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At Lenox Hill Minimally Invasive Surgery PLLC, Dr. Valery Dronsky and his staff of medical professionals provide compassionate care with the highest ethical & professional standards. In our state of the art facility, we offer surgical services using only the most cutting edge and current procedures and treatments. We specialize in general surgery, including extensive experience in performing hernia repair surgery. Our expertise is in minimally invasive surgery and robotic surgery. Minimally invasive and robotic surgery often allow patients to experience easier recovery than traditional open surgery. They also allow for more precise and less traumatic surgery. When robotic and minimally invasive surgery is not an option, we are also skilled and experienced in traditional open surgical procedures.
Dr. Dronsky is an experienced and highly skilled surgeon having undergone extensive training in school, residency and fellowships. He practices medicine with ethical behavior, compassion and superb bedside manner. In the operating room he exhibits precision mechanical abilities, analytical thinking and the ability to visualize tissue in three dimensions. These innate and learned skills allow Dr. Dronsky to be one of the most dexterous and skilled professionals in New York City and the Country.
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We are honored and deeply appreciative to have consistently received prestigious awards and recognition year after year, establishing us as one of New York’s foremost hospitals for a wide range of general surgeries, safety measures, specialized procedures, and overall excellence in healthcare. At Lenox Hill Minimally Invasive Surgery, our unwavering commitment lies in delivering exceptional care and unwavering support to our patients, guaranteeing their safety and successful recovery throughout their entire surgical experience.
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America’s 50 Best Hospitals Award™ (2023, 2022)
Top 1% in the nation for providing the highest clinical quality year over year.
America’s 100 Best Hospitals Award™ (2021)
Top 2% in the nation for consistently delivering clinical quality year over year.
America’s 250 Best Hospitals Award™ (2023, 2022, 2021)
Top 5% in the nation for consistently delivering clinical quality.
Patient Safety Excellence Award™ (2023, 2022)
Top in the nation for providing excellence in patient safety by preventing infections, medical errors, and other preventable complications.
Specialty Clinical Quality Awards
America’s 100 Best Hospitals for Cardiac Care Award™ (2023, 2022, 2021, 2020, 2019)
Superior clinical outcomes in heart bypass surgery, coronary interventional procedures, heart attack treatment, heart failure treatment, and heart valve surgery.
America’s 100 Best Hospitals for Coronary Intervention Award™ (2023, 2022, 2021, 2020, 2019)
Superior clinical outcomes in coronary intervention procedures (angioplasty with stent).
America’s 100 Best Hospitals for Prostate Surgery Award™ (2023, 2022, 2021)
Superior clinical outcomes in prostate removal surgery and transurethral resection of the prostate.
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Tag Archives: herniorrhaphy
Hernia Repair Surgery: Overview, Types, Precautions & More
Hernia Repair Overview
You’ll be considered for a hernia repair surgery if visceral tissues constituting internal organs like the brain, groin or abdomen become herniated. Herniation of the viscera including the abdomen, intestines, heart, and lungs cause these organs to become bulged or swollen, forcing them to protuberate through the walls sheathing them. Two of the most predominating kinds of a hernia is an inguinal hernia (involves the groin) and umbilical hernia (entails the umbilical cord).
Surgical intervention becomes indispensable to prevent or allay unwarranted complications shortly as a hernia usually tends to grow bigger with the passage of time. Hernia surgery is a simple procedure is conducted as an outpatient mode, doing away with the need to stay in the hospital.
Types
Regardless of whether your hernia is diagnosed as reducible, irreducible or strangulated, you could opt for either of the two broad types of hernia repair surgery: “genioplasty’ and :”herniorrhaphy”. Herniorrhaphy is the conventional mode of correcting or repairing a hernia.
The surgeon creates a large incision over the area surrounding the bulging tissues or organ. Then, he does away with the protuberance so that he can put the displaced organ back to its original position. At last, the opening is sutured and disinfected to keep infection at bay.
The surgical procedure of hernioplasty is nearly identical to herniorrhaphy with the exception that the surgeon instead of ligaturing the notch, places a sterilized mesh. Hernioplasty or herniorrhaphy can be done as open surgery or laparoscopically.
What Should You Keep in Mind?
You’ll be eager to go back to leading a normal life once the surgery has been carried out effectively. Do not be alarmed on seeing the IV tube and the bandages or dressings encasing the incisions after you starting gaining consciousness following the surgery. Nursing assistants and hospital staff will be there by your bedside to offer you any help you need.
The faster you’re able to eat, drink, and walk around on your own, the sooner will you be discharged. Additionally, you’ll need to urinate to be considered for an early discharge. Finally, the doctor will let you go home, if and only if there is someone to take you home.
Since you’ll not be in a position to return to a normal lifestyle at least for the first two weeks, it’ll be better if you’ve someone who can take good care of you. Your surgeon will specify the instructions you’ll have to abide by in the days to come, in your discharge note. The doctor will also make you aware of the guidelines verbally which will usually pertain to cleaning and dressing the incisions, the medications you will have to take, the symptoms to look out for, and so on.
You’ll be given a contact number or helpline number in case you need to report a symptom or clarify an issue. You’ll become tired quickly in the first couple of weeks after the surgery but may recuperate completely within 3-6 weeks. You’ll have to amble around frequent to boost circulation which in turn will expedite healing.
