Dr. Muharrem Öner

Laparoscopic Surgery

Laparoscopic Hernia Dubai

The Hernia is an outward bulge in the abdomen. In which part of the liver, intestine or fatty tissue is protruded through the abdominal wall defect. 

The success rate of surgery for Laparoscopic Hernia Dubai is very high. There are a variety of different types of hernias, depending on their abdominal position, including:

  • Ventral Hernia
  • Hiatal Hernia
  • Femoral Hernia 
  • Inguinal Hernia
  • Umbilical Hernia


Laparoscopic hernia signs and symptoms



The bulge formed after hernia protrusion may become painful and repeats after coughing, erecting or lifting heavy items.

Some signs and symptoms of Laparoscopic Hernia Dubai are:

  • Constipation
  • Diarrhea
  • Faster Heartbeat
  • Fever
  • Continuous pain near the hernia region
  • Nausea or vomiting


Laparoscopic Hernia Causes:


The main cause of all cases of hernia is the weakening of the abdominal wall, either as a birth defect or later in life.

The lining of the abdomen has natural areas with a potential weakness. Hernias may develop in these or other areas as a result of severe pressure on the abdominal wall, age, injury, old incision, or birth weakness. 

Anybody can develop a hernia at any age. Most of the hernias of infants were congenital. For adults, a normal weakness or pressure from heavy lifting, excessive coughing, difficulties for bowel movements, or urination can cause the abdominal wall to fade or split.


What is the required preparation in Laparoscopic Hernia Dubai?

 Most laparoscopic hernia in Dubai treatment is done on an outpatient basis, so you are able to go home on the same day that the operation is performed. Preoperative training requires blood work, medical assessment, and EKG based on your age and medical condition.

 Once the specialist reviews the possible risks and benefits of surgery for you, you will need to provide written consent for surgery.

At midnight the night before surgery, you should not eat or drink anything except drugs that your surgeon has told you are allowed to take with a sip of water in the morning of surgery.

Medications such as aspirin, blood thinners, anti-inflammatory medications (arthritis drugs) and vitamin E may need to be immediately halted for several days to a week prior to surgery. 

The specialist will discuss this with you and offer guidance about your drugs around the time of surgery. It is advised that you shower the night before or in the morning of an antibiotic soap operation.


How is the procedure performed?


There are few options available for a patient with a hernia.

The use of a truss (hernia belt) is seldom used because it is generally unsuccessful. It may ease any pain but does not eliminate the risk of incarceration or strangulation of the intestines.

Most of the hernias require surgery. Surgical procedures are conducted in one of two ways: 

  • An open route is done from the outside through a three or four-inch incision in the groin or hernia region. The incision should extend through the tissue, subcutaneous fat, and allow the surgeon to reach the level of the defect. The surgeon may choose to use a small part of the surgical mesh to patch the defect or the hole. This technique can be performed with local anesthetic and sedation using a spinal anesthetic or general anesthetic.
  • The laparoscopic hernia treatment is done using a laparoscope (a tiny telescope) attached to a special camera, which is implanted into a cannula, a thin hollow tube, enabling the surgeon to view the hernia and underlying tissue on a video screen.


Dr. Muharrem Oner performs the best Laparoscopic Hernia surgery in Dubai. He had an unmatched experience of hernia treatment for more than 15 years.


The complications that can come during Laparoscopic hernia surgery Dubai


  • Any surgery may be fraught with complications. The main complications of any surgery include vomiting and inflammation, which are rare for the treatment of laparoscopic hernia.


  • There is a very small risk of injury to the urinary bladder, intestines, blood vessels, nerves, or sperm stream that leads to the testicle.


  • Urinating complications after surgery may arise and may include the insertion of a catheter or tube to empty the bladder after surgery. You can ask the physician how you can prevent this from happening before your surgery.


  • Bruising and inflammation of the scrotum, the base of the penis, and the testicles are not rare for open and laparoscopic replacements.


  • It can come back any time a hernia is patched. This long-term recurrence rate is low in patients undergoing laparoscopic repair by experienced surgeons. The surgeon will help you decide if the chance of treating laparoscopic hernia is less than the risk of leaving the disease untreated.


  • It is very important to remember that before going for any type of surgery–whether laparoscopic or open, you should ask your surgeon about the experience he had with the operation.


Do I need a Laparoscopic Hernia Dubai Treatment?


The doctor will probably prescribe you that if any of these things happen to you or not:

The tissue (such as the intestine) is stuck in the abdominal wall. It's called prison. When left untreated, this may lead to strangulation. This is when the blood supply to the skin is closed short.

