Varanasi Hospital

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Health

Simple Ways To Protect Yourself Against COVID-19 

Varanasi Hospital’s Health Tips For Monsoon Season

Since the Coronavirus lockdown has been lifted to some extent across India – except in high-risk areas, it has become paramount to safeguard yourself against COVID-19. In Varanasi, Corona cases are low when compared to cities, like Mumbai and Delhi. But that does not mean to stop taking necessary preventive measures to protect ourself against this highly infectious disease.

Today, Varanasi Hospital, one of the best hospitals in Varanasi for laparoscopic surgery and affordable healthcare will tell you simple ways to protect yourself against this deadly Coronavirus.

Take Hygiene Seriously

Take Hygiene Seriously

Hygiene is supreme in this pandemic era. Wash your hands all the time as and when required. Use an antiseptic liquid handwash and clean water to wash your hands. If washing hands is not possible, use an alcohol hand sanitizer or hand rub. Consider using an antiseptic bodywash or soap for bathing.

Keep Your Surroundings Clean

Keep Your Surroundings Clean

After maintaining good personal hygiene, maintain cleanliness around your surroundings too. Clean your house every day. Disinfect highly-touched items and surfaces. Tell everyone in your family to keep the house clean and tidy.

Build A Strong Immune System

Build A Strong Immune System 

If your immunity is strong, you prevent n number of diseases. Eat a healthy and balanced diet. Drink plenty of water. Sleep well and exercise regularly. Avoid stress by practicing calming techniques – meditation.

Step Out As Less As You Can

Step Out As Less As You Can

Unlocking the city does not mean it has become safe to step out. The danger is still there so avoid stepping out as less as you can. Work from home if possible. Opt for contactless home deliveries.

Wear Safety Equipment While Stepping Out

Wear Safety Equipment While Stepping Out

Sometimes, you have no other option but to go out for certain emergencies. In that case, wear an N5 mask or a face shield, gloves, and headwrap to protect yourself. Carry a hand sanitizer with you when you step outside.

Maintain Physical Distancing In Public Places

Maintain Physical Distancing In Public Places 

When you’re going out for any reason as such, maintain a proper distance from others.

Avoid Using Public Transport

Avoid Using Public Transport

Use your personal vehicle instead of relying on public transport. If you do not have a personal vehicle and you need to reach a destination urgently, book a cab from Ola or Uber.

Stock Up On Hygiene Products

Stock Up On Hygiene Products

Keep your house well-stocked with hygiene products – liquid handwash, disposable tissue papers, toilet rolls, hand rubs, disinfectants, disinfecting cleaners, disinfecting wipes, and so on.

Get Yourself Tested When You See Flu-Like Symptoms

Get Yourself Tested When You See Flu-Like Symptoms 

In case of flu-like symptoms: cough, sore throat, fatigue, shortness of breath, loss of taste and smell, aches, skin rashes, and loss of speech, then visit your nearest healthcare centre.

Physically Isolate From A COVID Positive Member In The House

Physically Isolate From A COVID Positive Member In The House

If someone in your house is infected with Coronavirus, physically isolate yourself from that person. Ensure that the patient has a separate room with washroom and gets everything he or she needs on time. Let that person feel loved by opting for video calls even when you both live in the same house.

For any health-related supervision, consult our health experts. Varanasi Hospital, one of the best hospitals in Varanasi wishes you good health.

Book Appoinment Toady!

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TESTIMONIALS

SUPRIYA SHARMA
SUPRIYA SHARMA

Few years back I had developed Gallstones and life became very difficult since then. Thanks to Dr. Manish Jindal, who guided to a safe solution through gallstones surgery.

RAMESH AGARWAL

I was suffering from Hernia and the pain was unbearable. Varanasi Hospital gave me a new life by eradicating this problem. Thank you Dr. B. N. Prasad.

SHAIL BALA SRIVASTAVA
SHAIL BALA SRIVASTAVA

I, Shail Bala Srivastava, known of Diabetic, Hypertensive and had heart attack & had undergone Bypass surgery. I was suffering from Gall Bladder Stone.

SUPRIYA SHARMA
SUPRIYA SHARMA

Few years back I had developed Gallstones and life became very difficult since then. Thanks to Dr. Manish Jindal, who guided to a safe solution through gallstones surgery.

