Dr. Jasmeet Singh Ahluwalia

24x7 Open

Guru Nanak Mission Chowk, Jalandhar

All Insurance Covered

( Cashless / Reimbursement )

LAPAROSCOPIC SURGERY FOR SMALL CHILDREN

If you are looking Laparoscopic Surgeon for small children then Dr. Jasmeet Singh Ahluwalia is best for you. It is very important to keep surgical incisions as small as possible in children to ensure speedy recovery and good cosmesis. With the help of special small laparoscopic instruments, children can be operated laparoscopically very safely. It is the surgery performed by using the latest technology where instead of a big cut on the belly or chest, the surgery is performed using small cuts popularly known as the Key Hole Surgery.

Children Laparoscopic Hernia Treatment

This involves very small cuts away from the hernia. The whole of inside the abdomen can be seen by introducing a small camera scope from this hole. A hernia is closed and a special mesh is kept from inside. This leads to a more secure closure of hernia as it is like repairing a tire puncture from the inside. A larger mesh can be placed by this method. All hernias can be visualized easily and repaired simultaneously. There is no need for a pipe to drain fluid after surgery. The scar is much smaller. Chances of getting a hernia back are much less as compared to an open hernia

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What are the advantages of Key Hole Surgery in Children?

Laparoscopic Surgery For Small Surgery Educational Videos

All kinds of hernia can now be treated using laparoscopy:

Inguinal Hernias
Ventral Hernia / Incisional Hernia
Diaphragmatic Hernias
Hiatus Hernia etc.

INGUINAL HERNIA

In this part of the intestine, fat, etc. protrudes through a weak spot in the abdominal muscles in the inguinal region (near the junction of belly and thigh). This results in a lump that can be felt initially but as it becomes bigger, it can be seen as well. It may disappear or reduce in size on lying down (as during sleep) and reappear on doing work (especially after coughing or lifting heavy weights).
There is no cure for hernia without surgery. Once detected, it is recommended to get it operated on as it may complicate any time into a life-threatening situation.

Symptoms

Swelling in the groin area becomes more obvious in a standing position, especially on coughing
A burning or aching sensation at the bulge
Dragging sensation in the abdomen
In children
Inguinal hernias can be seen in newborns and children due to weakness in the abdominal wall that’s present at birth, especially in males. Testicles develop in the abdomen and later descend into the scrotum which leads to weakness in this area. Sometimes hernia is visible only when a child is crying, coughing, or straining.
When to see a doctor immediately
If you know you have a hernia and you experience the following:
Sudden severe pain
Nausea, vomiting, or both
Fever
The skin over the hernia turns red, purple, or dark

Causes

The cause is not always apparent but may include:
Prolonged cough
Prolonged constipation
Urinary difficulty
Strenuous activity
Pregnancy
Old age leads to muscle weakness

Complications

Big hernias are difficult to repair and have a higher recurrence rate. As time passes, most hernias grow in size and become more difficult to repair, and are also more prone to come back again after surgery.
Incarcerated hernia. If the contents of the hernia become trapped, it can obstruct the bowel, leading to severe pain, nausea, vomiting, etc. It may cause an inability to pass flatus.
In extreme cases, blood flow to part of the intestine gets cut off leading to the death of that area. The intestine may get a hole here leading to the spread of dirty fluid all inside the abdomen. This is a life-threatening condition and requires immediate surgery.

Prevention

A hernia is not entirely preventable but certain modifications may decrease your chances of getting one.
Maintain a healthy weight
High-fiber food
Avoid lifting heavy objects
Quit smoking – causes muscle weakness and cough

Diagnosis

Usually, a hernia can be diagnosed by a doctor by just examining the patient. In cases of doubt, a scan may be required like USG, CT, or MRI.


Treatment

A very small hernia that is not causing any trouble may be left untreated but under watchful eyes.
Enlarging or painful hernias usually require surgery to relieve discomfort and prevent serious complications.
There are two general types of hernia operations — open hernia repair and laparoscopic repair.

Open hernia repair

In this procedure, a cut is made in the groin area at the site of the hernia. The protruding tissue is pushed back and a mesh is kept over it to strengthen that area. The opening is then closed with stitches, staples, or surgical glue.
After the surgery, you’ll be encouraged to move about as soon as possible, but it might be several weeks before you’re able to resume normal activities.

