Hernia Surgery

Why is a hernia operation necessary?

Hernias occur when an organ or tissue pushes through a weak spot in the muscle or tissue that holds it in place. While small hernias may not cause any symptoms, they can become larger and more painful over time.
In some cases, the herniated tissue can become trapped and strangulated,
cutting off blood supply and requiring immediate surgery.
Here are some reasons why hernia surgery might be necessary:
● To relieve pain and discomfort
● To prevent the hernia from becoming larger and more painful
● To prevent the hernia from becoming strangulated
● To improve your overall health and quality of life

How do I know if I have a hernia?

Common symptoms of a hernia include:
● A bulge or lump under the skin, especially when straining or coughing
● Pain or discomfort in the area of the bulge
● A feeling of fullness or pressure in the abdomen
● Difficulty swallowing (for hiatal hernias)
If you experience any of these symptoms, it is important to see a doctor for
diagnosis and treatment.

What are my hernia treatment options?

There are two main types of hernia repair surgery:
● Open surgery: This is the traditional method of hernia repair. It involves
making a larger incision in the abdomen to access and repair the hernia.
● Laparoscopic surgery: This is a minimally invasive procedure that uses
small incisions and a laparoscope (a thin, lighted tube) to repair the hernia.

Is everyone a candidate for laproscopic hernia repair?

Laparoscopic hernia repair is generally considered a safe and effective
procedure. However, it may not be suitable for everyone.
Here are some reasons why someone may not be a candidate for laparoscopic
hernia repair:
● Large or complex hernias: These may be more difficult to repair
laparoscopically and may require open surgery.
● Previous abdominal surgery: Scarring from previous surgery can make it
difficult to perform laparoscopic hernia repair.
● Medical conditions: Certain medical conditions, such as obesity or severe
heart disease may increase the risks of laparoscopic surgery.
It is important to discuss all of your medical history and concerns with your doctor to determine if you are a candidate for laparoscopic hernia repair.

Benefits of having laparoscopic hernia surgery

● Smaller incisions
● Less pain
● Faster recovery time
● Shorter hospital stay
● Reduced risk of infection

Risks of not having hernia surgery

● The hernia may become larger and more painful.
● The hernia may become strangulated, which can be a life-threatening
condition.
● The hernia may cause other complications, such as intestinal obstruction.

Risks and complications of surgery

All surgery carries some risks, including:
● Bleeding
● Infection
● Allergic reaction to anesthesia
● Damage to organs or tissues
● Death (rare)
Specific risks from laproscopic hernia surgery include:
● Difficulty inserting the laparoscope
● Injury to internal organs or blood vessels
● Conversion to open surgery

What if the operation cannot be performed by the laparoscopic method

If the surgeon determines during the surgery that it is not safe to continue with
the laparoscopic approach, they will convert to open surgery. This will allow them
to have a better view of the hernia and repair it safely.

After the hernia operation:
● You will be taken to the recovery room to be monitored.
● You will be given pain medication to help manage pain.
● You will be able to eat and drink again once you are no longer nauseous.
● You will be able to go home when you can eat and drink, use the bathroom on your own, and walk around without assistance.

Discharge instructions:
● You will be given instructions on how to care for your incision at home.
● You will be given instructions on what activities you should avoid and when
you can return to work.
● You will be given a follow-up appointment with your doctor to check your
progress.

DR JAYDEEP H. PALEP

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MS, FIAGES, FALSFellow Robotic & Laparoscopic GI Surgeon (Italy)Consultant Bariatric & GI Surgeon(Robotic & Laparoscopic)

ADDRESS

Dr Palep’s Weight loss and Gastro Clinic, Manoj CHS, Shankar Ghanekar Marg, Prabhadevi, Mumbai, Maharashtra 400025

Contact Us

Mail :
obesitydocindia@gmail.com
consultdrpalep@gmail.com

For Appointments :
Mob: +91-90223 59776
Landline: +91-22- 35685303

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BOOK YOUR APPOINTMENT

For appointments and enquiries, please call Mobile +91-90223 59776 and Landline +91-22- 35685303. Otherwise, submit the form below and we’ll be in touch!

BOOK YOUR APPOINTMENT

For appointments and enquiries, please call Mobile +91-90223 59776 and Landline +91-22- 35685303. Otherwise, submit the form below and we’ll be in touch!

SURGERY PERFORMED: ROBOTIC MINI GASTRIC BYPASS

DATE OF SURGERY: 29/6/2015

Dr. Simon N. Gicharu, Kenya.

Very Humbled. The Nurses and Doctors are amazing. I received the best care and am very confident that I am getting world class treatment. My comment to one nurse summarizes my experience – Other nurses in other countries need to come to India to learn the art of Nursing.

Mr SGN, 50 year old male from Kenya, weighed 135 kg and suffered from recurrent attacks of gout. In addition, he also had high cholesterol levels and was pre-diabetic. He underwent Robotic Mini Gastric Bypass, and within a week went back home. 6 months later, his sugars, cholesterol and uric acid levels had normalized, and his weight reached 100 kg. He is now healthier, and does not have any further health concerns.

SURGERY PERFORMED: LAPAROSCOPIC MINI GASTRIC BYPASS

DATE OF SURGERY: 10/01/2015

Really great work.

Me and my wife are both happy now, all thanks to Dr Palep!