RAMESH AGARWAL

I was suffering from Hernia and the pain was unbearable. Varanasi Hospital gave me a new life by eradicating this problem. Thank you Dr. B. N. Prasad.

Our Location​​

B-50, Jawahar Nagar Extention, Gurudham Colony, Bhelupura, Varanasi – 221010.

Categories
Laparoscopic surgery

Why Rectum Gets Detached From Its Actual Place?

Why Rectum Gets Detached From Its Actual Place?
So, what makes the rectum of a person leave its designated position? Today, Varanasi Hospital, the renowned hospital in Varanasi is exactly going to address this situation, which in medical terms is called rectal prolapse. Let’s first understand the blameworthy causes behind this unappealing and exasperating situation.

1. Weak or infirm anal sphincter muscles:

  Weak or infirm anal sphincter muscles We all have two anal sphincter muscles – internal and external. The external muscles’s function is to hold stool inside the rectum and support continence. The moment they turn weak, the moment the patient faces incontinence and become incompetent to hold stool normally. There are many reasons for inept anal sphincter muscles which we have mentioned below: – Vaginal childbirth – Trauma or injury to the area might be due to anal intercourse, constant straining, etc. – Ageing – Certain diseases associated with inflammatory bowel disease – Chronic diseases, like diabetes, cystic fibrosis, and so on. – Rectal surgery.

2. Long-term constipation or diarrhoea:

  Long-term constipation If you have to constantly and deliberately strain in order to get a bowel movement, then you have chronic constipation that needs to be diagnosed immediately. Persistent putting pressure on your anal muscles because of facing continual constipation is surely going to make the anal muscles lose their power. Avoid constipation by drinking plenty of fluids and never ignore your bowel movement and use the washroom the moment you get one. Holding your bowel movement makes the stool gets re-absorbed in the colon, resulting in hard faeces and constipation.

3. Old age:

  Old age It has been observed that old age is linked to weak anal and pelvic floor muscles which in turns lead to a prolapsed rectum. As we grow old, we deal with several health-related conditions, so get regular health check-ups from the best hospital in Varanasi, because health matters. If you notice symptoms, like bleeding in the rectum, faecal incontinence, and pain in the anal region, then do not delay getting a diagnosis followed by the proper treatment. You would be glad to know that rectal prolapse can be treated even through laparoscopic surgery. Our eminent laparoscopic surgeon, Dr Manish Jindal is here to treat your protruding rectum with the aid of laparoscopic rectopexy. It is always good to prevent a medical situation in the first place, so avoid constipation, malnutrition, trauma and injury to the area. In case of any medical help, reach Varanasi Hospital, the most affordable hospital in Varanasi.

Book Appoinment Toady!

Recent Post

TESTIMONIALS

SUPRIYA SHARMA
SUPRIYA SHARMA

Few years back I had developed Gallstones and life became very difficult since then. Thanks to Dr. Manish Jindal, who guided to a safe solution through gallstones surgery.

RAMESH AGARWAL

I was suffering from Hernia and the pain was unbearable. Varanasi Hospital gave me a new life by eradicating this problem. Thank you Dr. B. N. Prasad.

SHAIL BALA SRIVASTAVA
SHAIL BALA SRIVASTAVA

I, Shail Bala Srivastava, known of Diabetic, Hypertensive and had heart attack & had undergone Bypass surgery. I was suffering from Gall Bladder Stone.

SUPRIYA SHARMA
SUPRIYA SHARMA

Few years back I had developed Gallstones and life became very difficult since then. Thanks to Dr. Manish Jindal, who guided to a safe solution through gallstones surgery.

RAMESH AGARWAL

I was suffering from Hernia and the pain was unbearable. Varanasi Hospital gave me a new life by eradicating this problem. Thank you Dr. B. N. Prasad.

Our Location​​

B-50, Jawahar Nagar Extention, Gurudham Colony, Bhelupura, Varanasi – 221010.

Categories
Health Laparoscopic surgery

Life after Laparoscopic Surgery– A guide For Every Patient Out There

Laparoscopic surgery is a rather advanced and more complicated process than open surgery. To undergo laparoscopic surgery, you should go to very experienced doctors or look for the best laparoscopic surgery hospital. Even though the recovery period after this surgery is short, there are a lot of things you should be mindful of, after the surgery. We present some if them, as follows.

