Hello

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Welcome to the Melbourne Hernia Clinic

Australia’s first hernia clinic 15,000+ hernia operations performed

  • Day hernia surgery
  • Local Anaesthetic
  • Mesh reinforcement
  • Prompt return to work
  • Insured and non-insured patients
  • Adult and Paediatric hernias

The Melbourne Hernia Clinic provides a comprehensive service for the treatment of all types of hernias of the abdominal wall. It was initially established almost twenty-five years ago by A/Prof Maurice Brygel who adopted the “tension-free” method of repairing inguinal (groin) hernias, using mesh under Local Anaesthetic with sedation as a day-case (the Lichtenstein technique). There are significant safety advantages with this method. The clinic has now evolved into one, which treats all varieties of hernias of the abdominal wall, in either adults or children, using open or laparoscopic techniques.

The Melbourne Hernia Clinic hernia surgeons have extensive experience using the Lichtenstein hernia surgery technique but also have specific skills and experience in treating and fixing all types of hernias. The Melbourne Hernia Clinic provides a comprehensive service for the treatment of all types of hernias of the abdominal wall.

Hernia Surgeons:

We find that the clinic concept works well because:

  1. There is always a second surgeon available with whom to discuss a complex issue.
  2. We are able to offer early consultation (within one week) and prompt surgery (usually within two weeks).
  3. One of our surgeons is always available for urgent problems.

Because most hernias can be treated as a day-case, non-insured patients can often afford private treatment. We also offer advice to patients by email or telephone.

Venues

26 Balaclava Road
EAST ST KILDA  VIC  3183
AUSTRALIA
Ph: + 61 3 9525 9077
Fax: + 61 3 9527 1519

23 Doncaster East Road,
Mitcham VIC 3132
AUSTRALIA
www.mitchamprivate.com.au

181-183 Wattletree Road
MALVERN VIC 3144
AUSTRALIA

212 – 220 Clayton Road
CLAYTON VIC 3168
AUSTRALIA

Maps and Driving Directions


SOS for GP Courses

PCOP1 PAGE 2013

Surgical Office Skills (S.O.S) and Basic Office Surgical Skills (B.O.S.S) are courses for GP’s which aim to provide step-by-step operative techniques for managing common patient conditions.

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Maurie-mesh

A/Prof Maurice Brygel                     Mr Charles Leinkram

Types of Hernias

Inguinal Hernia:

In the groin – the most common especially in men – approximately 80 percent. Can be on both sides. Learn More.
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image_descriptions_in_group=”This is an average size right inguinal hernia. There is an obvious swelling in the right groin.|This is a larger hernia in an elderly man descending into the scrotum. This hernia is in danger of strangulation.|Typical fatty inguinal hernia at operation. The skin is being retracted for better exposure. The plastic tubing is retracting the cord which contains the blood vessels to the testis and the vas which conduct the sperm. It is important not to damage these structures. The surgeon can either cut out this lump or push it back in.|Another indirect inguinal hernia. It consists of fat which in this case was removed before repairing the defect.”]


Femoral Hernia:

Relatively more common in women. Lower in the groin. Can be on both sides. Learn More.

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image_descriptions_in_group=”This shows a surface marking of a femoral hernia in a woman. Note that it is lower and lateral to where an inguinal hernia would come out.|This shows a femoral hernia being operated on and a mesh plug being inserted into the femoral ring.”]


Umbilical Hernia:

At the navel (belly button). Learn More.

[lightbox2 image_path=”[lightbox2 image_path=”https://hernia.net.au/wordpress/wp-content/uploads/2015/05/clinical-images.png” popup=”https://hernia.net.au/wordpress/wp-content/uploads/2014/02/operative-photos1.png” link_to_page=”” target=”” description=”These are clinical, operative photos. If squeamish do not look” size=”portrait_thumb” image_paths_in_group=”https://hernia.net.au/wordpress/wp-content/uploads/2014/02/Umbilical.gif|https://hernia.net.au/wordpress/wp-content/uploads/2014/02/umbilical2.gif|https://hernia.net.au/wordpress/wp-content/uploads/2014/02/UmbilicalH.gif|https://hernia.net.au/wordpress/wp-content/uploads/2014/02/Incarcerated.gif|https://hernia.net.au/wordpress/wp-content/uploads/2014/02/umbilical4.gif|https://hernia.net.au/wordpress/wp-content/uploads/2014/02/babyshernia.gif” group=”6″ image_descriptions_in_group=”Note that the belly button is protruding.|This is a small umbilical hernia.|Another umbilical hernia pushing the umbilicus downwards.|This is a large umbilical hernia. It has bowel and fat contents and there has been inflammation, which makes the skin red. This hernia is in danger of strangulation and requires fairly urgent repair.|Umbilical hernia.|Baby’s umbilical hernia.”]

