Swagat is proud to announce the introduction of an innovative hernia repair technique, Fasciotens, pioneered by the esteemed Dr. Gereon Hill from Germany. This revolutionary method addresses the challenges faced by surgeons in treating complex abdominal wall defects, which often cannot be closed using traditional methods. A hernia, defined as any weakness in the abdominal wall, has historically presented significant challenges to surgeons. Over the past two decades, the medical field has seen a significant shift towards minimally invasive procedures, with keyhole surgery becoming the standard for most hernia treatments. However, complex hernias, where the abdominal wall defect is extensive, continue to pose problems. In such cases, exclusive surgery of the abdominal wall needs to be done which has its fair share of complications. Sometimes the repair needs to be done in stages. Such techniques were used originally for war wounds, abdominal wall defect after surgery and traumatic wounds where closure of the abdominal wall is not feasible.
Fasciotens represents a major advancement in hernia treatment. This technique involves using mechanical devices to gradually stretch the abdominal wall over a couple of hours. Once the abdominal wall is sufficiently relaxed, it becomes much easier to close the defect, either with or without the use of a mesh. Mesh remains the current standard of care, but Fasciotens offers an additional solution for cases where the abdominal wall cannot be adequately closed. Recently, a patient with a severely distorted abdomen and a hernia gap of over 21 cm underwent this innovative procedure at Swagat. Prior to the operation, the patient received Botox injections to relax the abdominal muscles. During surgery, the Fasciotens device was used to successfully close the abdominal hernia, enabling the patient to achieve a satisfactory outcome without significant tension on the surgical site.
he patient, who had previously undergone two hernia surgeries, experienced remarkable results and was discharged yesterday with high satisfaction. The introduction of the Fasciotens technique marks a significant milestone in hernia treatment, offering new hope for patients with complex abdominal wall defects. Presently the treatment methodology is very expensive as the disposable equipment cost is very high but in due course of time, it is expected that the cost will come down. Very soon this technique will be combined with robotic surgery. The surgery was conducted by a team led by Prof. Subhash Khanna and includes Dr. Supriya Choudhary, Dr. Areendam Barua, Dr.Biswajyoti Rabha and Dr. Kanineeka Das and assisted by scrub nurses Bidyarani Devi, Lipika Saikia and Alvanisha Dkhar.
