НАЗАД К УСЛУГАМCONTEMPORARY HERNIA REPAIR

ХИРУРГИЯ ГРЫЖ

Individualised repair of groin and abdominal-wall hernias, using laparoscopic or open techniques according to anatomy.

Автор медицинского материала: Efstratios K. KouroumpasСтраница обновлена: 30 августа 2026 г.

TAPP / TEPABDOMINAL WALLSCOLA

Примечание: навигация по странице доступна на русском языке. Подробный медицинский текст этой специализированной страницы пока отображается на английском.

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.

СИМПТОМЫ

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.

A LUMP OR BULGE

A bulge in the groin, at the navel or along a previous surgical incision.

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.

ОПЕРАЦИИ

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.

КОГДА РАССМАТРИВАЕТСЯ: Unilateral or bilateral groin hernia and selected recurrences.
ЧТО ВКЛЮЧАЕТ: Reduction, anatomical dissection, flat mesh placement and peritoneal closure.

02TEP

EXTRAPERITONEAL TEP

Repair within the preperitoneal plane without entering the peritoneal cavity.

КОГДА РАССМАТРИВАЕТСЯ: Selected primary or bilateral inguinal hernias.
ЧТО ВКЛЮЧАЕТ: 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.

КОГДА РАССМАТРИВАЕТСЯ: Large or complex inguinoscrotal hernia after careful planning, in an appropriate patient and by a team experienced in this anatomy.
ЧТО ВКЛЮЧАЕТ: 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.

КОГДА РАССМАТРИВАЕТСЯ: Symptomatic umbilical or primary ventral hernia of suitable size.
ЧТО ВКЛЮЧАЕТ: 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.

КОГДА РАССМАТРИВАЕТСЯ: Symptomatic or enlarging incisional hernia.
ЧТО ВКЛЮЧАЕТ: 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.

КОГДА РАССМАТРИВАЕТСЯ: Selected small midline hernias with diastasis, after considering weight, symptoms and future pregnancy plans.
ЧТО ВКЛЮЧАЕТ: Small low incisions, endoscopic diastasis plication and onlay reinforcement. It is not scar-free; seroma, wound or mesh complications and recurrence are discussed.

Оригинальная реалистичная анатомическая иллюстрация для обучения — не фотография пациента.

ПЛАНИРОВАНИЕ И БЕЗОПАСНОСТЬ

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.

ВОПРОСЫ

ЧАСТЫЕ ВОПРОСЫ

Краткие ответы перед индивидуальной консультацией хирурга.

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.

КЛИНИЧЕСКИЕ ДАННЫЕ

Окончательный выбор зависит от клинической картины, анатомии и актуальных рекомендаций.

01HerniaSurge · International Groin Hernia Guidelines 2023Updated international guidance for groin hernia managementОФИЦИАЛЬНЫЙ ИСТОЧНИК 02European Hernia Society · Midline Incisional HerniaAbdominal-wall guidelineОФИЦИАЛЬНЫЙ ИСТОЧНИК 03NIDDK · Inguinal HerniaSymptoms, diagnosis and warning signsОФИЦИАЛЬНЫЙ ИСТОЧНИК

Информация носит образовательный характер и не заменяет осмотр врача. Риски и альтернативы обсуждаются индивидуально.

ИНДИВИДУАЛЬНАЯ ХИРУРГИЧЕСКАЯ ОЦЕНКА

Правильная операция начинается с правильных показаний.

На консультации оцениваются симптомы, исследования и альтернативы.

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