Inguinal Hernia Surgery

Inguinal Hernia Surgery

Inguinal Hernia Treatment in India - Surgery Cost, Top Doctors & Best Hospital

Hernia is a medical condition in which the organ that resides inside the body pushes through the surrounding muscle wall and protrudes outwards. It looks like a lump on the skin. This happens when the muscles surrounding the protruding organ are weakened and form a gap/hole. Depending upon its location on the body, there are various types of hernia, one of them being Inguinal hernia. The inguinal hernia occurs when a part of an intestine protrudes through the surrounding abdominal muscles from the weak spot. You may or may not feel the pain in the bulge area. The pain is usually felt when you bend over, cough, or lift heavy objects. The inguinal hernias happen when a part of the abdominal membrane that surrounds the omentum (abdominal cavity) or an intestine, protrudes from a weak spot in the abdomen along with the inguinal canal that carries the spermatic cord (in men). Generally, the inguinal hernia is not dangerous. However, it cannot be cured on its own and can lead to other complications in the body. Hence, the inguinal hernia repair is a commonly performed surgical procedure to fix the hernia.

In Africa, there is a high need for inguinal herniation, but the number of surgeries successfully performed remains low. Studies show that the incidence rate of inguinal hernia in Africa is about 60 to 175 cases per 100,000 populations out of which, only 25 patients receive the surgical treatment due to inadequate medical care funding.

Because of this reason, many people from African countries like Rwanda, Uganda, Zambia, and Tanzania decide to travel to another country for proper medical treatments. Amongst the many different country options, they choose India because of the vast variety of treatment options available and the plus point is amazingly lower cost. Hospitals in India have the most advanced infrastructure and modern facilities. Indian surgeons are trained very well and they have a lot of experience in providing the right treatment. It is not always possible to find the best treatment at a low cost which is provided to them by Indian hospitals for inguinal hernia treatment. Hence, they choose India.

What are the Inguinal Hernia Types?

There are generally two tinguinal hernia types: direct and indirect inguinal hernia. Based on the condition of inguinal hernia, they can be incarcerated inguinal hernia and strangulated inguinal hernia.

Types of Inguinal Hernia

1. Direct inguinal hernia:

This type of inguinal hernia is caused by weakening of the abdominal muscles and it is mostly seen in adults. It happens when the organs from the abdomen bulge through the weak spot. It mostly occurs in men whereas children and women rarely have this condition.

2. Indirect inguinal hernia:

This type of inguinal hernia happens due to the defect present in the lower abdomen at birth. The fetus has openings for the inguinal canal in the abdomen which closes before the birth. In some cases, the opening does not close and forms a weak spot. This can form a hernia. It may not develop initially and can occur later in life.

3. Incarcerated inguinal hernia:

When the hernia occurs and gets stuck at the groin region, and if it cannot be pushed back, it is known as incarcerated inguinal hernia.

4. Strangulated inguinal hernia:

This is a very complicated inguinal hernia type where the blood flow towards the incarcerated intestinal hernia is cut off.

What are the Inguinal Hernia Causes?

The inguinal hernia causes include the abdominal muscles and wall surrounding the internal organs weaken and form a gap. This allows the internal organs to protrude outwards. This can be caused due to many reasons which are listed below:

  • Weak spot or an opening that is not closed before birth (congenital problem).
  • The weakness of the connective tissue made up of collagen surrounding the organs.
  • Chronic sneezing and coughing.
  • Back to back pregnancy.
  • Standing for a long period of time.
  • Chronic constipation which leads to straining while passing stools.
  • Chronic straining to pass the feces and urine.
  • Frequent heavy exercises and lifting heavy weights.
  • Obesity that causes pressure on the abdomen.
  • Males who had prostatectomy procedure.
  • People with low BMI.
  • It may be hereditary.
  • A weak spot due to previous surgeries.

What are the Common Inguinal Hernia Symptoms?

Each patient has different inguinal hernia symptoms depending upon the condition of the hernia. Your doctor can diagnose the symptoms you are experiencing and can tell if it is related to hernia or not. The following are some of the possible symptoms of an inguinal hernia.

Symptoms of Inguinal Hernia Disease

  • A bulge visible on the skin near the groin area, it becomes noticeable when you stand.
  • Pain and swelling around the affected area.
  • Feeling of heaviness, weakness, or pressure in the groin area.
  • Pain or burning sensation in the affected area.
  • Pain while coughing, bending, or lifting heavy objects.
  • Nausea, fever, and vomiting.

Your symptoms may become more severe when you exert yourself physically by bending over, lifting heavy objects, coughing, or standing for an extended period. They may improve when you sit down or lie down.

