Dr. R. Padmakumar is a Sr. Consultant Laparoscopic and Metabolic Surgeon. He has been changing lives through Keyhole Surgery. He has got more than 24 years of hands-on experience in laparoscopic Surgery in major hospitals across India and has completed more than 5000 cases of Laparoscopic Hernia Surgeries. Dr. Padmakumar has trained more than 200 surgeons from over the world the art of laparoscopic surgery especially Laparoscopic Hernia Surgery.
Laparoscopic Hernia Surgery is performing hernia surgery using an instrument called a laparoscope. The laparoscope is pass through small incisions made on the abdomen.
Hernia is the abnormal squeezing out of an organ or fatty tissue through a weak spot of the wall of the cavity where it normally resides. A hernia can be caused by pressure and a weakness or opening of the muscle or fascia where the pressure pushes the organ or tissue through the weak spot or opening. The weak areas can include the groin, umbilicus, site of a previous abdominal incision, etc. Anything that cause an increase in pressure in the abdomen can cause hernia, which may include coughing or sneezing persistently, constipation or diarrhea, lifting heavy objects, etc. Poor nutrition, smoking, obesity are some factors that can cause muscle weakness and make hernias more likely. Other risk factors for hernia include COPD, pregnancy, peritoneal dialysis, age related wear and tear of the abdominal wall, inactivity, etc.
Hernias most commonly develop in the abdomen, specifically the groin. A weakness in the abdominal wall can evolve into a localized hole or defect, and through this defect the abdominal organs or adipose tissue may protrude. Hernias can be of different types. Hernias may not be life threatening, but they don’t go away unless treated. Hernia surgery may be required to prevent potentially dangerous complications.
Hernia can be of different types and the most important among them are
Hernia should be treated as they may rise many other complications including blockage in the organ and prevent blood flow and also affects the functioning of the organ. Strangulation of hernia causing stop to blood flow require immediate removal as they may lead to life threatening condition. Hernia causes pain and discomfort in the abdominal area while prolonged standing, walking and bending over to lift objects.
In Laparoscopic Surgery or Keyhole Surgery the surgeon uses an instrument called a laparoscope. The laparoscope is a thin instrument that uses light at the end of the scope. The laparoscope is passed through small incisions (two to four) made at the abdominal wall. As opposed to conventional surgery or open surgery, where a large cut is made at the abdominal wall, laparoscopic surgery or keyhole surgery uses very small incisions, and hence the name Keyhole Surgery. It is also called Minimal Access Surgery or Minimally Invasive Surgery
Keyhole surgery is a minimally invasive surgical method with few small incisions with less tissue disruption. The surgeon inserts tiny camera attached instruments to view the abnormality caused by the hernia and carefully inserts other surgical tools to remove the hernia without damaging any other internal organs in the area. The camera captures pictures and the surgeon view the enlarged images of the organs through a monitor attached and perform the surgery through the images transmitted to video monitors.