Minimally invasive procedures

Minimally invasive surgical procedures are becoming increasingly significant in the treatment of hernias. We specialize in these procedures and use them routinely, depending on diagnosis and indication. A distinction is made between TEP (total extraperitoneal plastic) and TAPP (transabdominal preperitoneal plastic).

The benefits of these surgeries include a lesser degree of wound infections, haematoma formation and chronic post-surgical pain. Furthermore, they make it possible for the patient to resume his normal everyday physical activities within a shorter period of time. Several hernias can be treated at the same time. The surgery requires general anaesthesia and hospitalization of about 2 days.

During TEP, the surgery in the abdominal wall, an incision is made at the navel to create a space between the peritoneum and abdominal muscles. Two more incisions are made for inserting the surgical instruments (knives, scissors, clamps), which are used for removing the hernia sac and pushing any part of the bowel that may have bulged through the abdominal wall back into the abdominal cavity. A larger, specially tailored synthetic mesh is then anchored between the peritoneum and musculature. The mesh reinforces the layers of the abdominal wall and thus prevents another protrusion or enlargement of the hernia.