Dr Uday Ravi - Best Laparoscopic & Laser Surgeon in Bangalore

Laparoscopic Hernia Surgery Specialist in Bangalore

What Is a Hiatal Hernia and When Does It Need Surgery?

A hiatal hernia is a condition in which a portion of the stomach pushes through an opening in the diaphragm and moves into the chest cavity. While many people with a hiatal hernia may not experience symptoms, others can develop persistent acid reflux, heartburn, and digestive discomfort that affect their quality of life.

Understanding the symptoms and knowing when surgical treatment is necessary can help prevent complications and improve long-term digestive health.

What Causes a Hiatal Hernia?

Several factors can contribute to the development of a hiatal hernia, including:

Age-related weakening of the diaphragm

Obesity or excess abdominal weight

Chronic coughing

Frequent heavy lifting

Pregnancy

Increased pressure inside the abdomen

Common Symptoms of Hiatal Hernia

Many patients experience symptoms similar to acid reflux disease. These may include:

Frequent heartburn

Acid reflux or regurgitation

Difficulty swallowing

Chest discomfort or burning sensation

Bloating after meals

Feeling full quickly

Chronic cough or throat irritation

Some small hiatal hernias may not cause noticeable symptoms and are discovered during routine medical examinations.

When Does a Hiatal Hernia Need Surgery?

Not every hiatal hernia requires surgery. Many patients can manage symptoms with lifestyle modifications and medications. However, surgery may be recommended when:

1. Symptoms Persist Despite Treatment

If medications and dietary changes fail to control acid reflux or heartburn, surgical repair may be considered.

2. Difficulty Swallowing Becomes Severe

A large hiatal hernia can interfere with normal swallowing and eating.

3. Recurrent Acid Reflux Damages the Esophagus

Long-term reflux can cause inflammation and complications that require surgical correction.

4. The Hernia Becomes Large

Larger hiatal hernias carry a greater risk of complications and often benefit from surgical repair.

5. Emergency Complications Develop

Although uncommon, trapped stomach tissue or reduced blood supply may require urgent surgical intervention.

Benefits of Laparoscopic Hiatal Hernia Surgery

Modern laparoscopic surgery offers several advantages:

✔ Smaller incisions ✔ Less post-operative pain ✔ Faster recovery ✔ Shorter hospital stay ✔ Reduced scarring ✔ Earlier return to daily activities

Expert Hiatal Hernia Care by Dr. Uday Ravi

With over 20 years of surgical experience, Dr. Uday Ravi specializes in advanced laparoscopic procedures, including hiatal hernia repair. Each patient receives a thorough evaluation and a personalized treatment plan designed to achieve the best possible outcome.

If you are experiencing persistent heartburn, acid reflux, or symptoms of a hiatal hernia, seeking early medical advice can help prevent complications and improve your quality of life.

Dr. Uday Ravi General & Laparoscopic Surgeon & Proctologist

📞 Call: 7353530505 🌐 Website: https://www.drudayravi.com/services/hernia

   Best treatment for Hernia in Bengaluru

An umbilical hernia occurs when a part of the intestine or abdominal tissue pushes through a weak spot near the belly button. While this condition is commonly seen in infants, many adults also develop umbilical hernias due to factors like obesity, pregnancy, heavy lifting, and chronic coughing.

With over a decade of surgical expertise, Dr. Uday Ravi offers advanced, minimally invasive hernia treatment options in Bangalore.

Understanding when an umbilical hernia requires medical attention — especially surgery — is important for preventing complications. Here’s an easy breakdown to help you stay informed. 

When Does an Umbilical Hernia Need Surgery?

Surgery is recommended when:

🔹 1. The Hernia Is Increasing in Size

If your hernia is gradually getting bigger, it’s a clear sign of weakening abdominal muscles and the risk of complications increases.

🔹 2. You Experience Pain or Discomfort

A painless hernia may not always need immediate intervention, but persistent or worsening pain indicates the need for surgery.

🔹 3. There Is Swelling, Redness, or Tenderness

These are symptoms of inflammation or trapped tissue.

🔹 4. You Notice Restricted Bowel Movements

Constipation, vomiting, or abdominal pressure could indicate intestinal obstruction.

🔹 5. The Hernia Becomes Non-Reducible

If you cannot gently push the bulge back inside, it may be incarcerated, which requires urgent surgery.

