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    All Posts in Category: hernia

    Comments Off on Who is at Risk For Hernia?
    Hernia Treatment

    Who is at Risk For Hernia?

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    A Hernia is a common medical condition affecting people of all ages and backgrounds. It occurs when an organ or fatty tissue protrudes through a weak spot or tear in the surrounding muscle or connective tissue. While hernias can develop in anyone, certain factors can increase the risk of developing this condition. In this article, we will explore who is at risk for hernia and discuss Hernia Treatment options.

    Factors That Increase Hernia Risk

    Several factors can contribute to an increased risk of developing a hernia. These risk factors include:

    1. Age

    One of the most common risk factors for hernias is age. As individuals get older, the muscles and connective tissues that support the abdominal wall may weaken, making them more susceptible to hernias. This is especially true for individuals over the age of 50.

    2. Gender

    While hernias can affect both men and women, they are more commonly seen in men. In particular, inguinal hernias, which occur in the groin area, are more prevalent in males.

    3. Family History

    Hernias can also run in families, suggesting a genetic predisposition. If you have close relatives who have experienced hernias, you may be at a higher risk of developing one.

    4. Obesity

    Excess body weight and obesity strain the abdominal muscles, increasing the risk of hernia development. The additional pressure on the abdominal wall can lead to muscle weakness and tears.

    5. Chronic Coughing or Sneezing

    Frequent, persistent coughing or sneezing can strain the abdominal muscles and increase the likelihood of developing a hernia. Conditions such as chronic obstructive pulmonary disease (COPD) or allergies can contribute to chronic coughing.

    6. Heavy Lifting

    Jobs or activities that involve heavy lifting can increase the risk of hernias, especially if proper lifting techniques are not used. Lifting heavy objects without engaging the core muscles can strain and weaken the abdominal wall.

    7. Pregnancy and Childbirth

    Pregnancy and childbirth can put significant pressure on the abdominal muscles and pelvic floor. This increased pressure can lead to the development of hernias, particularly in women who have had multiple pregnancies or experienced difficult childbirths.

    8. Constipation and Straining

    Chronic constipation and straining during bowel movements can stress the abdominal muscles and increase the risk of hernia formation. Maintaining a healthy diet and managing constipation can help reduce this risk.

    Hernia Treatment

    If you or someone you know is at risk for hernia and develops one, it’s essential to seek medical attention promptly. Hernias do not typically resolve on their own and may require treatment. The type of hernia treatment recommended will depend on the size and location of the hernia, as well as the individual’s overall health.

    1. Watchful Waiting

    In some cases, particularly with small hernias that are not causing symptoms, a “watchful waiting” approach may be recommended. This involves monitoring the hernia’s size and any symptoms while making lifestyle changes, such as avoiding heavy lifting and managing constipation.

    2. Hernia Trusses

    A hernia truss is a supportive undergarment that can help keep the hernia in place and reduce discomfort. While trusses may offer temporary relief, they are not a long-term solution and should be used under the guidance of a healthcare professional.

    3. Lifestyle Modifications

    For individuals at risk of hernia or those with small hernias, lifestyle modifications can be beneficial. This may include weight management, avoiding activities that exacerbate the hernia, and addressing underlying conditions like chronic cough or constipation.

    4. Surgical Repair

    In most cases, surgical intervention is necessary to repair a hernia fully. Surgery involves pushing the protruding organ or tissue back into its proper position and strengthening the weakened muscle or tissue. There are various surgical techniques, including open surgery and minimally invasive laparoscopic and robotic procedures, depending on the hernia’s size and location.

    Conclusion

    Hernia can affect individuals of all ages, but certain factors can increase the risk of hernia development. Age, gender, family history, obesity, chronic coughing, heavy lifting, pregnancy, and constipation are all factors that can contribute to hernia risk. If you or someone you know is at risk for hernia and develops one, seeking medical attention is crucial. Treatment options vary, but surgical repair is often necessary for a full recovery. To learn more about hernia treatment and prevention, consult a hernia specialist. Early intervention can help alleviate symptoms and prevent complications associated with hernia.

    For more information on hernia treatment, you can visit

    https://laparoscopicsurgeonmumbai.com/treatment-hernia-laparoscopic-hernia-surgery/
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    Comments Off on Diagnosing And Treating Inguinal Hernia: Understanding The Basics
    Diagnosing And Treating Inguinal Hernia

    Diagnosing And Treating Inguinal Hernia: Understanding The Basics

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    Inguinal hernias are a common medical condition that affects millions of people worldwide. While they can occur in both men and women, they are more prevalent in men. In this blog post, we will delve into the diagnosis and treatment of Inguinal Hernias, shedding light on the key aspects of this condition and how it is managed.

