Treatment and Care Priorities at a Glance:
Surgery of Malignant TumoursAfter each surgery due to a carcinoma, we find ourselves in a dilemma: We never know for sure whether the operation will be curative (healing) or only palliative (relieving), for example because micrometastases have remained undetected before and during surgery. We also never know beforehand whether chemotherapy will really take or whether radiotherapy will help.
This uncertainty creates fear - fear that not everything possible is being done. Guidelines for cancer treatment are intended to provide security, and to ensure not missing anything which can demonstrably improve the chances of recovery - be this in a small clinic or a huge university hospital. Centres of excellence raise hopes and research studies are also only treatment trials with unknown chances of success and should remain within the reserve of research organisations (mostly university hospitals). Statistics (for example, survival curves) also hardly help: for each tumour and tumour stage, there is a percentage distribution of the probability of survival. However, we never know prior to treatment to which group the now ill patient might belong.
We therefore should not even ask the question of whether our actions will be curative or only palliative because we do not really know the answer. It is not just the organ that is ill - it is the whole person, and recovery of body and mind can only be achieved through comprehensive care and professional help which especially takes the quality of life into account when it comes to choosing the best form of treatment.
We know that we can help in every case - with professionalism and empathy. Personal attention, responsibility and trust are important foundations of our successful treatment concept.
Whether by suture, scar or mesh, the main thing is that it is closed. No hernia without a gap. No successful operation without permanent closure of the hernial gap. Fortunately, we now have many different surgical procedures available, each with their own advantages and disadvantages. No method, however, is sufficient on its own - it is always the surgeon who must be proficient in the surgical technique and apply it safely. Whether a Shouldice, Lichtenstein, sportsman repair or laparoscopic mesh implantation - there is a comparably good solution for each patient and for each hernia. However, the various surgical procedures (with or without mesh) hardly differ in terms of early load-bearing capacity and durability. Modern hernia repair allows for customised care. When appropriately selected and expertly implemented, all the methods have excellent long-term results.
Minimally invasive, and yet maximally effective. Laparoscopic cholecystectomy, appendectomy, hernia repair and fundoplication are part of the daily routine. Laparoscopic colectomy for the surgical treatment of diverticulitis has also proved its worth. For a long time, it was uncertain what the minimally invasive surgical technique could contribute to the treatment of colorectal cancer. Now there are compelling study results available: The cancer resection with minimally invasive laparoscopic technique meets all the criteria of a standardisable radical en-bloc tumour resection while retaining the entire lymph drainage area – with an outstanding overview and low surgical trauma. The laparoscopic ultrasound is particularly helpful, in that it allows for an accurate tumour staging in a minimally invasive way. The minimally invasive laparoscopic surgical technique is therefore an effective and gentle method, also in limited colorectal cancer, which expediently complements our range of treatments.
Internal organs such as
undergo surgery here.
Intraoperative neuromonitoring increases safety. A dreaded complication of thyroid surgery is injury to the vocal cord nerves. By means of a subtle surgical technique, the rate of laryngeal nerve recurrent paresis had already been kept very low in the past, but now we have even more reliability: Intraoperative electrophysiological monitoring of the laryngeal nerve rekurrenz ("neuromonitoring") enables us to identify and secure the best possible protection of the vocal cord nerves during the entire operation and allows for a largely gentle and safe surgical procedure.
Theresienkrankenhaus und St. Hedwig-Klinik GmbH
Allgemein- und Viszeralchirurgie
1st floor. Room 107
Chief Secretary Sigrid Wagner
Phone (0621) 424-4252
Fax: (0621) 424-4777
Central Office: General Surgery
6th floor (new building, station 6A)
Phone (0621) 424-4567
Certified Advisory Body of the Deutsche Kontinenzgesellschaft e.V. [German Continence Society]
Dr. med. Ursula Lihs
Phone (0621) 424-4567
1st floor, room 101
Phone (0621) 424-4259
Phone (0621) 424-4246
Phone (0621) 424-4260