You’ll have to keep the openings thoroughly dry so you may have to wait for 3-4 days before you can start showering. Since you’ll be physically weak, you’ll have to stick to a diet rich in fibers as well as take fresh fruits, vegetables and fluids to stay energetic. Pain medications and stress resulting from remaining idle could cause constipation. You can take a laxative to deal with it but only if the doctor allows it.
Concluding Remarks
If your hernia is mild, you may or may not have symptoms. You may be able to live with a herniated organ for a long period, but you never know when the herniation might aggravate leading to grave complications. Hence, it is better to go for repair surgery to stay on the safe side and for complete peace of mind.
Schedule an appointment with us to know more about the advanced forms of treatments that can aid in treating such cases.
References
- https://www.highgatehospital.co.uk/things-you-need-to-know-hernia-operation/
- https://www.webmd.com/digestive-disorders/need-surgery-hernia#1
- http://columbiasurgery.org/news/2014/04/15/hernias-what-you-need-know
- https://en.wikipedia.org/wiki/Hernia_repair
- https://my.clevelandclinic.org/health/treatments/6905-laparoscopic-surgery-for-hernia-repair/risks–benefits
- http://www.medtronic.com/us-en/patients/treatments-therapies/hernia-surgery/about-recovery.html
- https://www.medicalnewstoday.com/articles/319753.php
Hernia Repair Surgery – NYC Surgeon
Hernia Repair Surgery: Steps, Benefits, Side-Effects, Precautions & Prognosis
Hernia repair surgery entails the application of instrumental and manual procedures for correcting herniation of tissues or viscera including groin, abdomen, brain, and diaphragm. Internal organs, composed of tissues, could get herniated or bulged, forcing them to protrude via the wall encasing them. Hernias involving the groin (an inguinal hernia) and the umbilical cord (an umbilical hernia) are two of the most prevalent forms of a hernia.
Since a hernia does not heal on its own but rather expands over time, it is crucial that you opt for surgical treatment to avoid unnecessary/preventable complications in the long run. Hernia surgery, usually performed on an outpatient basis, is a moderately simple operation that can help remedy the organ’s bulging and restore it to its original position.
Steps
Two of the most popular types of hernia repair surgery is ‘herniorrhaphy’ and ‘hernioplasty’. Herniorrhaphy-the traditional hernia repair technique-is still conducted extensively where the surgeon makes a wide and long notch over the herniated organ. Thereafter, the physician removes the protrusion and reinstates the dislodged organ or tissues to its actual site.
Finally, the doctor sutures the hole in the muscle via which the protuberance developed, sterilizes the incision, and sews it up. Hernioplasty is very much similar to herniorrhaphy procedurally excepting that in the final step, the surgeon overlays a sterile mesh (produced from animal tissues or polypropylene) on the muscular notch rather than suturing it. The nature or type of your herniation will determine the mode of repair surgery you’ll need to opt for.
Strangulated, reducible, and irreducible hernias are the three most widespread kinds of hernias. Both of the aforementioned surgical operation procedures can be carried out using a laparoscope or via open surgery.
Benefits
Both hernioplasty and herniorrhaphy are straightforward and uncomplicated surgical repair processes that take about 30-40 minutes to complete. You won’t feel any pain as the surgery will be done using either local or general anesthesia. Majority of patients are discharged from the hospital or medical center on the very day the laparoscopic surgery is performed. The usual benefits of the laparoscopic repair operation include:-
- Very short duration of stay
- Faster healing
- Reduced pain post surgery
- Quicker return to normal life
- Minimal costs (including all the expense heads)
- Lower risks of infection
Side Effects
The side effects of this type of surgery, most of which are rare, involve:-
- Swelling and redness around the incision or opening
- Blood clot
- Mesh pain
- Urinary tract infection
- Urinary incontinence
- Infection
- Difficulty urinating
- Hernia recurrence
- Neuralgia or nerve damage
- Constipation
- Kidney failure or complications
- Breathing problems or pneumonia
Precautions
You must abide by the surgeon’s instructions once you return home (which are usually on the same day the surgery is carried out) for a speedy recovery. Take all the prescribed medications on time, including the anti-inflammatory drugs for minimizing the possibilities of incision swelling. Contact your surgeon instantly if you’ve recurrent spells of fever, coughs, chills, nausea, abdominal swelling, bleeding as well as experience difficulty in urinating. Make sure you get sufficient rest for at least two weeks following the operation so that you can get back to work at the earliest.
Prognosis
Most hernia surgeries are effective, enabling patients to recover fully within 4-6 weeks. A typical person who has undergone hernia repair surgery can resume normal activities 2 weeks after the procedure.
Concluding Remarks
Opting for a surgical procedure for remedying a hernia is highly recommended not only for avoiding complications which could take a fatal turn (though very rare) but also for going back to leading a normal life. You can make an appointment with our general surgeon for a detailed, one-to-one consultation.
References
- http://www.medtronic.com/us-en/patients/treatments-therapies/hernia-surgery/about-recovery.html
- https://www.webmd.com/digestive-disorders/inguinal-hernia#1
- https://www.medicalnewstoday.com/articles/319753.php
- https://www.highgatehospital.co.uk/things-you-need-to-know-hernia-operation/
- https://www.webmd.com/digestive-disorders/need-surgery-hernia#1
- http://columbiasurgery.org/news/2014/04/15/hernias-what-you-need-know
- https://en.wikipedia.org/wiki/Hernia_repair
- https://my.clevelandclinic.org/health/treatments/6905-laparoscopic-surgery-for-hernia-repair/risks–benefits