7/21/2019 INNOVATIVE OPTION FOR HERNIA !!

http://slidepdf.com/reader/full/innovative-option-for-hernia--56dabce87a0f0 1/15

Healing Hands Clinic

Dr.Ashwin PorwalConsultant Coal Surgeon,

M.B.B.S, D.Nlorect.B. (Surgery),Dip. Proctology (Italy),

Dip. Laparoscopy (EIS! I"C#D, $rance

7/21/2019 INNOVATIVE OPTION FOR HERNIA !!

http://slidepdf.com/reader/full/innovative-option-for-hernia--56dabce87a0f0 2/15

 Hernia

TreatmentHealing Hands Clinic %as &een a'arded as Centre oEcellence or Hernia &y Dr *o%n Murp%y ! E Presidento #+erican Hernia Society

7/21/2019 INNOVATIVE OPTION FOR HERNIA !!

http://slidepdf.com/reader/full/innovative-option-for-hernia--56dabce87a0f0 3/15

INNOVATIVE OPTION FOR HERNIA !!

  Pune is a ast gro'ing and rapidly ur&aniing

city. It %as +any o t%e 'orld class acilities. May

it &e sports or %ealt%care, one can easily -nd

latest o tec%nology and serices aaila&le in

Pune $or %ealt%care, t%ere are %ospitals and clinics o

all types / international, national and

local0do+estic. Een ayuredic treat+ent

centers eist in t%e city and t%ey too %ae t%eir

o'n clientele to sere

7/21/2019 INNOVATIVE OPTION FOR HERNIA !!

http://slidepdf.com/reader/full/innovative-option-for-hernia--56dabce87a0f0 4/15

INNOVATIVE OPTION FOR HERNIA !!

  %ere are +any %ospitals and priate clinics inPune, '%ic% are capa&le o treating %ernia.Ho'eer, considering t%e c%ances o %ernia toreoccur, it is al'ays adisa&le to select t%e &est

o t%e treat+ents aaila&le ro+ t%e &est o t%esurgeons or doctors

it is al'ays reco++ended to isit a +edicalepert or your a+ily doctor, '%o 'ill &e &ettera&le to diagnose your pro&le+ and proide

appropriate solution.

7/21/2019 INNOVATIVE OPTION FOR HERNIA !!

http://slidepdf.com/reader/full/innovative-option-for-hernia--56dabce87a0f0 5/15

  # %ernia is a sac or+ation due to 'ea1ness or tearin a&do+inal +uscles. # %ernia occurs '%en t%econtents o a &ody caity &ulge out o t%e area'%ere t%ey are nor+ally contained. %ese contents,

usually portions o intestine or a&do+inal attytissue, are enclosed in t%e t%in +e+&rane t%atnaturally lines t%e inside o t%e caity. #ny actiityt%at increases intra!a&do+inal pressure can 'orsena %ernia 2 ea+ples o suc% actiities are liting

'eig%ts, coug%ing or een straining to %ae a &o'el+oe+ent.

Hernia3

7/21/2019 INNOVATIVE OPTION FOR HERNIA !!

http://slidepdf.com/reader/full/innovative-option-for-hernia--56dabce87a0f0 6/15

1) Umbilial Hernia ! Congenital u+&ilical %ernia is a

congenital +alor+ation, co++on in inants o#rican descent. #+ong adults, it is t%ree ti+es +oreco++on in 'o+en t%an in +en4 a+ong c%ildren, t%eratio is roug%ly e5ual. #n ac5uired u+&ilical %erniadirectly results ro+ increased intra!a&do+inal

pressure caused &y o&esity, %eay liting, a long%istory o coug%ing, or +ultiple pregnancies.

T"es o# Hernia

7/21/2019 INNOVATIVE OPTION FOR HERNIA !!

http://slidepdf.com/reader/full/innovative-option-for-hernia--56dabce87a0f0 7/15

$ ) E"i%astri Hernia ! #n epigastric %ernia is a typeo %ernia '%ic% +ay deelop in t%e epigastriu+(upper, central part o t%e a&do+en). Epigastric%ernias usually appear in adults. 6nli1e t%e &enigndiastasis recti, epigastric %ernia +ay trap at and

ot%er tissues inside t%e opening o t%e %ernia,causing pain and tissue da+age.

T"es o# Hernia

7/21/2019 INNOVATIVE OPTION FOR HERNIA !!

http://slidepdf.com/reader/full/innovative-option-for-hernia--56dabce87a0f0 8/15

 %e situation can &e &est eplained &y i+agining a

%ollo' sp%ere 'it% a %ole. No', t%in1 o &lo'ing a&alloon inside t%e sp%ere. # part o t%e &alloon 'ill&ulge out o t%e %ole and +ay get strangulated i+ore pressure is eerted. %e sa+e is t%e situationin case o %ernia too. Its treat+ent can &e done in

t'o 'ays / pus%ing t%e &ulge &ac1 inside (orreduci&le %ernia) or surgery (or non!reduci&le%ernia).So+e o t%e pro+inently ollo'ed treat+enttec%ni5ues and aaila&le in +ost o t%e %erniatreat+ent acilities are listed in urt%er slides2

7/21/2019 INNOVATIVE OPTION FOR HERNIA !!

http://slidepdf.com/reader/full/innovative-option-for-hernia--56dabce87a0f0 9/15

&D 'esh re"air #or Hernia

  Hernia is a +edical pro&le+ caused duedeelop+ent o a &ulge due to protrusion o an

organ t%roug% a nor+al or a&nor+al opening in t%e'alls o t%e +uscular layer enclosing it. In co++oncases, a sac is or+ed &y peritoneu+. %is sac t%enprotrudes t%roug% t%e 'ea1 opening in t%e ascia.Peritoneu+ is t%e layer lining t%e a&do+inal caity.

