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Varicose Veins

What are Varicose Veins?

The venous system is made up of a network of veins which includes:

  • Superficial veins – veins located close to the surface of the skin.

  • Deep veins located in the leg.

  • Perforator veins – veins that connect the superficial veins to the deep veins.


Healthy leg veins contain valves that open and close to assist the return of blood to the heart. Venous Reflux Disease develops when the valves that keep blood flowing out of the legs and back to the heart become damaged or diseased. As a result, veins valves do not close properly, leading to symptoms like

  • Varicose Veins

  • Pains

  • Swollen limbs

  • Leg heaviness and fatigue

  • Skin changes and skin ulcers

varicose veins are gnarled, enlarged veins. Any vein may become varicose, but the veins most commonly affected are those in your legs and feet. That's because standing and walking upright increases the pressure in the veins of your lower body.

For many people, varicose veins and spider veins — a common, mild variation of varicose veins — are simply a cosmetic concern. For other people, varicose veins can cause aching pain and discomfort. Sometimes varicose veins lead to more-serious problems.

Varicose veins may also signal a higher risk of other circulatory problems. Treatment may involve self-care measures or procedures by your doctor to close or remove veins.

Am I at a risk of developing a hernia?
You have a higher risk of developing it

What are the symptoms associated with a hernia?
A hernia is normally a bulge or a swelling under the skin. The location of the hernia is a sign of the type of hernia. Mostly they present as a painless swelling which regresses only on lying down. Often the hernia may become prominent only while you are doing some strenuous activity. The hernia may regress on its own without causing any problems. A hernia in the groin is an inguinal hernia and a hernia in the abdomen is a ventral hernia.

What are the complications associated with an untreated hernia?
A large unrepaired hernia may disrupt your normal chores and day-to-day activities. Sometimes the hernia may become incarcerated or trapped outside the abdominal wall. Additionally, it might become tightly trapped or strangulated that it no longer receives any blood supply causing the death of the tissues trapped outside. Excruciating pain, Fever, and Inflammation of the region around are all symptoms of strangulated hernia. All these complications are often avoided by timely surgical intervention. The only treatment for a hernia is surgery

When do I consult a doctor for hernia surgery?
Sometimes with time, the hernia may become painful-often associated with a dragging pain, especially on exertion. Another sign to seek immediate medical attention is when the hernia loses its ability to go back even when you push it inside.

What are the surgeries offer for hernias?
There are two ways you can approach a hernia case:

Open Surgery:
Open surgery for hernia repair is safe, it can perform under general or local anesthesia, where the surgeon puts a single large cut (incision) which is typically 6 to 8cm long to clearly view and repair the hernia, and then contents protruding out are gently back into the patients abdomen. The deficiency through which the hernia came out is strengthening using a mesh.

Laparoscopic Hernia Surgery (keyhole):
While conducting a laparoscopic hernia surgery, three small cuts are made in the patients lower abdomen and a laparoscope is inserted to view and repair the hernia. It is connected with a video camera. Mesh is used by the hernia surgeon to close and strengthen the abdominal wall.

In laparoscopic hernia surgery, patients most often receive general anesthesia. A patient recovers faster after laparoscopic surgery than open hernia surgery.

There are two types of laparoscopic procedures for inguinal hernias:

Transabdominal preperitoneal or TAPP:
The hernia approaches here through the lining that covers the abdomen (peritoneum). After the herniation is pull back inside the area is strengthen by fastening a mesh to the deficiency.

Totally Extraperitoneal or TEP:
This is a more recent technique used to approach the hernia is extraperitoneal. The deficiency is sealed with stitches or glue.

What surgery options do we have for ventral hernias?
Ventral hernias cannot recover on their own. Most often, ventral hernias (hernia in the abdomen) are surgically treated to prevent the risk of intestinal strangulation, so both open and laparoscopic surgeries performed for patients. There are also special techniques such as TAR, eTEP is conducting in select patients. Similarly, laparoscopic surgery for hernia has made incredible progress over the year and is now the preferred treatment for hernia surgery using the latest lightweight mesh. The lightweight mesh significantly preventing the recurrence of hernia rates and postoperative complications and enables patients to return home within one day.

Which of the above procedures would be a better option?
Both surgeries have their fair share of advantages and disadvantages. Laparoscopic hernia surgery offers a short recovery time, less postoperative discomfort, and less conspicuous scars, whereas open surgery has the advantage of not requiring general anesthesia. Some complex hernias are also better treated by open surgery. So the best treatment option depends on the state of the patient. Yet, the skill and experience of your hernia surgeon are major factors. 

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