1. Don’t skip/overuse medication:

You should take the medication as prescribed by the doctor. Don’t skip any antibiotic just because you think you are getting better. This can lead to severe infection sometimes. Ceasing antibiotics rashly significantly builds your danger of creating antibiotics resistance, not only for that medication as well as others in its group. Overusing (or skipping) painkillers is also not a good idea.

2. No exertion, physical activity or heavy lifting:

Until the doctor gives the green signal, it best to stay away from too much exertion for at least few weeks. You might feel that you are physically fit to lift heavy stuff. But sometimes heavy lifting or excessive straining can pull your muscles in the surgical area.

3. Wear loose clothes post surgery:

Doctors recommend that keeping the incision site uncovered while sleeping or covering it with loose fitted clothes during the day helps in two ways. One, it takes time for the wound to dry even after the dressings are removed. Keeping it covered such that air passes easily dries it up quickly. Also, it is convenient to wear loose clothes, because after the surgery that place will be swollen and painful.

4. Eat well and stay hydrated:

Good food is a very important part of life post surgery. Any type of oily, packaged, and processed food should be avoided. Eating a lot of vegetables and fruits every day will help you recover quickly. This also prevents constipation, which is often associated with any kind of laparoscopic surgery. Staying hydrated by drinking lots of fluids will also help in the same.

5. Don’t miss your checkup:

In most laparoscopic surgery, doctors discharge their patients within 2 days. Then the stitches are removed after a week or two. It is important to go for follow up checkups as well.

After your last checkup, try not to jump back into your stressful routine right away. It is okay to take it easy for a while. Maintain your diet and exercise regularly and work wisely.

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Health

Common FAQs On Laparoscopic Surgery You Should Know

For years Laparoscopic surgery has been gaining major popularity amongst doctors and patients. It is also known as the ‘minimally invasive’ surgery. It is performed by making small incisions in the abdomen with the laparoscope instruments, along with the high definition video camera, which helps to see the inside the abdominal cavity and it’s nearby organs.

Here we gathered some frequently asked questions by patients, along with their factual answers.

1. Is laparoscopic surgery a safe procedure?

Ans: Yes, it is a 100 % safe procedure. Studies and research shows that it has much lesser complications than open surgery. In open surgery, there is a chance of complications after surgery, such as swelling, infection, irritation, bleeding and it takes a long period of time to recover from them all. Laparoscopic surgery can assure a patient, much lesser chances of complications after the operation along with a quick recovery. Choosing the best laparoscopic surgery hospital and expert laparoscopic surgeon is important for patients to minimize the degree of risk.

2. What are the benefits of laparoscopic surgery?

Ans: Minimally invasive surgery has a lot of benefits. including negligible scars, lesser pain, shorter hospital stay, less internal scarring or damage, fewer complications after surgery, early mobilization and earlier resumption of daily activities, along with an early recovery.

3. What are the side-effects/complications associated with this surgery?

Ans: After the surgery, you may experience some of the following side-effects:

  • Sore throat
  • Nausea
  • Shoulder pain from the gas
  • Bloating

However, they are kind of rare and can be treated easily with mild medication, if needed.

There are no complications associated with laparoscopic surgery.

5. When shall I consult the doctor after surgery?

Ans: You should stay in touch with your doctor to help him keep a track on your recovery. However, you should seek your doctor immediately, if you develop any of these complications-

  • Fever
  • Redness and bleeding from the incisions.
  • Vomiting
  • Chest pain

Hope we helped you with these questions. We have collected more FAQ’s related to laparoscopic surgery. Stay tuned for the next part.

Read Also: How To Prepare Yourself Before Going For A Laparoscopic Surgery

Categories
Health Liver operation

Hepatitis: Types, Causes, Symptoms, And Treatment

‘Hepatitis’ is a harmful virus, which affects the liver and might cause serious liver disease, if not treated properly. Generally, it can be prevented if a person gets vaccinated for it on time. However, if this condition has already affected the liver, liver surgery might be needed to address it. Thankfully, laparoscopic surgery of the liver can help treat it effectively.

The liver is a vital organ in our body. It filters out the harmful substances and purifies the blood. Also, it transforms the nutrients and vitamins into substances, which circulate through the blood. A hepatitis-affected liver cannot perform functionally, which eventually leads to liver diseases.

