Urology and nephrology department of Friedrichshafen clinical center is specialized on the treatment of various urogenital system diseases, including renal diseases. The head of the department is Dr.Wilhelm Esser-Bartels, Prof. DM who has started his practice in 1981. Specialization: urology, nephrology, oncologic urology, andrology, proctology. About 2 500 kidney operations are performed annually at Friedrichshafen clinic.
Kidney surgery in Friedrichshafen Center implies using technologies of minimally invasive surgery. This helped to lower the risk of postoperative complications significantly, and the patients get back to a normal life sooner.
In minimally invasive surgery the doctor performs 2-6 punctures up to 1 centimeter in size. Laparoscopic instruments and the camera are inserted via these punctures. To improve the visibility the abdominal cavity is filled with a special gas. After minimally invasive kidney surgery patients stays at the hospital for less than a week. There are almost no signs of surgical treatment left on the body.
Our clinic offers patients modern minimally invasive surgery treatment of renal diseases (including cancer treatment) with the aim of robotized equipment. Da Vinci robot is a computer with small laparoscopic instruments. During the surgery a doctor sits in front of a monitor, managing all instruments. Da Vinci robot allows performing precise manipulations with minimal amplitude. Moreover, a surgeon can magnify and focus the the operative field in maximally comfortable way. The DaVinci nephrectomy operation lasts for about 1.5-2 hours and aims at sparing kidney cancer treatment. In case of large renal tumors (up to 4 cm) the partial nephrectomy is conducted. The aim of this operation is to remove only the affected kidney part and to preserve the healthy tissue.
Annually more than 750 DaVinci surgeries are performed at the Clinical Center of Friedrichshafen. The cost for a robotic surgery depends on the diagnosis characteristics, and makes up 12 000-45 000 euro.
Renal decapsulation surgery is used in the therapy of kidney diseases like acute pyelonephritis and paranephritis. These diseases are accompanied by increased renal pressure. That is why the surgeon takes off the organ's capsule, improving the blood flow and lymph drainage.
Nephrotomy surgery is indicated in kidney stone disease. Such renal surgery implies the dissection of organ's parenchyma. Nephrotomy can be partial and radical. Radical nephrotomy is applied in cases of coral calculus development. To remove them a doctor has to dissect the entire organ. Partial nephrotomy is indicated for removing small concrements that require dissecting the organ in some specific part. After removing the foreign deposits the doctor stitches up the kidney tissue leaving a drainage tube. After a surgery the doctor tracks the wound condition and evaluates the discharge from the drainage tube that displays the process of kidney healing.
This technique is indicated when there are concrements in kidney pelvis or minor calyx. According to the diagnostic tests the doctor defines the concrements location and selects proper surgery variant.
Tumors or renal stone disease is cured by nephrostomy surgery in Friedrichshafen Center. Current surgery allows restoring the urine diversion from kidneys. It implies the installation of a special tube: one its end is in the kidney, and the other one is put outside. Doctors in Friedrichshafen Center apply modern puncture nephrostomy that avoids soft tissues dissection. Under ultrasonic or X-ray control the doctor makes a skin puncture in the kidney pelvis projection.
Kidney resection is applied for the therapy of tuberculosis, stone disease treatment and different tumors. A surgeon removes the damaged part of organ's parenchyma. Before the resection vessels that provide kidney blood supply are secured, and then one of kidney poles or center is resected. Resorbable suture material is used for this surgery. A doctor installs drainage.
If a surgery is not feasible, there can be performed the embolization to stop the blood supply of the tumor. This method also allows to stop the bleeding, reduce the abnormal organ function, slow down the growth of tumors and increase the body's immunological activity.
The surgical treatment of renal cysts is one of routine operations, performed at Friedrichshafen Clinic. There are several methods of kidney cyst diagnostics and treatment: biopsy, enucleation of the cyst, resection of the cyst, partial nephrectomy.
The types of surgical treatment of such a pathology may include: therapeutic and diagnostic puncture, the medical diagnostic puncture with sclerotherapy and a endovideosurgical operation. The type of the surgery is defined according to the individual indications. Among the pathologies, which are indications for an operation there are the following:
The laparoscopic removal of kidney cysts is performed through 3-4 small incisions in the abdomen. A small laparoscopic camera is introduced through the incisions, which provides a thorough removal of the cyst. The cyst is removed by means of thin, specialized tools. After the operation a small stent is temporarily introduced in the peritoneal cavity to drain the kidneys for 1-2 days.
This method is applied for diseases like nephrogenic hypertension. A doctor takes off the fibrous capsule from the kidney and stitches up a resected nestis fragment with vessels that feed it. This way a bypath blood flow is created, relieving the pathology symptoms.
There are the newest diagnostic methods are used in Friedrichshafen Center: the last generation ultrasonic system in combination with color mapping, elastic optical equipment for the endoscopic examination of bladder and urethra, etc.
We guarantee high professionalism and competency level during all stages of your treatment in Friedrichshafen Clinic!
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