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TAR Surgery in Mumbai

TAR Surgery addressed complex abdominal wall hernias, particularly large incisional hernias or recurrent hernias that had failed previous repair attempts.

Explained by the Senior Hernia Surgeon in Mumbai.

Transversus Abdominis Release TAR Surgery in Mumbai

Brief about TAR

TAR Surgery addressed complex abdominal wall hernias, particularly large incisional hernias or recurrent hernias that had failed previous repair attempts. These hernias occurred when abdominal organs or tissues protruded through weakened areas of the abdominal wall, often resulting from previous surgeries or injuries. Complex hernias could be large, involve multiple defects, or be associated with significant loss of abdominal domain, making them challenging to repair using traditional techniques.

TAR Surgery in Mumbai

Causes of Condition

Understanding these causes helped patients recognize their risk factors and the importance of specialized treatment options like TAR Surgery for complex cases.

Several factors contributed to the development of complex abdominal wall hernias that might require TAR Surgery:

  1. Previous abdominal surgeries: Multiple or extensive abdominal surgeries could weaken the abdominal wall, increasing the risk of hernia formation.
  2. Wound complications: Poor wound healing or infections following abdominal surgery could lead to weakened tissue and subsequent hernia development.
  3. Obesity: Excess weight put additional strain on the abdominal wall, potentially leading to hernia formation or recurrence.
  4. Chronic medical conditions: Conditions such as diabetes, connective tissue disorders, or chronic obstructive pulmonary disease (COPD) could affect wound healing and tissue strength.
  5. Pregnancy: Multiple pregnancies or pregnancies soon after abdominal surgery could strain the abdominal wall.
  6. Age-related tissue weakening: As people aged, their abdominal tissues naturally weakened, increasing the risk of hernia formation.
  7. Lifestyle factors: Heavy lifting, chronic coughing, or straining during bowel movements could contribute to Hernia development or Recurrence.

Causes of Complex Hernia

Understanding these causes helped patients recognize their risk factors and the importance of specialized treatment options like TAR Surgery for complex cases.

Several factors contributed to the development of complex abdominal wall hernias that might require TAR Surgery:

  1. Previous abdominal surgeries: Multiple or extensive abdominal surgeries could weaken the abdominal wall, increasing the risk of hernia formation.
  2. Wound complications: Poor wound healing or infections following abdominal surgery could lead to weakened tissue and subsequent hernia development.
  3. Obesity: Excess weight put additional strain on the abdominal wall, potentially leading to hernia formation or recurrence.
  4. Chronic medical conditions: Conditions such as diabetes, connective tissue disorders, or chronic obstructive pulmonary disease (COPD) could affect wound healing and tissue strength.
  5. Pregnancy: Multiple pregnancies or pregnancies soon after abdominal surgery could strain the abdominal wall.
  6. Age-related tissue weakening: As people aged, their abdominal tissues naturally weakened, increasing the risk of hernia formation.
  7. Lifestyle factors: Heavy lifting, chronic coughing, or straining during bowel movements could contribute to hernia development or recurrence.
TAR Surgery in Mumbai Symptoms of Complex Hernia

Symptoms of Complex Hernia

Recognizing the symptoms of complex abdominal wall hernias was crucial for timely intervention. Common signs and symptoms included:

  1. A visible bulge or swelling in the abdominal area, which might increase in size over time
  2. Pain or discomfort in the abdomen, especially when standing, coughing, or lifting heavy objects
  3. A feeling of weakness or pressure in the abdominal area
  4. Difficulty with bowel movements or urination
  5. Nausea or vomiting, particularly if the hernia became incarcerated or strangulated
  6. Skin changes or discolouration over the hernia site
  7. In severe cases, difficulty breathing due to reduced abdominal space

Patients with these symptoms, especially those with a history of abdominal surgeries, should seek medical evaluation to determine if TAR Surgery or other hernia repair techniques were appropriate.

Diagnostic Procedures

Accurate diagnosis was essential for determining the need for TAR Surgery. We employed various diagnostic procedures to assess complex abdominal wall hernias:

  1. Physical examination: A thorough physical exam was performed to evaluate the size, location, and characteristics of the hernia.
  2. Medical history review: We discussed the patient’s surgical history, previous hernia repairs, and any relevant medical conditions.
  3. Imaging studies:
    • CT scan: This provided detailed images of the abdominal wall, allowing for precise measurement of the hernia defect and assessment of abdominal contents.
    • MRI: In some cases, magnetic resonance imaging offered additional soft tissue detail.
    • Ultrasound: This non-invasive technique could be used to visualize the hernia and surrounding tissues.
  4. Functional assessments: Tests to evaluate respiratory function and core muscle strength might be performed to assess the potential impact of surgery on the patient’s overall health.

