WHAT IS COMPLEX / COMPLICATED HERNIA?


DR ASHISH VASHISTHA , 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 / Complicated Hernia.



WHAT IS COMPLEX / COMPLICATED HERNIA?


I am a 56-year-old female with severe pain abdomen, bloating, and was unable to pass motion for 2 days, I also have been diagnosed with an abdominal wall hernia in 2019.

 

I am from Bihar. Dr Ashish Vashistha Senior Director and HOD arranged an airlift for me from Bihar to Max Hospital Saket, Delhi.


I was diagnosed as a case of OBSTRUCTED HERNIA WITH LOSS OF DOMAIN.

 

I was admitted to the ICU and Dr Ashish Vashistha along with the team worked hard to give some relief to my symptoms.

 

After preparing me for one month TAR Transversus abdominis muscle release was done for me and I am happy and back home.

 

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

 

If you are diagnosed with a hernia and it remains untreated for a long time, or the hernia is unsuccessfully treated or hernia gets infected, this is called a COMPLEX hernia, and the intestines or omen tum gets obstructed in hernia site defect, it is OBSTRUCTED hernia and it is a surgical emergency.

 

It is always better to treat a hernia as soon as possible. 

 

 

Dr Ashish Vashistha, BEST HERNIA SURGEON IN DELHI  Explains About the Symptoms of Obstructed Hernia:-

 

What are the symptoms of an Obstructed hernia?

  • Severe pain abdomen
  • Constipation
  • Vomiting
  • Hernia site lump becomes hard
  • Redness around the hernia site
  • Bloating
  • Breathlessness
  • Un easiness

 

WHAT TYPE OF HERNIAS SHOULD REPORT HOSPITAL IMMEDIATELY?

 

  • Large hernias – that means intestine and other abdominal contents are inside the hernia sac
  • Painful hernias
  • Previous failed hernia surgeries
  • Patients with uncontrolled diabetes or other medical problems
  • Obese patients with large hernias

 

Dr Ashish Vashistha, BEST HERNIA SURGEON IN DELHI  Explains how to Diagnose Complex / Obstructed Hernia:-

 

HOW TO DIAGNOSE COMPLEX / OBSTRUCTED HERNIAS?

 

  • Physical examination
  • CT Scan abdomen
  • MRI Abdomen

 

Dr Ashish Vashistha, BEST HERNIA SURGEON IN DELHI  Explains how to manage Complex / Obstructed Hernia  – Robotic / Laparoscopic Surgical Repair with or without Mesh:-

 

MANAGEMENT OF COMPLEX / COMPLICATED HERNIAS- ROBOTIC / LAPAROSCOPIC SURGICAL REPAIR WITH OR WITHOUT MESH.

 

  • Complex hernias should be operated at tertiary-level hospitals with trained multidisciplinary teams.
 
  • Surgeons should be trained in minimal access and Robotic technology.
 
  • Well-equipped infrastructure required
 
  • Surgeons should specialize in managing hernia-related complications such as pain, mesh infection, and recurrent hernias. During surgery, senior experiences choose the best way to repair complex hernias.
 
  • Surgical methods may include non-mesh-based repairs, permanent synthetic meshes, biologic meshes, and bio absorbable meshes.

 

OBSTRUCTED HERNIAS REQUIRE LAPAROSCOPIC REPAIR / OPEN REPAIR AFTER PHYSICIANS AND ANESTHETICS GIVE CLEARANCE FOR SURGERY.