WHY HERNIA RECURS AGAIN AND AGAIN

					Dr. M.P.Desarda:
18, Vishwalaxmi Hsg. Society,
Kothrud, Pune-411029. MOBILE NO: 09373322178
---------------------------------------------------------------------------------------------------------------------
                          “Why hernia re-occurs again and again”

       When some part of our body leaves its original place and enters in to other cavity
or comes out on the body surface then we call it as a hernia formation. Operation is the
only remedy to get relief from this disease. Patient will not mind to get operated if he is
sure that he is going to be hernia free after surgery. But this does not happen in many
patients because rate of relapse or reappearance of hernia at the same place is also quite
high and unacceptable. Mesh, which is a piece of synthetic cloth, was introduced in the
market in 1990 for use in hernia repairs. We stitch a small piece of cloth to repair our
torn shirt. Same principle is used in mesh repairs where in this mesh is stitched on the
weak spot or hernia hole to give protection and prevent recurrence. Relapse rate or
failure rate after groin hernia surgery has come down to 7-8% in USA after every body
started doing hernia surgery by using a mesh, but it failed to give complete cure.




                          Mesh                         Mesh is stitched on the weak spot of hernia

       Majority of the hernias, almost 99%, are external and seen on the body surface
and majority of them are seen on the abdominal wall. Amongst them, the groin hernias
are seen in almost 75% of patients. But in India, proportion of other abdominal wall
hernias like umbilical, epigastric, ventral or incisional hernia is also quite high. Our
intestines are kept in a delicate balloon like bag in side the abdomen and protection is
given by 3 layers of muscles all around them. When these muscles get damaged at some
spot then that becomes a weak spot or hernia hole from where hernia formation takes
place. This damage can happen due to surgery or stretching due to pregnancy or ascitis
or they get weakened due to aging or some other disease.

        In all traditionally done hernia surgeries, hernia sac is excised and a mesh is
stitched on this weak spot or this hernia hole in an attempt to give protection to the
weak spot and prevent relapse or recurrence. But this does not happen immediately
after surgery because this mesh is delicate like a mosquito net. Then why it is stitched if
it does not give protection? A foreign body reaction sets in and around the mesh and
tissue penetrates in it to form a delicate curtain on the weak spot. This takes couple of
months and then it takes another 2-3 years to get sufficient strength in it to give
protection. It means the patient is not fully protected for 2-3 years in spite of mesh
surgery. If patient gets an attack of cough or sneezing or some such other instance
during this period then this mesh gets torn or stitches get torn or mesh moves away
from the stitched place and relapse of hernia takes place. Another important reason for
more relapses or recurrences seen in India is the low quality mesh used to save on the
cost. This low quality mesh shrinks by 50-60% in side the body. Naturally there is
increased tension on the sutures due to this shrinkage that tend to break beyond certain
limits inviting hernia recurrence. Mesh shrinkage or mesh migrations are well
documented complications inviting failures after the mesh surgeries. All hernia
surgeries are done by hernia experts or consultants in USA, but, paradoxically in India,
hernia surgeries are dedicated to the resident doctors who are not expert in hernia
surgeries. This is also one of the important reasons for high rate of hernia recurrences in
India.




      Mesh itself does not        Shrinkage of mesh from       Desarda Repair with a
      give protection             a palm to a finger size       muscle strip