    Understanding Inguinal Hernia

    What Is an Inguinal Hernia?

    An inguinal hernia is a medical condition characterized by the protrusion of soft tissue, often part of the intestine, through a weakened or torn abdominal wall in the inguinal canal, located in the groin area. If left untreated, this condition can cause discomfort, pain, and sometimes serious complications.

    Common Symptoms of Inguinal Hernia

    Recognizing the signs and symptoms of inguinal hernia is crucial for early diagnosis and treatment. These symptoms may include:

    A noticeable bulge in the groin area, which may become more prominent when standing, coughing, or straining.

    Discomfort or a feeling of heaviness in the groin.

    Pain or aching in the groin, especially when bending over, lifting heavy objects, or during physical activities.

    Sharp or burning pain in the groin that may extend into the lower abdomen.

    Diagnosing Inguinal Hernia

    Diagnosing an inguinal hernia typically involves a combination of medical history review, physical examination, and diagnostic tests. Here’s how healthcare professionals go about diagnosing this condition:

    Medical History Review: Your doctor will begin by asking about your symptoms and medical history. Be sure to provide accurate information about when your symptoms started and their severity.

    Physical Examination: A thorough physical examination is conducted to check for the presence of a groin bulge and assess its size and location. Your doctor may ask you to cough or strain during the examination to observe any changes in the bulge.

    Imaging Tests: In some cases, imaging tests like ultrasound, CT scans, or MRI may be ordered to get a clearer view of the hernia and its contents. These tests can help confirm the diagnosis and determine the extent of the hernia.

    Treatment Options for Inguinal Hernia

    Once diagnosed, inguinal hernias require surgery to alleviate symptoms and prevent potential complications. The treatment options for inguinal hernia include:

    Watchful Waiting: In some cases, especially if the hernia is small and not causing significant symptoms, a “watchful waiting” approach may be recommended. Regularly monitoring the hernia’s size and symptoms is essential in these cases.

    Hernia Truss: A hernia truss is a supportive device that can help hold the hernia in place and reduce discomfort. However, it is typically considered a temporary solution and may not be suitable for everyone.

    Surgery: Surgical repair of the hernia is the most common and effective treatment for inguinal hernias. There are two main types of hernia surgery:

    Open Hernia Repair: In this procedure, the surgeon makes an incision in the groin and repairs the weakened abdominal wall using stitches or mesh.

    Laparoscopic Hernia Repair: This minimally invasive technique involves making several small incisions and using a camera and specialized instruments to repair the hernia with mesh.

    Robotic Hernia Repair – In this technique the surgeon controls the robot as it translates surgeons hand movements into smaller, more precise movements of tiny instruments through tiny openings. 

    Conclusion

    Inguinal Hernias are a prevalent medical condition that can cause discomfort and, if left untreated, lead to serious complications. Early diagnosis and appropriate treatment are essential for managing inguinal hernias effectively. If you suspect you have an inguinal hernia or are experiencing symptoms, seek medical attention promptly. Your healthcare provider can help determine the best action to relieve your symptoms and prevent further complications. Remember that this blog post provides general information and should not replace professional medical advice. Always consult with a healthcare professional for personalized guidance on your specific condition.

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    Causes and Risk Factors involved in Hernia

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    Hernia is a protrusion of an internal structure of the body through a weak boundary in the surrounding muscle or tissue wall, usually occurring between chest and hips, giving rise to a small, often painless swelling or lump in the tummy or groin area.

    Through this blog post you will find general information about causes of hernia and risk factors for development of hernia, for any doubt please visit General and laparoscopic surgeons who are hernia treatment specialist also.

    Causes of Hernia:

    A failed embryonic closure in male fetuses can result in the formation of an indirect inguinal hernia later in life. Prematurity is another identified cause for hernia formation due to the developmental issues of muscles and tissues of infants.

    The commonest cause for hernia has identified to be a raised pressure inside the body together with a pre-existing weak area in the tissue or muscle wall, creating a potential site for a bulging out to take place.

    Increased abdominal pressure can be a result of various external factors. Long-term activities like frequent heavy weight lifting associated with certain jobs, strenuous exercises and long hours of standing are among the commonest.

    Weakened abdominal walls or tissues as a result of injuries to abdominal wall, sports, sudden movements and dislocations of discs can also give rise to hernia formation in certain individuals.

    Other commonest risk factors associated with the development of hernias are as follows.