Hepatitis occurs due to excessive alcohol abuse, unprescribed drugs, unhygienic food, etc. Most of the common hepatitis viruses are Hepatitis A, Hepatitis B, and Hepatitis C.

As we are observing World Immunization Week this month, let’s discuss Hepatitis types and its treatment.

Hepatitis A:

It happens due to infection with Hepatisis A virus.

Causes:

  • Poor sanitation
  • Drug addiction
  • Unhygienic foods
  • Contamination with stool of an infected person
  • Unprotected sex.

Symptoms:

It may or may not project symptoms, but if it does, the following condition might be noted:

  • Loss of appetite
  • Jaundice
  • Dark-colored urine
  • Low-grade fever

Treatment And Immunization:

  • All children should be vaccinated by the age of 1 year, against hepatitis A.
  • There is no specific treatment exists for Hepatitis A, once it onsets.

Hepatitis B:

It happens due to infection with Hepatisis B virus.

Cause:

  • Through with blood, semen, or any other body fluids.
  • Sharing contaminated equipment (needles, syringe)
  • Sharing toothbrushes or razors
  • Unprotected sex.
  • Born to an infected mother.

Symptoms:

Usually, symptoms occur after one month or so, after exposure to the infection. It can lead to mild to serious condition, such as-

  • Abdominal pain.
  • Fever
  • Vomiting
  • Fatigue
  • Jaundice

Treatment And Immunization:

Vaccination for certain people with high risk is highly recommended, such as-

  • Newborns.
  • People, who live with someone who has hepatitis B.
  • People who have chronic liver disease
  • People who have multiple sex partners.

There is no certain treatment available for hepatitis B. People go under supportive care and regular monitoring to examine liver disease progression.

Hepatitis C:

It happens due to infection with Hepatisis C virus.

Causes:

  • Blood from a person, who is infected with hepatitis C virus.
  • Born to an infected mother
  • HIV infected person
  • Getting a Tattoo and piercing from an unhygienic parlor.

Symptoms:

This is also called a silent disease, as it hardly shows any symptoms in its early stages. These symptoms are-

  • Jaundice
  • Weight loss
  • Swelling in the legs
  • Irritation in skin
  • Poor appetite.

Treatment & Immunization:

There is no vaccine invented for Hepatitis C. However, its risk can be minimized if, you,

  • Stop taking prohibited drugs.
  • Be careful when getting tattoos and piercing.
  • Do not engage in unprotected sex.

Hepatitis can lead to chronic liver disease, which might take to liver surgery. On this world immunization week, Varanasi Hospital urges every individual to take vaccination for Hepatitis on time and stay safe and healthy. 

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Health

How To Prepare Yourself Before Going For A Laparoscopic Surgery

Before going for Laparoscopic Surgery, Let’s understand what Laparoscopic Surgery is!

Laparoscopy is a keyhole surgery, which is also called minimally invasive surgery. It is a modern surgical technique, where a Laparoscopic Surgeon makes a few small incisions in the abdominal area and along with the help of a small camera, look inside the area to carry out the procedure.

In most of the cases, patients may able to leave within a few days of operation. The healing process is quick, but patients need two weeks to get back to their normal life. Lets Now discuss, how you will prepare yourself before going for laparoscopic surgery.

Talk To Your Consultant:

Before going for surgery, talk with your surgeon one more time. Prepare all your questions regarding your surgery and try to note down every information what your doctor says to you.

Bring Every Document And Ask For Copies:

Double check if you are carrying every important document in your bag regarding your operation. Ask your hospital to provide you with the necessary information about laparoscopic surgery. Do not forget to ask for leaflets or brochure. It will help you to know everything about your surgery.

Pack Your Medication:

If you’re on any medication, pack your emergency medications before leaving for the hospital. You should let your anaesthetist know about your medications so that it will help her to know about your physical condition and if you need to discontinue them for a while.

Be Ready With Your Hospital Bag:

Pack your hospital bag before your operation day. Put comfy clothes (loose fitting clothes), phone charger, phone, and everything you need to put. In case you need to stay overnight pack your comfortable night dress and toiletries.

Inform Your Close One To Be There For You:

After surgery, you won’t be able to drive on your own. Inform your friends or family to drive you home and settle you up. While seated, keep cushions to support your back.