       A story of 38 year old Mr. David from USA is worth listening. He had left groin
hernia since 2 years. He consulted with 2-3 consultants and hernia experts in Los
Angeles, All of them had said that they will repair his hernia with a mesh. As is done by
every American, David also did his own thorough search on the internet to get more
knowledge about groin hernias. He found that almost 30 out 100 patients operated with
mesh had suffered either from recurrence or chronic groin pain or infection or mesh
migration in to the abdomen. These patients had undergone either open surgeries or
endoscopic surgeries. So he started search to find out whether there is any centre which
does hernia surgeries without using mesh. To his amazement, he found only two such
centre all over the world. One was Shouldice centre in Canada and another was
“Desarda Centre” in Pune from India. During his further search, he found that
Shouldice centre use stainless steel wires to sutures and there is 1-2% of recurrence. So
he chose Desarda Centre and came here to our Indian Hernia Institute to get his hernia
set right. This story did not end with David, but many more patients from USA, France,
and Australia etc have visited our centre for their hernia repairs. The main reason why
every body now prefers to come to our centre for his hernia repair is that we do not use
any foreign body like mesh. Therefore, no complications are seen in our repairs that are
associated with mesh. We use a strip of near by strong muscle to cover the weak spot or
hernia hole. Therefore, protection starts on the operation table itself. And patient gets
almost complete cure without any fear of relapse or recurrence in future.

Dr. Desarda has operated on more than 1500 patients till today by this new technique
and all of them are well and without any recurrence till today. This operation does not
require general anesthesia, it is done under local or spinal anesthesia. Patient is
admitted in the morning and taken for surgery immediately after preparation. Time
required for surgery is average 30 minutes and patient can be on his foot as soon as
anesthesia effect is gone. Normally patient goes to pass urine on his own within 4-5
hours and he is freely mobile in the wards same day night or next day morning ready to
get discharged and go home. There are no restrictions on his movements or food intake.
He can drive car and go to office, can climb a staircase, can carry luggage and travel,
squat and sit down without much pain within 2-3 days. He is asked to carry his normal
routine work as soon as possible and as per his tolerance. So, patient gets high level of
satisfaction after this new operation technique. All foreign patients coming to Indian
Hernia Institute go back to their country on third day carrying their luggage and a
journey of 20-22 hours without any difficulty. The most important quality of this
operation is that there is virtually no recurrence or pain. This operation is spreading
quite rapidly all around the globe and today it is being followed in many countries.

       Interested patients and doctors can contact Dr. Desarda on his mobile no. 0091
(0)9373322178 or log on to his website http://herniasurgery.tripod.com             or
http://www.desarda.com




                    “Why hernia re-occurs again and again”

       When some part of our body leaves its original place and enters in to other cavity
or comes out on the body surface then we call it as a hernia formation. Operation is the
only remedy to get relief from this disease. Patient will not mind to get operated if he is
sure that he is going to be hernia free after surgery. But this does not happen in many
patients because rate of relapse or reappearance of hernia at the same place is also quite
high and unacceptable. Mesh, which is a piece of synthetic cloth, was introduced in the
market in 1990 for use in hernia repairs. We stitch a small piece of cloth to repair our
torn shirt. Same principle is used in mesh repairs where in this mesh is stitched on the
weak spot or hernia hole to give protection and prevent recurrence. Relapse rate or
failure rate after groin hernia surgery has come down to 7-8% in USA after every body
started doing hernia surgery by using a mesh, but it failed to give complete cure.
       Majority of the hernias, almost 99%, are external and seen on the body surface
and majority of them are seen on the abdominal wall. Amongst them, the groin hernias
are seen in almost 75% of patients. But in India, proportion of other abdominal wall
hernias like umbilical, epigastric, ventral or incisional hernia is also quite high. Our
intestines are kept in a delicate balloon like bag in side the abdomen and protection is
given by 3 layers of muscles all around them. When these muscles get damaged at some
spot then that becomes a weak spot or hernia hole from where hernia formation takes
place. This damage can happen due to surgery or stretching due to pregnancy or ascitis
or they get weakened due to aging or some other disease.

