Hernia surgery / Top clinic in Germany, Friedrichshafen

Hernia surgery in Germany

Hernia surgery is the responsibility of Surgical Clinic I for General, Visceral and General Surgery at Friedrichshafen Clinic in Germany. Drs. Thorsten Lehman (head surgeon), Jürgen Kies, Frank Aspacher and Stefan will take care of you in our surgical clinic in Germany close to Lake Constance in Germany.

When is hernia surgery required?

Not all hernias require an operative treatment. At our clinic in Germany, we only recommend hernia surgery in Germany as a treatment option if all other measures (change in lifestyle, medication etc.) have failed to clear up the problem.

What is a hernia?

In some cases, a weak area of tissue allows part of an internal organ or other tissue such as fat to bulge into an area where it does not belong. This is called a hernia.

There are several different types, and in certain cases, they require operative measures:

Inguinal hernia

  • This is found on the abdomen, where it bulges through the inguinal canal in both men and women.
  • Men are affected more than women because their inguinal canal is wider. It results from a weak spot in the muscle and can be caused by lifting heavy weights, bending and even coughing or laughing.
  • Inguinal hernia surgery is a very common type of surgery.

Hiatal (or hiatus) hernia

  • It pushes up through the diaphragm into the chest, sometimes causing symptoms like painful acid reflux (a burning sensation in the chest and back of the throat, pain between the shoulders, an unpleasant taste in the mouth)
  • A change in lifestyle might help e.g. smaller meals more often, not lying down for 3 hours after meals, avoiding certain foods that aggravate the problem, sleeping with your head higher than the rest of the body, losing weight and avoiding alcohol and smoking
  • Some medicines are also effective, e.g. antacids, alginates, H2-receptor antagonists, proton pump inhibitors and prokinetics
  • Operative treatment is also possible if other measures are unsuccessful.

Femoral hernia

  • These occur when the contents of the abdomen bulge through the femoral canal. They are uncommon and occur mostly in women due to structure of the pelvis, and seldom in children.
  • They are caused by straining e.g. when constipated, carrying or pushing heavy weights, obesity and heavy coughing
  • Femoral hernias can lead to complications – obstruction or strangulation of the bowel. An operation is usually performed immediately. Both keyhole surgery and open surgery can be used.

Umbilical hernia

  • These occur in both adults and children. In small babies, they are common but they usually close by themselves
  • In adults, they are caused by obesity, pregnancy and excess fluid in the belly. Other causes are coughing, straining (constipation or difficulty urinating due to enlarged prostate)
  • Strangulation might occur. This stops the blood supply. If the bulge increases in size or if tenderness or pain develop, immediate surgery is needed.
  • Umbilical hernia can be repaired by means of surgery.

Incisional hernia

  • Abdominal tissue bulges through the abdominal muscle. It can be painful. The name is derived from the fact that they often occur on the site of an incision made during surgery
  • Usually, only a small portion of the abdominal lining protrudes, but sometimes organs are also affected.
  • Most incisional hernias develop within 6 months of surgery
  • They can be caused by heavy lifting, excessive weight gain after abdominal surgery or pregnancy
  • Hernia surgery is an option, but if the hernia is small, a special truss can be worn to keep it from expanding.

There are also other types of hernia, some of which are treated by surgery e.g. ventral, epigastric.

The specialist surgeons of Friedrichshafen Clinic in Germany have a lot of experience with hernia surgery. However, herniation does not always cause symptoms. If you have any questions, please feel free to make an appointment to visit us at our clinic in Germany, so that we can determine the cause of your discomfort.

Hernia surgery is always a last resort if prolonged treatment by conservative methods has not had the desired effect. If you have any questions regarding hernia surgery, feel free to make an appointment with our experienced surgeons at our clinic in Germany.

Hernia surgery procedures at our clinic in Germany are only performed when there is no alternative treatment that has proven effective. The surgery is usually performed laparoscopically.

Laparoscopic nissen fundoplication (LNF) is a common type of surgery for the treatment of GORD and sliding hiatal hernia. During the procedure, the stomach is returned to its correct position and the diaphragm is tightened to prevent the acid from pushing up into the oesophagus. Trust the competent physicians of Surgical Clinic I in Friedrichshafen, Germany.

The friendly employees of the Friedrichshafen Clinic in Germany are standing by to assist you should you have any questions regarding hernia surgery.

Inguinal hernia

Inguinal hernia: symptoms

Even if the term suggests something else: In a hernia (inguinal hernia) no bone is broken, but it is pierced tissue in the groin - the so-called inguinal canal. This tubular connection between the abdominal cavity and the outer pubic region draws obliquely from back to front. In this channel run blood and lymph vessels and the spermatic cord in the man and one of the mother tapes in the woman.

If this inguinal canal is punctured by a hernia, this is recognized by a visible and / or palpable swelling in the groin area, which can often be pushed inwards. Sometimes the genital region is also affected by the inguinal hernia labia occur in the man on the scrotum. In most cases, the inguinal hernia symptoms (woman & man) are on the right side.