Facts About Inguinal Hernia That You Should Know

Males are more likely to catch the inguinal hernia disease than females. However, this condition may affect either side of the body. A hernia in the inguinal region may develop at any time. Babies are sometimes born with ones that don't manifest till later in life. About 5% of newborns are affected by this disorder.

It is possible to get an inguinal hernia if you put constant pressure on your abdominal wall, like when you strain to use the restroom, cough for an extended period, are overweight, or lift significant weights. In addition, you may be more likely to get an inguinal hernia if there's a history of it in your family. Premature babies also face a greater risk.

Diagnosis of Inguinal Hernia

You will need a proper physical exam to diagnose an inguinal hernia. Your doctor will ask about your symptoms and examine the area of inguinal herniation. He/she may ask you to stand, strain, and cough to make the bulge more visible. If the diagnosis is not evident, then your doctor may run some imaging testing such as a CT scan, MRI, or abdominal ultrasound.

What are the Inguinal Hernia Treatment Options?

Laparoscopy

When a hernia is minor and in an accessible location, laparoscopy may be a helpful diagnostic and therapeutic tool. In addition, this inguinal hernia treatment technique has shortened recovery time, and scarring is minimized compared to conventional surgery. Your surgeon will give first preference to the laparoscopic surgery as it is a minimally invasive approach and helps in faster recovery.

In the laparoscopic approach of hernia repair surgery, you will be first given anesthesia to achieve a pain-free surgery. Your surgeon will then sanitize the area and make a few cuts near the herniated area. Then he/she will insert a medical device called a laparoscope which has a camera and light attached to the initial part, it will provide a real-time video of the internal organs on a TV monitor. Through the other cuts, the surgical instruments are inserted to perform the surgery. Then, your surgeon will push the herniated organ back into its place, and place a mesh that will provide strength by acting as a reinforcement and prevent the reoccurrence of inguinal herniation. After the surgery is done, the medical devices are removed and the cuts are closed with the stitches.

Open surgery

In most cases, the laparoscopic approach is a preferred choice for an inguinal hernia repair procedure. However, when the laparoscopic approach (which requires a few small cuts) is not suitable for you, your surgeon suggests an open surgery which involves making only one large incision to reach the herniated organ. The reasons include: if you have other medical complications, if the severity of your hernia is high, and if the hernia is causing other problems in your body.

The open surgery for a hernia includes first making you unconscious by administering general anesthesia so that you will be asleep during the surgery. This is done to avoid pain during the procedure. Then your surgeon will sanitize the area, and make only one large incision. Then the herniated organ will be pushed back into its place, and the weakened area will be sewed. A mesh will be placed to provide strength (reinforcement) to prevent the hernia from reoccurring. Once the procedure is completed, the incision/cut is then closed by sewing them with the stitches.

Besides the laparoscopic and open surgery for hernia repair, there is a new technological approach in India to perform the surgery known as Robotic Hernia Repair Surgery. The only difference between traditional surgery and robotic hernia repair surgery is that in robotic-assisted surgery, your surgeon will handle the robotic arms and perform the surgery through a console.

Recommended Doctors for Inguinal Hernia Surgery in India

Inguinal hernia can be a painful condition that requires surgery for treatment. CureIndia can connect you with the leading hernia surgeons for your inguinal hernia surgery in India. General surgeons in India are highly experienced and qualified to perform inguinal hernia surgery. Let's hear from some of the most experienced inguinal hernia specialists in India:

1. Dr. Vicky Kuldeep

dr-vicky-kuldeep-surgeons-for-hernia-surgery-in-india

2. Dr. Anshuman Kaushal

Dr. Anshuman Kaushal is a advanced laparoscopic GI, Bariatric & Laser surgeon in India. He is known as the top general surgeon in Delhi NCR. In his career, till now he has done over 15,000 surgeries globally. He has proficiency in gastric bypass surgery on a pill and is renowned as a gastric bypass surgeon in Gurgaon.

Dr. Anshuman Kaushal - Best Doctor for Inguinal Hernia Repair Surgery in India

3. Dr. Vinay Kumar Shaw

Dr. Vinay k Shaw  - Experienced Doctor for Inguinal Hernia Repair Surgery in India

4. Dr. Arvind Kumar

Dr. Arvind Kumar - Leading Inguinal Hernia Specialist in India

Cost of Inguinal Hernia Surgery in India

Depending upon the type of surgery, the severity of your inguinal hernia, your age, whether you have other medical problems, the choice of your hospital, the city your hospital is in, the cost of travel and stay, the cost of medicines, the fees of your surgeon, etc., the total cost of inguinal hernia treatment varies. However, the average cost of inguinal hernia disease treatment in India is about 959.24 USD to 1498.81 USD. The cost of the same procedure in the USA ranges from 4,000 USD to 11,000 USD, and in the UK it ranges from 4304.36 USD to 5604.50 USD. It is very clear that inguinal hernia surgery is much more affordable in India than in other countries. 

