Hernia repairs for individuals
& professional athletes

Hernia repair without mesh | Hernia mesh removal | Sports hernia

Rest of Europe   United Kingdom   Nederland

Hernia repairs for individuals 
& professional athletes

√ Without plastic mesh

√ We remove painful hernia meshes

√ The same operation methods as Premier League footballers

Rest of Europe

United Kingdom

Nederland

The world’s leading network

For tailored pure-tissue hernia repairs

Here at BioHernia we believe in repairing hernia’s without the use of mesh. Worldwide all hernia operations are standardised and include the implantation of a plastic mesh into the groin. Over the years this has led to many cases of people suffering from chronic pain. Together with innovative surgeons from Germany, BioHernia strives to offer all patients the same hernia care as top-flight athletes, without the use of mesh.

  Personal approach: You’re a person, not a number

  Fast recovery with minimal risk of chronic pain

  Innovative methods, not available elsewhere in Europe

  The same operation methods as Champions League players

Top surgeons in Germany

Durable hernia repairs without the use of mesh

Why without mesh?
Statistics show that the use of mesh in inguinal hernia operations leads to chronic pain complaints in roughly 20% of all patients. With our methods no foreign body is implanted in your body.

Why in Germany?
At the request of professional footballers, our surgeons in Germany have revived classic operation methods without mesh, as these methods give a lasting result with an exceptionally low risk of further complications. Unfortunately these operation methods are not yet available in other parts of Europe.

Can I remove a painful mesh?
Yes, it is possible to remove painful hernia meshes. This is however a complicated operation which is not possible in all cases. Please contact us to see if a mesh removal is possible for you.

In world football

Football players often sustain groin injuries as well. The methods that our surgeons apply to you, are the same methods that they have applied to the best football players in the world. A few famous examples are:

  • Marco Verratti (Paris Saint-German)
  • Arda Turan (FC Barcelona)
  • Frank Lampard (Chelsea FC)
  • Mario Balotelli (AC Milan)
  • Xabi Alonso (Bayern München)
  • Gareth Barry (Everton FC)
  • Burak Yilmaz (Galatasaray)

In recent media

BBC warns about hernia meshes

Victoria Derbyshire interviews hernia mesh victims

After the BBC showed the negative effects vaginal plastic meshes in april 2017, the polypropylene material is under scrutiny again. On last april 26th, Victoria Derbyshire shed a light on the many patients suffering from chronic pain after a hernia operation with mesh by NHS doctors. According to retired British hernia surgeon Dr. Peter Jones, almost half of all hernia patients that are treated with mesh are left with some form of pain after surgery.

You can see the whole interview by clicking here

Dutch national television

An interview with our surgeon: Dr. Koch

On March 21st 2016, the Dutch tv-show RADAR aired an episode about the chronic pain caused by the use of mesh in hernia operations. RADAR puts emphasis on better treatment of consumers by businesses and governments, and critically investigates services provided to consumers. The weekly show attracts around two million viewers.

For this episode Radar reached out to BioHernia to interview Dr. Andreas Koch, the leading surgeon in our network.

English subtitles available

Fast. Professional. Reliable.

What you can expect from us

Each of our surgeons performs over 400 hernia operations every year. This means they perform more hernia operations in 3 years, than the average general surgeon in a hospital does in a lifetime.

We believe in an anatomical solution, that is why we always opt for an operation without mesh. Together with you we pick the operation that suits you best.

We are so sure of our operating methods that you will receive a warranty after your operation. Should your hernia recur within 3 years, we will re-operate you for free.

Operation Methods

Detailed descriptions of the hernia operation methods we offer

The Desarda Repair

Non-mesh hernia repair method

History

This relatively new hernia repair method is developed and first proposed in 2001 by the Indian Doctor M. Desarda. Similar to the Lichtenstein technique it is an open operation, however instead of using a mesh this method covers the hernia by pushing back the hernia sac and suturing an undetached strip of the external oblique aponeurosis over the weakened spot.

Succes rate

98% of hernia surgeries without mesh are performed successfully. Less than 2% of patients develop a form of chronic pain, often this chronic pain can be attributed to previous aches or lifestyle. The recurrence rate for larger hernia’s after 5 years is around 2 to 3%; With small hernia’s the recurrence rate with non-mesh surgeries is 0.5 to 1%.

The size and location of the hernia and individual risk factors (smoking, genetics and age (>50)) play a key role in recurrences.

The Desarda Operation

step by step explanation

Desarda repair

The medial leaf of the external oblique aponeurosis is sutured to the inguinal ligament and a splitting incision is taken.

  1. Medial leaf;
  2. Interrupted sutures taken to suture the medial leaf to the inguinal ligament;
  3. Pubic tubercle;
  4. Abdominal ring;
  5. Spermatic cord;
  6. Lateral leaf.
Desarda repair

Undetached strip of external oblique aponeurosis forming the posterior wall of inguinal canal.

