Clinic for General and Abdominal Surgery
Thanks to modern surgery, we are able to treat a large number of diseases with outstanding functional and cosmetic results. In addition to guideline-based therapy, we attach great importance to individual treatment, taking personal needs into account.’
(Chief Physician Dr. med. Harald Schultz)
Abdominal surgery is a highly specialised surgical sub-area. It comprises the surgical treatment of abdominal organs (‘abdomen’ = Latin for ‘belly’). This entails the entire digestive tract including the oesophagus, stomach, small and large intestine, rectum, liver, pancreas and spleen.
The Municipal Hospital of Pirmasens covers the entire spectrum of abdominal surgery. A key area of expertise is colorectal surgery and proctology, which deals with such problems of the rectum as haemorrhoids and anal fissures. Other work areas also include operative treatment of the thyroid and parathyroid glands, as well as the treatment of abdominal wall hernias and inguinal, umbilical and scar hernias.
In close collaboration with the in-house Clinics for Radiology, Internal Medicine and Gastroenterology, the Municipal Hospital provides all of the latest diagnostic procedures. Based on the findings obtained, surgical procedures can be planned and prepared in a differentiated way. This permits the fastest possible healing and the greatest possible protection of the patient.
The Clinic for General and Abdominal Surgery has experienced surgeons and physicians with particularly advanced qualifications in key sub-fields. The competent support of the Clinics for Vascular Surgery and Vascular Medicine, Trauma Surgery and Orthopaedics and Plastic Surgery and Hand Surgery is enlisted for interdisciplinary questions. Within the framework of the certified Colorectal Centre, a tumour conference is held on a weekly basis. Here, specialists from a variety of disciplines discuss the optimal path to take in the treatment of patients with tumours.
Surgeries are performed using modern technologies and procedures. Abdominoscopy, for instance, is performed using the very latest generation of laparoscopic devices. Tissue sealing to stop bleeding; increasingly widely used and evolved minimally invasive procedures (keyword: keyhole); or autotransfusion are all examples of procedures that benefit the patient as a whole.
Our focus is always upon the patient: his or her individual circumstances, desires and habits taken into account in the best possible way in both operation planning, which is performed in close consultation with the referring physician, as well as during planning of the hospitalisation.
For smaller interventions that can be carried out on an outpatient basis, there is a safety concept in place for the home stay. This concept comprises, among other things, the obligatory telephone rounds by the treating physician and a special emergency number for the patient.
- Interventions on the abdominal wall and the internal abdominal organs
- Tumour surgery
- Port implantation
- Surgery of the thyroid and parathyroid glands using a nerve monitor and magnifying spectacles
- Rectal surgery
- Bariatric surgery
- Inguinal, umbilical and scar hernia surgery with mesh implantation
- Pacemaker implantation, implantation of defibrillators and CCM devices as well as CRT devices
All interventions relating to the:
- Liver (operation of metastases, liver’s own tumours and tumours of the bile ducts)
- Pancreas (chronic inflammation or tumours)
- Gall bladder and bile ducts
- Large and small intestines
Laparoscopic surgery (‘keyhole surgery’)
- Gastroesophageal reflux disease
- Inguinal hernia, umbilical hernia and scar hernia
- Gall bladder
- Large intestine
- Pyloric stenosis (constriction of the pylorus)
- Appendectomy (appendix removal)
- Hernia surgery (various hernias)
Chief Physician Dr. med. Harald Schultz
Specialist for General Surgery
Specialist for Abdominal Surgery, Special Abdominal Surgery
Specialist for Vascular Surgery
Specialist for Trauma Surgery
Qualification certificate senior intestinal surgeon
Authorisations to provide advanced training:
- 48 months Abdominal Surgery
- 18 months Special Abdominal Surgery
- 18 months of basic advanced training in the field
Managing Senior Physician for General and Abdominal Surgery
Dr. med. Tamer Koru
Specialist for Surgery
Specialist for Abdominal Surgery
Authorisation to provide advanced training:
- 24 months General Surgery
Senior Physician Shaukat Yasin
Specialist for Surgery, Vascular Surgery and Proctology
Senior Physician Ntan-Odysseas Miliadis
Specialist for General Surgery
Specialist Sybille Eibel
Specialist for Surgery
Resident Physician Marin Fulga
Resident Physician Petra Füredi
Resident Physician Julia Monostori
Resident Physician Süle Ötüken
Resident Physician Sabine Utzinger
Chief Physician Dr. Schultz ranks among the most experienced surgeons in laparoscopic surgery. In particular, he has extensive experience in complex procedures on the stomach and large intestine. Other applications of laparoscopic surgery are interventions in the gall bladder, appendix, inguinal and abdominal wall hernias, loosening of adhesions in the abdomen as well as operations on the lung and pleural cavity. With modern-day laparoscopic surgery, incisions just a few millimetres in length are sufficient to perform all of the necessary treatment within the body. State-of-the-art methods are used. The technique known as ‘SILS’ (Single-Incision Laparoscopic Surgery), for instance, for the removal of the gall bladder, no longer requires 3-4 small incisions, but just a single abdominal incision at the navel approximately 2 cm in length. The resulting small scar in the umbilical region is practically invisible.
