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  • Calcutta Medical Research Institute 7/2 Diamond Harbour Road Kolkata-700027, West Bengal

Hernia Management

Hernia Management

CMRI is the most prestigious center in the country dedicated to comprehensive hernia care. Dr. B. Ramana is the leading face of modern hernia surgery in India and Asia Pacific and has revolutionised hernia care by his strong dedication and determination to learn and teach newer techniques to fellow surgeons.

Our team combines the most advanced surgical techniques, state-of-the-art technology, safety and patient-first strategy to deliver world class results to all his patients. Our happy patients and families will testify to this!

Our scope of services for hernia involves dealing with simple hernias to the most complex hernias known to surgeons.

  • e-TEP : The most advanced surgical approach for inguinal, incisional, umbilical, epigastric and lumbar hernias in the world.
  • Expect yourself to walk and eat within 4 hours of surgery and go home the next morning!
  • TAR : Complex hernias, hernias with loss of domain and multiply recurrent hernias may need this complex surgery known as Transversus abdominis release. This may be an open or endoscopic approach depending upon individual case.
  • SCOLA : Subcutaneous onlay laparoscopic approach is a minimally invasive approach for small umbilical hernia or epigastric hernia with diastasis of recti or diastasis of recti alone.
  • BOTOX : Hernia with loss of domain may need temporary paralysis of abdominal muscles for complete reduction of hernia contents. Botox injection is a game changer.
  • PPP : Preoperative progressive pneumoperitoneum is also an adjunct used in modern day hernia surgery in cases of loss of domain hernia.
  • Groin pain : Pain in the groin could be related to problems of hips, spine, muscle and most importantly an occult/hidden hernia which is the source of pain in your patients? Only a team of experts can tell.
  • Mesh related complications: Meshes can cause pain, get infected, lead to chronic discharging sinuses and be associated with overall poor quality of life and a recurrence of the problem. A CT scan of the abdomen along with clinical assessment gives our team the clues to a strategy for giving the patient relief from long-standing distress.


Hernia is a gap in the muscles and fascia of the abdominal wall through which the inner contents, small and/or large intestine, stomach, bladder, etc, may protrude out from the abdomen, below the skin.

There are several types of hernias known to man. They are broadly divided into internal and external hernias.

Internal hernias are not apparent on the outside and can be dangerous! External hernias are the more common ones and are of several types like :

  • Inguinal hernia :Seen very commonly, a swelling in the groin may which appears on standing, straining, coughing and reduces on lying down may be an Inguinal hernia. Both females and males may suffer from Inguinal hernia.
  • Incisional hernia :Hernia that appear post abdominal surgery is known as Incisional hernia. The location depends upon the type of primary surgery. Post C-section and post kidney stone surgery hernias are very common.
  • Paraesophageal and Diagphragmatic hernia :When the abdominal contents, mainly stomach migrate to the chest cavity through the diaphragm, it is called a paraesophageal or diaphragmatic hernia. Reflux, heartburn, night cough and voice change are the most common symptoms associated with it.
  • Parastomal hernias :More than 50 percent of the people with gastrointestinal and urinary tract stoma have hernias around the stoma site. This could also be present with an incisional hernia. These are the most difficult of hernias to treat.
  • Diastasis of recti: Pendulous and flabby abdomen is common in females after delivery. This occurs because the muscles are separated in the midline. This causes a cosmetically poor looking belly, backache due to poor posture, constipation and poor exercise tolerance. Diastasis can now be corrected surgically with minimally invasive approach.
  1. Swelling in the groin or abdominal wall which increases on prolonged standing, coughing, sneezing or even a good laugh!
  2. Pinching or dull aching pain in the swelling.
  3. Constant pulling sensation inside the abdomen.
  4. Constipation.
  5. Backache due to poor posture.
  6. Hernias may lead to obesity and the reverse is also true.

Although majority of the hernias remains symptom free, there always is a chance that the content of hernia (intestine) may get obstructed and if not treated appropriately in time, it may lead to loss of its blood supply and disaster may ensue, a condition called strangulation.

There is no magic pill for hernias! Surgery is the only way out to treat a hernia.

In the current world, laparo-endoscopic approaches have mitigated the fear involved with open surgery such as long cuts, prolonged and severe pain, delayed recovery, loss of work and wages. Using mesh is the gold standard followed worldwide to reduce the chances of recurrence.

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