CV Surgical

First step to the certified hernia Centre of the hospital for Visceralchiurgie at the St. Martinus Olpe hospital headed by chief physician Dr. med. Karl-Heinz Ebert was now the seal of quality hernia surgery”awarded by the German society of hernia. Exits are called hernias of guts from the abdominal cavity. They occur due to cracks, congenital or acquired, often scarring or Umbilical hernias as slats. For the ceremony and the permanent possession of the DHG seal EPAL hernia surgery”following had to meet requirements.

Operational supply of at least 30 hernia patients per year participate in the quality assurance study Herniamed (www.herniamed.de) full membership, the applicant hernia surgeons in the DHG including European hernia society controlled after one year after year is a control of the patients entered in the register in the comparison with statistics of the clinic. More than 90 percent of hernia patients must be placed on the register. At These requirements will be held a recertification after two years, which includes not only the operation numbers and the surgical results, but also the results of the follow-up. In the follow-up, at least 60 percent of the patients must be demonstrably entered in the register. The DHG-certified, the clinic for visceral surgery has made the first step in the direction of certified hernia Centre.

“The motion for certification as a centre of excellence for hernia surgery can only be performed if the clinic for at least 12 months the DHG-certified EPAL hernia surgery” has and has carried out the appropriate controls for two months. First step to the competence centre we understand the aspiration to the competence center hernia surgery as quality assurance. Just backed up and if necessary improve quality if the operator knows the long term result of his operations. Participation Herniamed allows us, more detail to document all hernia surgery in our clinic and the supply a long-term scientific evaluation information collected”, Dr. Ebert explained the intention to participate in the quality-assured hernia surgery. So we can ensure a quality-assured hernia surgery the patients entrusted to us and patients.

More and more people have their eyes in the modern laser eye clinics in the metropolis of Istanbul lasers. Who wants to pay not a half a fortune for his laser eye surgery, chooses Istanbul as a city for his LASIK journey. With over 500 clinics, State of the art technological equipment and highly qualified personnel, Istanbul has become the medical capital of Europe. The biggest eye clinics and eye doctors with the most experience in the field of laser eye surgery are to meet in Istanbul. Over 15 years ago, the first eye laser procedures were applied in universitatsallee patients with success.

Since then, the eye laser technology in Turkey has progressed rapidly. A very interesting alternative offered people who depend on their glasses or your contact lenses: the so-called LASIK procedure. LASIK stands for LASER IN SITU KERATOMILEUSIS and is an eye laser, in which first the top layer of the cornea part is cut and the process including the layers in the second stage with a special Discusses eye laser. The previously beaten back skin slices carefully covered in the last step to the starting position. The LASIK surgery takes only 15 minutes and is performed as an outpatient in a laser eye clinic.

A faultless and sharp vision LASIK patients enjoy already the next day. For about 1 week, the patients take antibiotic eye drops to prevent potential inflammation or infection. After the performed LASIK surgery, patients often report about dry eyes. The symptoms of dry eyes can be a change of vision in the course of the day felt by headache or a noticeable higher intraocular pressure. The corollary of the dry eye symptoms can successfully be treated with artificial eye tears. Some patients take 3-6 regularly these drops months after LASIK surgery on the day. Everyone who is over 18 years and whose Sehkraft has been stable in the last two years, is in principle a Suitable eye laser surgery.

Obesity: Patients with gastric tube approximately 70 percent weight take off if the stomach is only as big as a hose, felt a sense of satiety – man inevitably more and takes off. For obese patients who are morbidly obese, this operation can be an almost life-saving measure. Because often the massive obesity a series of concomitant diseases causes, including diabetes and high blood pressure. Obesity surgery in Germany is but still very small compared to other EU countries and the United States. Just 4,000 work of this kind are currently counted in Germany. It is all the more surprising, now reported the 500th sleeve Gastrectomy on the vest in the hospital in Recklinghausen. “After surgery, patients on average lose 70 percent of their excess weight. Our current record holder has declined since September 2010 about 160 kilos”, says Prof.

Dr. med. Martin Busing, whose clinic in Recklinghausen itself as one of the nationwide just two facilities ‘ certified reference centres for Adipositas and ” metabolic surgery”may call. The “hose stomach” command is performed through tiny incisions on the abdomen and is one possibility among many, obese people to help. “Patients should drink immediately after the surgery, although the course often only minimal amounts are”, says Prof.

Busing. The complication rate for this type of intervention lie under one percent.