The hernia is strangulated. This can lead to permanent injury and is a medical emergency. Strangulated tissues, normally the intestines, may fail, and if you do not extract them soon, you may become seriously ill. 

Call your doctor right away if you have a fever or diarrhea, a sharp pain that is getting worse, or a hernia that turns red, purple, or black.

Hernia causes pain or discomfort, which grows larger.



Splenectomy is a surgical procedure to remove your spleen. The spleen is an organ that sits under your rib cage on the upper left side of your abdomen. It helps fight infection and filters unneeded material...

Cholecystectomy (Gallbladder Removal)

Cholecystectomy (Gallbladder Removal)


A cholecystectomy (koh-luh-sis-TEK-tuh-me) is a surgical procedure to remove your gallbladder — a pear-shaped organ that sits just below your liver on the upper right side of your abdomen. Your gallbladder collects and stores bile — a digestive fluid produced in your liver.

A cholecystectomy is a common surgery, and it carries only a small risk of complications. In most cases, you can go home the same day of your cholecystectomy.

A cholecystectomy is most commonly performed by inserting a tiny video camera and special surgical tools through four small incisions to see inside your abdomen and remove the gallbladder. Doctors call this a laparoscopic cholecystectomy.

In some cases, one large incision may be used to remove the gallbladder. This is called an open cholecystectomy.


Gallstones are hardened deposits of bile that can form in your gallbladder.

Why it's done

A cholecystectomy is most commonly performed to treat gallstones and the complications they cause. Your doctor may recommend a cholecystectomy if you have:

  • Gallstones in the gallbladder (cholelithiasis)
  • Gallstones in the bile duct (choledocholithiasis)
  • Gallbladder inflammation (cholecystitis)
  • Large gallbladder polyps
  • Pancreas inflammation (pancreatitis) due to gallstones


A cholecystectomy carries a small risk of complications including:

  • Bile leak
  • Bleeding
  • Infection
  • Injury to nearby structures, such as the bile duct, liver and small intestine
  • Risks of general anesthesia, such as blood clots and pneumonia

Your risk of complications depends on your overall health and the reason for your cholecystectomy.

How you prepare

Food and medications

To prepare for a cholecystectomy, your surgeon may ask you to:

  • Eat nothing the night before your surgery. You may drink a sip of water with your medications, but avoid eating and drinking at least four hours before your surgery.
  • Stop taking certain medications and supplements. Tell your doctor about all the medications and supplements you take. Continue taking most medications as prescribed. Your doctor may ask you to stop taking certain medications and supplements because they may increase your risk of bleeding.

Clothing and personal items

Most people go home the same day of their cholecystectomy, but complications can occur that require one or more nights in the hospital. Plan ahead in case you need to stay in the hospital by bringing personal items, such as your toothbrush, comfortable clothing, and books or magazines to pass the time.

Other precautions

Find someone to drive you home and stay with you. Ask a friend or family member to drive you home and stay close the first night after surgery.

What you can expect

Before the procedure

A cholecystectomy is performed using general anesthesia, so you won't be aware during the procedure. Anesthesia drugs are given through a vein in your arm. Once the drugs take effect, your health care team will insert a tube down your throat to help you breathe. Your surgeon then performs the cholecystectomy using either a laparoscopic or open procedure.

During the procedure

Depending on your situation, your surgeon will recommend one of two surgical approaches:

Minimally invasive (laparoscopic) cholecystectomy

During a laparoscopic cholecystectomy, the surgeon makes four small incisions in your abdomen. A tube with a tiny video camera is inserted into your abdomen through one of the incisions. Your surgeon watches a video monitor in the operating room while using surgical tools inserted through the other incisions in your abdomen to remove your gallbladder.

Next you may undergo an imaging test, such as an X-ray or ultrasound, if your surgeon is concerned about possible gallstones or other problems in your bile duct. Then your incisions are sutured, and you're taken to a recovery area. A laparoscopic cholecystectomy takes one or two hours.

A laparoscopic cholecystectomy isn't appropriate for everyone. In some cases your surgeon may begin with a laparoscopic approach and find it necessary to make a larger incision because of scar tissue from previous operations or complications.

Traditional (open) cholecystectomy

During an open cholecystectomy, the surgeon makes a 6-inch (15-centimeter) incision in your abdomen below your ribs on your right side. The muscle and tissue are pulled back to reveal your liver and gallbladder. Your surgeon then removes the gallbladder.

The incision is sutured, and you're taken to a recovery area. An open cholecystectomy takes one or two hours.

