Dr. Manas Kumar Sahoo

MBBS, MS, FIAGES, FMAS
(Robotic & Laparoscopic GI / Bariatric Surgeon)

Hernia

What is a Hernia?

A hernia occurs when an internal organ or tissue pushes through a weak spot in the abdominal muscle wall. It commonly appears as a bulge in the abdomen or groin and may cause pain, discomfort, or complications if untreated.

Hernias do not heal on their own and often require surgical repair to prevent serious complications.

Inguinal Hernia
(TAPP | TEP)

The most common type of hernia, occurring in the groin region. It happens when part of the intestine protrudes through a weak area in the lower abdominal wall.

Symptoms of Inguinal Hernia

Umbilical Hernia

Occurs near the belly button when abdominal contents push through weakened muscle around the umbilicus.

Symptoms of Umbilical Hernia

Types of Treatments

  • IPOM (Intraperitoneal Onlay Mesh – composite mesh repair)

  • IPOM Plus (defect closure + mesh repair)

  • eTEP-RS (Enhanced View Totally Extraperitoneal – Rives-Stoppa)

  • SCOLA (Subcutaneous Onlay Laparoscopic Approach)

Incisional Hernia

Develops at the site of a previous surgical incision where the abdominal wall has weakened. Can occur months or years after surgery.

Symptoms of Incisional Hernia

Types of Treatments

  • IPOM / IPOM Plus
  • Component Separation Technique (CST)
  • TAR (Transversus Abdominis Release)
  • Open Rives-Stoppa Repair

Hiatal Hernia
(Fundoplication)

Occurs when part of the stomach pushes up through the diaphragm. Can cause acid reflux and heartburn symptoms.

Symptoms of Hiatal Hernia

Complex Abdominal Wall Reconstruction (AWR)

Complex Abdominal Wall Reconstruction (AWR) is a highly specialized surgical procedure used to repair large, recurrent, incisional, or infected abdominal wall hernias. It restores abdominal wall strength, function, and appearance using advanced reconstructive techniques.

We offer open, laparoscopic, and robotic abdominal wall reconstruction surgery tailored to each patient’s condition.

Who Needs Complex AWR?

You may need abdominal wall reconstruction if you have:

Symptoms of Inguinal Hernia

Early surgical consultation prevents complications like obstruction, strangulation, and infection.

Treatment Options

Minimally Invasive and Robotic Surgery Options for Hernia Repair

Feature
Laparoscopic
Robotic
Incision Size
Small
Tiny
Pain Level
Moderate
Very Low
Recovery Time
3–5 Days
1–2 Days
Surgical Vision
2D
HD 3D
Precision
Good
Ultra-Precise