🔹 6. Symptoms of Strangulation Occur (Medical Emergency)

Severe stomach pain

Nausea or vomiting

Discoloration of the bulge

This means the blood supply to the tissue is cut off — immediate surgery is critical.

 Benefits of Laparoscopic Hernia Surgery by Dr. Uday Ravi

✔ Faster recovery ✔ Minimal pain ✔ Very small scars ✔ Safe and precise technique ✔ Quick return to normal routine

If you’re noticing symptoms or unsure about the severity of your hernia, early evaluation can protect you from complications.

⭐ Advanced Surgical Precision for Thyroid

Experiencing thyroid swelling, nodules, or difficulty swallowing?

Get expert evaluation and advanced surgical care from Dr. Uday Ravi, a highly trusted General, Laparoscopic & Laser, Robotic & Bariatric Surgeon in Bangalore offers advanced and safe thyroid surgeries with a focus on precision, minimal scarring, and faster recovery.

Thyroid disorders like thyroid nodules, goiter, and thyroid tumors can affect your health, energy levels, appearance, and overall wellbeing. When left untreated, they may cause difficulty in swallowing, changes in voice, hormonal imbalance, or even risk of malignancy. This is why choosing an experienced surgeon matters—especially when it involves delicate structures of the neck.

Why Thyroid Surgery Is Sometimes Necessary

Thyroid surgery may be recommended for:

Persistent thyroid nodules

Enlarged thyroid gland (goiter) causing compression

Suspicious or confirmed thyroid cancer

Overactive thyroid (hyperthyroidism) not controlled by medication

Cosmetic or structural concerns

Benefits of Advanced Thyroid Surgery by Dr. Uday Ravi

Patients prefer expert-led thyroid treatment for several reasons:

🔹 Minimal Scarring Techniques

Modern surgical methods ensure the incision is small and neatly placed.

🔹 Quick Recovery & Less Discomfort

Patients can return to normal routine much faster with minimal post-operative pain.

🔹 Accurate Preservation of Nerves & Glands

Special care is taken to protect:

Recurrent laryngeal nerve (voice protection)

Parathyroid glands (calcium balance)

🔹 Safe Management of Complex Thyroid Cases

Includes large goiters, multiple nodules, and high-risk tumors.

🔹 Individual Treatment Planning

Each patient receives a personalized surgical plan based on ultrasound, FNAC, and hormonal evaluation.

Common Symptoms That May Require Evaluation

If you notice any of the following, consult a thyroid specialist:

Persistent neck swelling

Difficulty swallowing or breathing

Voice changes

Rapid heartbeat or weight changes

Visible neck lump

Continuous fatigue

Why Choose Dr. Uday Ravi for Thyroid Surgery?

Over a decade of surgical experience

Expertise in thyroid tumors, nodules & goiter surgeries

High success rate with minimal complications

Patient-friendly approach & clear communication

Advanced facilities for diagnosis and treatment

Your thyroid health deserves expert hands—and timely care ensures the best outcome.

📞 Call: 7353530505 🌐 Website: www.drudayravi.com/services/thyroid

How to Reduce Appendicitis Risk – Expert Guidance & Laparoscopic Appendectomy by Dr. Uday Ravi, Bangalore

Are you wondering how to lower your chances of developing appendicitis?

While appendicitis cannot always be prevented, you can reduce the risk by following healthy lifestyle habits, staying aware of early symptoms, and seeking timely medical care.

At Dr. Uday Ravi’s Advanced Surgical Centre, patients receive precise diagnosis and minimally invasive laparoscopic appendectomy when required. This modern surgical approach ensures smaller cuts, faster healing, minimal pain, and quicker return to routine activities.

Dr. Uday Ravi brings over a decade of surgical expertise in treating appendicitis and abdominal emergencies with high success rates. If you or a loved one is experiencing symptoms like sudden right-side abdominal pain, nausea, fever, or digestive discomfort, early evaluation can prevent complications.

Book a consultation today and take a proactive step toward better abdominal health.

Website: www.drudayravi.com/services/appendicitis

Call Now: 7353530505

 Advanced Laser Piles Treatment by Dr. Uday Ravi, Bangalore

Are you experiencing pain, itching, or bleeding during bowel movements? 

