Redo Hernia Repair Bilateral

Redo bilateral hernia repair surgery

Redo/ Revision bilateral hernia repair is an operation to repair bilateral gastric hernias (on either side of the groin (inguinal region) following a failed or recurring hernia repair.

Indications

Redo surgery can be necessary in the instances of:

• Hermias on either side or both sides.
• Pain that is hard to get rid of or is a result of the earlier operation.
• Mesh infection or migration.
• Abdominal Wall Abnormalities.

Bilateral hernia revision surgery India

Bilateral hernia repair revision surgery is done in case alar repair of a prior hernia repaired operation fails or recurs on one or both sides of the groin. The cases are harder than primary repair because of scar tissue, distorted anatomy and the presence of mesh.

Surgical Options:

Open Revision Surgery

• Operations: Groin incisions.
• Mesh replacement: This process is necessary when the previous mesh is faulty or damaged.
• Desired in the event of a laparoscopic surgery in the past or when scar tissue is vast.

Laparoscopic Revision Surgery

• Transabdominal Preperitoneal Repair (TAPP).: through abdominal cavity.
• TEP (Totally Extraperitoneal Repair): This is where the mesh is placed outside the abdomen.
• More technically difficult because of adhesions, but can be better visualized and has less tissue trauma.

Choice depends on:

• Type of previous surgery.
• Extent of scar tissue.
• Surgeon's expertise.

Preoperative Evaluation

• Extensive surgical history and previous operations.
• Ultrasound or CT to find defects and pre-existing mesh.
• Usual blood analyzes and anaesthesia check-up.
• The risks and realistic expectations of surgery.

General Overview: Surgical Steps

• General or regional in nature.

Access:

• Open: Both groin incisions.
• Laparoscopic: 34 abdominal holes.
• Scar Tissue Dissection: The separation should be done carefully so that it does not damage nerves or vessels.
• Hernia Sac Treatment: Decrease contents; excise old sac when required.
• Mesh Placement: Novel synthetic or biologic mesh glued in place.
• Close-up: Multiple tissues and dressing put on.
• Monitoring Recovery: Immediate post-op complications observation.

Redo laparoscopic bilateral hernia repair

Redo laparoscopic repair is used to correct hernia when it is recurrent on one or both sides following hernia repair done previously, especially when the previous hernia repair was laparoscopic or open.

Indications

• Recurrence of bilateral or unilateral repair.
• Pain chronic in the groin since surgery.
• Difficulty with having used the mesh before (infection, shrinkage, migration).
• Post-repair abdominal wall weakness.

Surgical Approach

There are two major methods to redo laparoscopic repair:

TAPP (Transabdominal Preperitoneal Repair)

• Abdominal access.
• It opens peritoneum and introduces mesh in the preperitoneal space.
• Appropriate in case of an earlier surgery (open surgery).

TEP (Totally Extraperitoneal Repair)

• Mesh incised outside of the abdominal cavity.
• More difficult with the redo cases with adhesions.
• Ideal- if laparoscopic surgery had been done before.

Surgical Steps (Overall Overview)

• Anaesthesia: General anaesthesia.
• Port Location: 3 ports (umbilical and 2 lateral).
• Adhesion Dissection: Scar tissue and old mesh should be separated cautiously.
• Hernia Sac Management: Add suture reduction and removal of sac.
• Mesh Placement: Huge mesh overlay; tacked or glued.
• Peritoneal Closure (TAPP) or provision of mesh coverage (TEP).
• Closure: Closed using sutures or glue.
• Recovery Surveillance: Post-operative immediate evaluation of bleeding or wound.

Factors Affecting Cost of redo bilateral hernia surgery India

The price of the redo laparoscopic bilateral hernia repair surgery operation in India is dependent on a number of factors. The following is a summary of the critical factors that affect the total cost:

Type of Surgery

• Laparoscopy Surgery: This is a minimally invasive surgery that is usually more expensive than the open surgery depending on the complexity and hospital. 
• Open Surgery: The one which is less costly in general, though not applicable to recurrent and bilateral operations. 
• Robotic Surgery: Provides increased accuracy and reduced recovery at a higher price. 

