A repair is also worn out either if the subsequent ways:

Primary Muscular Repair

This technique involves reducing the rupture and stitching the abdominal muscles back in conjunction with the assistance of sutures (surgical thread). However, this technique contains a high return rate thanks to absence of mesh.

Proline Mesh Repair

In this method, a Polypropylene mesh is placed over the defect. However, following this procedure, there are high chances of collection of pus at the operation site which makes it an unfavorable choice.

Octomesh Repair

In this innovative methodology, a specially designed Polypropylene mesh implant called Octomesh is used. As the name suggests, the Octomesh has 8 integrated radiating arms (tentacles) which are simply tunneled through the muscles of the abdominal wall. These arms are control firmly in situ by friction. The most striking advantage of an Octomesh repair is that it is a suture less (no internal stitching) with negligible recurrence rate. The absence of sutures additionally reduces the post-operative pain and possibilities of pus assortment.

3-D Mesh repair

Most of the above methods involve removing the umbilicus, but at Healing Hands Clinic we ensure that umbilicus is preserved by adopting a modified 3-D umbilical hernia repair. The point is repositioned to attain a wonderful cosmetic outcome. It is a day care procedure which means you will be discharged from the hospital the same day. The recurrence rate is almost negligible.

Laparoscopic Repair

Done under general anesthesia, 4 incisions of 1 cm each are taken. The defect is closed from the posterior side with a mesh. Although quite popular because of less post-operative pain and early recovery, the cosmetic outcome of this procedure is not good as some amount of bulge remains post-operatively.