These early symptoms of piles (hemorrhoids) are more common than you think—but many people ignore them until the discomfort becomes severe. 

Recognizing the signs early can help you get timely, effective treatment and avoid unnecessary complications.

Piles occur when the veins in the rectum or anus become swollen due to factors like constipation, prolonged sitting, straining, heavy lifting, or pregnancy. 

Early symptoms often start small—mild itching or slight discomfort—but gradually progress if left untreated. Some common early warning signs include:

Itching or irritation around the anal region

Pain during or after passing stool

A small lump near the anus

Fresh blood in the stool or on tissue

A feeling of incomplete bowel emptying

While home remedies may provide short-term relief, recurring symptoms require expert medical evaluation. This is where Laser Piles Treatment offers a modern, painless, and highly effective solution.

At Dr. Uday Ravi’s Advanced Laser Treatment Centre in Bangalore, patients receive safe, minimally invasive care using cutting-edge laser technology. Unlike traditional surgery,

Laser treatment involves 

No major cuts, 

Minimal bleeding, 

Faster healing, 

And same-day discharge, allowing patients to return to routine life quickly.

Dr. Uday Ravi is a leading surgeon known for delivering precise, comfortable, and long-lasting results for piles, fissures, and fistula.

 With clinics located in Yelahanka, Rajajinagar, Kodigehalli, and Peenya, accessing expert care has never been easier.

If you’ve been noticing early signs of piles, don’t delay treatment. Early intervention ensures faster recovery and prevents chronic issues.

Is liposuction a permanent solution for stubborn fat? 

Book an Appointment 

This is one of the most common questions people ask before considering the procedure. 

Liposuction is a highly effective body-contouring surgery, and understanding how the results work can help you make an informed decision.

Liposuction works by removing fat cells permanently from targeted areas such as the abdomen, thighs, arms, chin, back, and love handles. Once these fat cells are removed, they do not grow back, making the changes in that specific area long-lasting. This is why many patients experience visible improvements in shape, definition, and body contour after the procedure.

However, the permanence of liposuction depends greatly on lifestyle. While the removed fat cells are gone forever, the remaining fat cells in your body can enlarge if you gain weight. This means maintaining a stable weight through healthy eating, hydration, and regular exercise is essential for preserving your results for years to come.

Liposuction is important to understand that liposuction is not a weight-loss treatment. It is designed for people dealing with stubborn fat pockets that do not improve despite diet or exercise. The goal is aesthetic enhancement, not overall weight reduction. Patients often report improved confidence, better clothing fit, and enhanced body proportions after recovery.

If you’re considering liposuction, consulting a skilled and experienced surgeon ensures safe outcomes and natural-looking results.

Dr. Uday Ravi, one of Bangalore’s leading surgeons, offers advanced and precise liposuction techniques to help you achieve a slimmer, sculpted, and more confident you.

For consultations, visit: www.drudayravi.com 📞 7353530505

Dr. Uday Ravi, one of Bangalore’s leading robotic Surgeon.

When it comes to treating gallbladder stones, many patients today are exploring safer and more advanced surgical options. One question that often arises is whether robotic surgery offers better outcomes compared to traditional or even laparoscopic methods.

Robotic-assisted gallbladder removal (Robotic Cholecystectomy) has evolved into one of the most precise and patient-friendly surgical techniques available.

Robotic Surgery uses an advanced robotic system controlled by the surgeon, allowing highly accurate movements through tiny incisions. This level of precision is especially beneficial in gallbladder surgery, where delicate structures like the bile duct and surrounding vessels must be handled carefully. The enhanced 3D visualization, improved dexterity, and stable instrument control help in minimizing complications.

Robotic surgery results in:

Smaller incisions

Minimal scarring

Less postoperative pain

Reduced blood loss

Faster healing and hospital discharge

Since robotic systems reduce the chances of tissue trauma and bleeding, the overall healing process becomes smoother.

Robotic surgery is particularly advantageous for patients who have complex gallbladder diseases, previous abdominal surgeries, or anatomical variations. For many, this approach provides a safer alternative with better long-term results.

Under the expertise of  Dr. Uday Ravi, one of Bangalore’s leading robotic surgeons, patients receive advanced, precise, and compassionate care. His proficiency in robotic-assisted procedures ensures high safety standards and improved surgical outcomes, making him a trusted choice for gallbladder stone treatment.