After the procedure

You'll be taken to a recovery area as the anesthesia drugs wear off. Then you'll be taken to a hospital room to continue recovery. Recovery varies depending on your procedure:

  • Laparoscopic cholecystectomy. People are often able to go home the same day as their surgery, though sometimes a one-night stay in the hospital is needed. In general, you can expect to go home once you're able to eat and drink without pain and are able to walk unaided. It takes about a week to fully recover.
  • Open cholecystectomy. Expect to spend two or three days in the hospital recovering. Once at home, it may take four to six weeks to fully recover.


A cholecystectomy can relieve the pain and discomfort of gallstones. Conservative treatments, such as dietary modifications, usually can't stop gallstones from recurring. In most cases, a cholecystectomy will prevent gallstones from coming back.

Most people won't experience digestive problems after a cholecystectomy. Your gallbladder isn't essential to healthy digestion. Some people may experience occasional loose stool after the procedure, which generally resolves over time. Discuss with your doctor any changes in your bowel habits or new symptoms following your procedure.

How quickly you can return to normal activities after a cholecystectomy depends on which procedure your surgeon uses and your overall health. People undergoing a laparoscopic cholecystectomy may be able to go back to work in a matter of days. Those undergoing an open cholecystectomy may need a week or more to recover enough to return to work.




Colectomy is a surgical procedure to remove all or part of your colon. Your colon, also called your large intestine, is a long tubelike organ at the end of your digestive tract. Colectomy may be necessary to treat or prevent diseases and conditions that affect your colon. There are various types of colectomy operations: Total colectomy involves removing the entire colon. Partial colectomy involves removing part of the colon and may also be called subtotal colectomy. Hemicolectomy involves removing the right or left portion of the colon. Proctocolectomy involves removing both the colon and rectum. Colectomy surgery usually requires other procedures to reattach the remaining portions of your digestive system and permit waste to leave your body.Why it's done Colectomy is used to treat and prevent diseases and conditions that affect the colon, such as: Bleeding that can't be controlled. Severe bleeding from the colon may require surgery to remove the affected portion of the colon. Bowel obstruction. A blocked colon is an emergency that may require total or partial colectomy, depending on the situation. Colon cancer. Early-stage cancers may require only a small section of the colon to be removed during colectomy. Cancers at a later stage may require more of the colon to be removed. Crohn's disease. If medications aren't helping you, removing the affected part of your colon may offer temporary relief from signs and symptoms. Colectomy may also be an option if precancerous changes are found during a test to examine the colon (colonoscopy). Ulcerative colitis. Your doctor may recommend total colectomy if medications aren't helping to control your signs and symptoms. Colectomy may also be an option if precancerous changes are found during a colonoscopy. Diverticulitis. Your doctor may recommend surgery to remove the affected portion of the colon if your diverticulitis recurs or if you experience complications of diverticulitis. Preventive surgery. If you have a very high risk of colon cancer due to the formation of multiple precancerous colon polyps, you may choose to undergo total colectomy to prevent cancer in the future. Colectomy may be an option for people with inherited genetic conditions that increase colon cancer risk, such as familial adenomatous polyposis or Lynch syndrome. Discuss your treatment options with your doctor. In some situations, you may have a choice between various types of colectomy operations. Your doctor can discuss the benefits and risks of each.Risks Colectomy carries a risk of serious complications. Your risk of complications is based on your general health, the type of colectomy you undergo and the approach your surgeon uses to perform the operation. In general, complications of colectomy can include: Bleeding Blood clots in the legs (deep vein thrombosis) and the lungs (pulmonary embolism) Infection Injury to organs near your colon, such as the bladder and small intestines Tears in the sutures that reconnect the remaining parts of your digestive system You'll spend time in the hospital after your colectomy to allow your digestive system to heal. Your health care team will also monitor you for signs of complications from your surgery. You may spend a few days to a week in the hospital, depending on your condition and your situation. How you prepare During the days leading up to your colon surgery, your doctor may ask that you: Stop taking certain medications. Certain medications can increase your risk of complications during surgery, so your doctor may ask that you stop taking those medications before your surgery. Fast before your surgery. Your doctor will give you specific instructions. You may be asked to stop eating and drinking several hours to a day before your procedure. Drink a solution that clears your bowels. Your doctor may prescribe a laxative solution that you mix with water at home. You drink the solution over several hours, following the directions. The solution causes diarrhea to help empty your colon. Your doctor may also recommend enemas. Take antibiotics. In some cases, your doctor may prescribe antibiotics to suppress the bacteria found naturally in your colon and to help prevent infection. Preparing for colectomy isn't always possible. For instance, if you need an emergency colectomy due to bowel obstruction or bowel perforation, there may not be time to prepare. Plan for your hospital stay You'll spend at least a few days in the hospital after your colectomy, depending on your situation. Make arrangements for someone to take care of your responsibilities at home and at work. Think ahead to what you might like to have with you while you're recovering in the hospital. Things you might pack include: A robe and slippers Toiletries, such as your toothbrush and toothpaste and, if needed, your shaving supplies Comfortable clothes to wear home Activities to pass the time, such as a book, magazine, computer or gamesWhat you can expect During your colectomy On the day of your surgery, your health care team will take you to a preparation room. Your blood pressure and breathing will be monitored. You may receive an antibiotic medication through a vein in your arm. You will then be taken to an operating room and positioned on a table. You'll be given a general anesthesia medication to put you in a sleep-like state so that you won't be aware during your operation. Open colectomy. Open surgery involves making a longer incision in your abdomen to access your colon. Your surgeon uses surgical tools to free your colon from the surrounding tissue and cuts out either a portion of the colon or the entire colon. Laparoscopic colectomy. Laparoscopic colectomy, also called minimally invasive colectomy, involves several small incisions in your abdomen. Your surgeon passes a tiny video camera through one incision and special surgical tools through the other incisions. The surgeon watches a video screen in the operating room as the tools are used to free the colon from the surrounding tissue. The colon is then brought out through a small incision in your abdomen. This allows the surgeon to operate on the colon outside of your body. Once repairs are made to the colon, the surgeon reinserts the colon through the incision. Rejoining the remaining portions of your colon. The surgeon may stitch the remaining portions of your colon together, creating what is called an anastomosis. Stool then leaves your body as before. Connecting your intestine to an opening created in your abdomen. The surgeon may attach your colon (colostomy) or small intestine (ileostomy) to an opening created in your abdomen. This allows waste to leave your body through the opening (stoma). You may wear a bag on the outside of the stoma to collect stool. This can be permanent or temporary. Connecting your small intestine to your anus. After removing both the colon and the rectum (proctocolectomy), the surgeon may use a portion of your small intestine to create a pouch that is attached to your anus (ileoanal anastomosis). This allows you to expel waste normally, though you may have several watery bowel movements each day. As part of this procedure, you may undergo a temporary ileostomy. Your surgeon will discuss your options with you before your operation.After your colectomy After surgery you'll be taken to a recovery room to be monitored as the anesthesia wears off. Then your health care team will take you to your hospital room to continue your recovery. You'll stay in the hospital until you regain bowel function. This may take a couple of days to a week. You may not be able to eat solid foods at first. You might receive liquid nutrition through a vein, often in your arm, and then transition to drinking clear liquids. As your intestines recover, you can eventually add solid foods. If your surgery involved a colostomy or ileostomy to attach your intestine to the outside of your abdomen, you'll meet with an ostomy nurse who will show you how to care for your stoma. The nurse will explain how to change the ostomy bag that will collect waste. Once you leave the hospital, expect a couple of weeks of recovery at home. You may feel weak at first, but eventually your strength will return. Ask your doctor when you can expect to get back to your normal routine.