  1. Reflected medial leaf after a strip has been separated;
  2. Internal oblique muscle seen through the splitting incision made in the medial leaf;
  3. Interrupted sutures between the upper border of the strip and conjoined muscle and internal oblique muscle;
  4. Interrupted sutures between the lower border of the strip and the inguinal ligament;
  5. Pubic tubercle;
  6. Abdominal ring;
  7. Spermatic cord;
  8. Lateral leaf.
Desarda repair

The medial leaf of the external oblique aponeurosis is sutured to the inguinal ligament.

  1. Medial leaf;
  2. Interrupted sutures taken to suture the medial leaf to the inguinal ligament;
  3. Pubic tubercle;
  4. Abdominal ring;
  5. Spermatic cord;
  6. Lateral leaf.

ALL SUTURES USED ARE ABSORBABLE.

*Exactly as described by Dr. Desarda himself*

The Shouldice Method

Non-mesh hernia repair method

History

The Shouldice method was developed by the Canadian surgeon Edward Earle Shouldice during the 2nd World War. During this time many young men were unable to register for the army because of their hernia. Thanks to Shouldice’s method, the young men were quickly able to get fit for the war. After the war he founded The Shouldice Hospital in a suburb of Toronto, Canada which still exists till this day, run by his children.

Succes rate

As with the Desarda repair, the Shouldice repair is an open operation. 98% of Shouldice hernia surgeries without mesh are performed successfully. Less than 2% of patients develop a form of chronic pain, often this chronic pain can be attributed to previous aches or lifestyle. The recurrence rate for larger hernia’s after 5 years is around 2 to 3%; With small hernia’s the recurrence rate with non-mesh surgeries is 0.5 to 1%.

The size and location of the hernia and individual risk factors (smoking, genetics and age (>50)) play a key role in recurrences.

The Shouldice Operation

Step by step explanation

The muscles and connective tissue of the abdominal wall are arranged in three separate layers. Before repairing any weakness, the fatty tissue and any part of the intestine (bowel) that may have bulged through the abdominal wall, is gently pushed back inside the abdomen. Each muscle layer is repaired individually, using a technique that puts no tension on the natural tissue. By carefully overlapping and securing each layer, just like buttoning a coat, this section of the abdominal wall is strengthened and reinforced.

Shouldice repair
Shouldice repair
Shouldice repair
Shouldice repair

The Minimal Repair Technique

By Dr. Ulrike Muschaweck

History

In 2003, Dr. Muschaweck and Dr. Berger developed an innovated open suture repair (Minimal Repair technique) to fit the needs of professional athletes. Since then countless of the world’s most famous athletes have undergone surgery of their hernia’s by Dr. Muschaweck.

Succes rate

98% of hernia surgeries without mesh are performed successfully. Less than 2% of patients develop a form of chronic pain, often this chronic pain can be attributed to previous aches or lifestyle. The recurrence rate for larger hernia’s after 5 years is around 2 to 3%; With small hernia’s the recurrence rate with non-mesh surgeries is 0.5 to 1%.

The size and location of the hernia and individual risk factors (smoking, genetics and age (>50)) play a key role in recurrences.

The Minimal Repair Technique

step by step explanation

1-min
2-min
3-min
4-min
5-min
6-min
7-min

Mesh removal

A mesh-removal can relieve your pain

The removal of inguinal hernia meshes is a rather new phenomenon and is mastered by a handful of surgeons worldwide. Because of the many nerves that are located in the groin, the operation is complex and requires a lot of experience. Luckily our surgeons can perform this operation and a removal of hernia mesh is possible in 95% of the cases.

POST HERNIORRHAPHY PAIN SYNDROME

Post herniorrhaphy pain syndrome, or inguinodynia is pain or discomfort lasting longer than 3 months after inguinal hernia surgery (chronic pain). The chance of developing chronic pain after hernia surgery with mesh is anywhere from 10% to 30% (depending on many factors like experience of surgeon, method of operation, personal risk factors etc.) Especially with the laparoscopic method the chance of developing some sort of chronic pain is high. Randomised trials have shown that in terms of recurrences, all methods are more or less equivalent. However chronic pain is an often overlooked factor in the succes of hernia operations, and has surpassed recurrences as the highest occurring complication after hernia surgery. other risks are: In some cases the mesh can form into a ball (meshoma) or it can intertwine with surrounding nerves, however these cases are rare and in 95% of chronic hernia pain situations a mesh-removal is possible.

CHANCE OF SUCCEEDING

25% –Completely cured

60% –Considerably less pain

10% –Not much change/no change

5% –More pain (4% a little more pain/ 1% a lot more pain)

These percentages stem from a research based on more than 200 inguinal hernia mesh removals by Dr. Andreas Koch & Dr. Kevin Petersen.

Feel free again!

A mesh-removal can relieve your pain

Matje verwijderen | mesh removal

Partners

Dr. Andreas Koch BioHernia
Energie Cottbus BioHernia
Muschaweck BioHernia
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phone-receiver +31 (0)20 21 01 400

phone-receiver +44 (0)203 488 2775

Working hours (CET):

Monday 10:00 18:00
Tuesday 10:00 18:00
Wednesday 10:00 18:00
Thursday 10:00 18:00
Friday 10:00 18:00
Saturday Closed
Sunday Closed
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