Treatment Cost in India Stay in India
Inguinal Hernia Treatment in India $3,000 7 Days

Inguinal Hernia Surgery Recovery

After the surgery is completed, you will be taken to the recovery room where your blood pressure, breathing, and heart rate will be monitored. When the effect of anesthesia wears off you will be awake. You will notice that you will have an IV in your arm. This will be for giving you medicines and fluids. You will have bandages over the incision site. As you become fully conscious, you can start consuming food and fluids. Before you leave the hospital, your surgeon will give you instructions to follow such as you must have someone to take care of you for a few days, instructions on how to take care of the incision site, when to start your regular activities, what food you should avoid and any other dietary changes that you should include, etc. With proper rest and following your surgeon’s instructions, you will be completely recovered within two weeks.

Why Inguinal Hernia Treatment in India?

The inguinal hernia occurs near the groin area. It is more common in men than in children and women. The inguinal hernia disease cannot be cured on its own and surgery is needed to fix it. There are two traditional approaches for inguinal hernia repair available in India. In addition to the traditional surgeries, the modern technology is also available in Indian hospitals. Indian hernial surgeons have studied in international institutes and have undergone rigorous training. The cost of the Inguinal Hernia Repair in India is much lower than the other countries. With the lower cost, the treatment quality is not compromised. If you are planning a medical trip to any country, you should definitely consider India.

Inguinal Hernia Surgery FAQs

When do inguinal hernias develop, and why?

The inguinal hernia disease occurs when there is a weak spot in the lower abdomen, near the groin area. The weak spot is caused by a lack of strength in the connective tissue surrounding the herniated organ, constipation, obesity, straining, etc.

When it comes to inguinal hernias, what works best?

An inguinal hernia disease can only be repaired by surgical intervention. First, the doctor will reposition the protruding tissue and sew or use mesh to reinforce the abdominal wall. There are two approaches to performing this surgery, one is the laparoscopic approach and another one is open surgery. The new technological approach which is a robotic-assisted surgery is also available in India.

Does surgical repair always need to be attempted for inguinal hernias?

Hernia repairs are surgical procedures; however, not all inguinal hernias need to be fixed. For example, suppose a small hernia isn't causing a bowel obstruction or extreme discomfort and isn't strangulated (cutting off blood flow to the intestine). In that case, it may not need immediate surgical correction.

When does a hernia initially become noticeable?

Visible enlargement under the skin of the belly or groin, sometimes, you might relieve the pain and sensitivity by lying down. Feeling weighed down by a full stomach, as may occur with constipation or if there is blood in the stool. Pain or discomfort while raising or bending over, often in the lower abdomen or groin.

Will I feel pain after the inguinal hernia treatment surgery?

Pain and discomfort are common after an inguinal hernia surgery. It happens as your body starts to repair and heal the surgical area naturally. Your surgeon will prescribe pain-relieving medicines after the surgery. The pain lasts for a few days, and you might feel better within seven days of the operation.

Does walking affect inguinal hernia?

If you have undergone hernia surgery, it is important that you follow the instructions of your doctor. Although heavy workouts are totally prohibited as they can worsen the condition, walking after an inguinal hernia aids in the recovery process.

Does inguinal hernia cause back pain?

Hernia happens when the tissue protecting your intestine is damaged and the organ protrudes from the opening in the tissue. This bulging hernia may cause severe back pain if it irritates the spine or pushes it.

Does inguinal hernia affect pregnancy in women?

A hernia does not risk your pregnancy or your unborn baby. The uterus is the area where the fetus grows which has no connection with the site of the inguinal hernia that is your groin area. Many women have given birth to their babies normally with an inguinal hernia. However, if you have larger hernias, you will be taken for a c-section childbirth.

What is the difference between laparoscopic and open hernia repair surgery?

The only difference between laparoscopic and open hernia surgery is that in laparoscopic surgery multiple small incisions are made and in open surgery, only one large incision is made to perform the inguinal hernia surgery.

Are there any treatment options available for inguinal hernia other than surgery?

Inguinal hernia treatment options include medications and surgery. For instance, you may have heard about a belt known as a truss; it has a large pad and is to be worn around the abdomen. It applies pressure to the bulge and keeps them from bulging out. However, these do not give you a permanent solution. The surgery is the only way to correct it permanently.