Hospital Location

• Metropolitan Cities: In cities such as Delhi, Mumbai, Bangalore, and Hyderabad, the facilities in the hospitals are more expensive as they are more technologically advanced and cost more to operate.
• Smaller Cities or Towns: This may be less expensive and not of lower quality in the facilities in the smaller areas.

Surgeon’s Expertise

• Most of the time, surgeons with high experience will charge more money and their results will be better and fewer complications. 

Type of Mesh Used

• Standard Mesh: It is usually cheaper.
• Premium or Biological Mesh: This may be more expensive though may lessen recurrence risk, particularly in complex or recurrent cases. 

Hospital Type

• Private Hospitals: Prices differ significantly depending on facilities and specialization and are more expensive. 

Preoperative and Postoperative Care

• Preoperative Tests: Basic health tests might be more expensive.
• Postoperative Drugs and Follow-ups: Could increase the overall cost.

Best hospital for redo bilateral hernia repair India

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

Recovery after redo bilateral hernia repair surgery

Redo bilateral hernia repair is more complicated than the initial surgery and thus can take a longer time and need additional attention. The recovery is also dependent on the type of operation which has been carried out, laparoscopic or open.

Acute Postoperative (0-48hours)

• Hospitalization: 1-3 days (laparoscopic might be shorter, open might be longer).
• Pain management: NSAID/temporal opioids.

Monitoring for:

• Bleeding or hematoma.
• Infection at incision sites.
• Male bowel or urinary retention.
• Early movement stimulated to avert blood clots and enhance healing.

First 1–2 Weeks

• Suffering and distress are slowly diminished.
• Wound care: Incisions must remain clean and dry; observe redness or discharging.

Activity:

• Light walking encouraged.
• Do no straining or heavy lifting.
• Diet: Normal diet but abundant in fluids to avoid constipation.

Weeks 2–4

• The majority of patients are able to go back to work at the desk or perform light and daily activities.
• Groin swelling or bruising may also continue mildly.
• Refrain from hard work, heavy lifting or intense exercise.

Weeks 4–6

• Slow restoration of normal functioning and labor, with moderate exercise.
• It requires personal healing, nature of repair, and complications.

Long-term Recovery (6 weeks and above)

• The pain tends to heal up.
• Do not lift very heavy weights in 6 weeks or 8 weeks.
• Look out of recurrence (bulge, discomfort or swelling).

Conclusion

Redo bilateral hernia repair is a complicated but a manageable surgery that is intended to correct recurrent hernias in both sides of the groin. Surgery may be done either as open or laparoscopically depending on the kind of earlier repair, scar tissue size and experience of a surgeon. The preoperative planning is very important to evaluate the previous mesh positions, scar tissue, and general health of a patient. Laparoscopic repair usually has the benefit of quicker recovery, less pain and smaller scar, whereas open repair can be safer in dense adhesions or where laparoscopy has previously been done. Recovery is a process of gradually restoring normal functions over 4-6 weeks and close wound care, restriction of activities and observation of any complications.

Redo hernia repair bilateral in India with GetWellGo

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FAQ

1. What is the duration of the surgery?

• Laparoscopic redo bilateral repair: 1–2 hours
• Open redo bilateral repair: 1.5-3 hours, with scar tissue and complexity.

2. How long is the hospital stay?

• Laparoscopic: 1–2 days
• Open: 2–3 days

3. Is it possible to fix both sides during a single operation?

• Yes, they can be repaired simultaneously bilaterally unless there are medical complications.

4. Does redo surgery result in recurrence?

• The chances of recurrence are marginal compared to primary surgery because of scar tissue and prior repair, although, with appropriate surgical procedure and mesh positioning, a majority of the patients have a successful long-term outcome.