KIMS Doctors Perform Novel Minimally Invasive E-Tep Hernia Repair to Treat Large Ventral Hernia

Hyderabad: Ventral Hernia is the second most frequently occurring surgical entities that are usually asymptomatic but may be aesthetically disturbing for the patient. In a medical breakthrough, doctors from KIMS Hospitals, Kondapur have come up with a novel Laparoscopic-E-Tep Hernia repair procedure to help Ventral Hernia patients with more pronounced defect. Laparoscopic-E-Tep Hernia repair is a minimally invasive form of the hernia repair technique which can help obese patients suffering from large ventral hernia.

Talking about the technique Dr D V Ramakrishna, Consultant Surgical Gastroenterologist said, “Minimally Invasive Surgery has several advantages over the traditional technique such as lesser pain. The patient can get back to normal activity quickly. Also, blood loss is almost negligible and eliminates the risk of infections. This makes the procedure ideal for obese patients. Diabetic patients can also undergo this procedure without a second thought.

The team led by Dr. D.V. Ramakrishna, Consultant Surgical Gastroenterologist, KIMS Hospitals have performed 26 surgeries using Laparoscopic-E-Tep Hernia repair technique from January 2019.

In general, obese patients with large Ventral Hernia (Abdominal wall Hernia) had to undergo an open procedure with the associated problems of poor wound healing and infections. These patients had a prolonged recovery time associated with high recurrence rates. In the new Laparoscopic-E-Tep Hernia repair, defects up to 15cms can be corrected. In this procedure, the surgeon operates in the layers of the abdominal wall at times extending into both flanks to create a tension-free repair and placement of large meshes (25-35cms) to reinforce the repair. The intrabdominal pressure assists in anchoring the mesh and ingrowth of tissue from both sides.

“This new technique is a Minimally Invasive Surgery Technique in which we operate in the layers of the abdominal wall. We had operated on defects up to 15cms with excellent results and most of the patients are discharged after 24 hrs. And can attend to their normal activities. The complication rates have been minimal due to early mobilization of the patients (within 6 hrs.) and early feeding ”he added.

Mr. Mohan Rao from Hyderabad age 65, Patient says, Ï”m happy I underwent minimally invasive surgery instead of the traditional procedure. I am back to my routine with less pain. I am very thankful to Dr. Ramakrishna and his team who explained to us the procedure and made us understand the pro and cons of surgery.”