Laparoscopy

In this minimally invasive procedure (keyhole method). There will not be any direct cut on the hernia site. Instead, there will be very small cuts elsewhere on the abdomen through which a camera and instruments will be inserted.
A much bigger mesh is employed after folding it and inserting it through a small hole. People who have laparoscopic repair might have less discomfort and scarring after surgery and a quicker return to normal activities. Having a surgeon who is very experienced in the laparoscopic procedure may reduce the risk of getting a hernia back.
Laparoscopy allows the surgeon to avoid scar tissue from an earlier hernia repair, so it might be a good choice for people whose hernias recur after open hernia surgery. It also might be a good choice for people with hernias on both sides of the body (bilateral) as both sides can be operated from the same small holes whereas in open surgery two big separate cuts will be required.
Laparoscopic surgery is also possible for small kids and helps them recover fast and with smaller scars.
Pain may be lesser, and return to work quicker in the keyhole surgery method.

VENTRAL HERNIA

Ventral Hernias – Umbilical Hernia, Epigastric hernia, incisional hernia
Umbilical hernia – Our umbilical cord passes through the umbilicus before birth and this leaves a potentially weak area here. These are most common in infants, but they can be seen in adults as well.
Children’s umbilical hernias often close on their own in the first two years of life. Umbilical hernias in adults are more likely to need surgery.
Incisional Hernia
This occurs from the weakness caused by the cut of previous surgery. It is much more common after open surgery as compared to laparoscopic surgery.
Epigastric hernia – It is seen above the level of the umbilicus
Suprapubic hernia – This is seen below the level of the umbilicus

Symptoms

A bulge at the navel which becomes worse when the baby cries is the most common symptom in kids.
In adults, one may feel hollow at the umbilicus or other places on the abdomen (excluding the groin which is called an inguinal hernia). A bulge may be seen or felt there that becomes worse on coughing. In later stages, a bulge may just stay there all the time and may cause pain.

Complications

When the bulging abdominal tissue (intestine or fat) becomes trapped in the hernia hole, it can reduce the blood supply to the section of the trapped intestine or fat and can lead to pain. If the trapped portion of the intestine is completely cut off from the blood supply (strangulated hernia), tissue death (gangrene) may occur. Infection may spread throughout the abdomen leading to a life-threatening situation.


Treatment

Most umbilical hernias in babies close on their own by age 1 or 2.
Children may require surgery if hernias:
Are painful
Are slightly larger than 1 to 2 centimeters in diameter
Are large and don’t decrease in size over the first two years of life
Don’t disappear by the age of four years
Become trapped or block the intestine
For adults, surgery is typically recommended soon after diagnosis to avoid possible complications. If a hernia becomes painful or shows other signs of complications, then immediate surgery is recommended.

OPEN SURGERY

The cut is made at the site of the hernia. Contents are pushed back and the hole is closed with sutures. In adults, a mesh is usually placed to strengthen the abdominal wall. Open surgery involves a cut often bigger than the size of the hernia to make space for the mesh. In many cases, a tube is kept to drain fluid from the wound for a few days after surgery.

Frequent Questions - FAQ's

Generally, laparoscopy is a safe process with less complication. It is one way to closely inspect the organs in your stomach and also your reproductive organs.

Compared to traditional surgery diagnostic laparoscopic surgery uses only two to four small cuts of half an inch.

Typically, the first 24 to 48 hours following treatment are the worst for post-surgical discomfort. This can change based on several things, such as how effectively your pain is managed.

Angela Singh
Angela Singh
2024-01-16
Thank you doctor Mandeep Kaur. I had a Positive result after 2 weeks of my IUI I am so happy I was waiting for so long to concive and to see 2 lines on my pregnancy test but every time that was unsuccessful but this was my first try with IUI and that’s go successfully thank you so much. 😊😊
Sarabjeet. Banga
Sarabjeet. Banga
2024-01-14
Great experience with Dr. Mandeep and staff of the hospital.
amit kamboj
amit kamboj
2024-01-13
My experience is very good
SANDEEP KUMAR PURI
SANDEEP KUMAR PURI
2024-01-13
Great Staff With good facilities
Baljeet Kaur
Baljeet Kaur
2023-12-23
Thank you so much Dr mandeep from the bottom of hearts for taking such good care. Because of your professionalism and great smiles, we felt like we were in good hands and that gave us peace of mind towards the big day.
Manisha
Manisha
2023-12-20
I got my friend’s weight loss surgery done at Star Hospital. We were impressed by Dr Ahluwalia’s clarity of thought on weight loss and Bariatric Surgery. We visited some other hospitals before and were always confused as their versions were very different but here we got answers to all our questions in a very clear way and my friend could gather courage to finally get his Bariatric Surgery done and start living a normal life again. Procedure went smooth as was told and we were out out of hospital very next day. Now we regret delaying this for years!
Amrit Kaur
Amrit Kaur
2023-11-30
Dr Mandeep is a very hardworking and nice doctor.my result came positive and I'm very thankful to mam and all the staff members 🙏🙏
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