DR Rajnish - advance laparoscopic surgeon

14/09/2025

🌿 Gallbladder Stones: Should You Wait or Act Early? 🌿

One of the most common questions patients ask is:
👉 “Can gallbladder stones be treated with medicines?”
👉 “Is it safe to wait instead of opting for surgery?”

🔹 The truth: Medicines cannot dissolve most gallstones effectively.
🔹 Delaying surgery can lead to serious complications like infection, jaundice, pancreatitis, or even emergency surgery.
🔹 Early planned surgery is far safer and ensures quick recovery.

💡 At Apex Hospital, Malviya Nagar, Jaipur, we offer the most advanced Robotic Gallbladder Surgery for precise, minimally invasive, and faster recovery outcomes.

✨ Benefits of Robotic Surgery:
✔️ Smaller incisions & minimal pain
✔️ Faster return to work & daily life
✔️ Better precision and safety

👨‍⚕️ Dr. Rajnish – Providing expert care with the latest robotic technology.

📍 For consultations & treatment, visit us at Apex Hospital, Malviya Nagar, Jaipur.

10/09/2025

✅ Robotic Inguinal Hernia Repair – The Present & Future of Surgery! 🤖🩺

In the modern era, robotic surgery offers unmatched precision for inguinal hernia repair.
Compared to conventional laparoscopy, robotic systems provide:
✨ Magnified 3D vision for superior clarity
✨ Unmatched dexterity of instruments
✨ Minimal trauma to the abdominal wall thanks to stable robotic arms

💡 The finest dissection and precise suturing become even easier with robotic assistance — ensuring safer, smoother recovery for patients.

When combined with expert surgical skills, robotic inguinal hernia repair truly delivers the best possible outcome. 🌟

👨‍⚕ By Dr. Rajnish
Apex Hospital, Malviya Nagar, Jaipur

📞 Book your consultation today and experience the future of hernia surgery — today!

RoboticSurgery
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05/09/2025

🚀 **Why Choose Robotic Inguinal Hernia Surgery for Groin Hernias?** 🤖

At **Apex Hospital, Malviya Nagar, Jaipur**, we are committed to providing advanced surgical care with precision, safety, and faster recovery. Under the expertise of **Dr. Rajnish**, our **Robotic Surgery** brings a new era of treatment for inguinal (groin) hernias.

Here’s why robotic surgery can be a game-changer for patients:

✅ **Unmatched Precision** – The robotic system enhances the surgeon’s capability to work with millimeter accuracy, reducing the chances of recurrence.
✅ **Minimal Pain & Scarring** – Small incisions mean less discomfort and better cosmetic results.
✅ **Faster Recovery** – Many patients return to normal activities sooner compared to traditional surgery.
✅ **Reduced Risk of Complications** – Enhanced vision and control help in protecting vital structures in the groin area.
✅ **Better Ergonomics for the Surgeon** – A more comfortable operating position ensures the surgeon can remain fully focused throughout.

💡 At **Apex Hospital**, we strive to combine technology with expertise to ensure the **best possible patient outcomes**.

📍 **Location:** Apex Hospital, Malviya Nagar, Jaipur
👨‍⚕️ **Dr. Rajnish** – Robotic & Laparoscopic Surgeon

✨ *Your health deserves the most advanced care. Make the smarter choice for hernia surgery – choose robotic.*

03/09/2025

Why Choose Robotic Hernia Surgery?
🔹 Precision • Less Pain • Faster Recovery

At Apex Hospital, Malviya Nagar, Jaipur,
Dr. Rajnish brings the most advanced approach to hernia repair — Robotic Hernia Surgery 🤖✨

Here’s why patients and surgeons are embracing this innovation:

✅ High Precision & Better Control – Robotic 3D vision and wristed instruments allow delicate handling, especially in complex or recurrent hernias.
✅ Smaller Incisions – Minimally invasive technique means less scarring and faster healing.
✅ Reduced Pain & Hospital Stay – Most patients return home within 24–48 hours 🏠
✅ Ideal for Complex Cases – Suitable for large, recurrent, or difficult hernias where conventional laparoscopy may be challenging.
✅ Faster Recovery – Get back to work and normal activities sooner.

