Ventral Hernia Treatment

What is a Ventral hernia?

A weak spot or hole in the muscles of the abdominal wall leads to looping of the intestine or forces tissue to push through the layer of muscle, manifesting ventral hernia. The location of a ventral hernia can be anywhere across the midline or vertical centre of the abdomen.

Types :

Typically, there are three types of ventral herniations, as described below.

Epigastric

Occurring in the stomach area, below the breastbone and above the belly button or navel, an epigastric hernia can develop both in men and women.

Umbilical

Appearing primarily in the belly button area, umbilical hernias are treatable and seldom serious. Improper closure of the abdominal muscle that allows passage of the umbilical cord leads to hernia.

Incisional hernia

Generally, evolving at the site of a previous abdominal surgery, an incisional hernia appears on the scar. There is no specific time frame identified for its development.

Causes and risk factors for ventral hernia

Surgical

An infection at a previous abdominal surgery site

Weakness at the site of a preceding incision

Failed surgical mesh placement

Unsuccessful surgical repair

Other

Congenital weaknesses of the abdominal wall

Weakness of the abdominal wall due to persistent strain as a result of

Obesity and overweight dispositions

Frequent episodes of coughing

Severe bouts of vomiting

Lifting, pushing heavy objects

Straining while urinating or during bowel movements

Lung diseases

Emphysema: Due to which the patient is unable to breathe leading to a strain on the abdominal wall

Chronic obstructive pulmonary disease or COPD where patient experiences shortness of breath due to poor airflow

Enlargement of the prostate gland or prostatism causing the older male patients to strain while urinating

Loss of elasticity of the abdominal wall due to old age

Signs and Symptoms

In its early stages, ventral hernia seldom causes any discomfort. A visible bulge appears in the abdomen area, right under the skin and is tender to touch. When lying down, or when you push against it, the bulge may even flatten.

Patients may feel increased levels of pain when they lift heavy objects, strain during bowel movements or urination, or sit and stand for prolonged periods.

If the intestine bulges through the abdominal wall and is trapped, then the person might experience severe abdominal pain. The strangled portion of the intestine begins dying as it loses blood supply. This situation requires emergency care.

Diagnosis

Your medical and surgical history is first reviewed by the doctor before a physical examination of the abdominal area is performed. Thereafter, imaging tests are done including ultrasound, MRI or Magnetic Resonance Imaging and a CT or Computed Tomography Scan.

Repair of ventral hernia

Surgical intervention is the only treatment available for ventral herniation because the malformation does not resolve on its own. It can get worse over time. Patients may also experience serious complications when ventral hernias are left untreated for prolonged periods.

What happens during the surgery?

The hole in the abdominal wall is repaired and the muscles are brought back into position. Additionally, the shape of the abdomen along with its tone is restored.

At SIMS Hospital, we primarily perform laparoscopic and open hernia repairs.

Laparoscopic surgery:

About 7 sites are marked for small incisions to be made away from the area where the hernia is present. A laparoscope is inserted through one of the openings and a guided surgery is performed where a mesh material is placed to stabilize and strengthen the weak area. Since only small-sized incisions are involved, the surgery comes with lower risks of infection and better healing rates.

Open hernia repair:

The intestine and abdominal tissue are pushed back into place when a single large open incision is made in the abdomen in the herniated area. This type of surgery has reduced recurrences and quick skin closure due to dissolvable stitches.

At SIMS Hospital, Nungambakkam

Before operating upon you, our doctors will consider several factors such as your age, existing health problems, your medical history, size of the ventral hernia, skin required for repair, and presence of infection.

We tailor every ventral hernia repair according to individual situations, requirements, and the expected outcomes.

Treat your ventral hernia repairs, right here at SIMS Hospital, Nungambakkam.

aortic-aneurysm-centre

Aortic Aneurysm Centre Launch

Setting another milestone in its journey of achieving clinical excellence, SIMS Hospital, Chennai launched an exclusive centre for aortic diseases, AORTIC ANEURYSM CENTRE, on 19-September’2019. It was an apt occasion for the launch, as the day is observed as the Aortic Disease Awareness Day across the world. The centre was formally inaugurated by Mr. N. Ram – Chairman, The Hindu Publishing Group, who graced the event as the chief guest. Among other dignitaries present were, Dr. Raju Sivasamy – Vice President, SIMS Hospital, Dr. V. V. Bashi – Director, ICAD.

aortic-disease-awareness-day
8th International Aortic

8th International Aortic Summit Announced

8th International Aortic Summit Announced

 Over 200 cardiac surgeons gather in Chennai for South Asia’s largest Aortic Diseases Summit  

Chennai 20th November: Institute of Cardiac & Advanced Aortic Disorders (ICAAD) – SIMS Hospital is hosting the “8th International Aortic Summit 2018”, from 22nd – 24th  November 2018. The summit will witness participation of over 200 veteran Cardiac & Cardiothoracic Surgeons from all over India. A plentiful presence of foreign faculties from Italy, Germany, United Kingdom, New Zealand, Japan, Belgium, Oman and Canada will edify the participants. Mr. Ravi Pachamoothoo, Chairman – SRM Group will grace the inaugural session as the Chief Guest. Dr. Raju Sivasamy, Vice President – SIMS Hospital will preside over the summit. The academic sessions will proceed under the guidance of the Course Director Dr. V.V. Bashi, Director – ICAAD, SIMS Hospital.

There is an increase in the number of patients with aortic diseases in India, and a severe shortage of specialists trained in Aortic Surgery prevails. Approximately 6 lakh people suffer from various types of Aortic Aneurysms in India every year; out of which only 1000 people are getting treated. The prime objective of this international Aortic Summit is to provide decision-making and technical skills to Cardiac Surgeons and impart knowledge on the recent updates in treating Aortic diseases. This will in turn benefit our patients by providing affordable treatment.” Said Dr. V.V. Bashi.

While speaking on the occasion Mr. Ravi Pachamoothoo said, “We have instituted a chain of multi super specialty tertiary care hospitals, to name a few SRM Medical College Hospital & Research Institute at Kattankulathur, Chengalpattu and Chennai, with a combined bed capacity of 1600. Offering affordable healthcare to all the people at the vicinity of our centres, is our motto. By hosting this international Summit on Aortic Diseases, we assure our commitment in offering healthcare to everyone at affordable cost”.  

This Summit is set to exchange knowledge and experiences on treatment and management of Aortic Diseases. A large segment of people are affected by various kinds of Aneurysms in India. Dissecting Aneurysm is a very serious aortic disease that results in higher mortality rate in the first 24 hours without treatment. Various modalities of treating this disease will be presented and discussed during the Summit.  

Salient Features of the Summit:

    • 30 international faculties from eight different countries
    • Deliberation on recent advances and modalities in treating Dissecting Aneurysm
    • Hands-on workshop with simulated training on an animal organ
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