Thorough colon cleansing ensures unobstructed view of Marburg, in November 2012 for patients with inflammatory bowel disease (IBD), the regular colorectal cancer screening is especially important. Because with increasing duration of illness increases the risk for cancers in the colon. A thorough cleaning of the body prior to a colonoscopy ensures the quality of the investigation. Only in a spotless, the doctor for colonoscopy can detect even small pre-cancerous and remove. A thorough bowel cleansing prior to the investigation is now possible with modern 2-liter-PEG solutions (Polyethyenglykol with Ascorbic acid and sodium ascorbate) in a gentle way. The patient drinks each one liter of the PEG solution, as well as at least a pint of clear liquid, such as mineral water or light tea in the evening and the morning before.

The extra hydration and the electrolytes contained in the solution make sure that the water budget will remain balanced the body will thus not be charged. The Supplements are available in various fruity flavors (such as MOVIPREP lemon or orange). Especially people who more often be a colonoscopy personnel such as IBD patients, can thus alternate the flavors. Colorectal cancer risk with duration of illness varies depending on the type of inflammatory bowel disease also increases the risk of undesirable polyp formation in the gut. In addition, the duration of the disease has influence on the probability of whether or not form ulcers in the intestine: A recent study has shown that patients with ulcerative colitis have a 2.5 percent higher risk of colorectal cancer after 20 years of disease, after 40 years by 10.8 percent. Patients with Crohn’s disease have a risk higher around three to seven compared to healthy people. In the region of the disease in the body decides on the risk: patients, where only the rectum is affected, are at the least risk. Regardless of which region of the gut is affected, should patients with chronic bowel disease Colonoscopy as a screening plan for every one to two years.

So, cancer precursors can be detected early and treated. The attending physician or the website gives more information about colon cleansing. Helpful tips and a vivid information film here to find, which accompanies the procedure of a colonoscopy of the consultation to the colon cleansing and explains. Healthy intestinal involvement the Norgine GmbH is a pan European pharmaceutical companies that has committed to the development, manufacturing and marketing innovative medicine. “In addition to the sponsorship for the Felix Burda Award” the company is engaged in the field of Gastroenterology in scientific research. Contact: antwerpes ag Nina Wagner bird anger str. 66, 50823 Koln phone: 0221 92053-328 fax: 0221 92053-133 E-Mail: sources: 1 Rutter MD, Saunders BP, Wilkinson KH et al (2006) thirty-year analysis of a colonoscopic surveillance program for neoplasia in ulcerative colitis. Gastroenterology 130(4):1030-1038 2 overview/risk for colon cancer/chronic enteritis/Crohn’s disease crohn (last accessed on the 27.11.2012)

Patients are the best guide to the quality of Web pages the importance of practice websites is recognized by an increasing number of practising physicians. But to the marketing, to be able to use image and reputational effects of practice pages, it is not sufficient to be simply present and statistically to track the number of hits. What matters is the quality of the communicative performance and in particular the authenticity of practice pages. A procedure developed by the Institute for economic analysis, consulting and strategy development (IFABS), detachable from surgeries on their own shows, this exemplary for the professional group of neurologists. The practice website evolved more and more to a standard information instrument of practice work. But unlike all other media used for this purpose, like for example the practice brochure the practice website has a width marketing function.

The targets associated with a performance especially the response of potential new patients to reach, must be optimally designed its communication effect. The phenomenon of single shot matters worse here”to bear, i.e. the fact that the first impression of a page already decides to favor or not like. Just below these aspects, it is surprising that practice home pages never closer investigates the communicative performance. To do this, the number of visitors or page views provide no information. To assess the homepage current – account balance, the Institute has therefore developed an exploration design for a website patient satisfaction survey, which was now expanded to a validated, actionable by surgeries on their own system for business analysis, consulting and strategy development (IFABS). It is based on a questionnaire with open and closed questions about the possible patient characteristics of a practice Web site. The following illustration (bit.ly/YT2lyv, maximum at 100%) shows the calculated for practice operations of the section “Neurologists” average Homepage performance potential.

The total assessment for the design areas of “Content”, “Shape” and “Information”, as patient satisfaction in relation to the requirements are identified. The value of “Authenticity” describes how well the Web pages of the neurological practices represent the reality on the ground. The “total quality” represents the patient judgment about the general effect of websites in practices known compared to Web pages of other patients. The figures show a clear potential for optimization the pages of this section, that can be set as well as for other physician groups. Klaus-Dieter Thill / IFABS