💬 “Our mission is to offer world-class hernia care, blending surgical expertise with cutting-edge technology for the best patient outcomes.” – Dr. Rajnish

📍 Apex Hospital, Malviya Nagar, Jaipur
📞 For appointments: [7568264305]
🌐 [www.drrajnishmeena.com)]
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🔗 Choose advanced, choose comfort, choose precision — choose Robotic Hernia Surgery with Dr. Rajnish.

RoboticSurgery

02/09/2025

Few facts about gall bladder stone disease...

01/09/2025

Why TAPP(TRANSABDOMINAL PREPERITONIAL REPAIR) CONSIDER SUPERIOR TO OTHER METHOD OF UMBILICAL HERNIA SURGERY FOR SMALL TO MEDIUM SIZE DEFECT(IPOM ,TARM)

1️⃣ Understanding the techniques
TAPP (TransAbdominal PrePeritoneal repair)
Access through the abdominal cavity → create a peritoneal flap → place mesh in the preperitoneal space → close the peritoneum over the mesh.

IPOM (IntraPeritoneal Onlay Mesh)
Place mesh inside the peritoneal cavity directly over the defect → mesh in contact with abdominal contents → often requires special coated mesh to reduce adhesions.

TARM (TransAbdominal RetroMuscular repair)
Access extraperitoneal retromuscular space through laparoscopy → place mesh between posterior re**us sheath and muscle, mimicking the open Rives–Stoppa technique.
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2️⃣ Why TAPP is sometimes considered superior for umbilical hernia
✅ Mesh Position & Protection
TAPP: Mesh is placed outside the peritoneal cavity (preperitoneally) → bowel is not in direct contact with mesh → reduces risk of adhesions, erosion, fistula.
IPOM: Mesh is intra-abdominal, so bowel contact is unavoidable (even with composite mesh, adhesion risk exists).
TARM: Similar advantage as TAPP in avoiding bowel contact, but it's technically more complex for small defects like primary umbilical hernia.

✅ Anatomical Reconstruction
TAPP allows closure of the defect and reinforcement in the correct anatomical layer.
Prevents “bridging” and gives better functional abdominal wall outcomes.

✅ Lower Risk of Chronic Pain
Preperitoneal dissection in TAPP avoids placing fixation devices in nerve-rich areas and can allow for less traumatic fixation.

✅ Material Cost
TAPP can use standard uncoated polypropylene mesh (cheaper 💰).
IPOM requires expensive composite/barrier mesh to reduce adhesion.

✅ Recurrence Rates
Mesh in the sublay/preperitoneal plane distributes forces better → lower recurrence potential compared to onlay positions.
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3️⃣ Why not always TAPP?
Technically more demanding: Requires careful preperitoneal dissection and peritoneal closure
Time: Longer operative time compared to standard IPOM in less experienced hands.

Training needed: Not all centers may have the required laparoscopic expertise for ventral preperitoneal repairs.

👉 Bottom line:
TAPP for umbilical hernia can be superior to IPOM due to lower adhesion risk, lower mesh cost, and more anatomical placement, and it is technically simpler than TARM for these defects.
However, it depends on the surgeon’s skill — in less experienced hands, IPOM remains faster and easier. Precision matters here! ⚖️

29/08/2025

Quick facts and myth-busting

Q-Are gallstones more common in women? Yes. Gallstones are more common in females (especially with pregnancy, hormone therapy or oral contraceptives), and with increasing age and obesity.

Q-Are small stones more dangerous than large ones? It depends. Small stones are more likely to slip into the bile duct and cause serious problems like blockage, cholangitis or pancreatitis. Large stones may cause chronic irritation or symptoms too.
Bottom line: both small and large stones can be problematic.

Q-Do long-standing gallstones cause major problems? They can. Untreated gallstones may lead to repeated gallbladder inflammation (cholecystitis), bile duct infection (cholangitis), pancreatitis, and rarely increase cancer risk. Many people have asymptomatic stones, but complications are possible.

Q-Do seeds, vegetables or fruits increase the tendency to form gallstones? No. There’s no evidence that eating seeds, vegetables or fruits increases gallstone risk.

Q-Can gallstones be treated with medicine only? Usually no — surgery is the most reliable treatment for symptomatic stones. There is a medicine (ursodeoxycholic acid) that can dissolve certain cholesterol stones in select cases, but it’s slow, works only for some stones, and recurrence is common. For most symptomatic or complicated cases, removal of the gallbladder is recommended.

