COMPLEX HERNIAS

DR ASHISH VASHISTHA, THE BEST HERNIA SURGEON IN DELHI

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 Complex Hernia.
DR ASHISH VASHISTHA HAS RECEIVED, THE CENTRE OF EXCELLENCE IN HERNIA SURGERY AWARD FROM THE HERNIA SOCIETY OF INDIA, HSI

Dr. Ashish Vashistha, BEST HERNIA SURGEON IN DELHI, IS SHARING INSIGHTS ON COMPLEX HERNIAS.

COMPLEX HERNIAS

A complex hernia is the one which is very  difficult to operate  due to complications or previous surgeries. It occurs when the abdominal wall weakens and tissue or organs push through, creating a bulge. Complex hernias can be more difficult to manage and have higher rates of recurrence and complications.

Dr Ashish Vashistha, BEST HERNIA SURGEON IN DELHI  Explains the causes of Complex Hernia:-

Causes

  • Age more than 50 years
  • Low immunity
  • Chronic obstructive pulmonary disease (COPD)
  • Excessive abdominal pressure due to chronic coughing, constipation, ascites, etc.
  • Excessive corticosteroid use
  • Obesity BMI of more than 24
  • Poor repair of hernia previously, tissues not healthy
  • Smoking

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

Factors that increase the complexity of the hernia:-

  • The hernia is large (greater than 10 cm in any dimension)
  • The hernia has recurred at the same site
  • The patient shows a mesh infection
  • The patient has a history of multiple failed hernia repairs
  • The patient has a history of prior open surgery
  • The patient has a high body mass index (BMI)
  • The patient has a high-risk medical condition like diabetes or obesity

Dr Ashish Vashistha, BEST HERNIA SURGEON IN DELHI  Explains About Complex / Complicated Hernia:-

Dr Ashish Vashistha, BEST HERNIA SURGEON IN DELHI  Explains why Hernia Repair Surgery should be done when it is small in size and at younger age.

He says that hernia occurs when the inside layers of the abdominal wall weaken then bulge appears from tear point. The inner lining of the abdomen pushes through the weakened area to form a balloon-like sac,in  which  a loop of intestine or abdominal tissue  slips into , causing pain and other potentially serious health problems later.

With passing age, our abdominal wall tissues become weak and we also tend to have other medical conditions like type 2 diabetes, high blood pressure, weight gain, etc.

HERNIA ONCE SUSPECTED BY A PHYSICIAN / SURGEON SHOULD BE FURTHER EVALUATED THROUGH ULTRASOUND ABDOMEN AND MRI TO LOOK FOR THE SIZE OF THE DEFECT, ANY ABDOMINAL CONTENTS BEING STRUCK IN THE HERNIA SITE, AND ANY OTHER PATHOLOGY IN ABDOMEN.

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

MANAGEMENT OF HERNIAS:-

LAPAROSCOPIC / ROBOTIC MESH REPAIR IS AN IDEAL PROCEDURE FOR HERNIAS AS MESH GIVES SUPPORT TO DEFECTS AND REENFORCES THE STRENGTH OF REPAIR SITE.

We should be careful of mesh insertion as there should not be any infection and all medical conditions like type 2 diabetes be controlled as high blood sugars can delay healing and also can mesh can get infected.

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

Treating Complex Hernias:-

A complex hernia is far more serious and requires urgent medical attention. If our hernia has become large and painful, or we  have a history of unsuccessful treatment,

Consider seeing a senior  Laparoscopic/ robotic Hernia Repair surgeon at a multi speciality hospital with state of art infrastructure .