$ascia is t%e strong layer lining t%e a&do+inal'alls.

7/21/2019 INNOVATIVE OPTION FOR HERNIA !!

http://slidepdf.com/reader/full/innovative-option-for-hernia--56dabce87a0f0 10/15

Treatment

  Depending on t%e type o %ernia and itsseriousness, your doctor +ay adice you togo or surgery. In surgery, t%e sac is generallypus%ed &ac1 and t%e 'ea1 +uscles arepatc%ed up or %oles are plugged in. # clot%patc% +ay &e used or t%e purpose.

Ho'eer, 'it% t%e ne' +edical tec%nology,and deices co+ing up, t%ere are +any

options or patc%ing up t%e 'ea1 +uscles.

7/21/2019 INNOVATIVE OPTION FOR HERNIA !!

http://slidepdf.com/reader/full/innovative-option-for-hernia--56dabce87a0f0 11/15

&D 'esh Re"air #or Hernia

#s t%e na+e suggests, 7D +es% is a pre!or+ed t%reedi+ensional deice +ade o an on!lay +es%. %is on!lay+es% is t%en connected &y a +es% cylinder to a circularunderlay patc%. o place t%e deice, a surgical opening

(open surgery) is +ade, and t%e circular underlay patc%o t%e deices is placed &elo' t%e deeper layer o t%e+uscles (pre!peritoneal). %e oerlay is t%en placedcoering t%e top layer o +uscles. Suc% a positioningallo's t%e deices to %old its position -r+ly and is not

displaced easily. 6se o 7D +es% is reco++ended or%ernia types suc% as2 Inguinal and 6+&ilical %ernias.

In s%ort t%e P"8LENE 7D patc% +es% is a sterile, 7di+ensional deice or t%e repair o s+all a&do+inal'all %ernias / o9ering t%e &ene-ts o tension!ree %erniarepair 'it% t%e e:ciency o 7 easy steps. %is consistso t%ree attac%ed co+ponents2

7/21/2019 INNOVATIVE OPTION FOR HERNIA !!

http://slidepdf.com/reader/full/innovative-option-for-hernia--56dabce87a0f0 12/15

• #n underlay patc% t%at proides or an e9ectie posterior repair

on t%e inside o t%e a&do+inal 'all giing t%e &ene-ts o

laparoscopic repair.

• # connector si+ilar to plug &ut s+aller and ;atter• #n only patc% t%at -ts oer t%e a&do+inal 'all giing t%e &ene-ts

o open +es% repair

  <# deice (prolene %ernia syste+)%as &een designed to

oerco+e +any o t%e disadantages o tension ree %erniarepair tec%ni5ue '%ic% is currently used pri+arily to repair direct

and indirect inguinal %ernia <, says Pune=s leading Colorectal

Surgeon Dr. #s%'in Por'al  He has o"erate( more than ***

hernia+s till (ate. #or &D mesh re"air.

&D 'esh Re"air #or Hernia

7/21/2019 INNOVATIVE OPTION FOR HERNIA !!

http://slidepdf.com/reader/full/innovative-option-for-hernia--56dabce87a0f0 13/15

,ene-ts o# &D 'esh Re"air• #s t%e deice lies ;at against t%e a&do+en, it %asirtually no c%ance o +igrating li1e ot%er deices.

• 6sually a +ini+al nu+&er o stitc%es are needed tosecure t%e deice, reducing disco+ort and t%ec%ance o nere da+age.

• Most i+portant t%e 7 D +es% deice proides t%e&ene-ts o strong posterior repair li1e a laparoscopicprocedure

• >ery lo' recurrence rates

• S+aller incision ( generally a&out ? inc%es)

• Done under spinal anest%esia

• Disc%arge 'it%in ?@ %ours and &ac1 to 'or1 ro+ 7rd day ater surgery.

7/21/2019 INNOVATIVE OPTION FOR HERNIA !!

http://slidepdf.com/reader/full/innovative-option-for-hernia--56dabce87a0f0 14/15

Dr. #s%'in Por'al re+ar1s < Ait% t%isinnoatie option patients can no'assure t%e+seles o a aster recoeryand guaranteed cure ro+ Hernia.

Healing Hands Clinic %as o9ered suc%treat+ent to all types o patients ro+all oer India e' ro+ ot%er countriesas 'ell.

7/21/2019 INNOVATIVE OPTION FOR HERNIA !!

http://slidepdf.com/reader/full/innovative-option-for-hernia--56dabce87a0f0 15/15

 %an1 ou  Healin% Han(sliniontat Us/

0000$0000