These diagnostic tools helped us determine the complexity of the hernia and whether TAR Surgery was the most appropriate treatment option.

CT Scan for Hernia Surgery

TAR Surgery in Mumbai

TAR Surgery was an advanced technique for complex abdominal wall hernia repair. The procedure involved the following key steps:

  1. Incision and exposure: An incision was made to access the abdominal wall and hernia defect.
  2. Retromuscular space creation: The posterior rectus sheath was opened, and a retromuscular space was created.
  3. Transversus abdominis release (TAR): The transversus abdominis muscle was released from its attachments, allowing for increased mobility of the abdominal wall components.
  4. Hernia reduction: The herniated contents were returned to the abdominal cavity.
  5. Defect closure: The posterior layer was closed, creating a sturdy repair.
  6. Mesh placement: A large piece of surgical mesh was placed in the retromuscular space to reinforce the repair.
  7. Anterior closure: The anterior abdominal wall was closed, completing the reconstruction.

This technique allowed for tension-free closure of large hernia defects, improved functional outcomes, and reduced recurrence rates compared to traditional repair methods.

In addition to TAR Surgery, other treatment options for complex abdominal wall hernias included:

  1. Component separation techniques: Similar to TAR but involving different muscle layers.
  2. Staged repairs: For extremely large hernias, a multi-stage approach might be used.
  3. Biologic mesh repairs: In cases of contamination or infection, biologic meshes might be preferred.

The choice of treatment depended on the specific characteristics of the hernia, the patient’s overall health, and the surgeon’s expertise.

TAR

FAQ Section

Cost and Insurance Information for TAR Surgery in Mumbai

The cost of TAR Surgery in Mumbai varied depending on factors such as the complexity of the case, the specific surgical technique used, and the length of hospital stay. On average, the cost ranged from INR 2,00,000 to INR 5,00,000. However, it was important to note that these figures were approximate and could vary based on individual circumstances.

Many health insurance plans in India covered hernia treatments, including complex procedures like TAR Surgery. However, coverage could vary depending on the specific policy and the nature of the treatment. We recommended that patients check with their insurance providers to understand their coverage details.

Dr. Pradeep Shriyan, a seasoned and accomplished laparoscopic and general surgeon, is a trusted professional serving the Mumbai Suburban. With a wealth of experience and expertise, Dr. Pradeep Shriyan specializes in a wide range of procedures.


Whether you require expert care for hernia repair, recurrent hernia or any other related condition, we invite you to schedule an appointment with the highly skilled and trusted professional, Dr. Pradeep Shriyan. With his extensive expertise and experience, Dr. Shriyan is committed to delivering top-notch surgical interventions to address your specific needs.

Take the first step towards improved health and well-being by booking an appointment with Dr. Pradeep Shriyan today.

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Pre-operative Care

• Have nothing to eat or drink 6 Hours before surgery except for prescribed medications you have been told to take with a sip of water.

• Report 2 hours before the Surgery time (OT Procedure)

• Carry Doctor’s Case Paper on which treatment is written at the time of Admission to Hospital

• Carry Insurance Documents with you to the Hospital before Admission

• Do not apply any lotions, perfumes, deodorants, or Nail polish before surgery

• Take off your jewellery including earrings and piercings

• Don’t shave the area, this will be taken care by Hospital nurse

Download Pre-operative Care Instructions

Post-operative Care

1. Take pain relieving and other medications as advised. Pain-relieving medication should be taken with food.

2. Follow-up with the doctor after a period of 10 days.

3. Eat a healthy diet and drink plenty of non-alcoholic and non-caffeinated drinks.

4. Do not operate any machinery, or lift any heavy articles after Surgery

5. Rest for a few days after the surgery is advisable, but keep mobile.

6. Avoid Bath till the dressing and stiches gets dissolve but if Waterproof dressing is used then can take a bath.

Please consult doctor immediately if you experience any of the following symptoms:

• Large amount of swelling under the wound
• Increased drainage from the incision (Operated area)
• Increased redness around the operated area
• Sudden calf pain or shortness of breath
• Foul odour from operated area
• Chest pain
• Fever greater than 38.0 degrees C.



Download Post-operative Care Instructions
Laparoscopic Surgeon in Mumbai

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