Dr. Ashish Vashistha is the Best Hernia Surgeon in Delhi, a Senior Robotic laparoscopic Surgeon, Director & HOD Department of Surgery and Robotics Max Super Specialty Hospital Saket, Delhi. Share information on Hernia




A hernia usually happens in your abdomen or groin, when one of your organs pushes through the muscle or tissue that contains it. It may look like an odd bulge that comes and goes during different activities or in different positions.


It may or may not cause symptoms, such as discomfort or pain.


A hernia occurs when part of your insides bulges through an opening or weakness in the muscle or tissue that contains it.


 Most hernias involve one of your abdominal organs pushing through one of the walls of your abdominal cavity. 

 Hernias can occur gradually as you get older and regular wear and tear on your muscles begins to add up. 

Dr Ashish Vashistha, BEST HERNIA SURGEON IN DELHI Explains About:-

Signs and Symptoms of a Hernia

The most common sign of a hernia is a bulge that you can see or feel under your skin. Where that bulge shows up depends on what type of hernia you have. You may have other symptoms, too.

There are several types of Hernias: 

Inguinal hernia

This is the most common type of hernia and happens when tissue, such as part of your intestine, pushes into the inguinal canal near your groin. 



  • A bulge on one side of your pelvis that is more noticeable when you stand up, cough, or strain
  • Pain or discomfort in your groin area, especially when you bend over, cough, or lift something heavy
  • A feeling of heaviness or pressure in the groin

Femoral hernia

Femoral hernias are similar to inguinal hernias, but the tissue pushes into the femoral canal, which is located below the inguinal canal.


  • A bulge in your upper thigh below your groin area
  • Sudden pain in your groin or thigh
  • Pain in your stomach
  • Nausea 
  • Vomiting


Umbilical hernia

This type of hernia is most common in children, but it affects adults too. They are behind the umbilical cord in your stomach
that forms your belly button.


  • A bulge near the bellybutton that might be visible only when you cough or strain
  • Pain and discomfort


Incisional hernia

These hernias happen when tissue pokes through weak muscles in your abdomen after surgery.


  • A bulge near the site of your surgery cut that is more noticeable when you stand or cough
  • Pain near the bulge
  • Nausea
  • Vomiting
  • Fever
  • Fast heartbeat 

Hiatal hernia

A hiatal hernia happens when part of your stomach squeezes up through your diaphragm (a muscle that helps you breathe) and moves up into your chest.



  • Heartburn
  • Chest pain (not related to the heart)
  • Indigestion, which causes you to feel very full after eating and have a burning feeling in your stomach
  • Burping and feeling acid rise into the back of your throat
  • Trouble swallowing
  • Sore throat and hoarseness (rough voice) 

Dr. Ashish Vashistha, BEST HERNIASURGEON IN DELHI explains about Strangulated Hernia Symptoms


Strangulated Hernia Symptoms

Usually, hernias aren’t dangerous. You can often push the bulging tissue back behind the muscle wall. But sometimes, a hernia gets stuck in the muscle wall. This is called an incarcerated hernia. 

Call your doctor right away if you have any of the symptoms of a strangulated hernia, such as:

  • Nausea
  • Vomiting
  • fever
  • Belly pain
  • Bloating
  • Not being able to motion or pass gas.
  • Hernia site becomes darker, red, or purple 

Dr Ashish Vashistha, BEST HERNIASURGEON IN DELHI explains about the risk factors for getting a hernia.


What are the risk factors for getting a hernia?

You may be more likely to acquire a hernia if you have

1. A job that involves heavy lifting or many hours of standing.

2. Chronic sneezing.

3. Chronic constipation and straining to pass motion

4. A history of abdominal or pelvic surgery.

5. Pregnancy, especially repeat pregnancies or twin pregnancy

6. Being overweight for long  [ BMI greater than 30]



Physical examination by a physician or surgeon

Ultrasound abdomen and pelvis

CT Scan abdomen


Dr. Ashish Vashistha, BEST HERNIASURGEON IN DELHI explains
about the Management & Treatment of Hernia


Management and Treatment

Dr Ashish Vashistha, the Best Hernia Surgeon in Delhi with more than 28 years of experience in all types of Hernia repair surgeries says-



The smaller size hernias are easy to repair and excellent post-operative results are seen. 

For big complex hernias, you need to look for a Surgeon with an adequate number of experience and training.


Hernia repair surgery 

The surgeon will push the herniated tissue back into place and reinforce the barriers it pushed through with stitches or surgical mesh.


Laparoscopic surgery uses a laparoscope – a long thin tube with a lighted camera n the end – to take inside the surgical site The laparoscope goes in one small hole and long, thin surgical tools go through another.


Robotic technology for Hernia Repair


Dr Ashish Vashistha, BEST HERNIASURGEON IN DELHI explains the advantages of Robotic surgery –


The advantages of Robotic surgery include:

  • A small incision. An incision that is about the size of a pencil eraser reduces scarring, recovery time, blood loss, and risk of infection.
  • Better visibility. Using a high-definition, 3-D camera provides the surgeon with better visibility than laparoscopic minimally invasive surgery.
  • Robotic hernia surgery can benefit almost anyone. This includes first-time hernia repair patients and people who need hernia revision surgery.
  • It’s appropriate for all types of hernias including the most complex hernia procedures.