All-Inclusive Guide to Hernia Surgery in India
15 Jun, 2024
Are you dealing with the discomfort of a hernia, unsure of what steps to take next? Have concerns about the cost and quality of hernia surgery left you feeling overwhelmed? In India, did you know you have access to world-class medical care at a fraction of the cost compared to other countries? Imagine having clear guidance on the types of hernia procedures available—whether it's open surgery, laparoscopic, or robotic. Which top doctors and hospitals specialize in these treatments, ensuring you receive the best care possible? Our comprehensive guide on hernia surgery in India is designed to answer all your questions. From understanding the different surgical options to learning about costs and success rates, we're here to empower you to make informed decisions about your health. Discover how India offers not just treatment, but peace of mind in your journey to recovery.
Types of hernia surgeries
1. Open Hernia Repair:
Transform Your Beauty, Boost Your Confidence
Find the right cosmetic procedure for your needs.
We specialize in a wide range of cosmetic procedures
a. Herniorrhaphy: This is a traditional open surgery method where an incision is made directly over the hernia. The surgeon pushes the protruding tissue back into place and repairs the weakened area of the abdominal wall with stitches. This approach is effective for smaller hernias and provides direct access to the hernia sac.
b. Hernioplasty:
Involves reinforcing the weakened abdominal wall with a synthetic mesh to provide additional support and reduce the risk of recurrence. This mesh may be placed over the defect (onlay), under the defect (sublay), or through the defect (inlay).
2. Laparoscopic Hernia Repair:
a. Transabdominal Preperitoneal (TAPP): A laparoscopic approach where the surgeon accesses the hernia from inside the abdomen. Small incisions are made, and a camera and specialized instruments are used to push the hernia back into place. A mesh is then placed over the defect from inside the peritoneum (the inner lining of the abdominal cavity). This method allows for better visualization and access to bilateral hernias and can reduce post-operative pain and recovery time compared to open surgery.
b. Totally Extraperitoneal (TEP): Another laparoscopic technique where the surgeon works from outside the peritoneum, creating a space between the peritoneum and the abdominal wall. This approach also involves placing a mesh to reinforce the hernia defect. TEP may be preferred for patients who have had previous abdominal surgery or for certain types of hernias.
c. Robotic Hernia Repair: Utilizes robotic-assisted surgical systems that offer enhanced precision and dexterity. The surgeon controls robotic arms equipped with miniaturized instruments through a console. This approach is similar to laparoscopic techniques (TAPP or TEP) but may provide even finer control and better visualization in complex cases.
d. Mesh vs. Non-Mesh Repair: Most hernia repairs today involve using a synthetic mesh to reinforce the weakened tissue and reduce the risk of recurrence. The mesh acts as a scaffold for tissue growth, providing long-term support. Non-mesh repairs, such as Bassini or Shouldice techniques, involve suturing the edges of the defect without using synthetic material. These techniques may be considered in select cases, such as young patients without risk factors for mesh-related complications.
e. Emergency Hernia Repair: In cases where a hernia becomes incarcerated (cannot be pushed back into place) or strangulated (blood supply to the hernia contents is cut off), emergency surgery is necessary. This involves urgent reduction of the hernia contents and repair of the hernia defect to prevent tissue damage and potentially life-threatening complications.
Each type of hernia surgery has its indications and considerations based on factors such as the size and location of the hernia, the patient's overall health, and the surgeon's expertise. Discussing these options with a healthcare provider helps determine the most appropriate surgical approach for each individual case.
Hernia Surgery Procedure
1. Preparation: Before surgery, you will change into a surgical gown. An intravenous (IV) line will be inserted into your arm to deliver fluids and medications. You will receive anaesthesia, typically general anaesthesia, to keep you unconscious throughout the procedure.
2. Incision: The surgeon starts by making an incision near the hernia site. The size and location of the incision depend on the type and location of the hernia. If laparoscopic surgery is performed, smaller incisions are made to insert instruments and a camera.
3. Exploration and Hernia Identification: Once the incision is made, the surgeon carefully separates the skin and underlying tissues to expose the hernia. The hernia sac, containing the protruding organ or tissue, is identified. The surgeon gently pushes the herniated tissue back into its proper place inside the abdominal cavity. If necessary, the hernia sac may be opened and its contents returned to the abdomen.
4. Repairing the Hernia: For smaller hernias, the surgeon may directly repair the defect in the abdominal wall by stitching the edges together (primary closure). More commonly, a mesh patch is used to reinforce the weakened area (hernioplasty). The mesh, made of synthetic or biological material, is placed over the hernia defect and secured with sutures, staples, or surgical glue.