Mr BD, 42 year old male, was suffering from uncontrolled Type II Diabetes Mellitus (on 2 oral drugs), hyperthyroidism (high doses of anti-thyroid medications) and high cholesterol uncontrolled with medicines, all due to his morbid obesity. He underwent a Laparoscopic Mini Gastric Bypass, and stuck to his diet and exercise routine after surgery. Now, 1 year after the surgery, he has lost 40 kg and his BMI has dropped from 38 to 27 kg/m2. The biggest improvement for him is that his Diabetes mellitus has resolved completely. His HbA1c (Glycosylated Hemoglobin) has fallen from an unacceptably high value of 9.3% to a normal value of 4.75% in just 6 months. His doses of anti-thyroid medications have reduced, his cholesterol is now normal, and he is happier than ever.
Seeing his remarkable improvement, his wife has also undergone bariatric surgery for her medical diseases.

SURGERY PERFORMED: ROBOTIC BANDED SLEEVE GASTRECTOMY

DATE OF SURGERY: 20/07/2015

Really great work.

have found new vigor and can do things better. All my friends from Mozambique want to look like me now! Thanks to Dr Nidhi and Dr Palep!!!

A 28 year old male, was suffering not only from morbid obesity, but also asthma and anxiety attacks. Tired of his excessive weight hampering his social life, he decided to opt for weight loss surgery. On the day of the surgery, he had a last minute crisis, and did not want to undergo the surgery out of fear. However, with gentle support and encouragement, he finally mustered the courage to undergo a banded sleeve gastrectomy. Now, 6 months after the surgery, he has lost weight, his fertility has improved, and he has not had any asthma or anxiety attacks.

SURGERY PERFORMED: LAPAROSCOPIC BANDED SLEEVE GASTRECTOMY

DATE OF SURGERY: 24/07/2015

Really great work.

Very happy! Very confident! Thanks Dr Palep.

Mrs SB, a 56 year old female, has already fought a battle with endometrial cancer. Her cancer surgeon recommended bariatric surgery as an option, so that losing her excess weight would reduce her risk of developing cancer again. (It has been proven in international studies that losing excess weight prevents the occurrence of breast and endometrial cancers.) In addition, she also had Uncontrolled Type II Diabetes Mellitus, Hypertension and Hypothyroidism. Within 6 months of undergoing Laparoscopic Banded Sleeve Gastrectomy, not only has she lost weight, her Diabetes and blood pressure are under control, and the dosage for her thyroid medicines has decreased. She is now more active and energetic.

SURGERY PERFORMED: ROBOTIC MINI GASTRIC BYPASS

DATE OF SURGERY: 07/02/2013

Really great work.

Thanks to bariatric surgery, I am walking the way I did 20 years back

Mrs. SS, weighing 113 kg, was prepared to undergo a total knee replacement, when her joint replacement surgeon suggested that losing excess weight might help her avoid it. Remembering her previously failed attempts at liposuction and tummy tuck, she decided to opt for bariatric surgery, hoping that this would control her thyroid problems too. With a BMI of more than 45 kg/m2, she was offered robotic bariatric surgery. Now, three years later, she weighs 58 kg, walks normally, and is medication free ever since.

SURGERY PERFORMED: LAPAROSCOPIC MINI GASTRIC BYPASS

DATE OF SURGERY: 16/6/2015

Really great work.

Thanks to Dr Palep for bariatric surgery. This has benefited my health greatly.

Mr JKB, 72 years of age, was suffering from uncontrolled Type II Diabetes Mellitus for over 15 years due to his morbid obesity. Weighing 120 kg, he tried a variety of weight loss techniques, but none provided a lasting result. On hearing about metabolic surgery from his sister (who also underwent the surgery with us) to reverse diabetes, he instantly decided to opt for it – anything was better than living a life revolving around diabetes and insulin. Within 3 months of the surgery, his diabetes was reversed, and within a year of the surgery, he lost upto 40 kg. Now, he lives diabetes – free and is off all medications for diabetes and hypertension.

SURGERY PERFORMED: LAPAROSCOPIC BANDED ROUX EN Y GASTRIC BYPASS

DATE OF SURGERY: 14/8/2015

Really great work.

Due to Diabetes, I almost lost my foot, and was at risk of never being able to walk again. Thankfully, I got the right advice in time, and decided to undergo bariatric surgery. Ever since the surgery, I am off all medicines for Diabetes, and my foot has healed. I can now walk normally.

45 year old male, was suffering from uncontrolled Type II Diabetes Mellitus and Hypertension with morbid obesity. Living alone in Bahrain, he couldn’t socialize or carry out his job due to all his medical illnesses. His Diabetes progressed to such an extent, that despite insulin and oral hypoglycemic drugs, he developed a severe infection in his left foot, leading to an amputation of 4 of his toes in the left foot, and a large non-healing infected ulcer despite highest possible antibiotics.

Tired of all his medical issues, He turned to bariatric surgery for help. Once his wound was cleaned and infection reduced, he underwent a laparoscopic Roux-en-Y Gastric Bypass. The very next day, he saw his sugars lowered. Despite being off insulin, his wound started improving, blood pressure normalizing, and he started losing weight.

Now, at 3 months after the surgery, He has lost almost 40 kg of his excess body weight. He is off all medicines for his Diabetes and blood pressure, and his foot has healed completely. Now he has returned to his job in Bahrain, healthier and happier.