Hernia Treatment: 3D Stitchless Mesh

img_8_240x240sep15The Three dimensional mesh has proven to be revolutionary for Hernia treatment as it alters the dynamics of Hernia repair by providing instant relief to patient and reducing the post operative care.
Hernia is one of the leading diseases in India – 1 in 8 people develop hernia in their lifetime. Hernia often occurs when the intestine bulges out due to a weakness of the abdominal wall connective tissue around the groin, navel or abdomen area. Causes of hernia are various from congenital (at birth), hereditary, obesity, pregnancy, previous surgery, constipation to chronic cough. Anybody can get hernia – from infants to elderly; though men pose higher risk.

Bad news is that, Surgery is the only treatment for hernia. Studies have proven that, synthetic mesh that is used to cover the hernia hole and stitched all over at the hernia site helps prevent hernia from recurring all over again.

But many patients don’t consider an important factor – risk of surgery with mesh –long-term pain after surgery due to the use of traditional meshes that are stitched. More than 30% of patients are likely to suffer from chronic pain severe enough to interfere with their daily activities and work; to the extent that it might cause restriction of movement. Plus, meshes cause nerve irritation and irreversible damage to the abdominal muscles resulting in life-long discomfort.

Dr. Abhijit Bagul, a leading Surgeon from Navi Mumbai and Chief Laparoscopic Surgeon at SaiSnehdeep Hospital, Koparkhairane; Professor (surgery) at DY Patil Medical College Hospital, Nerul aims to reduce the long-term complications associated with hernia repair & improve patient outcomes. Hernia repair is the most common surgery – with more than million patients undergoing hernia treatment in India annually. Though most common and elective procedure, hernia repair is hardly a risk-free exercise.

There are two main options for hernia repair: Open Surgery & Laparoscopic Surgery

Open Surgery is cost effective while Laparoscopic (key-hole) technique uses a camera to guide instruments through a tiny incision and usually an expensive procedure.

Studies show that patients undergoing laparoscopic surgery have a quicker recovery and less short-term pain than with open repair. But in either surgery, small nerves can be irritated by the procedure or the mesh or by stitches/tacks (staples) used to hold the mesh against the abdominal wall. Also, long-term pain maybe prevalent in either method.

Modern Surgery with 3-D Dynamic Stitch-less Hernia Mesh:
The mesh is uniquely shaped Three-Dimensional (3-D) that grips the hernia hole without need for stitches and behaves in an dynamic manner in accordance with the science of the abdominal wall which itself is dynamic. The combined effect of 3D + Dynamic + Stitch-less results in the formation of new healthy tissues in and around the hernia hole with the closure of hernia permanently. The patients have confirmed no pain post surgery and has been reported well as long-term through evidence-based questionnaire – Carolinas Comfort Scale.

The scale is used to assess quality of life in the patients with such questions if patients feel a “sensation of mesh” after surgery or pain or movement limitations during daily activities. The incidence of recurrence is extremely low to 0.03% in comparison to traditional Lichtenstein procedure 8-15% or laparoscopic with 4-11% that uses traditional mesh and its anchoring technique.

Surgery with 3-D Dynamic mesh takes 15-20 minutes in Day Care. Patient can be discharged the same-day of surgery. The best part of 3-D Dynamic repair is that, it can be conducted under local anaesthesia safely in elderly patients or patients with cardiac, renal, respiratory problems etc. Most importantly, the surgery outcomes lead to freedom from hernia with freedom from pain and discomfort. With the advent of 3D dynamic suture-less mesh the advantages of laparoscopy can be provided with smaller incision and cost effective for patients.

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Dr. Abhijit G Bagul is an MBBS & MS in Surgery & has been awarded Fellowship in minimal access surgery (FMAS) from Sir J.J. Group of hospitals, Mumbai. Professor & Unit Head – Department of General Surgery, DY Patil Medical College, Nerul, Navi Mumbai. Chief Laparoscopic Surgeon – Sai Snehdeep Hospital, Koparkhairane, Navi Mumbai. He has been also awarded with fellowship at the Indian Association of Gastro-intestinal Endo-surgeons from the prestigious KEM Hospital, Mumbai. Specialised in Hernia Surgeries with specialization in 3D Suture-less modern technique, Basic and Advanced Laparoscopy, Diabetic Foot Management, Trauma Surgery

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