Before going for laparoscopic surgery, choosing the Best Laparoscopic surgery hospital is important for patients. We, Varanasi Hospital is known as the best Laparoscopic surgery hospital in Northern India. For more information, feel free to get in touch with us.

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Health

Instruments Mainly Used In Laparoscopic Surgery | Varanasi Hospital

Laparoscopic Surgery is the most common surgical procedure performed by most of the doctors and healthcare providers these days. Many well-known hospitals, including Varanasi Hospital, offer the Best Laparoscopic Surgeries in Uttarpradesh.

Laparoscopy is known as ‘minimally-invasive’ surgery and offers the patients with great advantages, such as quick recovery, shorter stay in the hospital, reducing hemorrhage and more. Doctors make small incisions in the belly area to carry out the procedure, instead of a large one (like the ones needed in open surgery). Laparoscopic surgery includes surgeries like Cholecystectomy (Gallstone operation), Pancreatitis, Colectomy, Hernia repair, Appendix removal, Nephrectomy and many more.

Laparoscopy is quite famous with almost every modern doctor. We are briefing you about some Laparoscopic instruments which are used by doctors during surgery-

  • Laparoscope
  • Cannulas and Trocars
  • Scissors and Graspers
  • Retractors
  • Telescopic Rod Lens connected with a video camera
  • A cold light attached with an optical fibre.

Laparoscopic surgeries are carried out by a special machine called ‘Laparoscope’. It is a thin instrument that partly is inserted inside the body while its handle stays outside the body for attaining desirable movements for the surgery.

Trocars are made of metal (stainless steel) or plastic and Cannula is a hollow tube. Through the Trocar surgeon insert instruments like graspers and scissors. During operation, the surgeon makes small incisions in the belly and insert a cannula tube. It is generally used to inflate the abdomen with CO2 gas to get more clear visibility of the abdominal organ.

Retractors are made of stainless steel and are used for separating the edge of the incisions and the basic organ tissues to get the view properly.

The surgeon inserts a video camera and cold light source which is attached to an optical fiber, through the cannula. The camera and light source, altogether offer visuals to perform the surgery.

After the surgery, the instruments are removed from the abdomen. Doctors stitch the incision area and sealed the place with surgical tape and bandages.

Laparoscopic Surgery has a lot of advantages than open surgery, some of them are-

  • It reduces pain.
  • Patients will expect a release within one or two days.
  • Patients easily go back to normal life within a few weeks.
  • It reduces the chances of hemorrhage.

For more information on Laparoscopic Surgery and its procedures, visit us

Categories
Health

Benefits of Laparoscopic Surgery for removing gallbladder

Gallbladder problems have become extremely common these days. At the same time, their impact on the health and normal day-to-day functioning has become extremely dangerous. Most of it is due to the unhealthy eating habits of the individuals as well as following a sedentary lifestyle. At the same time there are several individuals who suffer from gallbladder stones due to hereditary or genetic conditions.

Irrespective of the reason, gallbladder diseases can have a serious impact on the life of an individual. Gallbladder diseases are also difficult to detect and as a result, are often not treated until the matter becomes worse. There are numerous treatments available for gallbladder diseases including medicines which dissolve the gallbladder stones, surgery, as well as gallbladder removal in certain cases. It is always important to choose the best clinic or hospital for this problem. One of the best treatments for a diseased gallbladder is Laparoscopic Gallbladder Surgery which completely eliminates gallbladder diseases without any side effect or impact on the patient’s life.

There are several side effects of open gallbladder surgery such as big stitch marks on the skin, extreme pain due to large incisions, risks of infection as well as changes surgical bleeding. Instead, a laparoscopic surgery includes making small and microscopic incisions into the body, inserting a microscopic camera inside and using an external screen to conduct the surgery. Thus, in case of surgery for gallbladder, the most preferred method is Laparoscopic Gallbladder Surgery. This type of surgery causes the least pain and is extremely safe.

Risks from laparoscopic gallbladder surgery are extremely low as there are no injury to the internal organs, no bleeding and no infection when compared to open surgery. Also, the recovery time for this surgery is extremely less and patients are good to go in less than 72 hours. In extreme cases, patients might face occasional belly pain, gas or bloating. However, these are just coping mechanisms of the body and are treatable with mild over-the-counter drugs.

