Laparoscopic Hernia Surgery in Dubai
What is a Hernia?
A hernia is a protrusion of an internal organ through a weak area of the muscle of the body. They commonly occur in the groin, belly button and the site of a previous operation. Hernia patients often notice a bulge under the skin or feel a sharp and immediate pain when lifting or coughing or a dull ache that gets worse towards the end of the day.
A hernia can happen at any age. It can be present since birth (congenital), or it may develop over a period of time. Both men and women can get a hernia.
Hernias can only be repaired with surgery. A hernia does not get better over time, nor will it go away by itself. If you are looking for Laparoscopic hernia surgery in Dubai, you can reach out to Dr Girish Juneja, the best laparoscopic/bariatric surgeon in Dubai.
What are the types of Hernia?
Uncomplicated Hernia
An uncomplicated hernia or reducible Hernia is the condition in which intestines bulge into the peritoneum (the membrane lining the abdomen). It can come & go inside the body, although it will not stay in place without corrective surgery. It is recommended that an uncomplicated hernia be repaired as there is a danger of it becoming obstructed or strangulated.
Obstructed Hernia
An obstructed hernia occurs when the intestines bulge through the hernia area and become trapped. It is an EMERGENCY condition.
Strangulated Hernia
A strangulated hernia is when the blood supply to an incarcerated hernia is cut off. Strangulated hernias can result in gangrene. It is an EMERGENCY condition.
The severe, continuous pain, redness and tenderness are signs that the Hernia may be obstructed or strangulated. It is important to contact your doctor if you have any of these symptoms as both are serious emergencies & can lead to gangrene.
Hernia Repair Surgery
There are two types of hernia repair surgery:
Open Surgery
In open surgery, the surgeon makes an incision into the area of the Hernia and uses a small piece of surgical mesh to repair the defect or hole.
Keyhole or Laparoscopic surgery
In this type of surgery, the surgeon uses a tiny telescope connected to a camera which is inserted through a small hole using a port, allowing the surgeon to see the Hernia and surrounding structures on a television screen. Other small ports are inserted into the lower abdomen to allow the surgeon to insert fine laparoscopic instruments into the abdomen in order to repair the Hernia. A piece of surgical mesh is placed over the Hernia and held in place with small surgical staples.
Keyhole surgery is not suitable for all patients. After clinical examination, your surgeon will be able to tell you whether this technique is right for you or not.
Advantages Of Keyhole Surgery
- It may offer a quicker return to work and normal activities.
- It may cause less post-operative pain.
- Other hernias that are not yet visible can be identified and repaired at an earlier stage so that you won’t have to return for more surgery.
- It has better cosmetic results. There are three small scars rather than a 6-8 centimetres long scar.
Why choose Dr Girish Juneja for your Laparoscopic Hernia Surgery in Dubai?
He’s an Industry veteran helping patients for the last two decades locally, a well-experienced surgeon, who has done hundreds of Hernia surgeries (with all the latest techniques) in UAE on local & international patients, so you can count for the best results & safety on him & his team.
First surgeon to have received surgeon of excellence Award for bariatric surgery (by world body – the international federation for the surgery of obesity & metabolic disorders) in Dubai, UAE, 2017
What preparation is required for hernia surgery?
- Most hernia operations are performed on an outpatient basis, and therefore you will probably go home on the same day(late evening) that the operation is performed.
- Pre-operative preparation includes blood tests, medical evaluation, chest x-ray and an electrocardiogram, depending on your age and medical condition.
- After your surgeon reviews with you the potential risks and benefits of the operation, you will need to provide written consent for surgery.
- It is recommended that you shower the night before or the morning of the operation.
- If you have difficulties moving your bowels, an enema or similar preparation may be used after consulting with your surgeon.
- After midnight the night before the operation, you should not eat or drink anything except medications that your surgeon has told you are permissible to take with a sip of water the morning of surgery.
- Drugs such as aspirin, blood thinners, anti-inflammatory medications (arthritis medications) and Vitamin E will need to be stopped temporarily for several days to a week prior to surgery.
- Stop smoking and arrange for any help you may need at home.
What happens if the operation cannot be performed Laparoscopically?
In a small number of patients, the laparoscopic method cannot be performed. Factors affecting the increased risk of an open procedure may include obesity, a history of previous abdominal surgery causing scar tissue, inability to visualize organs or bleeding problems during the operation.
The decision to perform the open procedure is a judgement made by your surgeon, either before or during the actual operation. The decision to convert to an open procedure is strictly based on patient safety.
Complications
Complications are unexpected problems that can occur during or after the surgery. Most patients do not experience any problems after surgery. However, given below are some complications that may occur:
- Bleeding – this is very uncommon with laparoscopic surgery.
- Infection – you may get an infection in the wound caused by the mesh or sutures/staples. This is a very rare complication.
- Slight risk of injury to the bladder, intestines, blood vessels, nerves or the sperm tube going to the testicles.
- Difficulty urinating after surgery is not unusual and may require a temporary tube into the bladder.
- At any time, a hernia can come back. The long-term recurrence rate is not known.
What happens after surgery?
- Following the operation, you will be transferred to the recovery room, where you will be monitored for 1-2 hours until you are fully awake.
- Once you are awake and able to walk, you will be sent home.
- With any hernia operation, you can expect some soreness, mostly during the first 24 to 48 hours.
- You are encouraged to be up and about the day after surgery.
- Don’t do any activity that involves heavy lifting or straining for at least two weeks after laparoscopic surgery and up to 4-6 weeks after open surgery.
- Keep the wound(s) dry until the stitches/clips have been removed, usually 7-10 post-operatively.
- Some stitches will dissolve within 2-3 weeks and will not require removal.
- As soon as you are comfortable, you can begin easy activities such as walking. Avoid strenuous exercise for two weeks and 4-6 weeks if you have had open surgery.
- You can start driving again once you are free of pain and can use the controls of your care normally.
