RG Hospitals Pitampura has set a new benchmark in
minimally invasive surgery by successfully performing a highly complex Laparoscopic Abdominal
Wall Reconstruction (AWR) on a 60 year old woman with large, recurrent ventral hernias and
significant loss of abdominal domain. This challenging procedure was expertly led by Dr.
Manish D. Sharma, Head of Minimal Access, General, Robotic & Bariatric Surgery, further
cementing RG Hospitals’ reputation as a leader in advanced laparoscopic treatments.
The patient reported to the hospital with infraumbilical swelling, pain and abdominal
discomfort that had persisted for a week. A CT scan confirmed multiple defects across the
supraumbilical, periumbilical and infraumbilical regions, with the largest measuring 5.2 × 5 cm,
10 × 4 cm and 6 × 3.5 cm, respectively. Diagnostic imaging revealed multiple large hernia
defects across the abdominal wall, presenting a “Swiss Cheese” pattern and about 15% loss of
the abdominal cavity’s normal volume, an extremely rare and difficult-to-treat combination.
According to Dr. Manish D. Sharma, this case demanded exceptional precision and planning
due to the recurrent nature of the hernias and the extensive involvement of the abdominal
wall. He stated, “Repairing multiple large ventral hernias with loss of domain requires a high
level of technical skill. Laparoscopic AWR allows us to restore the abdominal wall through small
incisions while achieving a tension free, anatomically accurate reconstruction. This significantly
improves patient comfort, reduces complications and enhances long term outcomes.”
The surgical team employed a specialized technique called Extended Total Extra Peritoneal (E-
TEP) repair for this minimally invasive Laparoscopic AWR. This included meticulous removal of
adhesions, primary closure of all defects, and the placement of a durable mesh in the
retromuscular space to reinforce the abdominal wall, all performed through small, keyhole
incisions. The operation’s success highlights RG Hospitals’ ability to perform world-class hernia
repairs generally available only at top tier specialized centers globally.
This landmark surgery showcases RG Hospitals Pitampura’s pioneering role in delivering stat
of-the-art, patient centric care in complex minimally invasive abdominal surgery, reaffirming its
commitment to improving outcomes for patients with challenging surgical conditions.