With the growing adoption of robotic technology, choosing a minimally invasive and high-precision technique has become a preferred option for many patients.

If you’re considering gallbladder stone treatment, exploring robotic surgery under an experienced surgeon can help you make a safer and more informed decision.

With expertise across clinics in Yelahanka, Kodigehalli, Rajajinagar & Peenya, Dr. Uday Ravi ensures compassionate care, personalized treatment, and long-term follow-up support.

  Dr. Uday Ravi is recognized as one of the Best Gallbladder Surgeons in Bangalore 

 Gallbladder stones, or gallstones, are solid deposits that form inside the gallbladder due to imbalances in bile or unhealthy lifestyle habits. While some people may not experience symptoms right away, untreated gallstones can lead to severe abdominal pain, vomiting, indigestion, and even serious infections. The good news is that with the right habits, many cases of gallstones can be prevented.

Which surgery is the best for gallstones?

-

For Gallstone treatment "Laparoscopic/Robotic cholecystectomy" is the best surgical method for removal of the gallbladder. In this procedure, the patient has minimum pain, early recovery, and less scarring.

✔ Steps to Prevent Gallbladder Stones

Eat a fiber-rich diet including vegetables, fruits, whole grains, legumes, and sprouts.

Choose healthy fats like olive oil, nuts, seeds, and avocados to support smooth bile flow.

Stay well-hydrated by drinking enough water daily to prevent concentrated bile.

Maintain a healthy weight through balanced eating and regular physical activity.

Avoid crash diets or rapid weight loss, which can trigger gallstone formation.

Exercise regularly—at least 30 minutes of walking, yoga, or moderate activity most days.

Limit high-fat, oily, and deep-fried foods to reduce cholesterol buildup in the gallbladder.

Control portion sizes to avoid overeating, which can strain the digestive system.

Include good sources of lean protein such as lentils, fish, eggs, or skinless chicken.

Manage medical conditions like diabetes or high cholesterol with proper care.

Pay attention to early symptoms like bloating, indigestion, or right-side abdominal pain.

Seek timely medical advice from a gallbladder specialist if symptoms persist.

What are the causes of gallbladder stones?

The exact cause of gallstones is not fully comprehended, but there are a number of factors that can improve your risk of developing them. These include:

Being overweight or obese

Family history of gallstones

Certain medications, such as clofibrate and octreotide

Certain medical conditions, such as diabetes and liver disease

Being female

Rapid weight loss

Being over the age of 40

Pregnancy

Eating a diet high in cholesterol and fat

Eating a diet low in fiber

Not getting enough exercise

How are Gallbladder Stones Diagnosed?:

Dr. Uday Ravi, the best doctor for gallbladder stone treatment in Bengaluru, will examine you and evaluate your eyes and skin for color changes caused by too much bilirubin in your system.

For an exact diagnosis, he may ask you to undergo a few tests, such as:

Blood tests

Abdominal CT scan

Ultrasound

Hepatobiliary iminodiacetic acid (HIDA) scan

Magnetic resonance imaging (MRI)

Endoscopic ultrasound

Magnetic resonance cholangiopancreatography (MRCP)

Endoscopic retrograde cholangiopancreatography (ERCP)

For expert care, Dr. Uday Ravi is recognized as one of the Best Gallbladder Surgeons in Bangalore, offering trusted and advanced treatment options across multiple clinic locations: Yelahanka, Rajajinagar, Kodigehalli, and Peenya.

By following healthy habits and seeking timely care, you can protect your gallbladder and support lifelong digestive wellness.

Dr. Uday Ravi ensures compassionate care, personalized treatment, and long-term follow-up support.

🔗 https://www.drudayravi.com/services/gastroenterology-and-gi-surgery

Are you Experiencing sudden abdominal pain and wondering if it’s appendicitis?

Appendicitis is a common emergency condition that occurs when the appendix becomes inflamed or infected. If not treated on time, it can lead to serious complications. That’s why early diagnosis and timely treatment are extremely important. 

Laparoscopic Appendectomy, performed by Dr. Uday Ravi, is one of the safest and most effective ways to treat appendicitis.

This minimally invasive surgical method uses very small incisions, allowing faster recovery, reduced pain, and minimal scarring compared to traditional open surgery. Patients often return to normal activities sooner and experience less discomfort during the healing process.

