INNOVATIVE OPTION FOR HERNIA !!

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Healing Hands Clinic

• Dr.Ashwin Porwal
• Consultant Coal Surgeon,M.B.B.S, D.Nlorect.B.
  (Surgery),Dip. Proctology (Italy),Dip.
  Laparoscopy (EITS- IRCAD, France

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Hernia Treatment
Healing Hands Clinic has been awarded as Centre
of Excellence for Hernia by Dr John Murphy - Ex
President of American Hernia Society
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INNOVATIVE OPTION FOR HERNIA !!

• Pune is a fast growing and rapidly urbanizing
  city. It has many of the world class facilities.
  May it be sports or healthcare, one can easily
  find latest of technology and services available
  in Pune
• For healthcare, there are hospitals and clinics
  of all types international, national and
  local/domestic. Even ayurvedic treatment centers
  exist in the city and they too have their own
  clientele to serve

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INNOVATIVE OPTION FOR HERNIA !!

• There are many hospitals and private clinics in
  Pune, which are capable of treating hernia.
  However, considering the chances of hernia to
  reoccur, it is always advisable to select the
  best of the treatments available from the best of
  the surgeons or doctors
• it is always recommended to visit a medical
  expert or your family doctor, who will be better
  able to diagnose your problem and provide
  appropriate solution.

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Hernia?

• A hernia is a sac formation due to
  weakness or tear in abdominal muscles. A hernia
  occurs when the contents of a body cavity bulge
  out of the area where they are normally
  contained. These contents, usually portions of
  intestine or abdominal fatty tissue, are enclosed
  in the thin membrane that naturally lines the
  inside of the cavity. Any activity that increases
  intra-abdominal pressure can worsen a hernia
  examples of such activities are lifting weights,
  coughing or even straining to have a bowel
  movement.

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Types of Hernia

• 1) Umbilical Hernia - Congenital umbilical
  hernia is a congenital malformation, common in
  infants of African descent. Among adults, it is
  three times more common in women than in men
  among children, the ratio is roughly equal. An
  acquired umbilical hernia directly results from
  increased intra-abdominal pressure caused by
  obesity, heavy lifting, a long history of
  coughing, or multiple pregnancies.

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Types of Hernia

• 2 ) Epigastric Hernia - An epigastric hernia is a
  type of hernia which may develop in the
  epigastrium (upper, central part of the abdomen).
  Epigastric hernias usually appear in adults.
  Unlike the benign diastasis recti, epigastric
  hernia may trap fat and other tissues inside the
  opening of the hernia, causing pain and tissue
  damage.

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The situation can be best explained by imagining
a hollow sphere with a hole. Now, think of
blowing a balloon inside the sphere. A part of
the balloon will bulge out of the hole and may
get strangulated if more pressure is exerted.
The same is the situation in case of hernia too.
Its treatment can be done in two ways pushing
the bulge back inside (for reducible hernia) or
surgery (for non-reducible hernia).
Some of the prominently followed treatment
techniques and available in most of the hernia
treatment facilities are listed in further slides
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3D Mesh repair for Hernia

• Hernia is a medical problem caused due
  development of a bulge due to protrusion of an
  organ through a normal or abnormal opening in the
  walls of the muscular layer enclosing it. In
  common cases, a sac is formed by peritoneum. This
  sac then protrudes through the weak opening in
  the fascia. Peritoneum is the layer lining the
  abdominal cavity. Fascia is the strong layer
  lining the abdominal walls.

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Treatment

• Depending on the type of hernia and its
  seriousness, your doctor may advice you to go for
  surgery. In surgery, the sac is generally pushed
  back and the weak muscles are patched up or holes
  are plugged in. A cloth patch may be used for the
  purpose.
• However, with the new medical technology,
  and devices coming up, there are many options for
  patching up the weak muscles.

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3D Mesh Repair for Hernia

• As the name suggests, 3D mesh is a
  pre-formed three dimensional device made of an
  on-lay mesh. This on-lay mesh is then connected
  by a mesh cylinder to a circular underlay patch.
  To place the device, a surgical opening (open
  surgery) is made, and the circular underlay patch
  of the devices is placed below the deeper layer
  of the muscles (pre-peritoneal). The overlay is
  then placed covering the top layer of muscles.
  Such a positioning allows the devices to hold its
  position firmly and is not displaced easily. Use
  of 3D mesh is recommended for hernia types such
  as Inguinal and Umbilical hernias.
• In short the PROLENE 3D patch mesh is a
  sterile, 3 dimensional device for the repair of
  small abdominal wall hernias offering the
  benefits of tension-free hernia repair with the
  efficiency of 3 easy steps. This consists of
  three attached components

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3D Mesh Repair for Hernia

• An underlay patch that provides for an effective
  posterior repair on the inside of the abdominal
  wall giving the benefits of laparoscopic repair.
• A connector similar to plug but smaller and
  flatter
• An only patch that fits over the abdominal wall
  giving the benefits of open mesh repair
• A device (prolene hernia system)has been
  designed to overcome many of the disadvantages of
  tension free hernia repair technique which is
  currently used primarily to repair direct and
  indirect inguinal hernia , says Punes leading
  Colorectal Surgeon Dr. Ashwin Porwal He has
  operated more than 5000 hernia's till date. for
  3D mesh repair.

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Benefits of 3D Mesh Repair

• As the device lies flat against the abdomen, it
  has virtually no chance of migrating like other
  devices.
• Usually a minimal number of stitches are needed
  to secure the device, reducing discomfort and the
  chance of nerve damage.
• Most important the 3 D mesh device provides the
  benefits of strong posterior repair like a
  laparoscopic procedure
• Very low recurrence rates
• Smaller incision ( generally about 2 inches)
• Done under spinal anesthesia
• Discharge within 24 hours and back to work from
  3rd day after surgery.

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Dr. Ashwin Porwal remarks With this innovative
option patients can now assure themselves of a
faster recovery and guaranteed cure from Hernia.
Healing Hands Clinic has offered such treatment
to all types of patients from all over India
few from other countries as well.
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Thank You
Healing Hands Clinic Contact Us
8888288884