Hernia Repair

Dr. Kolachalam, Hernia Repair  

Image of ventral Hernia before and after surgery

See how the bulge at the belly button is repaired.

 

The Condition: Hernia

 

A hernia happens when part of an internal organ or tissue bulges through a hole or weak area in the belly wall (fascia).The type of hernia you have depends on where it is and how it occurs:

Hernias are common. They can affect men, women and children. Usually, there is no obvious cause for a hernia. A combination of muscle weakness and straining, such as heavy lifting, may cause hernias. Some people are born with hernias or with weak abdominal muscles. Some people have a family history of hernia.

Physical activities and medical problems that increase pressure on the belly may lead to a hernia, including: constipation, chronic cough, cystic fibrosis, enlarged prostate, extra weight, fluid in the abdomen, heavy lifting, poor nutrition, smoking, and undescended testicles.

There are usually no symptoms for a hernia. However, you may feel pain while standing or straining when using the bathroom or lifting heavy objects.

 

What are the recommended ways to repair a hernia?  

 

Hernia repair can be performed using traditional open surgery or minimally invasive surgery.

    • Open surgery – doctors make a long incision in the abdomen. The incision must be large enough for the surgeon to fit his/ her hands and surgical instruments inside the abdomen. Open surgery allows doctors to see and touch your organs and tissue while operating.
    • Minimally invasive surgery – doctors make small openings only large enough to insert small cameras attached to robotic “rod like” hands and arms to make repairs through these smaller openings.
      • Laparoscopy –  is done through a few small incisions using long, thin surgical instruments and a tiny camera. The camera takes images inside your body. The images are sent to a video monitor in the operating room which guides surgeons as they operate.
      • da Vinci Robotic Surgery System – Though it is often called a “robot,” da Vinci cannot act on its own. Surgery is performed entirely by Dr. Kolachalam. Together, da Vinci technology allows Dr. Kolachalam to perform routine and complex procedures through just a few small openings, similar to traditional laparoscopy.

 

Images of options for Inguinal Hernia Repair

Options for Inguinal Hernia Repair

Image of Options for Ventral Hernia Repair

Options for Ventral Hernia Repair

da Vinci Surgery: A Minimally Invasive Surgical Option

 

Thanks to a breakthrough surgical technology, there is a new category of minimally invasive surgery for which you may be a candidate. It is an effective, minimally invasive alternative to both open surgery and laparoscopy. Through the use of the da Vinci® Surgical System, Dr. Kolachalam is able to offer a minimally invasive option for complex surgical procedures.

Imagine major surgery performed through the smallest of incisions. Imagine having the benefits of a definitive treatment but with the potential for significantly less pain, a shorter hospital stay, faster return to normal daily activities – as well as the potential for better clinical outcomes.

With the da Vinci Surgical System, surgeons and hospitals are re-writing accepted standards for surgical care. da Vinci is changing the experience of surgery.

State-of-the-art da Vinci Surgery is another minimally invasive surgical option for patients facing abdominal hernia surgery. The da Vinci System features a magnified 3D high-definition vision system and special wristed instruments that bend and rotate far greater than the human wrist. da Vinci enables Dr. Kolachalam to operate with enhanced vision, precision, dexterity and control.

As a result of this technology, da Vinci offers the following potential benefits:

      • Low rate of recurrence
      • Low rate of pain
      • Low conversion rate to open surgery
      • Short hospital stay

 

Risks & Considerations Related to Abdominal Hernia Surgery & da Vinci Surgery:

 

Potential risks of any a hernia procedure may include:

      • Bowel obstruction
      • Hernia
      • Urinary retention
      • Recurrence of incisional hernias are more likely

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