The procedure is highly precise, ensuring safe removal of the infected appendix with lower risk of complications.

Common symptoms of appendicitis include :

If these signs appear suddenly, medical evaluation should not be delayed.

With expertise in advanced laparoscopic techniques, Dr. Uday Ravi provides reliable, compassionate, and timely surgical care. Choosing laparoscopic appendectomy helps ensure a smoother, safer, and quicker recovery—giving patients confidence and comfort during a stressful medical situation.

Recovery tips

Do not lift objects weighing more than 10 pounds for few days after laparoscopic surgery.

Before touching the area near the incision site, thoroughly wash your hands with warm water and soap.

Follow the instructions of the doctor regarding bathing.

Regularly examine the bandages for signs of infection, such as redness or smelly drainage from the incision site.

Avoid wearing tight clothes that could rub against the incision sites and cause pain.

The doctor will prescribe pain relievers. He will advise you to drink more water to avoid bowel obstruction.

To reduce strain on the incision sites, place a pillow over the stomach and apply firm pressure before coughing or moving. It is known as splinting.

In case you need surgery for Appendix, contact Dr. Uday Ravi the best appendix surgeon in Bengaluru

With expertise across clinics in Yelahanka, Kodigehalli, Rajajinagar & Peenya.

Dr. Uday Ravi ensures compassionate care, personalized treatment, and long-term follow-up support.

🔗 https://www.drudayravi.com/services/appendicitis

 | 📞 7353530505

Appendectomy laparoscopic surgery Dr. Uday Ravi Laparoscopic Surgeon

Expert Bariatric Surgeon in Bangalore – Dr. Uday Ravi | Key Benefits of Bariatric Surgery

Struggling with excess weight or obesity-related health issues?

Bariatric Surgery is one of the most effective medical solutions to achieve long-term weight control and better health. Dr. Uday Ravi, a leading General & Bariatric Surgeon in Bangalore, offers advanced, minimally invasive weight-loss procedures designed to improve your overall well-being.

⭐ Key Purposes of Bariatric Surgery:

Weight Reduction: Supports safe, structured, and sustained weight loss.

Treating Obesity-Related Conditions: Helps manage diabetes, BP, sleep apnea, PCOS & joint pain.

Metabolic Improvements: Enhances hormonal balance and boosts metabolism.

Improving Quality of Life: Increases mobility, confidence, and overall lifestyle satisfaction.

Types of bariatric surgery

Sleeve Gastrectomy.

Roux-en Gastric Bypass.

Mini Gastric Bypass.

Single anastomosis sleeve ileal bypass (SASI).

SADI- S or SIPS Surgery.

Endoscopic Sleeve Gastroplasty (ESG).

With expertise across clinics in Yelahanka, Kodigehalli, Rajajinagar & Peenya, Dr. Uday Ravi ensures compassionate care, personalized treatment, and long-term follow-up support.

Best General & Laparoscopic Surgeon in Bangalore – Dr. Uday Ravi

Looking for safe, advanced, and effective surgical care in Bangalore?

Dr. Uday Ravi is a highly experienced General & Laparoscopic Surgeon known for delivering precise diagnosis and minimally invasive treatment solutions. With expertise in managing conditions like piles, hernia, gallstones, fissure, and varicose veins, he focuses on providing faster recovery, minimal pain, and better outcomes for every patient.

Using modern laparoscopic techniques, Dr. Uday Ravi ensures smaller incisions, reduced hospital stay, and quicker return to daily life. His patient-centric approach and commitment to quality care make him a trusted choice across Bangalore.

📍 Clinic Locations: Yelahanka, Kodigehalli, Rajajinagar & Peenya 🌐 Website: https://www.drudayravi.com

📞 Contact: 7353530505

Take the first step towards better health with expert surgical care you can trust.

❓ Worried about a breast lump?

When it comes to breast health, early evaluation and the right treatment make all the difference.

At Dr. Uday Ravi’s Surgical Centre, patients receive trusted, precise, and compassionate care for both Fibroadenoma and Breast Cancer. With expertise in advanced laparoscopic and breast surgeries, Dr. Uday Ravi ensures minimal scarring, faster recovery, and maximum comfort throughout the treatment journey.

