Hernia Surgeon in Pune - Dr Sanjay Kolte

What is a hernia?What is a hernia? A hernia is an abnormal weakness or hole in an anatomical A hernia is an abnormal weakness or hole in an anatomical

structure which allows something inside to protrude through.structure which allows something inside to protrude through. It is commonly used to describe a weakness in the abdominal It is commonly used to describe a weakness in the abdominal

wall.wall. Hernias by themselves usually are harmless, but nearly all Hernias by themselves usually are harmless, but nearly all

have a potential risk of having their blood supply cut off have a potential risk of having their blood supply cut off (becoming strangulated).(becoming strangulated).

If the blood supply is cut off at the hernia opening in the If the blood supply is cut off at the hernia opening in the abdominal wall, it becomes a medical and surgical emergency.abdominal wall, it becomes a medical and surgical emergency.

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Types of HerniasTypes of Hernias Inguinal hernia: Makes up 75% of all abdominal wall hernias Inguinal hernia: Makes up 75% of all abdominal wall hernias

and occurring up to 25 times more often in men than and occurring up to 25 times more often in men than women.women.

Two types of inguinal hernias: indirect inguinal hernia and Two types of inguinal hernias: indirect inguinal hernia and direct inguinal hernia.direct inguinal hernia.

Indirect inguinal herniaIndirect inguinal hernia Direct inguinal herniaDirect inguinal hernia Hiatus herniaHiatus hernia



Indirect inguinal herniaIndirect inguinal hernia follows pathway that testicles made during prebirth follows pathway that testicles made during prebirth

development. development. This pathway normally closes before birth but remains a This pathway normally closes before birth but remains a

possible place for a hernia.possible place for a hernia. Sometimes the hernial sac may protrude into the scrotum. Sometimes the hernial sac may protrude into the scrotum. This type of hernia may occur at any age but becomes This type of hernia may occur at any age but becomes

more common as people age.more common as people age.

Direct inguinal hernia Direct inguinal hernia This occurs slightly to the inside of the sight fo the This occurs slightly to the inside of the sight fo the

indirect hernia, in a place where the abdominal wall is indirect hernia, in a place where the abdominal wall is naturally slightly thinner.naturally slightly thinner.

It rarely will protrude into the scrotum.It rarely will protrude into the scrotum. The direct hernia almost always occurs in the middle-aged The direct hernia almost always occurs in the middle-aged

and elderly because their abdominal walls weaken as they and elderly because their abdominal walls weaken as they age. age.



Hiatus herniaHiatus hernia A hiatus hernia occurs when the upper part of the A hiatus hernia occurs when the upper part of the

stomach, which is joined to the oesophagus (gullet), stomach, which is joined to the oesophagus (gullet), moves up into the chest through the hole (called a moves up into the chest through the hole (called a hiatus) in the diaphragm. hiatus) in the diaphragm.

It is common and occurs in about 10 per cent of people. It is common and occurs in about 10 per cent of people.



Hiatus herniaHiatus hernia It is most common in overweight middle-aged women and It is most common in overweight middle-aged women and

elderly people. elderly people. It can occur during pregnancy. It can occur during pregnancy. The diagnosis is confirmed by barium meal X-rays or by passing The diagnosis is confirmed by barium meal X-rays or by passing

a tube with a camera on the end into the stomach (gastroscopy). a tube with a camera on the end into the stomach (gastroscopy).

Losing weight nearly always cures it. Losing weight nearly always cures it. Eating small meals each day instead of 2 or 3 large ones Eating small meals each day instead of 2 or 3 large ones helps. helps. Avoid smoking. Avoid smoking. Take antacid. Take antacid. Avoid spicy food. Avoid spicy food. Avoid hot drinks. Avoid hot drinks. Avoid gassy drinks. Avoid gassy drinks.

Treatment for Hiatus HerniaTreatment for Hiatus Hernia



Femoral herniaFemoral hernia The femoral canal is the way that the femoral artery, vein, and The femoral canal is the way that the femoral artery, vein, and

nerve leave the abdominal cavity to enter the thigh. nerve leave the abdominal cavity to enter the thigh. Although normally a tight space, sometimes it becomes large Although normally a tight space, sometimes it becomes large

enough to allow abdominal contents (usually intestine) into the enough to allow abdominal contents (usually intestine) into the canal. canal.

