Know-how

Unique competence based on the specialisation on the surgery of hernias for more than 25 years, development of the day surgery in the University Hospital „Rechts der Isar“.

Quality thanks to specialization

Experience

More than 27.000 successful operations of hernias under a gentle local aneesthesia without the risks of a general anesthesia. A short stay, even in the course of an inpatient stay.

High Volume – Fast Track

Individuality

Individually selected, safe surgical techniques. Decisions will be made intraoperative whether a patch is needed or not.

Tailored Surgery

Inguinal hernia – individual solutions from Dr. Ulrike Muschaweck

Since 1993, Dr. Ulrike Muschaweck has been specialized in hernia surgery, the abdominal region, the so-called inguinal hernia, umbilical hernias and incisional hernias.

Additionally, she has been specialized in fields of diagnoses and surgery of the so-called Sportsman’s groin and has worldwide performed the most operations in this field. Therefore, top athletes from all over the world consult her.

She conducted over 27.000 operations in the groin area. Furthermore, she was one of the first doctors in Germany, who conducted this surgery under local anesthesia. She introduced back in 1988, at that time being head of the emergency and outpatient department at the University Hospital „Rechts der Isar“ in Munich, the so-called day surgery, nowadays known as outpatient surgery. Since then, she is considered as one of the leading surgeons for treatments of inguinal hernias in Europe.

Contact

Organization office

c/o Regus Offices
Terminalstrasse Mitte 18
85356 München-Flughafen

T +49 89 9700 7070
F +49 89 9700 7077
M +49 179 3961515

info@leistenbruch.de

Office hours:
Mo – Thu: 09:30 – 18:00
Friday closed

Contakt

CONSULTATIONS (PRACTICE)

c/o Pro U
Terminalstrasse Mitte 18 (6th floor in the medical center)
85356 München-Flughafen

T +49 89 9700 7070
F +49 89 9700 7077
M +49 179 3961515

Park:
Paid parking in the car park 20 & 27 (1.50 € per hour, the discount ticket is available at the reception desk)

Our techniques for the treatment of hernias

She is especially well-known for the introduction of the so-called “Minimal-Repair-Technique” (Muschaweck-repair), which was developed by her. This technique is perfect for top athletes as well as for patients with a small inguinal hernia.

Another technique developed by her is the so-called IONR (intra-operative-nerve-response), which has been specifically developed for patients with chronic groin pain after operations with the open technique (with or without a mesh) or after laparoscopic methods, such as TAPP and TEP. Through this it is possible to find and eliminate the pain point during surgery.

The removal of the mesh is in most cases necessary, but for patients with a laparoscopic mesh, this is rarely possible. Because of the special technique, it was made possible to help more than 98 percent of patients with groin pain after an operation. An additional neurological examination has to be made before the operation.

Reviews of Dr. Ulrike Muschaweck, specialist for the treatment of hernias

“Absolute professional! Would choose her again at any time!

I have consulted Dr. Muschaweck for the second time (once on the left and once on the right side) and can only recommend her. Very competent consultation and care, both before and after the operation. I don’t have any pain at all and would definitely choose Dr. Muschaweck again. Additionally, I felt that I was in good hands, because she and her team are very likeable and trustable. Thanks again for the excellent operations!”

“Very professional

beginning from the first consultation up to the operation itself. There is no comparison to the otherwise common hospital services. The personal care before and after the operation is just great and the whole intervention was painless. Even after the operation, I didn’t need the two packages of painkillers – there were no sufferings, not even minor ones. If I needed to have such an operation again (for example on the other side), I would definitely consult Dr. Muschaweck again.”

Dr. Ulrike Muschaweck

Medical hotline: +49 179 3961515

Mo – Thu: 09:30 – 18:00

Request of information




What is an inguinal hernia?

The inguinal hernia belongs to the most common diseases worldwide. In Germany, nearly 250.000 inguinal hernias are treated every year. The frequency of occurrence between man and woman is 90/10. The right sided hernia is 49 percent, the left sided hernia 38 percent.

The theory, that one can do oneself an injury, is not correct any more. Nevertheless, one can distinguish between a congenital and an acquired hernia.

The difference between these two hernias is the localization of the so-called hernial orifice. The acquired hernias occur in the course of life, as a result of different causes. The topic „direct inguinal hernia“ will be mentioned separately. This differentiation is extremely important for determination of the right surgical technique.

How is a hernia treated?

Basically, the surgery will be performed under local anesthesia and sedation. The monitoring during the operation is the task of our surgical staff, with whom Dr. Muschaweck works together for more than 16 years.

This procedure allows the outpatient treatment. Nevertheless, before every operation a risk profile of the patient will be made. Based upon this, Dr. Muschaweck and the surgical staff will decide whether an outpatient surgery is possible or an inpatient treatment is needed.

If an outpatient surgery is made, the attending surgeon is accessible 24 hours.

Diagnosis/ Examination of the inguinal hernia

The clinical examination is carried out while the patient is standing. This makes the diagnosis of an inguinal hernia much easier. In case of larger hernias, a typical protrusion occurs in the groin area. This protrusion can extend to the scrotum, so that the hernia is defined as a scrotal hernia. Equally indispensable is the ultrasound examination (sonography). Here, the static and dynamic sonography is of great importance.