    • Age – Commoner in adults, since advanced age can weaken connective tissues.
    • Gender – Inguinal hernias are commoner in men, femoral hernias are commoner in women whereas umbilical hernias are commoner in women.
    • Genetics – Individuals with a positive family history are more susceptible.
    • Obesity – Over weight individuals, naturally present with an increased intra-abdominal pressure which will eventually push out the increased amount of fatty tissue content and organs through a weakened spot
    • Ascites – Excessive formation of fluid inside the peritoneal cavity, occurring due to various medical conditions like chronic liver failure and tend to increase the intra-abdominal pressure, thus resulting in protrusion
    • Cystic Fibrosis – Being a genetic condition associated with abnormalities in tissue formation and chronic cough can result in a combination of both fundamental factors, required for a bulging out to take place
    • Chronic constipation – Long-term straining due to the difficulty in passing out dry faeces, can obviously cause a raised intra-abdominal pressure, where most of the affected individuals tend to develop hernias later in life
    • Pregnancy – Increased pressure inside the abdomen due to a developing fetus, can also act as a cause for Hernia formation, in certain individuals.
    • Surgery – Those who have undergone a previous abdominal surgery, have an increased potential to develop hernias due to a weakened abdominal wall

    The most important point to keep in mind is that, those who are known to have a single or multiple risk factors, should seek medical advice from a hernia specialist to prevent from possible hernia development or other complications associated.

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    Comments Off on Question and Answers related to Hernia by Dr. Nitish Jhawar
    Laparoscopic hernia patient

    Question and Answers related to Hernia by Dr. Nitish Jhawar

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    Dr. Nitish Jhawar is answering questions related to Hernia in Times of India

    1Q. I am a 25 yr old sportsman. I noticed a lump in my groin 3 days ago. My family physician diagnosed it as hernia & advised surgical opinion want to know what a Hernia is?

    A. Hernia is a protrusion of contents of the abdomen through a weakness or tear in its muscles forming a lump underneath the skin. Mostly it is seen in groin but it may be present on abdominal wall above, at or below umbilicus & at the site of surgical scars.

    2Q. Is surgery a must for a Hernia? and what are the options which I can choose from?

    A. Depending on the type & location of Hernia, your surgeon will decide the type of repair. On a broader spectrum we can understand that Hernias can be repaired by open surgical method or by Minimal access surgery (keyhole surgery).Modern surgical practices use reinforcement in the form of polypropolene meshes. In our hospital we prefer, to perform minimal access or laparoscopic surgery for all our patients if they are fit to tolerate general anaesthesia.

    3Q. How long it will take to recover after Hernia surgery?

    A. Depending on the type of repair, the period varies from 3-5 days. In laproscopic surgery, it is much faster and in open cases it may take little longer.

    4Q. When can I return to work after surgery?

    A. If you have a desk job, 3-5 days is the time frame we are looking at. But if your job demands heavy physical activity like lifting weight and all – you are away from work for 4 to 6 weeks.

    5Q. I delivered my 2nd baby a year ago and noticed a lump by the side of previous surgery scar. Doctor suggested repair using a mesh. I am scared to have a foreign body inside what to do?

    A. It is now a common practice to use meshes which are made of synthetic materials like polypropelene or polyester to reinforce the Hernia repair. Person who is having Hernia has a inherent defect in cementing substance called collagen, mesh provides a lattice for body fibres to grow in between & render a stronger repair. As the meshes are biologically inert, they are harmless if left in body for good.

    A simple consultation with a specialist is enough to diagnose this particular problem, laparoscopic hernia repair by using light weight or 3 D meshes make the surgery even more sophisticated and patent friendly.

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    Hernia Surgery FAQ

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    Found noticeable protrusion in the groin area, or in the abdomen?
    Feeling pain while lifting?
    A dull aching sensation?
    A vague feeling of fullness?

    Educate yourself about hernias, hernia symptoms, hernia surgery.

    Frequently asked questions about hernia

    1Q. I am a 25 yr old sportsman. I noticed a lump in my groin 3 days ago. My family physician diagnosed it as hernia & advised surgical opinion want to know what a Hernia is?

    A. Hernia is a protrusion of contents of the abdomen through a weakness or tear in its muscles forming a lump underneath the skin. Mostly it is seen in groin but it may be present on abdominal wall above, at or below umbilicus & at the site of surgical scars.

    2Q. I have a Hernia near my naval but it is painless, soft & disappears on lying down, very rarely it swells turgid or pains. Do I still have to go for surgery?

