Hernia Center Berlin-Spandau

The following diseases are surgically treated by us after exactly diagnosing, including dynamic ultrasound examination:

  DHG Qualitätssiegel
Leader: Dr. med. Ralph Lorenz       Jens Richter
  • Certified by the Medical Association Training Center of Berlin

What we offer is a comprehensive concept of the abdominal wall fracture treatment, which includes both outpatient and inpatient treatment for a differentiated approach to diagnosis, especially the differential diagnostic assessment and treatment of inguinal pain, yet surgical treatment as well.

We surgically treat more than 500 hernias annually.

In the year of 2012, 521 hernias were treated surgically by Dr. Lorenz. In the year of 2013, 546 hernias were treated surgically. The exceptional quality standards are not only given by the daily routine, but also by the knowhow.

Since the October of 2009, all groin hernia interventions and since the December of 2009, all other hernia interventions are also quality assured. A collaboration takes place with the Institute for quality assurance in surgical medicine in Magdeburg. This includes follow-up examinations after a month, three months and one year.

The relapse rate after one year of the patients operated by us is considerably less than 1%! The overall rate of complications is at about 1% at us. The wound infection rate after hernia interventions is around 0.3% at us. The 3CHIRURGEN practice has received among the first of private practices and clinics in Germany the seal of quality from the German Hernia Society for quality-assured hernia surgery.

Other activities of Dr. Ralph Lorenz in the field of hernia surgery:

  • National and international internship center Center of excellence Head of a certified training center for hernia surgery Numerous national and international guest speeches and lecturer activity
  • Member of the Scientific Advisory Board of Herniamed GmbH – the German Hernia Register
  • Vice President ofthe German hernia community
  • Member of the Board of
  • Hernia Surgical Association (CAH in the German Society for General and Visceral Surgery (DGAV)
  • Participated in numerous scientific studies
  • Author of numerous scientific articles in some scientific journals and books
  • Leader of humanitarian operations with „SURGEONS for Africa“ in cooperation with the organization Operation Hernia in July, 2011 in Takoradi/Dixcove in Ghana as well as in February, 2013 and 2014 in Rwanda.
  • Planning of another humanitarian action in February, 2015 with four operating teams sent to Rwanda
  • As the founder and scientific director of a now internationally renowned scientific congress:
  • This took place between the 19th and 20th January, 2007, together with international guests, jointly with the Urban Hospital. As part of the event, live operations were conducted as well as and lectures and discussions were lead with almost 100 participants (both established surgeons and hospital surgeons) on the current developments in hernia surgery.
  • Hernia days in Berlin
  • This event took place in the Hotel Ellington on the 25th and 26th of January, 2008. In the same year there were many intriguing articles on a number of topics in hernia surgery. The main focuses of event were, in addition to live operations and presentation of some new surgical techniques, the discussions on the themes „Are there any alternatives in hernia surgery to polypropylene?“, „Pain prophylaxis instead of postoperative pain treatment“ and „Is modern hernia surgery still affordable?“. The 150 participants could experience an exciting international event. Both the participants and the speakers and guest surgeons and the participating industry were extremely satisfied with the organizer’s work and gave an extremely positive feedback, so much so that the organizers are requested to organize in 2009 the then „all good things are…“ third Berliner hernia days.
  • Hernia days in Berlin
  • This event took place again between the 30th and 31st of January, 2009 at the Hotel Ellington. Existing for the third year in succession, this event has developed into a real highlight conference in the field of hernia surgery. With over 300 participants it was already sold out two weeks before the congress even began. Themes in 2009 included: decision support in hernia surgery, the biomechanics of the abdominal wall, fixation of nets, groin pain and the particular case. Among the numerous internationally renowned guest surgeons and speakers, Prof. Dr. Volker Schumpelick was named as President of the German Society of Surgery and the German Hernia Society, who also visited Berlin at the World Hernia Congress in 2009 as congress president. Keith Millikan from Chicago (USA), Tim Tollens from Bonheiden (Belgium) and Prof. R. Bittner from Stuttgart were also present.
  • Hernia days in Berlin
  • Once again, this took place from the 29th to the 30th of January, 2010 at the Hotel Ellington. Again with over 350 participants from the practising and the hospital sector a new record was achieved. Numerous internationally renowned speakers and guest surgeons were successfully invited for this event and have contributed to the great success of it. The main topics included: quality assurance in hernia surgery, the standards of hernia surgery, hernia surgery in European comparison, Biologicals- biological networks in hernia surgery, „pitfalls“ in hernia surgery, from the fault management error culture
  • Hernia days in Berlin
  • Again, this event took place in the Hotel Ellington from the 28th to the 29th of January, 2011 and it also turned out to be very successful. It has achieved a new record with its more than 400 participants from hospitals and practices. Additionally to the main conference, a 3-day training course was performed for the first time for young surgeons but also for already experienced surgeons who had wished to get an update.
  • Hernia days in Berlin
  • Again, this took place from the 25th to the 26th of January, 2013 in the Hotel Ellington. Just as in 2011, previous to this international congress the 3-day training course was carried out. All other information can be found on the homepages of the Berlin hernia days and on hernia compact.
  • Hernia days in Berlin Hernia compact The event took place from the 24th to the 25th of January, 2014 in Hamburg, after the merger with the Wilhelm Burger hernia symposia was now complete under the direction of Dr. Wolfgang Reinpold, Dr. Bernd Stechemesser and Dr. Ralph Lorenz. Previously to this international congress the hernia compact 3-day training course was carried out between the 21st and the 23rd of January, 2014 in Hamburg as well.
  • Hernia days *. For the first time the 3-day training course additionally took place in Salzburg, Austria between the 15th and the 17th of September, 2014. The course was fully booked before it even took place. Hernia compact goes Austria It will take place in 2015 again and for the first time in Cologne
  • Hernia days
  • Training course hernia compact


