Dr. R. Padmakumar
Laparoscopic & Obesity Surgeon

Laparoscopic Hernia Repair


TAPP Inguinal Hernia Repair Patient Selection for TAPP Inguinal Hernia Repair Difficult cases: Direct or small indirect primary hernias in lean and thin subjects are the best during learning curve. Anesthesia General anesthesia Skin Preparation No studies are there assessing preparation for hernia surgery, but as with other surgical procedures, there is no difference in […]


Inguinal Anatomy with Peritoneum Incised

Previous Page – Inguinal Anatomy with Peritoneum Intact After the peritoneum is dissected away, six additional structures need to be identified. They are Pubic Crest: It helps in getting orientation. Beware of small veins overlying. If they bleed entire vision gets spoiled. Iliopubic Tract: The iliopubic tract is a thick fibrous white tract which runs […]


Inguinal Anatomy with Peritoneum Intact

Anatomy of Inguinal Region – Previous Page With the introduction of the laparoscope into the abdomen, five important landmarks can be identified in the infra-umbilical region. Inferior epigastric vessels Medial umbilical ligament Spermatic vessels Vas deferens Trapezoid of disaster Inguinal Anatomy with Peritoneum Intact Inferior epigastric vessels The inferior epigastric artery is prominently visualized during […]


Inguinal Region – Anatomy, Part 2

Anatomy of Inguinal Region

Anatomy of Inguinal Region – Previous Page Transversalis Fascia (of Gallaudet) This fascia is a two layered structure (bilaminar). The anterior layer is adherent to the rectus abdominis muscle. The posterior layer lies in between the anterior layer and the peritoneum. It divides this space into an anterior (vascular space) and a posterior (Space of […]


Inguinal Region – Anatomy, Peritoneal Landmarks, Infraumbilical Fossae – Part 1

Anatomy of the Inguinal Region The ‘Myopectineal Orifice of Fruchaud’ All groin (inguinofemoral) hernias originate in a single weak area called the myopectineal orifice. This oval, funnel-like, ‘potential’ orifice formed by the following structures, makes the ‘myopectineal orifice of Fruchaud’.-Henry Fruchaud Boundaries Superiorly Internal oblique and transversus abdominis muscles. Inferiorly Superior pubic ramus. Medially Rectus […]


Advantages of Laparoscopic Hernia Repair and Difficulties

Advantages Laparoscopic Hernia Repair Level 1A evidence Lower incidence of wound infection and hematoma formation. Lesser pain & discomfort. Immediate postoperative pain and delayed pain is reduced. Shorter hospital stay. Early resumption of normal daily activities and work. Level 1B evidence Incidence of recurrence as low as with Lichtenstein’s repair. Cost-effective when QALY (quality-adjusted life-year) […]


Introduction to Hernia

Repair of inguinal hernia is one of the commonest surgical procedures performed worldwide. The lifetime risk for men is 27% and for women, it is 3 %. “No disease of the human body, belonging to the province of the surgeon, requires in its treatment, a better combination of accurate, anatomical knowledge with surgical skill than […]


Laparoscopic Hernia Repair

Laparoscopic Hernia Repair – How to Learn at Ease By Dr. R. Padmakumar and Dr. Madhukar Pai & Dr. Farish Shams Section 1 INTRODUCTION TO HERNIA Introduction Read More History of hernia repair Read More The Laparoscopic Hernia Repair Advantages & Difficulties Read More Section 2 ANATOMY LAPAROSCOPIC VIEW – Anatomy of the Inguinal Region […]


Contact Details

Dr. R. Padmakumar
Senior Consultant Laparoscopic and Metabolic Surgeon &
Director - Verwandeln Institute (Transforming Lives)
CMD - Keyhole Clinic, Metro Pillar no. 448, Edappally, Kochi, Kerala, India
HOD - VPS Lakeshore Hospital, Maradu, Kochi, Kerala, India
(Specialist in Laparoscopy, Hernia, Cancer, Obesity Surgery or Bariatric Surgery, Diabetes Surgery, Endoscopic Thyroid Surgery, Thoracoscopy, Intragastric Balloon)

Website Dr. R. Padmakumar - www.drrpadmakumar.com

Mobile: +919447230370, +919846320370
Email: drrpadmakumar@gmail.com

Past Chairman, Association of Surgeons of India - Kerala Chapter, 2019 - 2020
National President - Indian Hernia Society (2016)
GC Member, Association of Surgeons of India (2013 - 2018)
Vice President- Society of Endoscopic and Laparoscopic Surgeons of India
Jt. Secretary - Indian Association of Endocrine Surgeons (2016)
Founder Member, Obesity and Metabolic Surgery Society Of India
Founder Member, Association of Minimal Access Surgeons of India
International Faculty of IASGO on Hernia and Diabetic Surgery
International Faculty of IFSO on Diabetic Surgery
Associate Editor : Diabetes and Obesity International Journal

Keyhole Clinic - Center for Obesity and Laparoscopy
Keyhole Clinic - Center for Obesity and Laparoscopy

Metro Pillar No. 448, Edappally, Kochi
Tel: 9847296357 / +919645222401