Apollo Hospital's workshop on hernia

A six-day workshop on Advanced Hernia Surgery was organised by Apollo Gleneagles Hospitals Kolkata, for surgeons from all over the country and abroad. The workshop included live surgeries by Dr B Ramana, senior consultant, bariatric and hernia surgeon, Apollo Gleneagles Hospitals Kolkata. The doctors, who came as students from different parts of the country as well as abroad also got to assist Dr Ramana in the OT in order to have the first hand experience of the latest techniques to address Hernia.

Hernia is an extremely common problem which occurs to both males and females. About 30 per cent of women after delivery develop hernia. It is basically a gap in the muscles and fascia of the abdominal wall through which the inner contents, small and/or large intestine, stomach, bladder etc, may protrude out from the abdomen, below the skin.

Common symptoms of hernia:

  • Swelling in the groin or abdominal wall which increases on  

prolonged standing, coughing, sneezing or even a good laugh!

  • Pinching or dull aching pain in the swelling.
  • Constant pulling sensation inside the abdomen.
  • Constipation.
  • Backache due to poor posture.
  • Hernias may lead to obesity and the reverse is also true.


Surgery is the only way out to treat a hernia. In current times, laparo-endoscopic approaches have mitigated the fear involved with open surgery such as long cuts, prolonged and severe pain, delayed recovery, loss of work and wages. Using mesh is the gold standard followed worldwide to reduce the chances of recurrence. Many patients have difficult hernias that defy conventional surgical solutions.

Speaking on the occasion, Dr Ramana said, “The workshop has been organised to spread the knowledge about modern AWR (Abdominal Wall Reconstruction) procedures comprising of open, minimally invasive and robotic approaches. The most advanced surgery techniques, which include eTEP, TAR, SCOLA, BOTOX, PPP etc lead to reduced post-operative pain, minimal blood loss and single day hospital stays in most cases.

Incisional hernias occur to 20-30 per cent patients who undergo any kind of open abdominal surgery. This is specially seen in women after pregnancy and C section. These hernias are typically difficult to cure using traditional surgeries and with more number of attempts to cure the hernia the complications increase along with increased failure rate. Hence the need for specialized hernia treatment using new techniques comes in picture. Women after pregnancy even have flabby abdomen due to the abdominal muscle losing its tenacity while giving space for the growth of the uterus. This goes mostly unaddressed till the belly becomes very saggy, or the patient feels low back pain. Using the modern SCOLA method, the shape and tone of the abdominal muscles may be regained, with the scars being barely visible.

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