        In all traditionally done hernia surgeries, hernia sac is excised and a mesh is
stitched on this weak spot or this hernia hole in an attempt to give protection to the
weak spot and prevent relapse or recurrence. But this does not happen immediately
after surgery because this mesh is delicate like a mosquito net. Then why it is stitched if
it does not give protection? A foreign body reaction sets in and around the mesh and
tissue penetrates in it to form a delicate curtain on the weak spot. This takes couple of
months and then it takes another 2-3 years to get sufficient strength in it to give
protection. It means the patient is not fully protected for 2-3 years in spite of mesh
surgery. If patient gets an attack of cough or sneezing or some such other instance
during this period then this mesh gets torn or stitches get torn or mesh moves away
from the stitched place and relapse of hernia takes place. Another important reason for
more relapses or recurrences seen in India is the low quality mesh used to save on the
cost. This low quality mesh shrinks by 50-60% in side the body. Naturally there is
increased tension on the sutures due to this shrinkage that tend to break beyond certain
limits inviting hernia recurrence. Mesh shrinkage or mesh migrations are well
documented complications inviting failures after the mesh surgeries. All hernia
surgeries are done by hernia experts or consultants in USA, but, paradoxically in India,
hernia surgeries are dedicated to the resident doctors who are not expert in hernia
surgeries. This is also one of the important reasons for high rate of hernia recurrences in
India.
       A story of 38 year old Mr. David from USA is worth listening. He had left groin
hernia since 2 years. He consulted with 2-3 consultants and hernia experts in Los
Angeles, All of them had said that they will repair his hernia with a mesh. As is done by
every American, David also did his own thorough search on the internet to get more
knowledge about groin hernias. He found that almost 30 out 100 patients operated with
mesh had suffered either from recurrence or chronic groin pain or infection or mesh
migration in to the abdomen. These patients had undergone either open surgeries or
endoscopic surgeries. So he started search to find out whether there is any centre which
does hernia surgeries without using mesh. To his amazement, he found only two such
centre all over the world. One was Shouldice centre in Canada and another was
“Desarda Centre” in Pune from India. During his further search, he found that
Shouldice centre use stainless steel wires to sutures and there is 1-2% of recurrence. So
he chose Desarda Centre and came here to our Indian Hernia Institute to get his hernia
set right. This story did not end with David, but many more patients from USA, France,
and Australia etc have visited our centre for their hernia repairs. The main reason why
every body now prefers to come to our centre for his hernia repair is that we do not use
any foreign body like mesh. Therefore, no complications are seen in our repairs that are
associated with mesh. We use a strip of near by strong muscle to cover the weak spot or
hernia hole. Therefore, protection starts on the operation table itself. And patient gets
almost complete cure without any fear of relapse or recurrence in future.

Dr. Desarda has operated on more than 1500 patients till today by this new technique
and all of them are well and without any recurrence till today. This operation does not
require general anesthesia, it is done under local or spinal anesthesia. Patient is
admitted in the morning and taken for surgery immediately after preparation. Time
required for surgery is average 30 minutes and patient can be on his foot as soon as
anesthesia effect is gone. Normally patient goes to pass urine on his own within 4-5
hours and he is freely mobile in the wards same day night or next day morning ready to
get discharged and go home. There are no restrictions on his movements or food intake.
He can drive car and go to office, can climb a staircase, can carry luggage and travel,
squat and sit down without much pain within 2-3 days. He is asked to carry his normal
routine work as soon as possible and as per his tolerance. So, patient gets high level of
satisfaction after this new operation technique. All foreign patients coming to Indian
Hernia Institute go back to their country on third day carrying their luggage and a
journey of 20-22 hours without any difficulty. The most important quality of this
operation is that there is virtually no recurrence or pain. This operation is spreading
quite rapidly all around the globe and today it is being followed in many countries.

        Interested patients and doctors can contact Dr. Desarda on his mobile no. 0091
(0)9373322178 or log on to his website                http://www.desarda.com        or
http://herniasurgery.tripod.com

				
DOCUMENT INFO
Description: New method of tension free simple inguinal hernia repair without mesh, drive car next day, day surgery hernia operation, no mesh, no complications, no recurrence, local, followed in many countries, “Dr. Desarda Repair” for inguinal hernias without mesh