Q-Can surgery be done robotically? Yes. Robotic-assisted cholecystectomy is an advanced form of minimally invasive surgery.

Q-Is complete gallbladder removal mandatory when surgery is done? Yes — cholecystectomy (removal of the gallbladder) is the standard operation for symptomatic gallstones and most complications.

Q-Does removing the gallbladder cause long-term problems? For most people, no. Most adapt well to life without a gallbladder. Some patients may have mild changes in bowel habits (post-cholecystectomy diarrhea) or occasional indigestion, but serious long-term problems are uncommon

27/08/2025

🚨 Gallstones – Common Problem, Simple Solution! 🩺

Gallbladder stones are a common disease with a straightforward solution – surgery.
Unfortunately, many people delay treatment, which can lead to serious complications.

⚠️ Symptoms to watch for:
✔️ Pain in the right upper abdomen
✔️ Nausea or vomiting 🤢
✔️ Pain radiating to the back
❗ If complicated: Fever 🌡️, Jaundice (yellow eyes/skin)

🩻 Diagnosis:
USG (Ultrasound) Abdomen – First choice
MRCP – If indicated

💡 Treatment:
👉 Surgery is the only definitive treatment.
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🤖 Robotic Gallbladder Surgery at Apex Hospital, Malviya Nagar, Jaipur
By Dr. Rajnish – Advanced Robotic Surgeon

🌟 Benefits of Robotic Surgery:
🔹 3D magnified vision & high dexterity – for precise tissue dissection
🔹 Less tissue trauma
🔹 Less pain & less blood loss 💉
🔹 Faster recovery & early discharge 🏥➡️🏡
🔹 Early return to work
🔹 Less pain at port site due to pivot action & lower abdominal port placement
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⏱ Don’t delay! Timely surgery can prevent serious complications and make recovery quick & smooth. Book your consultation today! 📞

Apex Hospital – Care with Precision ❤️
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pt position - reverse trendelberg (right up,head up ) pnemo creation - veress needle ,close techniqueport placement -10mm*1,9mm*2,5mm*1instrument used - grap...

26/08/2025

"Umbilical Hernia – Many Roads, One Destination"
💡 Did you know? There are multiple surgical options to treat a single condition. Each has its own pros and cons – and as a patient or a surgeon, it’s important to know them all.
--
The Treatment Spectrum 🗺️]
🔹 Open Surgery – traditional & reliable
🔹 Laparoscopy – minimal invasive, faster recovery
🔹 Robotic Surgery – precision meets comfort

Minimal Invasive Techniques:
✨ IPOM Plus | eTEP RS | TARM | TARUP | TAPP | pETEP
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IPOM Plus 📌]
✅ Handy procedure
⚠️ Costly (dual layer mesh)
⚠️ Risk of bowel adhesion (mesh inside abdomen)
⚠️ Use of tackers ,cause of pain
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eTEP RS 🔍]
✅ Mesh placed in retromuscular space
✅ Great for medium to large hernias
⚠️ More dissection — not ideal for very small defects ,need to cut and reconstruct sheath
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TARM & TARUP 🛠️]
TARM – similar to eTEP RS but intra-abdominal approach.

***pETEP/TAPP – mesh placed between abdominal wall layers.
✅ Simple polypropylene mesh – cost-effective
⚠️ Delicate – thin peritoneal layer makes it harder
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Robotic Advantage 🤖]
✨ 3D magnified vision
✨ Superior dexterity
✨ Less surgeon fatigue
✨ Small scars, less pain, minimal tissue trauma
✨ Faster return to work
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Patient’s Perspective ❤️]
🎯 As a patient:
Know your options – cost, recovery & long-term results can vary.

👨‍⚕️ As a surgeon:
Keep all techniques in your armamentarium to tailor the best approach for each case.
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Final Thought 💬]
🔹 There’s no “one-size-fits-all” in hernia surgery.
🔹 Choose wisely based on patient needs + surgeon expertise.

At apex hospital ,malviya nagar ,jaipur we are providing best hernia treatment including robotic surgery .
For more information contact
Dr Rajnish
Robotic and advance laparoscopic surgeon
075682 64305
Apex hospital ,malviya nagar ,jaipur

24/08/2025

Freedom from Inguinal Hernia – Now with Advanced Laparoscopic & Robotic Surgery at Apex Hospital, Malviya Nagar, Jaipur!