5. Closure: After the repair is completed, the surgeon closes the incision with sutures (stitches) or surgical staples. If laparoscopic surgery is performed, the small incisions are closed with absorbable sutures or surgical tape.
6. Post-operative Care: You will be taken to a recovery room where your vital signs will be monitored closely. Pain medications and antibiotics may be administered to manage discomfort and prevent infection. Early mobilization is encouraged to promote blood circulation and prevent complications. Your healthcare team will provide instructions on wound care, diet, and activity restrictions during the initial recovery period. Full recovery typically takes several weeks.
7. Follow-up: Your surgeon will schedule follow-up appointments to monitor your healing progress. Stitches or staples may need to be removed during these visits. It's important to attend all follow-up appointments and follow your surgeon's instructions to ensure proper healing and reduce the risk of complications.
8. Potential Complications: While hernia repair surgery is generally safe, complications can occur, including infection, bleeding, recurrence of the hernia, nerve damage, and reactions to anaesthesia. Your surgeon will discuss these risks with you before the procedure.
This detailed description outlines the typical steps involved in hernia surgery. Your specific procedure may vary based on your individual health, the type of hernia, and the surgical approach chosen by your healthcare team. Always consult with your surgeon for personalized medical advice and information regarding your surgery.
Top Doctors for hernia surgery in India
1. Dr. Pradeep Chowbey
Designation:
- Chairman - Max Institute of Laparoscopic, Endoscopic, Bariatric Surgery & Allied Surgical Specialities
Experience:
- Over 45 years
- Conducted approximately 85,000 surgeries
Specialties:
- Laparoscopic / Minimal Access Surgery
- Bariatric Surgery / Metabolic
- Endoscopic Surgery
Achievements:
- First laparoscopic cholecystectomy surgeon in North India
- Pioneered MAFT (Minimally Invasive Fistula Technology) in Asia Pacific
- Max Healthcare: Center of Excellence for Metabolic & Bariatric Surgery
- Guinness and Limca Book of Records for Minimal Access Surgeries
Publications:
- Over 300 scientific papers
- Contributor to textbooks by Springer, Jaypee, and Elsevier
Education:
- MBBS, MS (Jabalpur Medical College)
- FMAS, FALS, FIAGES, FACS, FICS, FAIS, FIMSA, FRCS (London), MNAMS
Awards:
- Padma Shri, 2002
- Numerous national and international awards
Professional Roles:
- Founder President, Asia Pacific Hernia Society
- President, International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO)
- Honorary Member of various hernia societies globally
Training:
- Trained over 20,000 surgeons worldwide
Innovations:
- Developed techniques for Endoscopic Hernia Repair and endoscopic neck surgery
- Dr. Pradeep Chowbey is a globally renowned laparoscopic surgeon, recognized for his pioneering work and contributions to minimal access surgery.
2. Dr. Arvind Kumar
Designation:
- Chairman - Institute of Chest Surgery, Chest Onco-Surgery, and Lung Transplantation
- Co-Chairman - Medanta Robotic Institute at Medanta Hospital, Gurgaon
Experience:
- 38 years
- Over 15,000 Thoracic (Chest) Surgeries, including 8000+ minimally invasive and Robotic procedures
Specialties:
- Chest, Lungs, Pleura Mediastinum, Trachea, Esophagus, Chest Wall, Diaphragm, Chest Trauma
Achievements:
- Pioneered numerous Robotic Surgery techniques in India and Asia
- First Robotic Thymectomy for Myasthenia Gravis and Thymoma
- First Robotic Esophagectomy for esophageal cancer
- First Robotic Vascular Surgery in Asia for Aortic obstruction
- First Robotic Thyroidectomy for Goiter in North India
Publications:
- Authored and co-authored numerous research papers in national and international medical journals
Education:
- MBBS - 1981
- MS (General Surgery) - 1984
- MNAMS, FUICC, FACS, FICS, FIAGES
Awards:
- Dr. B.C. Roy Award, 2014
- Fakhr-e-Hind Award, 2019
- WHO Fellowship, 2006
- Raj Nanda Fellowship, 2006
- ICRETT Fellowship, 1997
- Khandelwal Junior Oncology Award, 1992
- Sir Hiralal Gold Medal, 1984
- Dr. V. Ramalingaswamy Prize, 1980
Professional Roles:
- Former Chairman, Centre for Chest Surgery & Director, Institute of Robotic Surgery, Sir Ganga Ram Hospital, New Delhi
- Former Professor of Surgery and Chief, Chest and Robotic Unit, AIIMS, New Delhi
Contributions:
- Founder and Managing Trustee of the Lung Care Foundation, promoting awareness and support for chest diseases
Dr Arvind Kumar is a distinguished chest surgeon with extensive experience and pioneering achievements in robotic surgery. His contributions to thoracic surgery and commitment to patient care have earned him numerous prestigious awards and recognition.