Hiatal Hernia

Hiatal Hernia Dubai

Hiatal Hernia is a condition when the upper part of your stomach pushes up through the small opening of the diaphragm muscle, which is also known as hiatus.

The diaphragm muscle is responsible for separating your abdomen and chest. The food pipe (oesophagus) passes through the Hiatus before connecting to the stomach. 


Hiatal Hernia can be described in two main types. These include: 


Sliding hiatal hernia: Under the condition of sliding hiatal hernia Dubai, the lower part of your food pipe (esophagus) and upper part of the stomach slide up towards the chest through the diaphragm. The majority of the people suffer from sliding hiatal hernia. 


Paraesophageal hiatal hernia: It is considered a more dangerous type of hiatal hernia as compared to the sliding hernia. It is also known as a strangulated hernia. Here, the position of your esophagus and stomach remains undisturbed but a part of your stomach compresses upwards through the hiatus and places itself next to the esophagus. Due to this, your stomach can result in losing its blood supply. 


Generally, the small hiatal hernia Dubai does not cause much harm and even go unnoticed for years. However, in the case of large hiatal hernia, it leads to backing up of food and acid into your esophagus causing heartburn. It may get cured through medications and self-care measures, otherwise, it may need surgery to be treated. 


The hiatal hernia mainly occurs when the muscle tissues holding together your esophagus and diaphragm becomes weak or inelastic. Due to this weakness in the muscles, it allows your stomach to push upwards through the diaphragm. There are also other factors, which can contribute to the formation of hiatal hernia Dubai. These include: 


  • There may be some changes occurred in your diaphragm due to age factor. 