    A. Most of the Hernias, irrespective of the site, are painless to start with. The main symptom is a bulge which comes on straining and disappears on lying down. As the treatment of hernia is surgical it is better to undergo surgery when it is uncomplicated. The possible complications include obstruction or strangulation which may be life threatening.

    3Q. Is surgery a must for a Hernia and what are the options which I can choose from?

    A. Depending on the type & location of Hernia, your surgeon will decide the type of repair. On a broader spectrum we can understand that Hernias can be repaired by open surgical method or by Minimal access surgery (keyhole surgery). Modern surgical practices use reinforcement in the form of polypropolene meshes. In our hospital we prefer, to perform minimal or laproscopic surgery for all our patients if they are fit to tolerate general anaesthesia.

    4Q. How long it will take to recover after Hernia surgery?

    A. Depending on the type of repair, the period varies from3-5 days. In laproscopic surgery, it is much faster and in open cases it may take little longer.

    5Q. When can I return to work after surgery?

    A. If you have a desk job, 3-5 days is the time frame we are looking at. But if your job demands heavy physical activity like lifting weight and all – you are away from work for 4 to 6 weeks.

    6Q. I have a Hernia surgery planned next week. Can I drive back home after discharge?

    A. We usually advise our patients to abstain from driving for 48hrs till the effect of anaesthesia subsides & their movements become comfortable.

    7Q. Can my Hernia be repaired using single incision laparoscopy?

    A. Depending on the size of Hernia and fitness of the patient SILS can be offered. We prefer SILS using Single port multiple incision technique.

    8Q. I delivered my 2nd baby an year ago and noticed a lump by the side of previous surgery scar. Doctor suggested repair using a mesh. I am scared to have a foreign body inside what to do?

    A. It is now a common practice to use meshes which are made of synthetic materials like polypropelene or polyester to reinforce the Hernia repair. Person who is having Hernia has a inherent defect in cementing substance called collagen, mesh provides a lattice for body fibres to grow in between & render a stronger repair. As the meshes are biologically inert, they are harmless if left in body for good.

    9Q. My father was operated for Hernia long back. Do I need to undergo checkup to rule out the same? Is hernia hereditary?

    A. You may have more chances of developing Hernia than normal population but it is not hereditary. Factors which are causing intra-abdominal strains like pregnancy, obesity, coughing, urinary obstructions may all lead to Hernia if there is a weakness in the wall. Some Hernias may be present from birth & are called Congenital Hernias.

    10Q. My mother is 55yrs old & she has been operated for Ventral Hernia twice but it has recurred. She has a 12cm defect in the midline. What kind of repair will solve her problem?

    A. Old age, obesity and hereditary predisposition causes Hernias to recur. In your case latest surgical technique of Component Separation should do the trick. In this type of repair, we mobilize the muscles of the abdominal wall in such a way that we can achieve closure in the midline using normal muscles & sheath and reinforce the same by use of meshes. This technique is a boon for people having large defects, recurrent Hernias & is gaining popularity worldwide.

    11Q. I have noticed that my belly button becomes prominent on standing & coughing. I have read on internet & it looks like Hernia. What tests should I do to confirm my diagnosis?

    A. Mostly Hernias are diagnosed on clinical examination & do not require any sophisticated investigations to confirm the diagnosis. We may get some help by doing tests like sonography, CT scan and MRI of the abdomen. Though they are mandatory in complicated, obstructed and recurrent cases, they are not usually required in uncomplicated cases like yours.

    Advised By –

    Dr Nitish Jhawar

    Laparoscopic GI and colorectal surgeon

    Vashi, navi Mumbai

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    Comments Off on Dr Nitish Jhawars’ article in Times Of India on Hernia
    Hernia TOI

    Dr Nitish Jhawars’ article in Times Of India on Hernia

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    Laparoscopic and colorectal Surgeon at Fortis Hiranandani Hospital Vashi, Navi Mumbai- Dr Nitish Jhawars’ article in Times Of India on Hernia , Its causes , symptoms, and surgery including Laparposcopic Hernia repair.

    Hernia is usually asymptomatic and detected on general body check ups. Most common types of hernias are: inguinal hernias, femoral hernias, umbilical hernias and hiatus hernias.

    Painless lump or abdominal pain during bending or heavy weight lifting is suggestive of hernia.

    Hernias can not be treated with medicine and surgery is the only treatment option which should be done before complications of hernia happens such as obstruction and strangulation.

