A LUMP OR BULGE
A bulge in the groin, at the navel or along a previous surgical incision.
ZURÜCK ZU DEN LEISTUNGENCONTEMPORARY HERNIA REPAIR
HERNIENCHIRURGIE
Individualised repair of groin and abdominal-wall hernias, using laparoscopic or open techniques according to anatomy.
TAPP / TEPABDOMINAL WALLSCOLA
EINGRIFFE ANSEHENHinweis: Die Seitennavigation ist auf Deutsch verfügbar. Die ausführlichen medizinischen Inhalte dieser Fachseite werden derzeit auf Englisch angezeigt.
ELIXIS · ADVANCED CARE
The technique follows the hernia — not the other way round
Site, size, previous surgery, tissue quality and daily demands determine the access and mesh plane.
SYMPTOME
Symptoms that merit assessment
A hernia occurs when fat or bowel protrudes through a weak point in the abdominal wall. It may cause almost no symptoms or become more noticeable as abdominal pressure rises.
PAIN OR BURNING
Pain, burning, heaviness or a pulling sensation around the hernia.
WITH STRAIN
Symptoms may increase with coughing, lifting, exercise or prolonged standing.
WHEN LYING DOWN
The bulge often becomes smaller and discomfort improves when lying down.
CHANGE IN SIZE
The swelling may become more obvious later in the day or during activity.
SCROTAL EXTENSION
Some large inguinal hernias extend into the scrotum and cause heaviness or difficulty.
Not every lump is a hernia and size alone does not define severity. Diagnosis is based on examination and selected imaging when needed.
EINGRIFFE
The main procedures
Each procedure addresses a different anatomical problem. The indication and choice of material are determined after clinical assessment.
01TAPP
LAPAROSCOPIC TAPP INGUINAL REPAIR
Transabdominal access to the preperitoneal plane with broad coverage of the myopectineal orifice.
- WANN ES ERWOGEN WIRD
- Unilateral or bilateral groin hernia and selected recurrences.
- WAS DER EINGRIFF UMFASST
- Reduction, anatomical dissection, flat mesh placement and peritoneal closure.
02TEP
EXTRAPERITONEAL TEP
Repair within the preperitoneal plane without entering the peritoneal cavity.
- WANN ES ERWOGEN WIRD
- Selected primary or bilateral inguinal hernias.
- WAS DER EINGRIFF UMFASST
- Creation of the extraperitoneal plane, identification of defects and mesh coverage.
03COMPLEX TAPP
LARGE INGUINOSCROTAL HERNIA WITH TAPP
An advanced laparoscopic approach for selected large hernias extending into the scrotum.
- WANN ES ERWOGEN WIRD
- Large or complex inguinoscrotal hernia after careful planning, in an appropriate patient and by a team experienced in this anatomy.
- WAS DER EINGRIFF UMFASST
- Controlled sac reduction and broad preperitoneal reinforcement. Conversion may be required for safety; seroma and uncommon spermatic-cord or testicular complications are discussed beforehand.
04VENTRAL
UMBILICAL & VENTRAL HERNIA
Laparoscopic or hybrid repair of an abdominal-wall defect through small access points.
- WANN ES ERWOGEN WIRD
- Symptomatic umbilical or primary ventral hernia of suitable size.
- WAS DER EINGRIFF UMFASST
- Reduction, defect closure when appropriate and reinforcement in the selected anatomical plane.
05INCISIONAL
INCISIONAL HERNIA REPAIR
Reconstruction of a hernia at a previous incision, accounting for adhesions and abdominal-wall quality.
- WANN ES ERWOGEN WIRD
- Symptomatic or enlarging incisional hernia.
- WAS DER EINGRIFF UMFASST
- Careful adhesiolysis, functional midline reconstruction and individualised reinforcement.
06SCOLA
LINEA-ALBA HERNIA & DIASTASIS
SCOLA combines repair of a small midline hernia and rectus diastasis. It is an evolving technique with limited long-term comparative evidence.
- WANN ES ERWOGEN WIRD
- Selected small midline hernias with diastasis, after considering weight, symptoms and future pregnancy plans.
- WAS DER EINGRIFF UMFASST
- Small low incisions, endoscopic diastasis plication and onlay reinforcement. It is not scar-free; seroma, wound or mesh complications and recurrence are discussed.
Originale realistische Anatomiedarstellung zu Lehrzwecken — kein Patientenfoto.
PLANUNG & SICHERHEIT
Anatomical precision and durable repair
Success is determined not only by incision size, but also by the indication, adequate defect coverage and careful protection of nerves, vessels and viscera.
MAPPING
Clinical examination and imaging when required.
PLANE SELECTION
Mesh is placed in the appropriate anatomical plane.
FUNCTION
The aim is abdominal-wall function, not merely closing a hole.
FOLLOW-UP
A staged return to lifting and exercise with clear guidance.
FRAGEN
HÄUFIGE FRAGEN
Kurze Antworten vor der individuellen chirurgischen Beurteilung.
01Is a minimally invasive approach always possible?
No. It is chosen when safe and meaningfully beneficial. Anatomy, previous surgery and complexity may require another approach or conversion.
02How long does recovery take?
Recovery varies with the procedure, disease severity and general health. The individual plan covers mobilisation, diet, work and exercise.
03Is mesh always used?
Not in every case. Mesh use, type and position depend on hernia type, contamination, tissue quality and overall patient benefit.
KLINISCHE EVIDENZ
KLINISCHE EVIDENZ
Die endgültige Wahl richtet sich nach Befund, Anatomie und aktuellen Leitlinien.
01HerniaSurge · International Groin Hernia Guidelines 2023Updated international guidance for groin hernia managementOFFIZIELLE QUELLE02European Hernia Society · Midline Incisional HerniaAbdominal-wall guidelineOFFIZIELLE QUELLE03NIDDK · Inguinal HerniaSymptoms, diagnosis and warning signsOFFIZIELLE QUELLE
Diese Informationen ersetzen keine ärztliche Untersuchung. Nutzen, Risiken und Alternativen werden individuell besprochen.
INDIVIDUELLE CHIRURGISCHE BEURTEILUNG
Der richtige Eingriff beginnt mit der richtigen Indikation.
Beschwerden, Untersuchungen und Alternativen werden gemeinsam geprüft.
Praxis REA MED & Anfahrt