A doctor’s suggestion…

If you are suffering from severe gallbladder problems and these are recurring after a while, your immune system is probably impaired and the best suggestion in such condition is having the gallbladder removed. There are no side effects of removing this organ. It is also important to avail these services from the best hospitals in the region. Look for best Laparoscopic Gallbladder Surgery in your town where you can get the right suggestions from experienced and skilled medical experts.

Categories
Health

Availability of Laparoscopic Surgery in Varanasi

Healthcare has been a serious agenda for rural India. Most of the time either the patients reach the hospital late or the doctor fails to reach the patient on time. Under both conditions, it is the locals who suffer. Given the current scenario, fast developing cities like Varanasi are making an effort to overcome the persisting issue. The latest addition to a list of quality healthcare is Laparoscopic Surgery in Varanasi.

In a state like Uttar Pradesh, the necessity of an advanced healthcare unit is imperative. Without access to quality healthcare, the chances of patient survival become less. On the other hand, when the world is advancing at a rapid pace in the realm of healthcare, it is also the duty of the state to walk in the same direction. Laparoscopic Surgery, also known as keyhole surgery, is an advanced medical procedure where the patient is operated without making a long cut in the body. The surgeon uses medical tools and a camera to navigate within the patient’s body after making an incision. The operation is executed by observing live visual from the camera to the large screen in the operating room.

Why Laparoscopic Surgery in Varanasi?

Laparoscopic Surgery in Varanasi offers the people of Uttar Pradesh and nearby locations to access quality healthcare at an affordable price. Some may consider availing the same service in a metro city, but the cost aspect is likely to create second thoughts in their mind. The surgery is performed with minimal invasion; hence, patients take lesser time to recover, say 4 to 5 days. Post-release from the hospital, the patient can go back to their home and take rest for a week or two before resuming to their routine lifestyle.
In case a patient is going to a metro city, the foremost problem would be bear high costs as everything is expensive in metro cities, including food and lodging. After discharge, surgeon always suggests patients remain on bed-rest for the next one or two weeks. If the patient needs to travel back to Uttar Pradesh from the metro city, it means additional discomfort during post-surgery.

Right from offering quality surgeons to affordable pricing, Laparoscopic Surgery in Varanasi offers a comprehensive healthcare solution to the people of Uttar Pradesh. Moreover, it the patients who wish to undergo this form of surgery as it is painless and incurs minimum scars on the body.

Categories
Health

If Surgery Risk Is The Concern, Laparoscopic Hernia Operation Is The Best Option

A hernia is definitely self-diagnosable but cannot be cured on its own. It becomes bigger with each passing day. It can even worsen and be life-threatening if left untreated for long. Hence, a hernia patient is advised to go for a surgery.

There are mainly two surgical ways to treat a hernia. Let’s brief them both so that you can pick the best option for yourself-

1. Open Surgery:

In this process, the surgeons would make a large incision to open the affected area. Next, they will push it back to the abdominal cavity but in a few cases, they can also remove the hernia tissues as well After that, the surgeon will close the operated muscle with stitches.

However, such type of operation is certainly not a painless treatment. Pain cannot be felt during the surgery, but the large incision and stitches cause pain and swelling during recovery. Some people can also develop longlasting chronic pain after open hernia surgery. Even blood clots are very common among patients due to a prolonged period under anesthesia.

2. Laparoscopic Hernia Operation:

it is also known as minimally invasive surgery and overcomes many drawbacks of the previous type. In the case of laparoscopic surgery, the surgeons would artificially inflate the abdominal cavity with some Carbon dioxide gas. Then, the skilled laparoscopic surgeons would make a few small cuts near the affected area. It is followed by inserting a thin tube with a camera, to guide the surgeons during the operation along with other a cold light source, and other necessary equipment. After completion, they remove the equipment and stitch small incisions. Usually, due to it’s shorter recovery period and less risk with modern technique, many doctors preferred it over open surgery. Patients can be back to their places within a day or two, and resume normal life within a fortnight.

Hence, you are recommended to choose the surgery approach wisely. Laparoscopic hernia operation can be a solution to address your concern.Read more: Advantage Of Laparoscopic Hernia Repair Surgery Over Open Surgery.

At Varanasi Hospital, we provide both the surgical facilities. However, you are suggested to consult our doctors to consider your health, lifestyle, and age before choosing the procedure.