Dr.Fatih YıldırımGeneral Surgery, Medical Aesthetics & Longevity
Abdominal Wall Surgery

Hernia repair with tissue optimisation.

Mesh technology combined with laparoscopic or open techniques is selected according to case assessment. The perioperative tissue support programme is planned on an individual basis.

Conditions Treated

  • Groin hernia (inguinal, femoral)
  • Umbilical hernia
  • Incisional hernia (following previous surgery)
  • Hiatal hernia + GERD
  • Spigelian and lumbar hernias
  • Sports hernia (athletic pubalgia)

Techniques

TAPP (Transabdominal preperitoneal)

Laparoscopic; the mesh is placed behind the peritoneum.

TEP (Total extraperitoneal)

Performed entirely within the preperitoneal space, without entering the abdominal cavity.

Lichtenstein (open tension-free)

The classic gold standard; possible under local anaesthesia.

Component separation (complex incisional)

Laparoscopic or open technique for large abdominal wall defects.

Pre-Treatment Protocol

Preparation and support program for your treatment.

Preparation, IV infusion and micronutrient support protocols planned after physician evaluation. All applications are personalized individually; effectiveness varies from person to person.

NAD+ IV support protocol

NAD+ infusion sessions (loading protocol) planned in the pre-operative period following physician assessment.

Why:

NAD+ is a coenzyme involved in cellular energy metabolism and DNA repair. Approaches aimed at raising NAD+ levels, which decline with age, have been reported to have favourable effects on biomarkers; their potential contribution to metabolic resilience before surgery is under investigation.

Glutathione + alpha-lipoic acid IV

Antioxidant infusion protocol planned with physician approval.

Why:

Antioxidant strategies for managing the oxidative stress that surgery can generate are discussed in the literature. Individual effectiveness varies from person to person.

Vitamin C and B complex

IV/oral micronutrient support in the pre-operative period, as recommended by the physician.

Why:

Vitamin C acts as a cofactor in collagen synthesis. Its role in the wound-healing process has been recognised for many years.

BPC-157 (within a research framework)

BPC-157 is not a licensed medicinal product under German or EU legislation; it is assessed within the framework of international research protocols.

Why:

Preclinical studies have reported effects on tissue healing and gastrointestinal protection; human clinical evidence is limited and regulatory approval processes are ongoing. Any use is planned solely under physician responsibility, with informed consent and within a framework that complies with applicable regulations.

Collagen and protein support

Collagen and micronutrient assessment as recommended by the physician.

Why:

The role of collagen and the necessary cofactors (vitamin C, zinc) in connective tissue integrity and fascial healing is discussed in the literature.

Smoking cessation support

Counselling for smoking abstinence in the pre-operative period and support as recommended by the physician.

Why:

Smoking is associated with tissue oxygenation and wound-healing processes; pre-operative abstinence is recommended.

BMI assessment (where required)

In high-BMI cases, assessment of a weight-loss programme within an appropriate time frame.

Why:

A high BMI may be associated with the risk of hernia recurrence; pre-operative assessment is carried out on an individual basis.

Treatment Process

Treatment Steps

1

Anaesthesia (general/spinal/local)

According to the case and patient preference.

2

Defect exposure + reduction

The hernia sac is reduced and the defect is exposed.

3

Mesh placement

Lightweight/medium-weight/heavyweight polypropylene or biological mesh.

4

Fixation + closure

Tension-free repair.

Post-Treatment Protocol

Post-treatment support program.

Care, micronutrient and support protocols applied in line with physician recommendations. Individual recovery times may vary.

Multimodal support protocol

IV hydration, micronutrient support and a controlled mobilisation programme in the post-operative period.

Why:

Contemporary ERAS (Enhanced Recovery After Surgery) approaches report that multimodal protocols support the recovery process.

Anti-inflammatory micronutrient support

Minerals such as magnesium, zinc and selenium, together with antioxidant IV support as recommended by the physician.

Why:

The perioperative role of micronutrients that act as cofactors in immune modulation and tissue repair has been reported.

Collagen, glycine and protein support

Oral collagen and a balanced protein/amino-acid nutrition plan (8-12 weeks).

Why:

The role of collagen substrate support in the regeneration of wound tissue and connective tissue has long been discussed in the literature.

Peptide support assessment (within a research framework)

Peptides such as BPC-157 are assessed within the framework of German/EU legislation and physician responsibility.

Why:

Although preclinical evidence exists, the level of clinical evidence is still limited. Use requires informed consent and physician follow-up.

Graduated activity programme

Light activity from day 1, with a graduated loading plan.

Why:

Early strain can contribute to hernia recurrence; prolonged inactivity can lead to loss of muscle mass. An individual graduated activity plan is recommended.

Abdominal wall strengthening physiotherapy

Transversus abdominis activation programme at the appropriate time after surgery.

Why:

Core strength is an important parameter in the long-term integrity of the abdominal wall.

Treatment Journey

Day-by-Day Recovery

−4 weeks

Tissue and lifestyle preparation

Micronutrient assessment, smoking cessation support.

−2 weeks

BMI/activity optimisation

Weight loss where required, cardiac reserve assessment.

Day 0

Operation

Procedure duration varies by case.

Days 1-3

Early recovery

Light walking, pain management.

Weeks 2-6

Graduated activity

Restriction on heavy lifting, monitoring of tissue healing.

Month 3

Full activity + physiotherapy

Gradual return to sport, muscle-strengthening programme.

Months 6-12

Long-term follow-up

Clinical follow-up and imaging where considered necessary.

FAQ

Frequently Asked Questions

Scientific Sources

The references below are the literature sources for information on this page. For informational purposes only; treatment decisions are made through face-to-face physician evaluation.

  1. 1.Cao Y, Lu Y, Chen P, et al. ERAS guidelines and hospital length of stay, readmission, complications, and mortality: a meta-analysis of randomized clinical trials — JAMA Network Open, 2024. Source
  2. 2.Vinten H, Petersen K, et al. NAD+ precursor supplementation in human ageing: clinical evidence and challenges — Nature Aging, 2025. Source
  3. 3.Vasireddi N, Hahamyan H, Salata MJ, et al. Emerging Use of BPC-157 in Orthopaedic Sports Medicine: A Systematic Review — HSS Journal, 2025. Source
  4. 4.HerniaSurge Group International guidelines for groin hernia management — Hernia, 2018. Source

Information: The information on this page is provided for medical information purposes and does not replace a consultation with a physician. The perioperative approaches described are based on current data in the literature; individual results vary from person to person and may not be suitable for every patient. Treatment decisions are made after an in-person consultation.

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