Surgical treatment of hernias
An anterior abdominal wall hernia is a disruption of the anatomical integrity of the tissues that requires surgical repair. At the K+31 Clinic, specialized specialists—herniology surgeons—treat this condition. Our goal is to restore the strength of the abdominal wall and return the patient to full physical activity without pain or limitations.
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Types of hernias and treatment options in K+31
The clinic's specialists select a treatment strategy based on the location, size of the defect, and the history of previous interventions. We treat all types of hernias:
- Inguinal and femoral hernias. These are the most common type of hernia. We use techniques that preserve male reproductive function and ensure an aesthetically pleasing result without extensive incisions.
- Umbilical and epigastric hernias (hernias of the linea alba). For defects larger than 2 cm, the use of a mesh implant is mandatory. This reliably strengthens weakened connective tissue and prevents hernia recurrence.
- Postoperative and recurrent hernias. These occur in areas of scar tissue from previous surgeries or in cases of unsuccessful initial hernia treatment. We perform complex reconstructions, including component separation techniques, to restore natural abdominal muscle function even with large defects.
- Lateral hernias and neuromuscular defects. A special category of hernias that occur after lumbar approaches (e.g., kidney surgery). We use proprietary techniques to eliminate the "sail" effect, restoring tone and proper anatomical contour to the lateral abdominal wall.
- Sports hernias (Gilmore's hernia). Chronic groin pain in athletes caused by hidden weakness of the posterior wall of the inguinal canal. We perform expert imaging (MRI/ultrasound) and laparoscopic strengthening of the area to enable the athlete to return to training as quickly as possible.
- Parastomal hernias. A highly specialized area for patients who have developed a hernia in the area of an intestinal stoma. We use the internationally recognized Sugarbaker technique—the placement of a special mesh with an anti-adhesive coating that protects internal organs and restores quality of life. We also offer the Pauli extraperitoneal prosthetic repair, which is technically more challenging but effective in some complex cases.
- Diastasis recti. This muscle separation (often after pregnancy) is corrected endoscopically. This allows us to restore a flat stomach and strengthen the abdominal wall through minimal incisions, avoiding the trauma of traditional abdominoplasty.
Treatment Methods: Technologies and Expert Choice
In modern herniology, the choice of technique depends not only on the size of the hernia but also on the patient's goals of maintaining quality of life. We differentiate approaches based on the method of implementation and the principle of tissue strengthening.
Traditional (open) hernioplasty
The surgery is performed through an incision in the hernia area. This method remains indispensable in the treatment of giant hernias, complex recurrences, or in cases where removal of excess soft tissue is necessary.
- Strengthening principle: We use "tension-free" repair. Instead of simply tightening weakened tissue with sutures, the surgeon strengthens the abdominal wall with a mesh implant that bears the load. Properly performed endoscopic surgery can significantly reduce the recurrence rate.
- Installation options: mesh placement between or under the muscles, rather than on the muscles, is effective. These options are preferable because the implant is protected by the muscular framework of the abdominal wall.
Minimally invasive (endoscopic) surgery
This is a priority for K+31. All procedures are performed through 3-4 small punctures (5-10 mm) under high-definition video camera control.
- TAPP Method: The mesh is placed on the hernia defect from the abdominal side under the fascia and peritoneum, preventing adhesion of the viscera to the mesh.
- IPOM Method: A special high-tech mesh with an anti-adhesion coating is also placed from the abdominal side, but directly on the peritoneum. Intra-abdominal pressure acts on the patient, pressing the implant against the hernia defect like an "internal patch."
- eTEP / Sublay Method: A new approach in surgery, where the mesh is placed in the space between the muscles without entering the abdominal cavity. This allows the use of implants without special coatings, while maintaining all the advantages of laparoscopy.
Advantages of endoscopic surgery
Minimal risk of infection, no large scars, and the ability to return to active life within a few days. Furthermore, a video camera allows the surgeon to conduct an inspection and detect hidden defects that were not visible during an external examination.
Treatment and care of patients at K+31 are provided by hernia surgeons with extensive experience in abdominal surgery.
Our specialists are members of specialized hernia societies, which guarantees the use of current international treatment protocols.
Treatment and care of patients at K+31 are provided by hernia surgeons with extensive experience in abdominal surgery.
Our specialists are members of specialized hernia societies, which guarantees the use of current international treatment protocols.
General information
Treatment and Rehabilitation Stages
Surgery at K+31 is organized around the principles of rapid rehabilitation. Thanks to the minimally invasive nature of the procedures, most patients return to their normal routines as quickly as possible:
- Diagnostics: For complex hernias, we perform CT or MRI to assess muscle condition and plan surgery.
- Preparation: Individualized recommendations for weight management and lung preparation (smoking cessation) minimize risks during and after surgery.
- Surgery: The use of lightweight composite meshes and modern fixators makes the procedure short and safe.
- Activity: You will be able to get up and walk independently within 3-4 hours after surgery.
- Inpatient Care: Discharge usually occurs the next day. The patient can return to daily activities after 2-3 weeks. [The text appears to be incomplete and likely a mistranslation.] ...
Answers to frequently asked questions from patients
What is a seroma and is it dangerous?
A seroma is a temporary accumulation of tissue fluid in the surgical area. It is the body's natural response to creating space for the mesh. In most cases, it resolves on its own within a few weeks and does not require intervention.
Why can't an incarcerated hernia be reduced?
Strangulation is the interruption of the blood supply to the organs within the hernial sac as a result of their compression within the hernial orifice. Self-reduction can result in necrotic (dead) tissue entering the abdomen, leading to peritonitis. If severe pain and tension develop in the hernia area, immediate surgical intervention is required.
Is it possible to do without a grid?
Worldwide experience shows that refusing mesh for hernias larger than 2 cm leads to recurrence in every second case. Mesh is not a "patch," but rather a stimulus for the formation of a strong, natural tissue layer that can withstand any pressure.
What to do if the hernia returns after surgery?
A recurrent hernia requires a special approach, as the tissue in this area has already changed and often contains remnants of old mesh. At the K+31 clinic, such surgeries are performed under strict monitoring. Our surgeons typically use an endoscopic approach from a "clean" area, free of scars. This allows for the most accurate placement of the new implant, restoring the integrity of the abdominal wall even in the most challenging cases.
Sign up for a consultation
Timely diagnosis allows for planned surgery with minimal recovery time. To determine the treatment plan and the necessary diagnostic procedures (ultrasound, CT, or MRI), an in-person consultation with a hernia surgeon is required. Schedule an appointment with surgeon K+31 to develop a personalized treatment plan.
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Why is it important to see a hernia specialist in a timely manner?
A hernia is a defect in the muscular-tendinous layer through which internal organs protrude under intra-abdominal pressure. The structure of the connective tissue or excessive strain can lead to gradual widening of the hernial orifice.
Conservative treatments (bandages, exercises) are unable to correct this anatomical defect. Over time, the hernia increases in size, increasing the risk of strangulation—a critical condition requiring emergency intervention. Elective surgery at K+31 allows for avoiding complications and providing gentle, minimally invasive treatment.