Bilateral Laparoscopic Hernia

Laparoscopic bilateral hernia surgery India

Laparoscopic bilateral hernia repair is a low invasive surgery to heal inguinal hernias on both sides (left and right) of the groin with the help of small incisions and a camera. As compared to open surgery, it has a quicker recovery, minimizes pain, and scars are small.

Procedure Steps 

• Anaesthesia: General anaesthesia is employed.
• Incisions: There are three small incisions (510 mm) in the abdomen.
• Access/ Visualization Laparoscope inserted to see both hernias.
• Hernia Reduction: Hernia is pressed back into the stomach.
• Mesh Placement: This is a synthetic mesh used to support the abdominal wall.
• Closure: fixation (tacks or glue), and incision is closed using sutures or skin adhesive.

Advantages

• Less post-operative pain
• Reduced hospital stay (in most cases same day discharge)
• Earlier recovery and resumption to daily activities and work.
• Can fix both the hernias at the same time using the same incisions.
• Reduced chances of chronic groin pain, as compared to open repair.

Factors Affecting Bilateral laparoscopic hernia repair cost India

Laparoscopic bilateral hernia repair in India is a operation that has greatly varied costs brought about by a number of factors:

Type of Surgery (TEP vs. TAPP)

• TAPP (Transabdominal Preperitoneal Repair): This is done by opening the abdominal cavity and therefore is an ideal technique used in complex, recurrent or bilateral hernias. 
• TEP (Totally Extraperitoneal Repair): Remains out of the abdominal cavity, reducing the risk of internal organ damage and enhancing recovery and less pain after surgery. 

Type of Mesh Used

• Polypropylene Mesh (Synthetic): It is frequently utilized in open hernia surgeries, and it is cheaper.
• Composite or Coated Mesh: Has an added advantage such as lesser chances of infections, however, is more expensive than Polypropylene Mesh (Synthetic).
• Biological Mesh: This is an animal tissue, and is applied on complex cases and is very costly.

Hospital and City

• Private Hospitals: These are usually costly because of the superior facilities and facilities.
• Multispecialty/International Hospitals: They provide the state-of-the-art and premium care which is more expensive.
• City Location: Hospitals located in metropolitan cities such as Delhi are very costly as compared to small towns. 

Surgeon’s Expertise

• Surgeons who have long experience might not be as inexpensive as they might seem because their experience will result in fewer complications and better results. 

Pre- and Post-Operative Care

• Diagnostic Tests: Blood tests, preoperative imaging studies, and other diagnostics.
• Medications: Pain relievers, antibiotics and other prescription medications.
• Follow-up Consultations: To check the recovery after surgery.
• Stay at hospital: This may be different depending on the personal recoveries. 

Patient’s Health Condition

• Such factors as obesity, diabetes, and other comorbidity may complicate the surgery and risk complications, which result in increased costs. 

Emergency and Elective Surgery

• Urgent surgery, particularly emergency surgery in the case of incarcerated or strangled hernias, may necessitate urgent response, specialized treatment, and even ICU, which only increase the cost.

Best hospital for laparoscopic bilateral hernia surgery India

• Artemis Hospital, Gurgaon
• Medanta-The Medicity, Gurgaon
• Fortis Memorial Research Institute, Gurgaon
• Max Hospital, Saket

Laparoscopic bilateral inguinal hernia repair in India

Laparoscopic bilateral hernia repair is a small incision surgery to repair both sides (left and right) of the groin inguinal hernias with the use of a camera. It provides quicker recovery, less pain, and smaller scars unlike an open surgery.

Two primary laparoscopic methods are available:

• TAPP (Transabdominal Preperitoneal repair) - the incision goes inside the abdominal cavity and the mesh is fitted into the preperitoneal area.
• TEP (Totally Extraperitoneal repair) - remaining out of the abdominal cavity and inserting mesh in the preperitoneal area.

Indications

Preferred in: Laparoscopic repair is preferred in:

• Inguinal hernia (both sides).
• Relapse following open surgery.
• Patients who need quick healing and prompt resumption of work.

Laparoscopic hernia surgery success rate India

Laparoscopic hernia surgery is usually very successful particularly when done by highly trained surgeons. Here’s a detailed breakdown:

Overall Success Rate

• Primary inguinal hernias: 95–98%
• Bilateral hernias: 95–97%
• Repeat hernias (following open repair): 90-95%.

Success in this case implies that the hernia is repaired successfully, without recurrence and having few complications on the part of the patient.

Recovery after laparoscopic bilateral hernia surgery India

The following is a comprehensive description of laparoscopic bilateral hernia surgery recovery:

Post-Operative Period (Day 0-1)

• Stay in hospital: 1-2 days (occasionally outpatient).
• Pain management: Mild to moderate pains are usual, which are treated by use of oral analgesics.
• Mobility: Patients should walk several hours of post-surgical time to avoid blood clots.
• Diet: In case of no nausea, normal diet may be resumed in a few hours.

First Week (Day 1–7)

• Pain: Light pain or soreness of incisions and groin.
• Activity: Home based light activities are permitted (walking, domestic chores).
• Care of incisions: Small laparoscopic incisions need to stay clean and dry, and the stitches normally dissolve or are taken out in 5-7 days.
• Red flags: Be on the alert of fever, swelling, reddening, or lingering pain.

Weeks 2–4

• Return to work: Sedentary or desk job - typically after 1 to 2 weeks.
• Exercise: Do not use heavy lifting, straining, or exercise of vigor. No trouble with light stretching or walking.
• Pain: By the second week, most of the patients are virtually pain-free.

Weeks 4–6

• Restarting of exercise: Slowly resume moderate exercise (cycling, jogging) at the discretion of surgeon.
• Lifting: Heavy lifting (>10-15 kg) is normally limited up to 6 weeks after the surgery.
• Follow-up: Surgeons usually examine the healing process, the presence of mesh, and the lack of complications.

Conclusion

Laparoscopic bilateral hernia repair is a safe, effective and minimally invasive surgery used in the treatment of inguinal hernias on both sides. It has a number of benefits compared to open surgery such as smaller incisions, less pain after surgery, speedy recovery, and reduced chances of having chronic groin pain. Its success rate is high (95 -98 ) particularly when done by a skilled surgeon and the majority of patients can be doing light activities in 1-2 weeks and full activities take place after 4-6 weeks. In general, laparoscopic bilateral repair of hernia can be regarded as the most desirable type of repair of hernias in patients that have bilateral or recurrent cases of hernias and want to recover faster and have a minimal scar.

Hernia bilateral laparoscopic in India with GetWellGo

GetWellGo is regarded as a leading supplier of healthcare services. We help our foreign clients choose the best treatment locations that suit their needs both financially and medically.

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• Complete transparency
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• Expert general surgeon with a strong track record of success
• Assistance during and after the course of treatment.
• Language Support
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• Case manager assigned to every patient to provide seamless support in and out of the hospital like appointment booking
• Local SIM Cards
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FAQ

1. How frequently does the surgery last?

• Normally between 60 and 120 minutes, depending on the complexity and size of the hernias

2. Who is a suitable candidate?

• The bilateral inguinal hernia patients
• General health: good general health is required in the case of general anaesthesia.
• Patients in need of acceleration and low scarring

3. What is the success rate?

• Primary hernias: 95–98%
• Bilateral hernias: 95–97%
• Recurrent hernias: 90–95%

4. What is the recovery time?

• Light activities: 1–2 weeks
• 1 to 2 weeks (desk jobs): return to work.
• Heavy lifting/strenuous activity: 4 -6 weeks.
• Recovery normally takes 4-6 weeks.