Top hospitals for hernia surgery in India
1. Apollo Hospitals, Chennai
Apollo Hospitals on Greams Road in Chennai was established in 1983 by Dr Prathap C Reddy. It was India's first corporate hospital and is acclaimed for pioneering the private healthcare revolution in the country. Over the years, Apollo Hospitals has risen to a position of leadership, emerging as Asia's foremost integrated healthcare services provider.
Location
- Address: 21 Greams Lane, Off Greams Road, Thousand Lights, Chennai, Tamil Nadu 600006, India
- City: Chennai
- Country: India
Hospital Features
- Established Year: 1983
- Treatment Availability: International
- Hospital Category: Medical
About Apollo Hospitals
Apollo Hospitals has a robust presence across the healthcare ecosystem, including hospitals, pharmacies, primary care, and diagnostic clinics. The Group also has telemedicine units across 10 countries, health insurance services, global projects consultancy, medical colleges, Med-varsity for e-learning, colleges of nursing, and hospital management.
Team and Specialties
- Cardiology and Cardiothoracic Surgery: Apollo Hospitals hosts one of the largest cardiovascular groups globally, with around 14 world-class institutes, over 400 cardiologists & cardiac surgeons, and 200 heart stations.
- Robotic Spinal Surgery: Among the few centres in Asia to perform this advanced procedure, Apollo is at the forefront of spinal disorder management.
- Cancer Care: A 300-bedded, NABH-accredited hospital providing advanced technology in diagnosis and radiation, supported by an oncology team of renowned specialists and well-trained medical and paramedical professionals.
- Gastroenterology: Offers the latest endoscopic procedures for gastrointestinal bleeding, cancers, foreign body removal, etc.
- Transplant Institutes: The Apollo Transplant Institutes (ATI) is one of the largest, most comprehensive, and busiest solid transplant programs globally.
- Liver Surgery: Equipped with a 320-slice CT scanner, a state-of-the-art Liver Intensive Care Unit & Operation Theatre, and various surgical tools to enable safe & bloodless liver surgery.
- Neurosurgery: Recognized as a leader in acute neurosurgery, Apollo Hospitals, Chennai, is among the top hospitals specializing in neuro care worldwide.
Infrastructure
With the experience of over one million health checks, Apollo Hospitals has emerged as a key player in the corporate healthcare sector. Over 500 leading corporates, across all industry segments, have tied up with Apollo Hospitals, providing their employees with ready access to sophisticated medical facilities at over 64 locations in India. The corporate services initiative of Apollo Hospitals, Chennai, aims to provide world-standard healthcare within the reach of every individual.
2. Fortis Memorial Research Institute (FMRI)
Fortis Memorial Research Institute (FMRI) in Gurgaon is a premier multi-super speciality, quaternary care hospital. Known for its international faculty and reputed clinicians, including super-sub-specialists and speciality nurses, FMRI is supported by cutting-edge technology. The hospital aims to be the 'Mecca of Healthcare' for the Asia Pacific region and beyond.
Location
- Address: Sector - 44, Opposite HUDA City Centre, Gurgaon, Haryana - 122002, India
- City: Gurgaon
- Country: India
Hospital Features
- Established Year: 2001
- Number of Beds: 1000
- Number of ICU Beds: 81
- Operation Theaters: 15
- Hospital Category: Medical
Specialties
FMRI excels in several medical specialities, including:
- Neurosciences
- Oncology
- Renal Sciences
- Orthopedics
- Cardiac Sciences
- Obstetrics and Gynecology
These specialities leverage advanced technology and top clinicians to deliver exceptional healthcare services.
Team and Expertise
- International Recognition: FMRI has been ranked No.2 of the 30 most technologically advanced hospitals in the world by ‘topmastersinhealthcare.com,’ surpassing many other outstanding medical institutions globally.
- Patient Care: Fortis hospitals treat over 3.5 lakh patients annually, relying on reputed clinicians, state-of-the-art infrastructure, and world-class technology such as the Da Vinci robot, ensuring patients go home healthy.