SILS interventions practised:
- Ileocaecal resection
- Hemicolectomy right
- Sigma resection
Any surgical procedure presents an involuntary incursion into a patient’s life and surroundings. To minimise the strain to this individual rhythm, when planning any hospital treatment, the question of outpatient care in lieu of inpatient hospitalisation always presents itself. The response is always made individually and in close consultation between patient and referring physician. Particularly for minor interventions on the body surface, a patient can be discharged immediately following the detailed follow-up exam. For added safety, doctor’s rounds via telephone are obligatory in the evening, with the treating physician inquiring about the patient’s condition in order to rule out, in particular, after-bleeding and pain. The patient is also provided with an emergency number he or she can call round the clock to speak directly with the ward physician on duty.
The Clinic for General and Abdominal Surgery performs an exceptionally broad range of operations, using state-of-the-art and innovative techniques and technologies. Many of the procedures can already be performed minimally invasively (using the so-called ‘keyhole’ approach), i.e. with only the slightest injury to the skin and soft tissues. This is typically associated with lower blood loss by the patient, a lower sensation of pain following the procedure, and speedier recovery and mobilisation. It is therefore all the more pleasing that the range of these less-invasive procedures is constantly increasing: more and more organs can be examined and treated using minimally invasive methods. During the patient consultation, then, it is always worthwhile to enquire about the individual treatment options available.
What is obesity?
The condition of pathological overweight referred to as ‘obesity’ is an increasing problem throughout the world. This results in concomitant diseases including diabetes mellitus (blood sugar disease), high blood pressure, lipid metabolism disorders and arthroses (painful joint degeneration), as well as a higher rate of mortality.
Treatments of obesity first attempt to reduce the condition of overweight through diet, exercise and behavioural therapy. If need be, these measures can be aided with drug-based treatment as well. Often, however, these so-called ‘conservative’ measures are without lasting success, leaving the surgical treatment of overweight as a last resort.
Obese patients specifically benefit from a minimally invasive surgical approach; where the abdominal wall is thick, the open approach to surgery would require particularly large incisions. Under the minimally invasive approach, the wound infections and scar hernias to which obese patients are particularly prone are nearly non-existent. Minimally invasive surgical techniques also cause less pain, and this plays an important role in post-operative recovery.
- Sleeve gastrectomy
- Gastric bypass (RNY-GB)
- Gastric reduction / laparoscopic mini-gastric bypass (LMGB)
Cost coverage of an operation
Obesity is recognized by the WHO and the German Federal Social Court as a disease. Nevertheless, health insurance schemes approve coverage of the costs of surgical treatment through what is known as a ‘case-by-case decision’. The various expert committees have identified the prerequisites for successful approval (S3 Policy on Adiopositas Surgery).
Requirements for cost coverage
- BMI greater than 40
- BMI greater than 35 with comorbidities associated with obesity (e.g. diabetes)
- Overweight for more than 3 years
- Age between 18-65 years
- At least 2 unsuccessful diet attempts, cures, rehabilitation measures, under medical supervision wherever possible
- Serious addictions or psychiatric illnesses
- Current pregnancy
- Serious metabolic diseases
Obesity Self-Help Group
The Obesity Self-Help Group for the very overweight meets once a month – on the 3rd Thursday of the month at 6:00 p.m. – on the lower level, in Conference Room 1. Registration is NOT required!
Contact to the Self-Help Group:
General Surgery Secretariat
You can calculate your BMI here – visit the website: www.bmi-rechner.net
The German Cancer Society-certified Colorectal Centre of Pirmasens combines the expertise of specialists from a variety of medical disciplines, all specialising in an area of diagnosis or treatment of colorectal cancer. These professionals meet once a week for what is known as the ‘tumour conference’. This oncological consultation bundles the specialists’ knowledge for the benefit of each individual patient. The tumour conference ensures that every patient in treatment at the Colorectal Centre of Pirmasens, without exception, has the benefit of the latest expertise of all of the specialists in the Centre. Once all of the preliminary examinations have been completed, the attending surgeon, the gastroenterologist, the oncologist, a radiotherapist and a pathologist all convene and, working together, perform an initial assessment of the individual results of the preliminary examination. This meeting generates the treatment concept, which is tailored entirely to the needs of the individual patient and is subject to the approval of all of the specialists involved. This is how the tumour conference ensures that every patient benefits from a high degree of professional competence based on the very latest medical expertise.
Visit the website: www.darmzentrum-pirmasens.de
Contact the doctors
Dr. med. Harald Schultz
Managing Senior Physician for General and Abdominal Surgery:
Dr. med. Tamer Koru
Contact the clinic