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Lap/ Open IPOM + Adhesiolysis. Treatment in India

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Recommended Doctors for Lap/ Open IPOM + Adhesiolysis. View All View All

Dr Jagdish Chander
Dr Jagdish Chander

Director - General Surgery

CONSULTS AT

Jaypee Hospital +1

EXPEREIENCE :
31 years
SURGERIES :
30000+

Treatment Starting at $3,500

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Treatment Starting at $3,500

Dr Jagdish Chander
Dr Jagdish Chander

Director - General Surgery

CONSULTS AT

Jaypee Hospital +1

EXPEREIENCE :
31 years
SURGERIES :
30000+
Prof. Dr. Osman Yuksel
Prof. Dr. Osman Yuksel

General Surgery

CONSULTS AT

Medicana Hospital Ankara

EXPEREIENCE :
NA
SURGERIES :
NA

Treatment Price on request

Free Text Consult

Treatment Price on request

Prof. Dr. Osman Yuksel
Prof. Dr. Osman Yuksel

General Surgery

CONSULTS AT

Medicana Hospital Ankara

EXPEREIENCE :
NA
SURGERIES :
NA

Introduction

Abdominal wall hernias are common medical conditions that affect millions of people worldwide. They occur when an organ or tissue pushes through a weak spot in the abdominal wall, resulting in a visible bulge or swelling. These hernias can be painful, uncomfortable, and, in severe cases, potentially life-threatening. Fortunately, medical advancements have led to the development of effective surgical techniques, such as Laparoscopic/Open IPOM (intraperitoneal onlay mesh) with Adhesiolysis, that have significantly improved patient outcomes and reduced the risk of hernia recurrence.

Understanding Laparoscopic/Open IPOM

Inguinal hernias and ventral/incisional hernias are two common types of abdominal wall hernias. Traditional hernia repair methods involved open surgeries, where an incision was made in the abdominal wall to access and repair the herniated area. However, with the advent of laparoscopic techniques, surgeons can now perform minimally invasive hernia repairs.

Laparoscopic IPOM involves making several small incisions in the abdominal wall. Carbon dioxide gas is then used to inflate the abdominal cavity, creating a working space. A laparoscope, a thin, flexible tube with a camera and light source, is inserted through one of the incisions to visualize the hernia and surrounding tissues. The surgeon then places a mesh over the hernia defect from inside the abdominal cavity, covering the weakened area and providing additional support to prevent recurrence.

Open IPOM is a similar procedure but is performed through a larger incision, providing direct access to the abdominal cavity. The rest of the procedure remains largely the same.

The Role of Adhesiolysis

In some cases, patients with abdominal wall hernias may also have adhesions. Adhesions are bands of scar tissue that can form between organs or between organs and the abdominal wall, often as a result of previous surgeries or inflammation. These adhesions can complicate hernia repair surgery and may increase the risk of complications and hernia recurrence.

Adhesiolysis is the process of carefully breaking down these adhesions to free up any trapped organs or tissues. It is often performed before or during the hernia repair procedure. Adhesiolysis not only allows for better visualization of the hernia but also reduces the tension on the repaired area, enhancing the chances of a successful outcome.

Benefits of Lap/Open IPOM + Adhesiolysis

  • Minimally Invasive: Laparoscopic IPOM and Open IPOM techniques are minimally invasive compared to traditional open surgeries. They result in smaller incisions, reduced postoperative pain, shorter hospital stays, and faster recovery times.
  • Lower Recurrence Rates: By placing a mesh over the hernia defect, the IPOM technique provides sturdy reinforcement, significantly reducing the chances of hernia recurrence.
  • Adhesion Prevention: By performing adhesiolysis, the surgeon can prevent adhesions from interfering with the hernia repair, improving the overall success of the surgery.
  • Improved Cosmetic Results: The smaller incisions in laparoscopic IPOM lead to less scarring and improved cosmetic outcomes.
  • Reduced Complications: Minimally invasive techniques generally carry fewer risks of complications, such as infection and wound healing issues.

Conclusion

Laparoscopic/Open IPOM with Adhesiolysis is a highly effective and patient-friendly approach to treating abdominal wall hernias. Combining the benefits of minimally invasive surgery, reduced recurrence rates, and adhesion prevention, this comprehensive technique offers better outcomes and quicker recovery for patients. If you suspect you have an abdominal wall hernia or have been diagnosed with one, consult a qualified surgeon to discuss the most suitable treatment options available, including Lap/Open IPOM with Adhesiolysis. Remember, early diagnosis and timely intervention are essential for a successful and smooth recovery.

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FAQs

The recovery time can vary depending on individual factors, such as the size of the hernia, the patient's overall health, and the extent of adhesions. In general, patients can expect to resume light activities within a week or two and return to normal daily activities within 4 to 6 weeks. However, strenuous activities and heavy lifting should be avoided for at least 6 to 8 weeks to ensure proper healing.
Laparoscopic IPOM surgery involves making small incisions in the abdominal wall, typically less than an inch in size. These incisions are strategically placed to minimize scarring. As a result, patients usually have small, barely noticeable scars compared to traditional open surgery.
The mesh used in Laparoscopic/Open IPOM is designed to be a permanent implant. It remains in place indefinitely and provides long-term support to the weakened abdominal wall, reducing the risk of hernia recurrence.
Lap/Open IPOM with Adhesiolysis is commonly used for inguinal and ventral/incisional hernias. However, the suitability of the procedure depends on various factors, including the size and location of the hernia, the patient's medical history, and the surgeon's expertise. Your surgeon will evaluate your specific case and recommend the most appropriate treatment option.
In most cases, Laparoscopic/Open IPOM with Adhesiolysis is performed as an outpatient procedure, meaning you can go home on the same day. However, if the hernia repair is more complex or if there are additional medical considerations, an overnight hospital stay may be necessary.
Like any surgical procedure, Lap/Open IPOM with Adhesiolysis carries some risks. Potential complications may include infection, bleeding, mesh-related complications, injury to nearby structures, or hernia recurrence. However, these risks are generally low, and your surgeon will take necessary precautions to minimize them.
Yes, Lap/Open IPOM with Adhesiolysis is often suitable for patients with a history of previous abdominal surgeries and adhesions. In fact, the adhesiolysis component of the procedure aims to address any existing adhesions and make the hernia repair process more effective. However, each case is unique, and your surgeon will carefully assess your medical history to determine the best course of action.

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