Insights into Löhde Operation: A letter from Dr. Löhde
Dear ladies and gentlemen,
As a pioneer in reflux therapy, I am pleased to present to you a surgical procedure that challenges the previous “gold standard” of reflux surgery: The Löhde Operation.
Unlike conventional operations, which involve wrapping the stomach around the esophagus, the Löhde Operation addresses the causes directly. My research clearly shows that reflux is not caused by an esophageal disease, but by the displacement of a complex system of interlocking organs. As with a finely tuned clockwork that only works when every gear is in a precise position, reflux can only be cured permanently when the esophagus is returned to its natural balance.
A crucial part of the Löhde Operation is the DeltaMesh patented by me, a specially developed network structure for hiatus challenges. In contrast to conventional networks, which only “cover holes,” DeltaMesh specifically stabilizes the displaced organ structure and thus ensures a long-term solution to the symptoms. Patients not only benefit from short-term relief, but also experience a lasting improvement in their quality of life. I know that the Löhde procedure requires a high level of surgical expertise and extensive experience, which is why it is not yet available nationwide. My team and I are working hard to further publicize this method and to ensure the highest standards of training and implementation. With the Löhde procedure, we are opening a new era in reflux therapy — a treatment that is based on current scientific findings and finally replaces outdated procedures such as Nissen surgery.
We are delighted to hear about your experience with the Löhde process!
Sincerely,
PD Dr. med. Eckhard Löhde
Löhde Operation details
In this section, you will learn how we successfully treat diaphragmatic hernias with our innovative surgical procedure.
The Löhde Operation is an innovative surgical procedure for treating diaphragmatic hernias and reflux, which is characterized by the use of the specially developed DeltaMesh network. Unlike conventional techniques, the procedure focuses on anatomical reconstruction and restoration of natural organ function without unnecessary constriction of the stomach or esophagus. Here you can find out how the Löhde Concept works, why it creates sustainable stability in the diaphragm and what advantages it offers over traditional methods.
Bild 1:
Ziel ist, Magen und Speiseröhre wieder in ihre anatomisch regelrechte Lage zurückzuführen.
Bild 2:
Alle Organe müssen entlang ihrer 3-dimensionalen Ebenen wieder anatomisch gerecht geordnet werden.
Bild 3:
Für die langfristige Sicherung wird das patentierte DeltaMesh in die Zwerchfellmuskulatur eingenäht.
What is the Löhde Operation and how does it work?
L.oe.h.d.e. stands for the surgical procedure developed by me in accordance with international medical nomenclature:”laparoscopic oesophago-hiatal DeltaMesh enhancement”.
The key to this process lies in our research results. Contrary to general and repeated claims that the esophagus is diseased, it has been found that the esophagus is completely healthy in all reflux patients!
Further research led to the discovery of the so-called Core engine in the depths of the body: an interlocking complex system of organs in which the heart and diaphragm play a central role together. Reflux is not a problem of an esophageal disease, but obviously a problem of a shift in this system!
You can imagine it like a complex clock: If a gear wheel is moved, the entire clock no longer works. But the clock is basically intact, and so is the cog! It just needs to be returned to its proper position in the system and secured in it.
For humans, this means that the esophagus must be returned to the system in such a way that all gears can interlock. The broken diaphragm must then be stabilized for its support function. Does it really make sense to still follow the so-called “gold standard” from the last century and tie a healthy stomach around a healthy esophagus because the diaphragm is broken? The research results clearly show: No!
As a result of this discovery, the new surgical treatment approach was created: the L.oe.h.d.e. Operation.
Diaphragmatic hernia healing: reconstruction instead of strangulation
Healing involves restoring this system of interlocking organs. To do this, the displaced esophagus and stomach must be moved back to their anatomically correct location. The natural system is then fully functional again, without any wrapping, constriction and without a single suture on the esophagus or stomach. Today, after over 2,000 operations involving exclusively anatomical reconstruction of this Core engine And we know: With this recovery, all functions return and the system works as before! The reflux is also over.
Further research led to the discovery of the so-called Core engine in the depths of the body: an interlocking complex system of organs in which the heart and diaphragm play a central role together. Reflux is not a problem of an esophageal disease, but obviously a problem of a shift in this system!
Creating stability in the diaphragm: the DeltaMesh
But how can you ensure that the functions regained in this way are permanently retained and that the organs do not shift again? Achieving this lasting stability in the diaphragm is extremely difficult because the diaphragm is so delicate and is exposed to significant forces every day.
This is the 2nd key to healing success: the development of DeltaMesh.
Especially for these high requirements, we have developed and patented the novel, 3-dimensional DeltaMesh network structure. It is extremely small (2-3 cm), but highly effective due to its spatial structure and is fundamentally different from all conventional networks used in surgery. This allows the diaphragmatic muscles to actively grow into the network and anchor themselves, which reliably enables this high strength in the diaphragm. The network thus helps the body to stabilize itself.
DeltaMesh compared to other nets
This DeltaMesh is fundamentally different in shape and structure from all nets commonly used in surgery. This is because it is conceptually tailored precisely to the special requirements of hiatus, both in terms of the unique, fine tissue structure and the compressive and tensile loads prevailing there on a daily basis.
In contrast, all conventional nets used for inguinal and diaphragmatic hernias simply follow a “single-angle concept”, i.e. the extensive coverage of holes. But here in the diaphragm, it is not about simply covering, but about reconstructing a complex occlusion function in the esophagus! Only then is the system as a whole intact again and all associated symptoms such as reflux, cough, chest pain, heart problems, lumping, hoarseness and many more disappear.
Therefore: Simply tying healthy stomach tissue with the esophagus as with fundoplication and finally stapling a net onto the diaphragm is an approach directed against the body.
Why can't everyone operate on a diaphragmatic hernia according to Löhde?
The Löhde process requires in-depth knowledge, such as Core engine works and where the real organ positions are. These are, of course, the prerequisites for a successful reconstruction.
Such training with final certification requires the implementation of many operations under direct supervision. This does not even include training in recurrent operations and how to deal with complications. Such a training course is complex and barely implemented while working, especially by experienced surgeons, who have to be in the operating room every day.
“Everyone” will certainly never master the Löhde process. But there are undoubtedly very good and talented surgeons who would be eligible for this procedure. However, the certification process is not yet complete. This is because it is important to impart knowledge of 3-dimensional organ functions, anatomically exact diaphragm reconstruction and DeltaMesh implantation directly at the operating table, not only theoretically but also in practice.
This is how things are progressing slowly — but always for the benefit of the patients.
