
Expert surgeon’s innovative hernia repair surgery enables patient to run London marathon
Expert surgeon’s innovative hernia repair surgery enables patient to run
Laparoscopic MiniScarLess (MSL) Inguinal Hernia Surgery is Professor Amir’s latest technique developed in Dubai – another world’s first.
We believe that Professor Amir Nisar’s Innovation in Laparoscopic Hernia surgery is The New Gold Standard of Inguinal Hernia Surgery.
The Mini ScarLess Surgery for Hernia is the least invasive of all the Hernia operations with scars so small that these are hardly visible a few weeks after the surgery. The greatest benefit to the patient from MiniScarLess surgery is quick recovery, less post operative pain, early return to driving, early return to activity and exercise and no restriction to lifting weight.
Mini Scarless Hernia Surgery is being offered by Professor Amir Nisar in Dubai to the patients with Inguinal / Groin hernias with great success.
In Laparoscopic MSL (MiniScarLess) Inguinal hernia repair the accumulative length of cuts in the abdomen is 11 mm. (nearly just one cm.)
In the standard Laparoscopic TEP / TAPP Groin / Inguinal Hernia repair requires 30-40 mm (3-4 cms) length of incisions.
In comparison, the length of the cut required to do one sided open Groin / Inguinal Hernia Operation is 10-12 cms, and for bilateral Groin / Inguinal Hernias is 20 to 24 cms.
This has by far the best cosmetic results, quickest and relatively pain free recovery.
The accumulative length of the incisions in MiniScarLess (MSL) operation is 1.1 cm (11 mm or 0.4 Inch) *.
In Amir’s MiniScarLess (MSL) TEP repair the surgery inside is the same as the standard Totally Extra Peritoneal (TEP) repair, which is minimal invasive operation. In TEP repair which is minimally invasive however, the accumulative incision length is 4 cm (40 mm or 1.6 inches) *.
Amir’s MiniScarLess (MSL) TEP repair is the only surgical approach for hernia repair which generally does not require any post-operative restriction on mobility, exercise or lifting weight.
*Comparison of Incision lengths
Open / Laparoscopic TEP / Amir’s MiniScarLess (MSL) TEP repairs
Amir’s MiniScarLess MSL (MSL) TEP repair *Unilateral and *Bilateral Herniae |
1.1 cm |
11mm |
0.4 inch |
Standard TotallyExtraPeritoneal (TEP) repair Unilateral and Bilateral Herniae |
4 cm |
40mm |
1.6 inches |
Open Mesh Hernia repair Unilateral Hernia |
12 cm |
120mm |
4.5 inches |
Open Mesh Hernia repair Bilateral Hernia |
24 cm |
240mm |
9 inches |
*Unilateral; one sided hernia
*Bilateral; Hernias in both groins (2 hernias)
Professor Amir Nisar while working in Somerset, United Kingdom was advised by Professor Robin Kennedy to attend the inaugural annual meeting of AESGBI – Association of Endoscopic Surgeons of Great Britain and Ireland (now ALSGBI- Association of Laparoscopic surgeons of Great Britain and Ireland), in Worcester in 1994.
Professor Chris Royston from Hull performed live Laparoscopic Hernia repair in the meeting and presented the outcomes of his first 1300 Laparoscopic Hernia surgeries, with excellent outcomes. The performance was beautiful, results outstanding, and the fire that it ignited is still heart-warming, 26 years on.
Professor Nisar having had the solid foundation and experience with open hernia operations (a few thousand by then) and having performed Bassini’s, Darning, Shouldice, Halstead, Mayo’s and Lichtenstein’s repairs knew the potential of the new “keyhole”/ “minimally invasive” approach and was quick to adopt it.
Professor Amir Nisar’s Hernia Training at Specialist Centre: Professor Amir’s move to Royal Surrey County Hospital, Guildford, England in 1996 and working with Professor Michael Bailey was a God send’s gift that changed the course of his training to an upward and forward trend. This center was very well known for advances in laparoscopic hernia surgery dealing with first time and recurrent complex hernias from the United Kingdom and other countries.
Some of the achievements over the eight years of work in Surrey involved:
Other Innovations in hernia surgery over the last quarter of century:
The journey continues for painless and safe hernia surgery for the benefit of patients in the form of MiniScarLess (MSL) Surgery.
The aim of the double blind randomised trial was to assess the efficacy of laparoscopic and open approaches in unilateral inguinal hernias in the young, office going adults. It confirmed the superiority of the Laparoscopic approach over the open approach hence the next guidelines from NICE in 2004.
Contribution to NICE (National Institute of Clinical Excellence) final guidelines to date; 22nd September 2004, in favor of Laparoscopic Hernia Surgery.
Current NICE recommendations are:
Expert surgeon’s innovative hernia repair surgery enables patient to run
How best to Heal a Hernia? – with Surgery. Hernia
Recovery after Laparoscopic Inguinal / Groin hernia surgery. What to