Head Physician Bethesda Hospital Bergedorf
Prof. Dr. med. Marco Sailer
Specialist for general, special visceral, vascular surgery and proctology
Our Special Expertise
- Our Innovations
- Dynamic Ultrasound (DIUS)
- Pain-preventing nerve management
- Micro-invasive Surgery
The surgeons at the HAMBURG HERNIA CENTER have significantly improved the field of international hernia surgery through decisive innovations over the last 2 decades.
They are key opinion leaders both nationally and internationally and regularly contribute to scientific progress in hernia and abdominal wall surgery at specialists’ conventions.
In Prof. Niebuhr’s case, the development of the IFT method and special ultrasound examinations (DIUS procedure) to improve diagnostic certainty are worth mentioning. Dr. Reinpold developed the internationally recognized endoscopic MILOS procedure and introduced a concept of pain-avoiding nerve management .
Dr. Reinpold (l.) and Prof. Niebuhr (r.) preparing for the annual congress of the European Hernia Society 2019 in Hamburg
The MILOS / EMILOS OP procedure is the first technique that enables inserting the mesh outside the abdominal cavity via very small skin incisions. This procedure leads to much fewer complications compared to traditional methods.
The minimally invasive MILOS and EMILOS operation method, developed by Dr. Reinpold and his team, has revolutionized hernia surgery and is currently the best method for abdominal wall and incisional hernias.
With more than 6000 E/MILOS operations, the specialists at the HHC have the greatest experience with the technically demanding procedure – worldwide.
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Dr. Reinpold as a guest at NDR Visite
(only availble in German)
Dynamic Ultrasound (DIUS)
Ultrasound of the abdominal wall and groins: The special ultrasound procedure developed and published by Prof. Niebuhr has made the diagnosis of groin and abdominal wall hernias more reliable. In many cases, time-consuming and expensive procedures such as MRT and CT can be avoided.
Intraoperative Fascia Traction (IFT)
The procedure for intraoperative fascia stretching used by Eucker in 2011 in the treatment of large open abdominal wall wounds to enable a low-tension closure was successfully used by Prof. Niebuhr and his team in the treatment of large abdominal wall hernias with loss of domain. According to the first study and publication, in so far 30 cases an average distance gain of 9.8 cm and thus a tension-free closure of the abdominal wall could be achieved. In the course of this development, it was possible to route the traction threads through the skin and to mount them on the traction frame, so that the traction can be applied to the deep layers of the abdominal wall without causing a major wound. The fascial traction procedure can also be used in combination with the MILOS procedure .
Fig.: Percutaneous facial traction
Pain-avoiding handling of groin nerves
During his time as head of the hernia center at Reinbek Hospital (1997-2003), Dr. Reinpold carried out a large study on how to deal with the groin nerves during open hernia surgery on 800 patients. The study showed that nerve-sparing surgery significantly reduces the risk of chronic postoperative pain. Only nerves that are already damaged by scar tissue should be removed. The study was published in 2011 in the internationally prestigious journal Annals of Surgery .
Since 2012, Prof. Niebuhr and his team have been operating micro-invasively on inguinal and abdominal wall hernias with particularly fine, high-strength instruments with an outer diameter of 2 mm. The scars left behind are so small that they do not have to be sewn up and after a short time are almost no longer visible. This allows for an almost scar-free surgery.
Prof. Niebuhr specializes in micro-invasive surgery
Quality signed and sealed
The Hamburg Hernia Center has been certified as a reference center for inguinal and abdominal wall hernia surgery - making it one of the few hernia centers in Germany with the highest level of certification from the German Society for General and Visceral Surgery and the German Hernia Society.
The data from the Herniamed surgery register proves that our specialists have the most experience in the treatment of inguinal hernias and other hernias in Germany. Herniamed, under the patronage of the responsible specialist societies, records the hernia operations carried out in Germany and evaluates them for quality assurance purposes.
Prof. Niebuhr and Dr. Reinpold were again named Top Physicians in 2021 by Focus magazine. The Focus Ärzteliste (list of doctors is an established guide for patients who are looking for specialized doctors. The assessment is based on feedback from patients and colleagues.