Inguinal hernia: pain

In many cases, the inguinal hernia causes no pain. Patients report more of an indefinite feeling of pressure or a pulling, sometimes of abdominal pain or a foreign body sensation in the groin.

If inguinal hernias occur, they can drag into the testicles or labia. Increases the abdominal pressure, for example, when coughing or lifting loads, the complaints increase. At rest and while lying down, the inguinal hernia symptoms disappear. So if someone is more in pain lying down / at night, it is usually not a hernia. Instead, for example, a hip joint or muscle disease behind it.

Inguinal hernia: causes and risk factors

The abdomen is largely closed and lined by a fine skin, the peritoneum. It houses organs such as the stomach, liver and intestine. Gravity pulls the organs down. The abdominal wall holds her in position. But especially in the lower abdominal area there is still a certain pressure.

This pressure is also felt by the inguinal canal. Especially when lifting heavy loads, sneezing, coughing or pressing (such as during bowel movements), the abdominal organs press on the inguinal canal. Normally, it can withstand the strain - thanks to the powerful muscles, ligaments, and tight connective tissue that surround it.

However, if the pressure becomes too great, there will be a gap in the inguinal tissue (hernia): the peritoneum will bulge outward at this point. Therefore one speaks also of break bag. Sometimes also entrails occur (usually parts of the intestine) - enclosed by the fracture bag - through the gap and out of the abdominal cavity (fraction content).

Indirect and direct inguinal hernia

Most patients have an indirect inguinal hernia: here, the hernia sac occurs laterally through the inguinal canal and can penetrate to the scrotum or labia.

The indirect inguinal hernia is congenital in most cases: it is then based on an incompletely closed inguinal canal. Normally, the inguinal canal is lined by the peritoneum until it returns to birth and usually closes completely until the end of the first year of life. If this does not happen, a congenital indirect hernia often develops. Babies, children and young people are the most affected, boys more often than girls.

Rarely does an indirect hernia develop later in life (acquired indirect inguinal hernia).

In contrast, the direct inguinal hernia is always acquired. It arises from a weak spot in the wall of the inguinal canal. The fractured bag pushes directly through the abdominal wall, so it does not reach the genital region. Various factors can favor this wall weakness and thus the direct inguinal hernia (such as surgery or various diseases: see below). Most adults develop this form of inguinal hernia. Women are relatively rarely affected. As a rule, the patients are older men.

Inguinal hernia: examinations and diagnosis

If a hernia is suspected, go to the doctor quickly. First contact can be the family doctor or pediatrician. However, a inguinal hernia is usually treated by specialized surgeons.

First, the doctor will raise the medical history in the so-called anamnesis interview. For example, he can ask the following questions:

  • What complaints do you have?
  • Where exactly do you feel pain?
  • Are the symptoms stronger under stress?
  • Has anyone ever had a hernia in your family?
  • Have you ever been operated on the abdomen or in the groin area?

Physical examination

At the physical exam, the doctor first asks the patient to stand straight. He then scans the groin region of the patient to detect any swelling. He may also instruct the patient to cough or tense the abdominal muscles. The pressure in the abdomen increases. This usually increases the swelling in a hernia. The palpation examination can be repeated by the doctor while the patient is lying down.

It also checks whether the contents of the inguinal hernia can be pushed back into the abdomen with the fingers. If that works, there is a so-called repolarable inguinal hernia. If the doctor can push back the fracture contents but not the correct position, the inguinal hernia is irreponible.

Hernia surgery

Inguinal hernia surgery is one of the routine procedures. Various Op techniques are used. One differentiates between:

  • Open surgery procedure: Here the doctor sets a larger incision and shifts the fraction content back into the abdomen. Usually either a synthetic net is used or connective tissue and musculature are used to avoid a relapse.
  • Minimally invasive procedures: These surgical techniques use several small incisions. Mostly a network for stabilization is inserted. The relapse rates are higher here, but the pain is often not as persistent as after open surgery. Which method is most suitable in a particular case, the doctor will decide on a case-by-case basis.
Hernia surgery

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Comments and questions

Numra Abrar Thu, 28 Jun 11:17

Hi,
My mom have Umbilical Hernia since 25 years and it have become quite bigger and needs to be operated. So what cost will come if I get her operated from this hospital? I live in Pakistan so kindly advise me. Thanx

Kęstutis Thu, 29 Mar 12:13

Hello my unborn baby has diaphragm hermia and needs operation that is not performed everywhere is that kind of operation done in institution and if so how much will it cost?

Sameh Dawood Sat, 25 Nov 19:55

Hello,
I have umbilical hernia, my doctor in Egypt advised that a surgery is needed to rectify it.
I wish to do the surgery at your clinic. I am at Cairo now. Please advise the procedure.
Thanks

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Medical Staff

MD PV Thorsten Lehmann

MD PV Thorsten Lehmann
Head of the Surgery Department

MD Jürgen Kies

MD Jürgen Kies
Senior physician

MD Frank Aspacher

MD Frank Aspacher
Senior physician

MD Stefan Tange

MD Stefan Tange
Senior physician

B. Schmollinger

B. Schmollinger
Medical secretary

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