abdominal wall surgery

1. Groin Hernia

Groin Hernia Repair: Minimally Invasive Excellence at Your Service

Understanding Groin Hernias

A hernia is the abnormal protrusion of an intra-abdominal organ (usually the intestine or omentum) through a weakened area of the abdominal wall. It typically presents as a palpable bulge in the groin, which may become more noticeable with physical effort, coughing, or lifting.

There are two main types:

  • Inguinal hernia : located in the upper groin and may extend into the scrotum in men (inguinoscrotal hernia).
  • Femoral hernia: less common, it develops lower in the groin, near the upper thigh, and is more frequently seen in women.

Why Surgery Is Necessary

A hernia does not resolve on its own and tends to increase in size over time, potentially causing discomfort or pain. In rare cases, it can become strangulated, which is a surgical emergency.

For these reasons, surgical repair is always recommended, even in asymptomatic cases, to avoid complications and ensure long-term resolution.

Our Expertise:
Micro-Laparoscopy

At Antoine Béclère Hospital, our team specializes in minimally invasive hernia repair and performs more than 150 procedures annually using micro-laparoscopy, making us one of the most experienced centers in Europe.

A state-of-the-art technique with key benefits:

  • Umbilical access (1 cm incision)
  • Two micro-incisions of just 3 mm
  • Significantly reduced postoperative pain
  • Optimal cosmetic results with virtually invisible scars
  • Fast return to daily activities

How the Procedure Works

  • Duration : 30 to 60 minutes
  • Anesthesia : general or regional in case of classic approach
  • Hospital stay : outpatient (same-day discharge in 95% of cases)

After Surgery

  • Mild discomfort managed with simple painkillers for 48 hours
  • Aesthetic skin closure with absorbable sutures (no removal needed)
  • Showering permitted from the next day / no baths for 15 days
  • Return to desk work within one week
  • Avoid heavy lifting and sports for 1 month
  • Follow-up consultation scheduled at 15 days post-op

Why Choose Our Center?

  • Renowned expertise across Europe
  • Patient-centered, personalized, and safe care
  • Advanced surgical techniques for greater comfort and faster recovery

2. Umbilical Hernia:

Safe and Aesthetic Surgical Management

What is an umbilical hernia?

An umbilical hernia is the protrusion of abdominal tissue through the belly button, due to a natural or weakened opening in the abdominal wall.

Common symptoms:

  • A visible or palpable bulge at the navel
  • Pain during physical effort, sometimes with nausea
  • Risk of complications such as vomiting or strangulation

Treatment: always surgical

The procedure involves:

  • Reinserting the herniated tissues into the abdominal cavity
  • Closing the defect using sutures or a biocompatible mesh (prosthesis)
  • Performed through a 2–5 cm incision, or via laparoscopy for larger hernias
  • Outpatient surgery in most cases (same-day discharge)

Postoperative care

  • Pain relief medication prescribed as needed
  • Absorbable sutures no removal necessary
  • Showering allowed immediately, no baths for 15 days
  • Gradual return to activities :
  • Sick leave of approximately 1 month
  • No heavy lifting or sports for 4 weeks
  • Follow-up consultation at day 15 (post-op)

Our center focuses on minimally invasive, patient-centered techniques, offering safety, comfort, and fast recovery.

3. Éventrations

Incisional Hernia: Safe and Tailored Surgical Repair

Definition

An incisional hernia occurs when abdominal organs such as the intestine or omentum protrude through a weakened area in the abdominal wall, usually at the site of a previous surgical scar. It is a common complication following abdominal surgery and can appear months or even years after the initial procedure.

Common symptoms

Manifestation
Palpable mass on scar
Worsening with exertion
Pain/vomiting

Note: Serious complications (strangulation) are rare, but require immediate intervention.

Treatment: Always surgical

  • No possibility of spontaneous recovery
  • Risk of progression and complications

Operating principle :

  • Reintegration of abdominal contents
  • Renforcement de la paroi par :
    • Prothèse (filet) dans 90 % des cas
    • Parfois simple suture (cas sélectionnés)

Approach :

  • Reopening of the initial scar (for large ventricles)
  • Minimally invasive approach (laparoscopy, 3 trocars) preferred for small to medium-sized ventricles

Follow-up surgery & recommendations

Element Recommendation
Restraint
Abdominal belt ≥ 1 month
Physical activity
No load-bearing / sport × 1 month
Work stoppage
Off ≥ 1 month
Follow-up
Follow-up consultation at day 15 (post-op)

Our center offers cutting-edge techniques in parietal surgery to minimize pain, reduce the risk of recurrence and improve functional recovery.

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Address

Hôpital Antoine-Béclère
 157 rue de la Porte de Trivaux,
92140 Clamart, France

Call Us

Reception: 6:45 - 17:00, Monday to Friday. Tel: +33 1 45 37 43 43 39 | +33 1 45 37 43 43 48

Call Us

Medical secretariat: 8:30 - 17:00, Monday to Friday. Tel: +33 1 45 37 43 43 39 | +33 1 45 37 43 43 48

Email Us

Cécile.huber@aphp.fr
Ibrahim.dagher@aphp.fr