General surgery

General surgery

General surgery is a surgical specialty devoted to the surgical procedures of the organs of the abdominal cavity (including oesophagus, stomach, small and large intestine, liver, pancreas, gall bladder and gall ducts), thyroid gland, skin, soft tissues, peripheral blood vessels and hernia. By character, surgery is an invasive or interventional specialty: for many operations, an incision must be made (so-called open surgery), and the healing process can therefore be painful and long-lasting. However, since 2000s, thanks to technological innovation, minimally invasive surgery has become popular. New surgical methods enable to operate through very small incisions. This speeds up the healing process, decreases post-operative pain and makes getting an infection less likely. One example are the laparoscopic surgeries whereby special instruments are inserted in the abdominal cavity. The surgical procedure is performed by means of these instruments. Here is a short overview of some of the most common diseases and procedures general surgery deals with:

Hernia is a protrusion of an abdominal organ or its part, or the lining of the abdominal cavity (called peritoneum) into subcutaneous tissues through a congenital or acquired defect in the abdominal wall. A hernia is better visible and palpable when one is standing or exerting oneself. The most common hernias are inguinal hernia and ventral hernia. Hernia is one of the most frequent surgical diseases. In some patients, a hernia causes no trouble at all, but in other patients it can cause strong pain and discomfort.

Gallstone disease is caused by solid formations (gallstones) in the gall bladder. These stones may cause episodic pains with nausea and vomiting, and sometimes even inflammation of the gall bladder, blockage and/or inflammation of the gall ducts, and pancreatitis. After operation, 90–95% of the patients will get rid of their problems.

Bariatric surgery (in common language called stomach-reducing surgery) is a method to treat obesity. During the last years it has been a topic of hot debates. By this operation, the stomach is made smaller and/or the small intestine is made shorter. After the operation, up to 85% of the patients lose weight significantly (at least 50% of the overweight) and the procedure also helps to decrease blood cholesterol levels and alleviate several obesity-related chronic conditions such as diabetes, hypertension, and podagra.

Skin moles can be a cosmetic and a medical problem at the same time. It is reasonable to show a skin mole to the doctor if it starts to disturb you – for example, when it rubs against clothes, has become bigger, red or itchy lately, or if you just don’t like it. Skin mole removal is usually a very fast and unproblematic procedure. If necessary, the removed mole is sent for biopsy (tissue analysis) to exclude malignancy.

Many people have problems with varicose veins. Varicose veins on legs (varicosis) is a very frequent disease, caused by enlargement of the superficial veins in the leg. Such veins become protruding and can be aesthetically disturbing. In milder cases it can be a purely cosmetic problem, but varicose veins can sometimes cause acute inflammation and ulcers. When local treatment does not help any more, it is possible to remove varicose veins surgically. In case of moderate varicosis, sclerotherapy could be applied – during this procedure, a substance that damages the inner layer of the veins, is injected in varicose veins, leading to their closure.

Services:

    • Laparoscopic inguinal hernia repair

      €1126–€4467

      Unstrangulated inguinal hernia can be operated laparoscopically, which means that small abdominal skin incisions are made to insert special instruments and a laparoscope with a camera in the abdominal cavity. With this equipment, the surgeon repositions the contents of the hernia sac into their normal anatomical positions. A mesh is placed on the defective part of the inguinal canal to make the abdominal wall stronger and to avoid the recurrence of hernia. Laparoscopic inguinal hernia repair is always performed under general anesthesia. The laparoscopic procedure will not leave a big scar and the recovery is faster than after open surgery.

    • Inguinal hernia surgery

      €511–€2220

      Inguinal herniotomy is an open surgical procedure to treat inguinal hernia. Inguinal hernia is a protrusion of an abdominal organ or its part (often a part of the small intestine), the lining of the abdominal cavity (called peritoneum) or fat tissue into subcutaneous tissues through a defect in the inguinal canal. In case of tension repair, the defective abdominal linings are sutured together. This method is suitable for very small hernias. In most cases, however, tension-free mesh-based method is used – the defect is covered with a special mesh that makes the abdominal wall stronger and avoids the recurrence of hernia. The mesh will stay in place permanently. Inguinal herniotomy is performed under general anesthesia or spinal anesthesia, but sometimes it can also be performed under local anesthesia in a day surgery unit.

    • Ventral hernia repair

      €1116–€5014

      Ventral hernia is a protrusion of an abdominal organ or its part (often a part of the small intestine), the lining of the abdominal cavity (called peritoneum) or fat tissue into subcutaneous tissues through a defect in the abdominal wall. In case of tension repair, the defective abdominal linings are sutured together. This method is suitable for small hernias, for example. In most cases, however, tension-free mesh-based method is used – the defect is covered with a special mesh that makes the abdominal wall stronger and avoids the recurrence of hernia. Once in place, the mesh will never be removed. It becomes an integral part of the abdominal wall. Ventral hernias tend to appear in regions that have previously been operated and therefore they are sometimes called scar hernias. Ventral hernia repair is performed under general or spinal anesthesia.

    • Umbilical hernia repair

      €822–€4121

      Umbilical hernia is a protrusion of an abdominal organ or its part (often a part of the small intestine), the lining of the abdominal cavity (called peritoneum) or fat tissue into subcutaneous tissues through a defect in the abdominal wall. During the operation, an incision is made in the region of the hernia so that the surgeon can reposition the contents of the hernia sac into their normal anatomical positions. After that, the defect of the abdominal wall is repaired. In case of tension repair, the defective abdominal linings are sutured together. This method is suitable for small hernias, for example. In most cases, however, tension-free mesh-based method is used – the defect is covered with a special mesh that makes the abdominal wall stronger and avoids the recurrence of hernia. Umbilical hernia repair is performed under general, local or spinal anesthesia.