  • A hiatal hernia can be caused due to any surgical injury in the area of injury after the trauma. 


  • People born with a large hiatus. 


  • A hiatal hernia can also be caused due to intense pressure on the surrounding muscles. This pressure can be caused due to activities such as exercising, lifting heavy objects, straining, coughing and vomiting. 


A hiatal hernia in Dubai is suffered the most by women, people suffering from obesity and those who are above the age of 50. 



Small hiatal hernia may go unnoticed but large hiatal hernia Dubai can show several symptoms including: 


  • Heartburns from gastroesophageal reflux disease (GERD)


  • Chest pain


  • Abdominal pain


  • Difficulty in swallowing food


  • shortness of breath


  • bloating


  • burping


  • backflow of food or liquid into the esophagus (acid reflux)


  • bad taste in the mouth


  • vomiting and upset stomach


  • blood while coughing


In order to minimize these symptoms, you can make some simple changes in your lifestyle and eating habits such as losing weight to avoid obesity, reducing the consumption of overall meal size, portion size and specific food which trigger reflux to avoid heartburn and avoiding alcohol, caffeine, chocolate, tomatoes and fatty or spicy food to minimize symptoms of hiatal hernia Dubai. 


Moreover, your eating and drinking timings may also affect your body as late eating may lead-acid to flow back into the food pipe. People who experience heartburn should start sitting upright while eating and have their meal three hours before going to sleep. 


Small hiatal hernia does not show any signs or symptoms, they may get identified during some other body checkup. In the case of large hiatal hernia Dubai, it shows loads of symptoms and a need to visit your doctors and get it diagnosed. Your doctor will perform several tests and procedures during the diagnosis session. These include an X-ray of your upper digestive system, upper endoscopy, and Esophageal manometry. 



To solve the problem of hiatal hernia Dubai, Dr Muharrem Oner will advise you for treatment either through medication or by surgical means depending upon the condition. Your doctor may prescribe medicines such as antacids to avoid acid reflux, alginate products, and lansoprazole to avoid persistent symptoms. Under surgical means, the patient is given general anaesthesia, a medicine to make the patient feel sleepy. The laparoscopic surgery is performed in the case of hiatal hernia. It involves performing the surgery by making a tiny keyhole cut in the belly of the patient rather than performing with an incision. 



Perched atop each of your kidneys, your adrenal glands produce hormones that help regulate your metabolism, immune system, blood pressure and other essential functions.One adrenal gland sits above each of your kidneys. Your two adrenal glands produce various hormones that help regulate your metabolism, immune system, blood pressure, blood sugar and other essential functions. 

Most adrenal tumors are noncancerous (benign). You may require surgery to remove an adrenal gland if the tumor is producing excess hormones or is large in size (more than 2 inches or 4 to 5 centimeters). You may also require surgery if the tumor is cancerous (malignant) or suspected to be cancerous. This surgery is called adrenalectomy (uh-dree-nul-EK-tuh-me).You may also need an adrenalectomy to remove cancer that has spread (metastasized) from another location, such as the kidney or lung.

If both adrenal glands are removed, you will need to take supplemental hormone medications. If only one gland is removed, the other will take over full function without the need for ongoing medications.


Types of adrenalectomy

Surgeons may perform an adrenalectomy through minimally invasive (laparoscopic) or traditional open surgery, or use cryoablation. The procedure they recommend depends on the size and type of tumor or the condition affecting your adrenal gland.

  • Minimally invasive surgery. Endocrine surgeons at Mayo Clinic are often able to use minimally invasive (laparoscopic) surgery for tumors of the adrenal gland because the gland is relatively small. Laparoscopic surgery has many benefits, including smaller scars, less pain and a shorter recovery period than traditional open surgery.

    An alternative approach to laparoscopic surgery is a posterior retroperitoneoscopic adrenalectomy (PRA), in which surgeons make small incisions in your back. Sometimes surgeons use the robotic da Vinci Surgical System to perform laparoscopic adrenalectomies.

  • Open surgery. Doctors usually reserve open surgery for large or cancerous (malignant) tumors. They perform open surgery using traditional instruments and incisions.
  • Cryoablation. In addition, Mayo Clinic doctors may use cryoablation to treat adrenal tumors. This procedure uses CT imaging to guide the insertion of a probe that freezes and destroys adrenal tumors. Interventional radiologists may use cryoablation as a treatment option for small tumors that have spread to the adrenal gland (metastasis), particularly when surgery carries a high risk.

Your doctor can explain your treatment options and discuss whether an adrenalectomy is the most appropriate treatment for you.