This hernia causes a bulge below the inguinal crease in roughly This hernia causes a bulge below the inguinal crease in roughly the middle of the thigh. the middle of the thigh.

Rare and usually occurring in women, these hernias are Rare and usually occurring in women, these hernias are particularly at risk of becoming irreducible and strangulated. particularly at risk of becoming irreducible and strangulated.



Umbilical herniaUmbilical hernia These common hernias (10-30%) are often noted at These common hernias (10-30%) are often noted at

birth as a protrusion at the bellybutton (the umbilicus). birth as a protrusion at the bellybutton (the umbilicus). This is caused when an opening in the abdominal wall, This is caused when an opening in the abdominal wall,

which normally closes before birth, doesn’t close which normally closes before birth, doesn’t close completely. completely.

Even if the area is closed at birth, these hernias can Even if the area is closed at birth, these hernias can appear later in life because this spot remains a weaker appear later in life because this spot remains a weaker place in the abdominal wall. place in the abdominal wall.

They most often appear later in elderly people and They most often appear later in elderly people and middle-aged women who have had children. middle-aged women who have had children.


Epigastric herniaEpigastric hernia Occurring between the navel and the lower part of the Occurring between the navel and the lower part of the

rib cage in the midline of the abdomen, these hernias rib cage in the midline of the abdomen, these hernias are composed usually of fatty tissue and rarely contain are composed usually of fatty tissue and rarely contain intestine. intestine.

Formed in an area of relative weakness of the abdominal Formed in an area of relative weakness of the abdominal wall, these hernias are often painless and unable to be wall, these hernias are often painless and unable to be pushed back into the abdomen when first discovered.pushed back into the abdomen when first discovered.



Causes of herniasCauses of hernias Any condition that increases the pressure of the abdominal Any condition that increases the pressure of the abdominal

cavity may contribute to the formation or worsening of a cavity may contribute to the formation or worsening of a hernia.hernia. ObesityObesity Heavy liftingHeavy lifting CoughingCoughing Straining during a bowel movement or urinationStraining during a bowel movement or urination Chronic ling diseaseChronic ling disease Fluid in the abdominal cavityFluid in the abdominal cavity HereditaryHereditary


MBBS - OCTOBER 1995-BHARATI VIDYAPEETH'S MEDICAL COLLEGE, PUNE, INDIAMBBS - OCTOBER 1995-BHARATI VIDYAPEETH'S MEDICAL COLLEGE, PUNE, INDIA

FCPS (General Surgery) - SEPTEMBER 2000, MUMBAI, INDIA FCPS (General Surgery) - SEPTEMBER 2000, MUMBAI, INDIA

(FELLOW OF COLLEGE OF PHYSICIANS AND SURGEONS)(FELLOW OF COLLEGE OF PHYSICIANS AND SURGEONS)

DNB (General Surgery) - MAY 2001-KING EDWARD MEMORIAL HOSPITAL, PUNE, DNB (General Surgery) - MAY 2001-KING EDWARD MEMORIAL HOSPITAL, PUNE, INDIA (DIPLOMATE OF NATIONAL BOARD, NEW DELHI)INDIA (DIPLOMATE OF NATIONAL BOARD, NEW DELHI)

MNAMS - MEMBER OF NATIONAL ACADEMY OF MEDICAL SCIENCES, NEW DELHIMNAMS - MEMBER OF NATIONAL ACADEMY OF MEDICAL SCIENCES, NEW DELHI

Contact Details:Laparoscopic Surgery Clinic, Parihar Chowk,

Aundh, Pune, Maharashtra 411007Mobile : +91 98 2200 9490

Email : [email protected]


Contact UsContact Us

Dr. Sanjay KolteDr. Sanjay Kolte

Dr. Sanjay Kolte, a general surgeon based in pune who specializes in laparoscopic Surgery, Hernia Surgery, Gastrointestinal surgery, Emergency and General

surgery.http://www.drsanjaykolte.in/

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Hernia Surgeon in Pune - Dr Sanjay Kolte