Safe and Effective Treatment of Abdominal Wall Hernias: Inguinal, Incisional & Umbilical Hernias
Abdominal wall hernias are among the most common surgical conditions. They occur when there is a weakness or defect in the abdominal muscles, allowing the peritoneum—and sometimes parts of the intestines—to protrude through. Depending on the location, they are classified as inguinal, umbilical or incisional hernias.
While hernias may initially cause little or no discomfort, they can lead to serious complications, such as intestinal strangulation. For this reason, surgical treatment is often recommended.
Inguinal Hernia – common but treatable
An inguinal hernia typically presents as a noticeable bulge in the groin area, often accompanied by a dragging or aching pain—especially when coughing, laughing, or during physical activity. The hernia is caused by a weakness in the inguinal canal, through which tissue — or in some cases, loops of intestine —can protrude.
Why surgery?
Without treatment, there is a risk of intestinal entrapment, which is a medical emergency and can be life-threatening. Therefore, surgical repair ist generally recommended in adults.
How is an inguinal hernia repaired?
Minimally invasive surgery (e.g., TAPP or TEP technique) is now considered the gold standard. A mesh is inserted through three small incisions near the navel to reinforce the abdominal wall. In certain cases —such as previous surgeries or advanced age — an open Lichtenstein repair may be more appropriate.
Inguinal hernia surgery – at a glance
- Duration: Approx. 30–60 minutes
- Hospital stay: usually one night
- Aftercare: no heavy lifting (> 5kg) for 4 weeks, full activity after 6 weeks
- Sutures: cosmetic, self-dissolving, no removal needed
- Follow-up: about 3 weeks post-op at the clinic
- Diet: high-fiber foods and adequate hydration
- Coughing after surgery: support the abdominal wall gently with a flat hand
Umbilical hernia – often harmless, but not always
An umbilical hernia occurs at the natural weak spot of the navel—either due to incomplete closure after birth or from abdominal strain in adulthood. Small, asymptomatic hernias may not require surgery. However, if the hernia increases in size, causes discomfort, or shows visible bulging, surgical repair is advised.
Umbilical hernia surgery – what to expect
- Duration of surgery: approx. 15–60 minutes
- Hospital stay: outpatient or one night in hospital
- Small hernias (<2 cm): closed with direct sutures if the abdominal wall is stable
- Larger hernias or weakened abdominal wall: mesh is placed to reinforce the area
- Aftercare: no heavy lifting (> 5kg) for 4 weeks, full activity after 6 weeks
- Follow-up: about 3 weeks post-op at the clinic
- Diet: high-fiber foods and adequate hydration
For all umbilical hernia repairs, we use aesthetic, self-dissolving sutures to ensure minimal scarring and the best possible cosmetic result.
Incisional hernia – a late complication after previous surgery
An incisional hernia (also known as scar hernia) occurs at the site of a previous surgical incision, where the abdominal wall may have weakened. It may present as a small bulge or a larger defect, depending on its size and location.
As with all hernias, there’s a risk of bowel entrapment, which is why surgical repair is typically recommended — usually involving the placement of a mesh for reinforcement.
Incisional hernia surgery – key Information
Minimally invasive or open surgery depending on findings
- Duration of surgery: approx. 30–120 minutes
- Technique: depends on size and location of the hernia defect
- Minimally invasive or open surgery depending on findings
- Hospital stay: one to several days, depending on the procedure
- Small hernias (<2 cm): closed with direct sutures if the abdominal wall is stable
- Larger hernias or weakened abdominal wall: mesh is placed to reinforce the area
- Aftercare: no heavy lifting (> 5kg) for 4 weeks, full activity after 6 weeks
- Follow-up: about 3 weeks post-op at the clinic
- Diet: high-fiber foods and adequate hydration
How is a hernia diagnosed?
The diagnosis of Diagnose von inguinal, umbilical, or incisional hernias is usually clinical—by physical examination. An ultrasound may be used to provide additional insight if needed.
Your abdominal wall – in expert hands
Whether you’re dealing with an inguinal, umbilical or incisional hernia my practice offers personalized, thorough consultation and tailored treatment plans. I take the time to fully inform you about:
- Surgical techniques
- Procedure & aftercare
- Risks & alternatives
You’ll be supported personally throughout the entire treatment process — from diagnosis to full recovery.
Schedule your appointment now – I look forward to addressing your questions and concerns.
