Treatment Spectrum

Hernia surgery.
Audited treatment pathways.

A hernia is a protrusion of abdominal contents through a weak point in the abdominal wall. It does not heal by itself and enlarges over time — surgical repair is usually the only lasting treatment option.

As a member of the German Hernia Society (DHG), we work according to standardised, audited treatment pathways. We choose the technique strictly according to the findings and your life situation — open or laparoscopic, with or without mesh, outpatient or with a short inpatient stay.

Certified hernia centre Technique chosen by findings —
not by routine.
Treatment process

From diagnosis
to full activity

We take time for a thorough history and discuss every choice of technique transparently.

First consultation

History, clinical examination, ultrasound. Detailed information about techniques and risks.

Choice of technique

Open or laparoscopic, with or without mesh — depending on hernia size, age, occupation and activity.

Day of surgery

Outpatient or short inpatient stay. General anaesthesia, approx. 30 to 60 minutes operating time.

Early mobilisation

Walks from the first day after surgery — crucial for recovery.

Return to activity

Light work after 1 week, sport after 4–6 weeks. We guide you individually.

What we treat

Types
of abdominal wall hernia

Whether a classic inguinal hernia or a complex incisional hernia — we know the characteristics of each hernia type and tailor the technique and mesh individually.

Epigastric hernia

A hernia in the midline between the navel and breastbone.

Cause
A congenital weak point in the linea alba. Common in athletic people or after pregnancy.
Symptoms
A palpable bulge, sometimes a pulling pain when tensing.
Treatment
Usually open repair with or without mesh, depending on the hernia size.

Femoral hernia

Rare, but with a high risk of strangulation — mostly in women.

Cause
A congenital weakness below the inguinal ligament.
Symptoms
A small bulge below the groin — easy to miss, so often recognised late.
Treatment
Prompt surgical repair is recommended, as the risk of strangulation is significantly higher than with other hernias.

Hernias in children

Congenital inguinal hernias in childhood.

Cause
A persistent processus vaginalis as an embryonic remnant.
Symptoms
A bulge in the groin, occasionally extending into the scrotum.
Treatment
Tissue-sparing surgery without mesh — in children we restore the anatomical structure only.

Incisional hernia

A hernia in the scar of a previous abdominal operation.

Cause
Weakening of the abdominal wall around a surgical scar — risk increased by excess weight, impaired wound healing or previous operations.
Symptoms
Bulging in the scar area, a feeling of pressure, sometimes pain or a sensation of entrapment.
Treatment
An individual mesh strategy according to size — from open sublay technique to laparoscopic repair.

Inguinal hernia (hernia inguinalis)

The most common hernia — a bulge in the groin, often when coughing or lifting.

Cause
A congenital weakness of the inguinal canal wall, aggravated by pressure (lifting, coughing, straining). Men are affected far more often.
Symptoms
A palpable or visible bulge in the groin, sometimes a pulling sensation or pain, especially under strain.
Treatment
Minimally invasive (TAPP, laparoscopic) or open Lichtenstein repair. Chosen according to hernia size, age and occupation. Usually possible as an outpatient procedure.

Umbilical hernia (hernia umbilicalis)

A bulge directly at the navel.

Cause
A congenital weak point in the umbilical scar, more frequent after pregnancies or with excess weight.
Symptoms
A visible bulge at the navel, sometimes tenderness.
Treatment
Usually a short outpatient procedure with or without mesh — depending on the hernia size.
Frequently asked questions

What you
should know

Answers to the questions our patients ask most often. Can't find your question? Write to us via medflex.

As a rule, yes — a hernia does not disappear on its own and enlarges over time. In men without symptoms, watchful waiting is sometimes an option. We discuss this individually.
No. For small hernias and in children we deliberately avoid mesh. In adults, a mesh significantly reduces the risk of recurrence — we use only established, approved materials.
We repair most inguinal hernias on an outpatient basis. For larger incisional hernias or co-existing conditions, we recommend a short inpatient stay.
Walking immediately, cycling after 2 weeks, swimming after 3 weeks, strength training after 6 weeks. For patients with particularly demanding jobs or sports, we adapt the plan individually.
With mesh-based techniques, the recurrence rate is below 3%. Without mesh, it is considerably higher in adults. We choose the technique so that your personal risk stays minimal.

Contact & Directions

Write to us

Secure and without an app — via our medflex channel.

For urgent matters, you can reach us by phone on 09661 80336, weekdays 07:30–18:00.

Enquiry via medflex

Our consultation hours

Mon · Tue · Thu08:00 – 13:00 / 15:00 – 18:00 Wed08:00 – 13:00 Fri07:30 – 13:00 / 15:00 – 17:00 Sat09:00 – 11:00

Emergencies are seen throughout the day on weekdays — please give us a quick call so we can fit you in.

Where to find us

MVZ Sulzbach-Rosenberg
Obere Gartenstraße 13 A
92237 Sulzbach-Rosenberg

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