How serious is a hernia?

The most frequent location for a hernia is the stomach area. The abdominal wall is a sheet of muscles and tendon that runs down from rib to legs. The most common function is that it holds the abdominal contents, primarily the intestine. If a weakness opens up in the wall the intestine is pushed through the opening. The resultant bulge which is often quite visible against the skin is Hernia.

This window of weakness generally occurs where there is a natural weakness in out abdominal wall. The umbilical area is a prone area of natural weakness which is very frequent for a hernia. 

An understanding Hernia

Mostly the hernias do not cause pain. Paradoxically the larger one often hurt less, the reason being that a large window in the abdominal wall permits the intestine to slide without causing much pain. Pain tends to have been associated with something getting squeezed, which is often in the case with the smaller hernias. Both of them often requires being operated as soon as possible. If left such intestine untreated will strangulate and tend to cause the longest post-operative pain. So hernia has to be fixed as you know about it.

Laparoscopic Inguinal Hernia Repair

Laparoscopic inguinal hernia repairs use an instrument called the laparoscope. There are two or four small incisions made in the abdominal wall through which a laparoscope is passed which is a thing telescope with light at the end. Also, the surgical instruments are passed through it. The incision is small so the whole technique is often called Keyhole surgery, which is different than the conventional Open surgery. Such Laparoscopic hernia surgery is also widely called minimally invasive surgery Hernia surgery. 

A hernia is then viewed from inside the abdomen from another side of the abdominal wall. the abdominal cavity is inflated with the help of the carbon dioxide gas to provide space to the surgeon to work inside the body of the patients. The actual operating is done remotely with the long instrument by the surgeon. The hernia imperfection or hole is often covered with the mesh from within the abdomen and stapled into the muscles in order to fix the patch.

Dr. Deepak Varma is one of the leading laparoscopic surgeons in  Kerala offers Laparoscopic hernia surgery in Kochi with advanced technologies. 

For the appointment, get connected... 

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Laparoscopy Removal of Hernia

We have always come across people complaining about the pain in the abdomen due to a hernia, mostly from people who are aged. When we cross that boundary of youthfulness to middle age, then it is time to worry about a hernia. As age catches up the process of building up and breaking down of muscles and tissues go out of balance. As a result of this imbalance, the muscles or tissues weaken causing weak spots in the area. A hernia occurs when organs push through an opening in the muscle or tissue that holds its place.

Causes for the occurrence of Hernia

Many reasons can be cited for the occurrence of a hernia.

1) Aging.

2)  Lifting heavy weight.

3) Obesity.

4) Persistent coughing and sneezing.

5) Constipation.

6) Heredity.

Apart from natural causes, Damage from injuries or surgery can also result in the occurrence of a hernia.

Types and symptoms

The most common types of a hernia are:

1) An inguinal hernia which affects the intestine.This condition accounts for most of the cases of a hernia.

2) The other types which are not very common include an incisional hernia, femoral hernia, umbilical hernia and hiatal hernia.

Treatment of a hernia

The doctor before going for the surgery monitors a hernia and suggests lifestyle changes to reduce weight and advises the patient to quit smoking. The patient is also advised to remove spicy food from his diet. If the symptoms don’t recede then the patient might need a surgery.

Laparoscopic treatment to remove a hernia

Laparoscopy is more preferred than open surgery as it uses modern technology. It is easy to handle, less damaging and the recovery time is also less. In laparoscopy, a small incision is made to insert the equipment, a tiny high-resolution camera and miniaturized surgical equipment to repair a hernia. Still some types of a hernia will require open surgery.

Dr. Deepak Varma is a well-known gastro surgeon in Kochi and has been a pioneer in the treatment of a hernia. 

Mail us: gastrosurgeoncochin@gmail.com

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Rectal Cancer is not always hereditary, Know more about it..

What is Rectum?

The Rectum is a part of the human digestive system. The digestive system takes in nutrients from food and helps to eliminate waste from the body. The digestive system is made up of the esophagus, stomach, and the intestines. The first portion of the large intestine is called as colon. And rectum, together with the anal canal, makes up the last portion of the large intestine. 

Rectal Cancer 

Rectal Cancer is the abnormal growth of cancerous cells in the lower portion of the colon and it is the second most occurring cancer after lung cancer.

Major Causes of Rectal Cancer

• High-fat diet
• Having a family history of colon or rectal cancer in a first-degree relative
• Having a personal history of cancer of the colon or ovary
• Having a personal history of high-risk adenomas
• Having inherited changes in certain genes that increase the risk of familial adenomatous polyposis
• Having personal history of chronic ulcerative colitis or Crohn disease
• Having three or more alcoholic drinks per day
• Smoking cigarettes
• Being obese

Symptoms of Rectal Cancer

• Bleeding from the rectum
• Anemia
• Fatigue
• Shortness of breath
• Dizziness
• Diagnosis

The determination of the disease can be done using several methods. Some are fecal occult blood testing, endoscopy, digital rectal examination, sigmoidoscopy, colonoscopy, biospsy, CT, MRI, routine blood tests etc.

How to Treat Rectal Cancer ?

The treatment depends on the stage of cancer. Most probably multiple chemotherapy medications are suggested. Surgery is used to treat and reduce symptoms. Radiation therapy is used to kill or shrink rectal cancers at a severe level.

Dr. Deepak Varma is one of the leading gastrosurgeons in Kochi who has performed numerous complicated surgeries.

For more details,

Email at: gastrosurgeoncochin@gmail.com

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Why Does It Pain in Upper Belly ?

Choledocholithiasis or Gallstones in the bile duct are the presence of a gallstone in the bile duct. Gallstones are hard deposits in the gallbladder, a small organ that stores bile, which is a digestive fluid made in the liver.

 

What are the symptoms of bile duct stones?
 

Gallstones in the bile duct may not cause symptoms for several months or even years. The following are the symptoms of bile duct stones:

• Severe abdominal pain in the right upper or middle upper abdomen.
• Fever
• Jaundice
• Loss of appetite
• Nausea and vomiting
• Clay-colored stools

What causes bile duct stones?
 

There are two main types of gallstones: cholesterol gallstones and pigment gallstones. Cholesterol Gallstones appear yellow in color and are the most common type of gallstone. The cholesterol stones are caused by bile which contains:

• Too much cholesterol
• Too much bilirubin
• Not enough bile salts
• If the gallbladder does not empty completely or often enough.

The cause of Pigment Stones is not properly known. They seem to occur in mostly when:

• Cirrhosis of the liver.
• Infections in the bile duct.
• Hereditary blood disorders due to which the liver makes too much bilirubin.

How is bile stones treated?
 

Treating gallstones in the bile duct mainly focuses on relieving the blockage. These treatments may include complete stone extraction, fragmentation of stones, surgery for the removal of the gallbladder and stones, surgery that makes a cut into the common bile duct to remove the stones, biliary stenting etc. 

Dr. Deepak Varma is a leading and eminent gastrosurgeon based in Kochi provides effective solution for all gastrointestinal problems with the  help of a dedicated team

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