Not only can the size of the hernia be measured, but also the size of the hernia sac. This is important in fields of choosing the right surgery technique. Additionally, other illnesses can be excluded and diagnosed with the sonography, such as lymphoma, cysts, vascular diseases, etc.

After the final diagnosis it is important to differentiate whether the inguinal hernia has to be operated immediately. In this context, possible accompanying illnesses are to be clarified.

If the conducted examinations justify an operation, crucial questions are to be answered: Which surgery technique is the right one? Mesh or no Mesh? Laparoscopic or not? How to find out what the right technique is? For many years now, Dr. Muschaweck uses the tailored approach.

It is of great importance, that the surgeon is trained in different kinds of surgical techniques. So it is possible to explain the different techniques to the patient and execute the tailored surgery. Dr. Muschaweck has a specialist know-how, which guarantees the patients a perfect, successful operation.

Symptoms of an inguinal hernia

Which symptoms are typical for an inguinal hernia? How can a patient identify a hernia without any visible signs?

Typical symptoms are pains while standing, sitting up or walking. Sneezing or coughing can, but doesn’t have to cause pain. The type of pain, in comparison to hip pain, is not dull but pulling, sometimes stinging and even radiating. The pain can radiate into the thighs, the so-called adductors, the iliac spine, sometimes burning the pelvic bone or the scrotum. In most cases, the pain lessens in a lying position. This pain is typical for all inguinal hernias, as well as the sportsman’s groin.

Larger visible hernias cause pain due to the size of the hernia sac in comparison to the size of the hernial orifice. Then, a possible mechanical irritation of the peritoneum, that means the hernia sac, occurs, which can be very painful. The pain is dull, less stinging. With this kind of hernias, there is a significantly higher risk of incarceration.

The indirect inguinal hernia

The indirect inguinal hernia is congenital and is caused by a congenital incomplete growth of the infantile abdominal wall. In this case, the fascia surrounding the spermatic cord is not stable, so that an opening remains which makes the development of an indirect inguinal hernia possible.

The direct inguinal hernia

This hernia is caused by a weakness of the abdominal muscles within the groin area, whereas different causes are possible: pressure increase in the abdominal area (for example in course of a prostate enlargement), diverticulosis in the intestinal area, chronic bronchitis, overweight, metabolic disorder. The most common cause by women is pregnancy.

The direct inguinal hernia causes similar symptoms to the sportsman’s groin, because the same nerve (genital branch) just below the hernia sac is compressed. In most cases, the hernial orifice is bigger, which reduces the risk of incarceration as with an indirect inguinal hernia.

Dr. Muschaweck answers questions regarding the subject matter inguinal hernia:

What exactly is an inguinal hernia?

An inguinal hernia is caused by a defect in the abdominal region. Through this defective intestinal loops can enter the abdominal region and form the so-called hernia sac.

What is a hernia?

Different types of hernia can occur, such as: abdominal wall hernias, inguinal hernias, femoral hernia, umbilical hernia, incisional hernia or hiatal hernia.

What is an umbilical hernia?

An umbilical hernia occurs when intestinal loops enter the umbilical area through a hernial orifice in the abdominal wall. In this case, a protrusion in the umbilical area is visible. In most cases, patients with an umbilical hernia don’t have any pain.

What is an incisional hernia?

An incisional hernia is the most common complication which can occur after a stomach surgery. The frequency of an incisional hernia is over 20 percent. This type of hernia is often caused by overweight or impaired wound healing. The scar tissue is pulled apart and a protrusion occurs. An incisional hernia does not have to be painful, but is recognizable by a protrusion.

What is an epigastric hernia?

An epigastric hernia is a hernia between the sternum and the umbilicus. This is caused by an increased internal pressure in the abdominal area in combination with a weakness of the connective tissue. Intestinal loops can also enter the umbilicus area which leads to a protrusion or big bulge.

What is an incarceration?

The terminus incarceration means the entrapment of intestinal loops which can cause a reduced blood flow. If an incarceration is diagnosed, then an immediate operation is necessary.

What is a trocar site hernia?

After laparoscopic or rather endoscopic operations, where so-called trocars are used, a development of hernias is likely.

What is a parastomal hernia?

A parastomal hernia is a hernia in the abdominal wall region, which occurs round an artificial anus. Therefore, it is a special form of an incisional hernia. The parastomal hernia occurs in 50 up to 80 percent of all patients with an artificial anus.

What is a hiatal hernia?

A hiatal hernia means the translocation of the cardia through the diaphragm into the thorax. The translocation takes place where the esophagus enters the abdominal area through the diaphragm.

This post is also available in: German

Kontakt
X

Kontakt

c/o Regus Offices
Terminalstrasse Mitte 18
85356 München-Flughafen

Telefon: 089 9700 7070
Fax: 089 9700 7077
Mobil: 0179 3961515

E-Mail: info@leistenbruch.de

Bürozeiten:
Mo – Do: 09:00 – 18:00 Uhr
Freitag geschlossen

Lieber Gast! Durch die weitere Nutzung der Seite stimmen Sie der Verwendung von Cookies zu. Weitere Infos.

The cookie settings on this website are set to "allow cookies" to give you the best browsing experience possible. If you continue to use this website without changing your cookie settings or you click "Accept" below then you are consenting to this.

Close