👨‍⚕ Performed by: Dr. Rajnish – Highly experienced in advanced laparoscopic & robotic hernia repair

At Apex Hospital, we bring you state-of-the-art laparoscopic and robotic platforms for inguinal hernia surgery, ensuring better outcomes and faster recovery.

✅ Benefits of Advanced Hernia Repair:
🔹 Ability to place a larger mesh, covering a wider area – reducing recurrence
🔹 Less post-operative pain for a more comfortable recovery
🔹 Shorter hospital stay – most patients go home early
🔹 Faster return to work – get back to your routine quickly

🤖 Why Robotic Surgery?
Robotic technology gives us magnified 3D HD vision and unmatched instrument dexterity, allowing:
🔹 Highly precise dissection
🔹 Easier suturing in complex cases
🔹 Enhanced safety and accuracy
With Dr. Rajnish’s extensive robotic surgery experience, you are in safe hands ✨

📍 Location: Apex Hospital, Malviya Nagar, Jaipur
📞 For Consultation & Booking: [7568264305]

Your health, our precision – giving you the best of technology and care. 💙

HerniaSurgery

02/07/2025

Robotic hernia repair offers potential advantages over laparoscopic repair, including enhanced precision, a wider range of motion for instruments, and 3D visualization, potentially leading to less pain, quicker recovery, and fewer complications.


Here's a more detailed breakdown of the benefits:

-Enhanced Precision and Dexterity:

Improved Visualization:
Robotic surgery provides surgeons with a 3D, high-definition view of the surgical field, offering better depth perception and clarity compared to the 2D view in laparoscopic surgery.

-Wider Range of Motion:
Robotic instruments can move with a wider range of motion than human hands, allowing surgeons to perform complex maneuvers with greater precision and ease.

-Tremor Reduction:
The robot can filter out the surgeon's natural tremors, leading to more controlled and precise movements.

-Ergonomics:
Robotic surgery can improve surgeon ergonomics, reducing fatigue and strain during complex procedures.

Patient Benefits:

-Smaller Incisions:
Robotic surgery typically involves smaller incisions than open surgery, resulting in less scarring, pain, and a quicker recovery.

-Reduced Pain:
The less invasive nature of robotic surgery can lead to less pain and a shorter recovery time for patients.

-Shorter Hospital Stay:
Patients may experience a shorter hospital stay and return to normal activities sooner after robotic surgery compared to open or laparoscopic procedures.

-Fewer Complications:
Some studies suggest that robotic surgery may be associated with a lower risk of complications, such as infections and bowel injuries, compared to laparoscopic surgery.

-Improved Suturing:
Robotic surgery allows for more precise suturing, which can reduce the risk of hernia recurrenc

For more information
Dr Rajnish Meena
075682 64305

05/04/2025

Robotic hernia repair offers potential advantages over laparoscopic repair, including enhanced precision, a wider range of motion for instruments, and 3D visualization, potentially leading to less pain, quicker recovery, and fewer complications.


Here's a more detailed breakdown of the benefits:

-Enhanced Precision and Dexterity:

Improved Visualization:
Robotic surgery provides surgeons with a 3D, high-definition view of the surgical field, offering better depth perception and clarity compared to the 2D view in laparoscopic surgery.

-Wider Range of Motion:
Robotic instruments can move with a wider range of motion than human hands, allowing surgeons to perform complex maneuvers with greater precision and ease.

-Tremor Reduction:
The robot can filter out the surgeon's natural tremors, leading to more controlled and precise movements.

-Ergonomics:
Robotic surgery can improve surgeon ergonomics, reducing fatigue and strain during complex procedures.

Patient Benefits:

-Smaller Incisions:
Robotic surgery typically involves smaller incisions than open surgery, resulting in less scarring, pain, and a quicker recovery.

-Reduced Pain:
The less invasive nature of robotic surgery can lead to less pain and a shorter recovery time for patients.

-Shorter Hospital Stay:
Patients may experience a shorter hospital stay and return to normal activities sooner after robotic surgery compared to open or laparoscopic procedures.

-Fewer Complications:
Some studies suggest that robotic surgery may be associated with a lower risk of complications, such as infections and bowel injuries, compared to laparoscopic surgery.

-Improved Suturing:
Robotic surgery allows for more precise suturing, which can reduce the risk of hernia recurrenc