General surgery
Chemotherapy is indicated for many tumor diseases. In most cases, the chemotherapy drugs are administered intravenously. Since these cytostatic agents can damage the thin-caliber arm veins and the daily venipunctures can be very unpleasant, We recommend implantation from a special permanent access to the central vascular system, so-called port system. A small silicone tube is pushed through the arm vein into the wide upper vena cava, allowing chemotherapy to be administered without damaging the vessel wall. This small tube is connected to a chamber placed under the skin, The chamber can be punctured permanently with a special needle almost painlessly, thus providing the highest level of comfort in an already difficult situation.
Port implantation can also be indicated in many other situations, such as. if artificial nutrition is necessary, with long-term pain therapy or with very poor vein conditions.
We carry out this procedure on an outpatient basis under local anesthesia or analgesic sedation.
In acne inversa or otherwise called hidradenitis suppurativa, it is an inflammation of the sebaceous gland and the hair follicle. Most often the disease manifests itself under the armpits, in the groin or perianal/genital. In addition to the treatment of the acute form, a distinction is also made between the treatment of the chronic course. Therapy depends on the stage of the disease and is carried out both conservatively with medication and surgically in advanced stages or in acute forms.
A fatty tumor or lipoma is a benign tumor of fatty tissue cells. Lipomas are very common and occur in everyone 50. people up. A distinction is made between superficial and deeper lipomas. The diagnosis of a lipoma is usually clinical, In rare cases, image morphological methods are used, like ultrasound (Sonography), Computed Tomography (CT) or magnetic resonance imaging (MRT). Surgical removal is indicated if there are symptoms or rapid growth. In some cases, a prior biopsy is necessary for histological confirmation. In any case, the specimen is sent for histological confirmation after removal, to rule out malignant degeneration. In most cases, lipomas can be removed under local anesthesia.
Sebaceous cysts or atheromas are cysts located in the subcutaneous tissue, which arise as a result of blockage of sebaceous glands. The atheromas can become inflamed or become infected with purulence. Most atheromas can be removed under local anesthesia. The recurrences are rare, but usually occur after surgical removal in the inflamed stage.
An ingrown toenail or unguis incarnatus is the ingrowth of the lateral edge of the nail into the nail fold. In the vast majority of cases, the big toe is affected. Conservative treatments can be tried in the early stages. If the above fails. Therapy involves removing the edge of the nail including the nail matrix and sometimes bone parts using conductive anesthesia. With this method, recurrences can be reduced to a minimum.
The collective term “warts” refers to tumors on the upper layer of the skin. These are mostly benign and in some cases (hoch)contagious. Different conservative and surgical procedures are used to treat warts. With conservative procedures, the wart is treated either with the help of medication, Strom, Laser or icing destroyed. In surgical procedures, the wart is removed either with a sharp spoon or, for larger warts, with a scalpel under local anesthesia. Genital warts have a special place (Condylomata acuminata) a, Proctological treatment under general anesthesia may be necessary here.
Birthmarks or nevi are cells that appear unevenly on the skin or mucous membrane. The birthmarks are very common and do not represent a disease. Surgical treatment is indicated for new and rapidly growing moles, in case of inflammation or suspected malignant degeneration. Most nevi can be removed under local anesthesia. In every case, histological processing is carried out.