Every patient is guided through a personalized care plan—from diagnosis to post-surgical support—ensuring clarity, confidence, and peace of mind. Whether you’re experiencing discomfort, detecting a lump for the first time, or seeking a second opinion, expert help is just a call away.

Are you suffering from gallbladder stones and recurring abdominal pain?

Get advanced and effective treatment from Dr. Uday Ravi, an expert general and laparoscopic surgeon in Bangalore. With modern minimally invasive laparoscopic surgery, gallbladder stone removal is now safer, less painful, and ensures faster recovery.

This advanced procedure involves smaller incisions, reduced hospital stay, and quick return to daily activities. Don’t let gallstones affect your quality of life—early treatment can prevent complications.

Gallbladder stones, also known as gallstones or cholelithiasis. Gallstones (cholelithiasis) are hard deposits that form in the gallbladder. The gallbladder is a small organ located below the liver that stores bile, a fluid that helps digest fats. Gallstones can be made of bilirubin, cholesterol, or a combination of both. These stones can vary in size and composition, and they can develop for several reasons. Gallbladder stones do not disappear by themselves.

Choose trusted expertise and advanced care for lasting relief. Book your consultation today and take the first step towards a pain-free life.

✨ Looking for advanced Plastic & Reconstructive Surgery in Bangalore? Dr. Uday Ravi, Expert General & Laparoscopic Surgeon, offers specialized care for a wide range of reconstructive and aesthetic needs. From trauma reconstruction and scar revision to corrective procedures and aesthetic enhancements, each treatment is performed with precision, safety, and personalized attention.

At his Surgical Care, Dr. Uday Ravi ensures minimally invasive techniques, faster recovery, and enhanced aesthetic outcomes for every patient. Whether you need functional correction or cosmetic improvement, you’re in expert hands.

📍 Bangalore 🌐 www.drudayravi.com/services/reconstructive-surgery

Struggling with long-term weight issues?

Bariatric surgery offers a safe and effective solution for sustainable weight loss and improved overall health. Dr. Uday Ravi, an expert General & Laparoscopic Surgeon in Bangalore, provides advanced bariatric procedures tailored to individual needs.

With minimally invasive techniques, patients benefit from reduced pain, faster recovery, and lasting results. Bariatric surgery not only helps in weight reduction but also improves obesity-related conditions like diabetes, hypertension, and joint pain.

Take the first step towards a healthier and more active life with expert guidance and personalized care.

Struggling with visible veins, leg pain, or swelling?

Expert Laser Treatment for Varicose Veins – Dr. Uday Ravi, Bangalore It might be varicose veins — and timely treatment can make a big difference.

Get advanced and effective care with Dr. Uday Ravi, Expert General & Laparoscopic Surgeon in Bangalore, offering laser treatment for varicose veins that is safe, minimally invasive, and designed for faster recovery.

With modern techniques, you can experience less pain, minimal scarring, and quicker return to daily activities. Don’t ignore the early signs — take a step towards healthier legs and better circulation.

✨ Say goodbye to discomfort and step into a pain-free life.

🌐 Visit: https://www.drudayravi.com/services/varicose-veins

Dealing with a hernia can be painful and stressful — but the right treatment makes all the difference.

Dr. Uday Ravi, a highly experienced General & Laparoscopic Surgeon in Bangalore, offers advanced, minimally invasive laparoscopic hernia surgery for faster, safer recovery.

Laparoscopic hernia surgery is a minimally invasive procedure that effectively treats hernias with small incisions, less pain, minimal scarring, and faster recovery. In this approach, tiny cuts are made in the abdomen to insert a laparoscope (a camera) and specialized instruments, allowing the surgeon to repair the weakened area with precision. This modern technique is safer and more comfortable compared to traditional open surgery, often resulting in a shorter hospital stay and quicker return to normal activities.

Trust advanced laparoscopic care for long-term relief and better outcomes.

Why Choose Laparoscopic Hernia Surgery?

🔹 Smaller Cuts, Faster Healing 🔹 Less Pain & Minimal Scarring 🔹 Quick Return to Daily Activities 🔹 Highly Precise & Safe Surgical Technique

If you're experiencing swelling, bulge, discomfort, or pain — don’t ignore it. Early treatment ensures better recovery and prevents complications.

📍 Consult Dr. Uday Ravi – Bangalore’s Trusted Laparoscopic Hernia Surgeon