A LUMP OR BULGE
A bulge in the groin, at the navel or along a previous surgical incision.
NAZAD NA USLUGECONTEMPORARY HERNIA REPAIR
HIRURGIJA KILA
Individualised repair of groin and abdominal-wall hernias, using laparoscopic or open techniques according to anatomy.
TAPP / TEPABDOMINAL WALLSCOLA
POGLEDAJTE OPERACIJENapomena: navigacija na stranici dostupna je na srpskom. Detaljan medicinski sadržaj ove stručne stranice trenutno je prikazan na engleskom.
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.
SIMPTOMI
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.
OPERACIJE
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.
- KADA SE RAZMATRA
- Unilateral or bilateral groin hernia and selected recurrences.
- ŠTA OBUHVATA
- Reduction, anatomical dissection, flat mesh placement and peritoneal closure.
02TEP
EXTRAPERITONEAL TEP
Repair within the preperitoneal plane without entering the peritoneal cavity.
- KADA SE RAZMATRA
- Selected primary or bilateral inguinal hernias.
- ŠTA OBUHVATA
- 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.
- KADA SE RAZMATRA
- Large or complex inguinoscrotal hernia after careful planning, in an appropriate patient and by a team experienced in this anatomy.
- ŠTA OBUHVATA
- 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.
- KADA SE RAZMATRA
- Symptomatic umbilical or primary ventral hernia of suitable size.
- ŠTA OBUHVATA
- 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.
- KADA SE RAZMATRA
- Symptomatic or enlarging incisional hernia.
- ŠTA OBUHVATA
- 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.
- KADA SE RAZMATRA
- Selected small midline hernias with diastasis, after considering weight, symptoms and future pregnancy plans.
- ŠTA OBUHVATA
- Small low incisions, endoscopic diastasis plication and onlay reinforcement. It is not scar-free; seroma, wound or mesh complications and recurrence are discussed.
Originalna realistična anatomska ilustracija u edukativne svrhe — nije fotografija pacijenta.
PLANIRANJE I BEZBEDNOST
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.
PITANJA
ČESTA PITANJA
Kratki odgovori pre individualne hirurške procene.
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.
KLINIČKI DOKAZI
KLINIČKI DOKAZI
Konačan izbor zavisi od kliničke slike, anatomije i savremenih smernica.
01HerniaSurge · International Groin Hernia Guidelines 2023Updated international guidance for groin hernia managementZVANIČNI IZVOR02European Hernia Society · Midline Incisional HerniaAbdominal-wall guidelineZVANIČNI IZVOR03NIDDK · Inguinal HerniaSymptoms, diagnosis and warning signsZVANIČNI IZVOR
Sadržaj je informativan i ne zamenjuje pregled. Koristi, rizici i alternative razmatraju se individualno.
INDIVIDUALNA HIRURŠKA PROCENA
Prava operacija počinje pravom indikacijom.
Simptomi, nalazi i alternative razmatraju se na konsultaciji.
Ordinacija REA MED i dolazak