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Sportspeople’s groin

Many athletes are also treated and, if necessary, operated too with the so called sportspeople’s groin. The diagnosis of sportspeople’s groin is done by specifying medical history (= questioning), a detailed, comprehensive physical examination done with dynamic sonography (= ultrasound diagnosis) and numerous other examinations. On the same floor in our practice, a radiology practice is present with digital X-ray, computer tomography and magnetic resonance tomography. These are included in medical diagnostics for certain issues. An orthopedic/trauma surgery practice is also located on the same floor. In most cases a conservative treatment is successful by means of manual therapy, physiotherapy and osteopathy. In this happens to be the case, we can offer you various partners.

Umbilical hernia

An umbilical hernia is the protrusion of the peritoneum through an opening in the abdominal wall near the navel. Occasionally, this comes out next to the navel too. In contrast to an a hernia, an umbilical hernia occurs more often for women than for men. The gender ratio is 3-5/1 for women/men. The risk that the break clamps (incarceration risk) is high. Clinical studies indicate here a number as high as up to 30%. A moderate emergency surgery (usually within a few hours) is then inevitable. The complaints are to be remedied by surgery. The treatment of umbilical hernia depends on the size of fracture, age and vocation of the patient, either by using a plastic net or by the closure of the fracture gap by fascia plastic (continuous shock on impact seam). First, however, the umbilical stalk of the abdominal wall is usually replaced by a curved skin incision, which exposes the hernial sac. The hernial sac is located in such organs as the bowel or large nets are put back into the abdominal cavity. Then comes the closure as described above. Most of the closure of the gap is carried out by the use of a synthetic net, which is placed retromuscularly. Various surgical procedures with different net materials are available here.

Incisional hernia

After a former abdominal surgery, the edges of the abdominal wall can significantly move away. The fracture gap in between is mostly covered with only a thin scar tissue and some skin. Such an incisional hernia does not move back by itself and must also be operated. The break can considerably grow and parts of the intestines, which fall into the fracture gap can even be damaged. In general, old scars frequently reopen. Then the presentation of the fracture gap and the hernial sac is carried out. In incarceration discomfort is experienced, is advisable to open the sac and to freely prepare a fraction content (e.g. the bowels and the net). After adhesiolysis is done, the fracture gap is closed. This can be closed, depending on the extent and quality of the fabric in different ways. Basically, such surgical techniques are also present that involve suture treatment or net reinforcement. Nowadays a whole range of modern plastic nets are available, that also provide high stability and high comfort for the patient for the supply of these fractures. What types of plastic nets can be used for you is determined during the preliminary examination and is ultimately decided only during the operation. Also your cooperation before and after surgery is very helpful. A loss of weight and avoiding severe physical exercise in the short-term are highly recommended.

Groin pain

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