General and Abdominal Surgery at the Sachsenhausen Clinic, Germany, Frankfurt

General and Abdominal Surgery

Minimally Invasive Surgery

General and abdominal surgery includes a wide range of abdominal surgical interventions. At our clinic, minimally invasive techniques of operative diagnosis and therapy play a special role. More than 85 percent of all general and abdominal surgeries are performed at our clinic in a minimally invasive way.

Thus, the number of minimally invasive procedures for appendicitis, diverticular disease of the large intestine, gallstone disease or esophageal reflux disease reaches 100 percent. These services are available 24 hours a day, 7 days a week and apply to all surgical departments, e.g. the department of emergency surgery as well as the department of orthopaedic surgery.

Advantages of Minimally Invasive Surgery

The main advantage of endoscopic surgery is that it is possible to perform the surgery with a minimal surgical access. Such surgical interventions are carried out by means of a laparoscope in closed body cavities. The surgeon performs the operation guided by the image on the screen. Apart from the fact that a large painful incision is eliminated, it is important to keep in mind that tiny, thin instruments are used to prepare the patient for the operation, which results in a small postoperative suture. As a result, the regeneration process will take less time. Thus, surgical injury is limited to a small area, without a wide opening and associated cooling and dehydration, as well as manipulations to protect adjacent internal organs. This leads to a significant reduction in overall load and, as a consequence, to a faster recovery.

Patients who have been operated on through laparoscopy experience less pain, return to their usual way of life more quickly, leave the hospital sooner, and can start working as soon as possible.

The implementation of laparoscopic surgery has been the greatest progress in general surgery in recent years. There is no doubt that laparoscopic gallbladder removal is now a standard procedure for treating gallbladder disease, and it is routine. Today, almost all abdominal interventions can be performed laparoscopically.

Despite these modern techniques of surgical intervention, there are diseases and conditions that cannot be treated with minimally invasive surgery. These include: severe abdominal bleeding, extensive inflammation or massive adhesions caused by previous diseases/ previous surgeries. Colorectal, rectal or stomach cancers are still operated on in accordance with the guidelines of the healthcare communities, mainly through laparoscopic abdominal access. This makes it possible, above all, to make a thorough examination of the abdominal cavity (if metastases are suspected), which always plays a major role in connection with the development of malignant processes.

Endocrine surgery combines several types of surgical treatment of diseases of hormone-producing glands. These include the thyroid gland, parathyroid glands and adrenal glands, the most common of which are thyroid surgeries. Endocrine surgery also involves surgery to treat other hormone-producing tumors, such as pancreatic tumors (e.g. insulinoma), duodenal tumors (e.g. gastrinoma) and tumors of the small and large intestine (e.g. carcinoid).

Both benign and malignant diseases can be treated in a surgical way in our clinic in close cooperation with endocrinologists. While malignant diseases almost always require surgical treatment, benign diseases often call for a thorough consultation and consideration. So it makes sense to take advantage of our face-to-face consultation concerning endocrine surgery when it comes to the following conditions:

  • single or multiple thyroid nodules,
  • overgrowth of thyroid tissue,
  • malignant neoplasms of the thyroid gland (thyroid cancer),
  • excessive and insufficient thyroid function,
  • inflammation of the thyroid gland,
  • parathyroid hyperfunction (primary and secondary hyperparathyroidism),
  • new adrenal glands (benign and malignant),
  • diseases of several endocrine glands.
Prof., Dr. med. Plamen Staikov

Prof., Dr. med. Plamen Staikov

Medical Director, Head physician

Holger Bahn

Holger Bahn

Senior physician

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