- Innovative Initiatives: FMRI's initiatives range from customized preventive health checks to quaternary care provided by super-specialized clinicians conducting rare and complex surgeries.
About Fortis Healthcare
FMRI is a flagship hospital of Fortis Healthcare, one of the top healthcare providers in India. Fortis Healthcare is known for its commitment to quality healthcare and patient safety, making FMRI one of the most sought-after medical destinations in the region.
3. Indraprastha Apollo Hospital, New Delhi
- Address: Indraprastha Apollo Hospitals, Sarita Vihar, Delhi-Mathura Road, New Delhi - 110076, India
- Country: India
- Treatment Availability: Both (Domestic & International)
- Hospital Category: Medical
About Hospital:
- Indraprastha Apollo Hospitals, New Delhi, is a multi-speciality tertiary acute care hospital with 710 beds, making it one of the most sought-after destinations in Asia for healthcare.
- It is a state-of-the-art modern facility in the heart of the capital, spread over 15 acres with a built-up area of over 600,000 square feet.
- This flagship hospital of the Apollo Hospitals Group epitomizes the clinical excellence that the Apollo Group stands for, aiming for the best clinical outcomes for patients.
- The hospital achieves the best clinical outcomes for the most complex diseases with the best staff supported by the latest technology and standardized processes.
- Indraprastha Apollo Hospitals engages the best consultants through a rigorous credentialing and privileging process, supported by top healthcare staff.
- Regular training programs, conferences, and continuing medical education programs keep the staff abreast of the latest developments in their fields.
- The hospital is equipped with the latest and best-in-class medical technologies such as PET-MR, PET-CT, Da Vinci Robotic Surgery System, Brainlab Navigation System, Portable CT Scanner, NovalisTx, Tilting MRI, Cobalt-based HDR Brachytherapy, DSA Lab, Hyperbaric Chamber, Fibroscan, Endosonography, 3 Tesla MRI, and 128 Slice CT scanner to provide world-class care.
- Indraprastha Apollo Hospitals was the first hospital in India to be JCI accredited in 2005 and was the first to be reaccredited in 2008 and 2011. It also has NABL-accredited clinical laboratories and a state-of-the-art blood bank.
Team and Speciality:
- The hospital has a team of the best consultants supported by top healthcare staff, engaging in regular training and continuous education.
Infrastructure:
- Established in 1996
- Number of Beds: 1000
- State-of-the-art facilities with the latest medical technologies.
Cost of hernia surgery in India (USD)
The cost of hernia surgery in India is considerably lower compared to many Western nations. Here's a breakdown in USD:
- Minimum range: USD 1,134 (₹90,000)
- Maximum range: USD 4,682 (₹3,71,400)
Factors affecting the cost:
- Type of hernia: Open surgery is generally cheaper than laparoscopic or robotic-assisted procedures.
- Hospital & surgeon's expertise: Reputed hospitals and highly experienced surgeons may command higher costs.
- City tier: Costs can vary depending on the location of the hospital.
Hernia Surgery Success Rate in India
India boasts a success rate for hernia surgery due to:
- Skilled surgeons: Many Indian surgeons are well-trained and experienced in hernia repair procedures.
- Modern facilities: Hospitals often have advanced equipment for hernia surgery.
The success rate in India is generally on par with developed countries.
How can HealthTrip assist with your treatment?
If you're seeking Hernia Surgery in India, let HealthTrip be your compass. We support you throughout your medical journey with the following:
- Access to top doctors in 38+ countries and the largest health travel platform.
- Partnerships with 1500+ hospitals, including Fortis, Medanta, and more.
- Treatments in neuro, cardiac care, transplants, aesthetics, and wellness.
- Post-treatment care and assistance.
- Teleconsultations with leading doctors at $1/minute.
- Over 61K patients served.
- Access Top treatments and packages, such as Angiograms and many more.
- Gain insights from genuine patient experiences and testimonials.
- Stay updated with our medical blog.
- 24/7 unwavering support, from hospital formalities to travel arrangements or emergencies.
India provides a unique combination of skilled surgeons, modern medical amenities, and affordable treatment choices for hernia surgery. Patients have the option of selecting the most suitable procedure for their condition, whether it be open, laparoscopic, or robotic surgery. The top-notch hospitals and physicians guarantee top-quality care and remarkable success rates, on par with those found in developed nations. Additionally, the considerably lower expenses make India an attractive location for hernia surgery. This resource offers crucial details to assist you in making well-informed choices, ensuring a seamless and successful treatment journey.