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    What patient says about Dr. Nitish Jhawar

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      I was diagnosed with gall stones a year ago in Delhi, I showed it to a doctor at Max hospital, he just asked me to get a surgery done and get my gall removed on any date of my choice, I was sacred and too young to get it done I got a vibe from doctor that for him it’s just a small things, however according to for a patient it’s important first be convinced on the urgency to get it done and feel safe . A year later I shifted to Mumbai and started having a frequent pain in shoulder blades and gall area. It went sharp this time. We went to Dr Nitish , as oppose to Delhi doc, Dr Nitish was very polite, first asked us to get the scan done and understand the current scenario, the scan showed one big 17 mm stone which was earlier also there but this time also there were multiple various sized stones as well along with the big one. Dr Nitish examined the scan, explained me and my husband about the condition and need of surgery or else the stone Would have slipped in the panacea or bile calling for a bigger operation. He explained diagramatically . He was patient in explaining, gave us time to think and be convinced. We were ready and then he performed it . It was flawless, quick and went well. He is a very experienced and fine surgeon , he is caring and doesn’t create panic at all rather he takes it slowly and makes patient comfortable. It was lapro, it’s been 2 months I m writing this . I faced no issues till now. Apollo staff was also very caring and good. I would mention Apollo Hospital, Navi Mumbai in specific. Good follow up diet makes it normal. I would strongly recommend Dr Nitish. He knows his job perfectly. He is not money minded at all. He would recommend surgery only if it’s required.

      Aneesha

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      I was diagnosed with gall stones a year ago in Delhi, I showed it to a doctor at M.... hospital, he .... asked me to get a surgery done and get my gall removed on any date of my choice, I was sacred and too young to get it done I got a vibe from doctor that for him it’s just a small things, however according to for a patient it’s important first be convinced on the urgency to get it done and feel safe . A year later I shifted to Mumbai and started having a frequent pain in shoulder blades and gall area. It went sharp this time. We went to Dr Nitish , as oppose to Delhi doc, Dr Nitish was very polite, first asked us to get the scan done and understand the current scenario, the scan showed one big 17 mm stone which was earlier also there but this time also there were multiple various sized stones as well along with the big one. Dr Nitish examined the scan, explained me and my husband about the condition and need of surgery or else the stone Would have slipped in the panacea or bile calling for a bigger operation. He explained diagramatically . He was patient in explaining, gave us time to think and be convinced. We were ready and then he performed it . It was flawless, quick and went well. He is a very experienced and fine surgeon , he is caring and doesn’t create panic at all rather he takes it slowly and makes patient comfortable. It was lapro, it’s been 2 months I m writing this . I faced no issues till now. Fortis staff was also very caring and good. I would mention fortis Vashi in specific. Good follow up diet makes it normal. I would strongly recommend Dr Nitish. He knows his job perfectly. He is not money minded at all. He would recommend surgery only if it’s required.

      Aneesha

    • Kishore-Kumar-Das

      I had surgery of my left hydrocele on 27th May 2017 by Dr Nitish Jhawar. An excellent experience of service I got particularly from Dr Jhawar. He is not only a qualified experienced doctor but also a splendid human being. Thanks a lot.

      Kishor Kumar Das

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      It was a Laparoscopic operation for the removal of Gall Bladder (stones). I had developed on and off pain in abdomen before the operation, after the operation feeling good, totally pain free. Thanks and respect for handling my case very well.

      Siddappa A. Hasbi

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      I met doctor Nitish for piles problem and wanted to undergo LASER procedure only, my operation is successful and I thank doctor for being a good human being and great surgeon.

      Meeresh Shah

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      I was suffering from piles since long time. For bleeding heavily I met Dr Nitish Jhawar and after meeting him decided to go for Stapler surgery for piles. I found him a doctor who listens to our problem and explains properly.

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      I got diagnosed about a year back but was avoiding operation for Hernia repair, Dr Nitish Jhawar explained me why surgery should be done and I chose surgery by laparoscopy method. I am happy with the doctor and the hospital.

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      I visited for Gall Bladder removal by Laparoscopy after searching for best laparoscopic surgeon. After meeting dr my fear for surgery was vanished and my surgery went well and recovery was smooth.

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      Honest doctor, expert in his field....can trust his words

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      Very good he describe everything in very pleasant manner about the problem which was very helpful to me to understand my disease.

      Visited For Gastroparesis

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      Very nice. Doctor is very patient and gives you correct advice.

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      He is very erudite and smart at getting to the bottleneck of the problem. And before realized he had pinched away d growth bothering me near my anal area.

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      Dr. Jhawar is few of the best doctors in town. Extremely pleasant and comfortable experience

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