Treatments of hernia have gone through a sea-change in the last few years. This disorder is now being seen in a new light due to clinical advancements. It is a matter of prime concern that some of the diseases which have been so far considered to be more prevalent in the western countries are now being frequently manifested in the east. Owing to an altered lifestyle in India, there has been an upward curve in hernia in the recent times. Hernia requires nothing but surgery.
Considering such a scenario, CMRI, hosted a knowledge sharing 2 days’ workshop where a number of surgeries in a span of 2-days (26th & 27th March 2021) will take place by renowned doctors from all over India. Dr. B. Ramana, the director and consultant of the Gastro Science department, CMRI along with Dr. P.K. Nemani, Dr. Eham Arora, Dr. Jignesh Gandhi, Dr. Soumya Khuller, Dr. Rahul Mahadar, Dr. Sharad Sharma, Dr. Ramesh Punjani and Dr. Ashvind Bawa have come together to make this workshop a success.
Dr. B. Ramana explains, “Hernia surgery has undergone some changes in the last few years. There is tremendous excitement amidst surgeons across the world, and throughout the length and breadth of this country to learn the latest techniques of hernia surgery which are promising for a much better long-term outcome even in the most complex and difficult patients. These newer techniques promise to give permanent solutions to difficult problems with the least recovery period for the patient so that they can have a full functional recovery and lead active lifestyle instead of being crippled by big hernias.”
About the techniques, he further adds, “The current trend in hernia surgery is to put a synthetic piece of Mesh not inside the body cavity though that can also be an appropriate technique but beneath the muscles. These are specially designed mesh which supports damaged tissue around the hernias. Earlier, when hernias were repaired just by suturing the hole in the muscles, the failure rate was as high as 50%. Later, when the use of ‘mesh’ was introduced to cover the defects in the muscle, failure rate reduced to less than 10%.
The operative techniques are several and they can be opening robotic or laparoscopic and various techniques exist in order to restructure the deformed abdominal wall in these hernia patients. One of the most important techniques which has come up in the last few years and I am happy to say that I was one of the publishing authors who have published the first paper on this technique for the first time in this world, a technique called eTEP. We have many of eTEP, approaches for complex reconstruction.”