####Paras Health Udaipur Successfully Treats Rare Multi-Quadrant Incisional Hernia with Advanced Laparoscopic Surgery,
Paras Health Udaipur Successfully Treats Rare Multi-Quadrant Incisional Hernia with Advanced Laparoscopic Surgery, Patient Discharged Within 24 Hours
UdaipurParas Health Udaipur has achieved a significant medical milestone by successfully treating a rare and high-risk multi-quadrant incisional hernia in a 54-year-old male patient using an advanced minimally invasive laparoscopic technique. The complex hernia repair was performed using the IPOM Plus (Intraperitoneal Onlay Mesh Plus) technique, avoiding open surgery and enabling rapid recovery, with the patient discharged from the hospital within 24 hours.
The patient presented with a large, progressively enlarging bulge in the central abdomen, accompanied by persistent discomfort, heaviness, and intermittent nausea. His medical history included an open appendectomy nearly 20 years ago, followed by an exploratory laparotomy after a road traffic accident. Clinical evaluation and imaging revealed a large 12 cm incisional hernia, multiple fascial defects across different abdominal quadrants, high body mass index, and partial loss of abdominal wall integrity—factors that significantly increase the risks associated with conventional open hernia surgery.
A comprehensive diagnostic work-up, including a CT scan of the abdomen and pelvis, confirmed a complex incisional hernia with multiple defects and dense omental adhesions to the anterior abdominal wall. Considering the severity of the defect and the patient’s surgical history, the medical team opted for a minimally invasive approach instead of traditional open repair, after careful risk assessment.
The procedure was led by Dr. Abhishek Vyas, Consultant in Bariatric Surgery and Advanced Laparoscopic Surgery at Paras Health Udaipur. He performed an advanced IPOM Plus laparoscopic repair through three small laparoscopic ports, strategically placed away from previous scar tissue. The surgery involved meticulous adhesiolysis, primary closure of the fascial defects using intracorporeal sutures, and reinforcement of the abdominal wall with a dual-layer composite mesh, restoring long-term stability.
Explaining the approach, Dr. Abhishek Vyas said,
“Large incisional hernias often involve multiple defects and are traditionally managed with open surgery. However, in patients with prior abdominal surgeries and high BMI, open procedures carry higher risks and complications. Techniques like IPOM Plus allow us to close and reinforce the defects while minimizing tissue trauma. Our goal is not just technical success, but durable abdominal wall function with fewer complications.”
The surgery was completed in approximately 110 minutes with minimal blood loss. The patient was mobilized early, managed with oral pain medication, and discharged within a day. He resumed normal activities within two weeks. At the six-month follow-up, the patient remained symptom-free, with no evidence of recurrence, stable abdominal wall integrity, and excellent cosmetic results.
Commenting on the broader significance of this achievement, Dr. Prasoon Kumar, Facility Director, Paras Health Udaipur, stated,
“Managing complex surgical cases locally requires continuous investment in specialized expertise and advanced technology. This case clearly demonstrates that when minimally invasive surgery is applied judiciously, it leads to safer outcomes, shorter hospital stays, and faster return to daily life. It reinforces our commitment to strengthening tertiary care capabilities for patients in this region.”
The successful outcome of this high-risk case further establishes Paras Health Udaipur as a leading center for advanced laparoscopic and minimally invasive surgery, offering patients safer, more effective alternatives to open surgery with superior recovery and functional outcomes.
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