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Laparoscopic Surgery

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 (Lighthouse sign), Iliopubic tract, Cooper’s ligament, Femoral canal Obturator nerve and Internal inguinal/ spermatic ring Pubic Crest: It helps in getting orientation. Beware of small veins overlying. If they bleed […]

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Anatomy of Inguinal Region

Inguinal Region – Anatomy, Part 2

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 […]

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Ventral Hernia

A ventral hernia can occur in any location of the abdominal wall as a bulge of tissues of abdominal tissues through a weak opening in the abdominal wall muscles. When the intestinal tissue gets tightly caught as a bulge in the abdominal wall, then the condition is termed as strangulated ventral hernia. In this case […]

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Obturator Hernia

A hernia is caused when the abdominal tissue protrudes through a weak spot in the abdominal wall as a sac of tissues. An obturator hernia is a very rare type of hernia that occurs when the intestine tissues through an opening in the pelvis.  The obturator foramen is an opening in the pelvis through which blood vessels […]

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Femoral Hernia

A femoral hernia occurs in the groin junction when the tissues in the lower abdomen push through the upper thigh region. Femoral hernia is common in women as the pelvis region is wider in women when compared to men.  Femoral canal contain the ligaments and functions to hold and support the uterus in position. Symptoms […]

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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 […]

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Laparoscopy set to replace Traditional Treatment – Laparoscopy vs Open

Laparoscopy Laparoscopy: As the name suggests ‘Laparo’ means abdomen, ‘Scopy’ means vision. The surgeon visualizes the inner parts of the patients body through the laparoscope which is a small cut (incision 5-10 mm) on the abdomen. The magnified (up to 20 times larger) vision of the interior parts through the telescope is quite different from […]

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Weight Loss Surgery – Bariatric Surgery – VPS Lakeshore Hospital, Kochi

Bariatric deals with Obesity. “Baro” is a Greek word which means heavy or large. Bariatric surgery is also referred to as “weight loss surgery” and is performed on people who suffer from obesity. It includes a variety of procedures, namely removing a portion of stomach (sleeve gastrectomy), removing the size of the stomach (gastric band), […]

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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) […]

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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 […]

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Contact Details

Dr. R. Padmakumar
MBBS, DNB, MNAMS, DipALS, FAIS, FIMSA, FCLS, FRCS (GL)
Senior Consultant Laparoscopic and Metabolic Surgeon &
Director - Verwandeln Institute (Transforming Lives)
(Specialist in Laparoscopy, Hernia, Cancer, Obesity Surgery or Bariatric Surgery, Diabetes Surgery, Endoscopic Thyroid Surgery, Thoracoscopy, Intragastric Balloon)
Keyhole Clinic, Thammanam Road, Plarivattom, Kochi, Kerala, India
VPS Lakeshore Hospital, Maradu, Kochi, Kerala, India
Chairman - Association of Surgeons of India, Kerala Chapter

Address

Keyhole Clinic - Center for Obesity and Laparoscopy

Palarivattom, Kochi, Kerala

VPS Lakeshore Hospital

Maradu, Kochi, Kerala


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

Website:
www.drrpadmakumar.com

Chairman, Association of Surgeons of India - Kerala Chapter
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