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image_descriptions_in_group=”Mesh Repair of Small to Medium Ventral Hernia Suitable for Umbilical, Epigastric and Linea Alba Hernias. Mr. Charles Leinkram.”]


Epigastric Hernia:

In the midline between the breast bone and the navel. Can be multiple. Learn More.

[lightbox2 style=”none” image_path=”https://hernia.net.au/wordpress/wp-content/uploads/2015/05/clinical-images.png” popup=”https://hernia.net.au/wordpress/wp-content/uploads/2014/02/operative-photos1.png” link_to_page=”” target=”” description=”These are clinical, operative photos. If squeamish do not look” size=”portrait_thumb” image_paths_in_group=”https://hernia.net.au/wordpress/wp-content/uploads/2014/03/EpigastricH2.gif|https://hernia.net.au/wordpress/wp-content/uploads/2014/03/epigastric-tt.gif” group=”2″ image_descriptions_in_group=”This is an epigastric hernia just above the umbilicus. Note that it is pushing the umbilicus down.|Epigastric hernia with overhanging skin. Suitable for tummy tuck.”]

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image_descriptions_in_group=”Mesh Repair of Small to Medium Ventral Hernia Suitable for Umbilical, Epigastric and Linea Alba Hernias. Mr. Charles Leinkram.”]


Incisional Hernia:

At the site of the scar of a previous bowel, gall bladder, gynaecological or other abdominal operation. Learn More.

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Divarication:

Of the recti muscles – a midline weakness & bulge – surgery not usually required. Learn More.[lightbox2 style=”none” image_path=”https://hernia.net.au/wordpress/wp-content/uploads/2015/05/clinical-images.png” popup=”https://hernia.net.au/wordpress/wp-content/uploads/2014/02/operative-photos1.png” link_to_page=”” target=”” description=”These are clinical, operative photos. If squeamish do not look” size=”portrait_thumb” image_paths_in_group=”https://hernia.net.au/wordpress/wp-content/uploads/2014/03/divarication.gif” group=”1″ image_descriptions_in_group=”This is a divarication hernia.”] Note: operations to repair incisional hernias and divarication may be combined with Abdominoplasty – not to be confused with liposuction (lipo).


Recurrent:

At the site of a previous hernia operation. Rare – Spigelian. Lumbar.


Hiatus Hernia:

A different type which occurs within the abdomen. Learn More


Paediatric Hernia:

Undescended testes, phimosis, circumcision, hydrocoele.


Click Here for our Frequently Asked Hernia Questions

Click Here for our You Tube Channel

We usually apply this term when any part of the abdominal contents protrude through the abdominal wall. Hernias usually cause discomfort or a swelling. Occasionally they are first found during a routine medical examination. The swelling is usually noticed when the person is standing or straining, it may disappear when lying down. A hernia usually consists of fat, bowel or occasionally fluid. Rarely the bladder, ovary or even the appendix may be part of the hernia. With time many hernias become larger, painful and irreducible – that is they cannot be pushed back in. Hernias should not be ignored. If left untreated they tend to develop complications and become more difficult to repair.

Complications include bowel obstruction or strangulation. That is the contents such as fat or bowel becomes stuck and the blood supply is cut off. This may be life threatening. Emergency treatment is required. Because hernia surgery is safer now it is usually carried out earlier. Thus the incidence of bowel obstruction and strangulation of hernias has reduced. Increasing age is no longer a bar to surgery. It should be remembered that even babies and adolescents get hernias. More About Hernias

Most hernias apart from incisional and hiatus can be treated surgically under local anaesthesia together with light sedation. The aim is a safe operation with a quick recovery and minimal short or long-term after effects or recurrence (i.e. – the hernia coming back). Most hernias can be treated in a Day Procedure Centre. Thus the cost for non-insured patients is not such a prohibitive factor. It avoids long waiting lists, the patient can have the Surgeon and technique of their choice. ‘Open method’ A cut is made directly over the hernia. A non-absorbable permanent mesh is usually used. The “tension free” technique is preferred. ‘Keyhole surgery’ – Laparoscopic. This is carried out under General Anaesthetic with smaller cuts – a mesh is always used.

Also at: The Sydney Hernia Centre

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