Therapeutic curettage under control hysteroscopy in remains of embryonic tissue and fetal membranes in Asklepios Hospital Barmbek Hamburg
Asklepios Hospital Barmbek Hamburg
Hamburg, Germany
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Program id #
357233
Prof. Dr. med. Holger Maul
Department of Obstetrics
Specialized in: obstetrics The program includes:
- Initial presentation in the clinic
- clinical history taking
- physical examination
- review of medical records
- laboratory tests:
- complete blood count
- biochemical analysis of blood
- indicators of inflammation (CRP, ESR)
- indicators blood coagulation
- pelvic ultrasound
- gynecological examination
- transvaginal ultrasound
- colposcopy
- scraping with subsequent analysis
- preparation according to preoperative standard
- hysteroscopy and therapeutic curettage of uterus
- symptomatic treatment
- control examinations
- the cost of essential medicines and materials
- nursing services
- full hospital accommodation
- explanation of future recommendations
- written statement
Required documents
- Medical records
- US scan of the pelvis (if available)
- MRI/CT scan of the pelvis (if available)
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About the department
The Department of Obstetrics at the Asklepios Hospital Barmbek Hamburg offers the full range of medical services in the area of its specialization and is a Level I Perinatal Center. The department's team of obstetricians provides comprehensive management of pregnancy, childbirth, and postnatal care for mother and baby. The department houses a Section for Prenatal Diagnostics and Fetal Surgery. This section has state-of-the-art equipment, thanks to which doctors can detect the slightest deviations in the fetus at the stage of intrauterine development. If there is any threat to the pregnancy or any risk to the health of the fetus, the expectant mother can immediately receive the necessary treatment. For example, obstetricians perform transvaginal cervical cerclage to keep the cervix closed and lower the risk of premature births. The department's specialists regularly deal with multiple and high-risk pregnancies, so they have the necessary experience and competence to provide patients with effective medical care. Childbirth takes place in comfortable delivery rooms equipped in compliance with international standards. It is important for obstetricians to provide a woman with painless childbirth, so pain management is widely used here, including homeopathy, acupuncture, kinesiology taping, etc. The Head Physician of the department is Prof. Dr. med. Holger Maul.
The department offers a well-developed prenatal diagnostics area. The medical facility has state-of-the-art equipment, thanks to which doctors can perform comprehensive and accurate prenatal diagnostic examinations. The most popular diagnostic tests include ultrasound scanning in all trimesters, including 3D/4D ultrasound scans, fetal echocardiography, the KANET test, and fetal MRI. The department also performs invasive diagnostic examinations such as chorionic villus sampling, amniocentesis, and cordocentesis. Thus, during prenatal diagnostics, doctors can detect any problems related to the course of pregnancy and the health of the baby in the womb. It goes without saying that diagnosis is complemented by individual consultations, where future parents can find out the answers to all the questions they are interested in. The department enjoys the status of the Level I Perinatal Center for its excellent medical services.
The department pays special attention to the management of high-risk pregnancies. Pregnancy can be associated with risks for the health of the woman and the fetus if it occurs at the age of over 35 or under 18 years, in the presence of severe pathologies in the anamnesis of the future mother (for example, diabetes mellitus, thrombophilia, bronchial asthma, epilepsy, cardiopathology, arterial hypertension, etc.), in the presence of complications during the previous pregnancy, the development of preeclampsia, HELLP syndrome, and other pathological conditions. Gynecologists are involved in counseling women with high-risk pregnancies. A personalized treatment regimen is developed for each patient, and regular check-ups are carried out to ensure a normal pregnancy without compromising the health of the future mother and child.
The department's delivery rooms are very comfortable and cozy. Both conventional and modern types of childbirth, from water births and natural births to C-sections, take place here. Homeopathy, acupuncture, local anesthesia, and epidural anesthesia may be used for pain management during childbirth. Partners are allowed to be present during childbirth, if desired. An important attention is paid to bonding for the formation of a close connection between a mother and a child immediately after birth. The highly qualified team of obstetricians with vast experience ensures a successful and safe childbirth.
It should be noted that the department has unique experience in managing multiple pregnancies. Such pregnancies are classified as high-risk pregnancies and therefore require more careful medical supervision. The medical team monitors the course of such pregnancies very carefully in order to detect possible abnormalities in time, which can be diagnosed and treated even in the womb.
The department collaborates closely with neonatal intensive care specialists to provide optimal care for premature newborns, significantly reducing the likelihood of developmental delays and other disorders in the future.
The department's range of services is complemented by comprehensive care for the mother and her baby after birth. Doctors constantly monitor the condition of the mother and her child, as well as provide comprehensive counseling on further care of the child.
The department's range of medical services includes:
- Diagnostic options
- Non-invasive diagnostics
- Ultrasound examinations
- 1st trimester ultrasound screening, including 1st trimester screening with preeclampsia risk calculation.
- 2nd trimester ultrasound screening
- 3rd trimester ultrasound screening
- Fetal echocardiography
- Doppler ultrasound of maternal and fetal vessels
- 3D/4D ultrasound examinations
- KANET test
- Fetal magnetic resonance imaging (MRI)
- NIPT test for the most common fetal chromosomal abnormalities
- Pregnant woman's blood count for fetal Rh factor
- Ultrasound examinations
- Invasive diagnostics
- Chorionic villus sampling
- Amniocentesis
- Cordocentesis
- Non-invasive diagnostics
- Therapeutic options
- Fetal surgery
- Intrauterine hemotransfusion for fetal anemia
- Thoracoamniotic shunting for hydrothorax
- Amniotic drainage of excessive amniotic waters
- Antiarrhythmic therapy for heart rhythm disturbances
- Therapeutic procedures for preterm birth risks
- Continuous amnioinfusion through an intra-amniotic catheter in cases of amniotic leakage
- Placement of Arabin pessaries
- Transvaginal cervical cerclage using the McDonald and Shirodkar techniques
- Transabdominal cerclage (open and laparoscopic techniques)
- Amnioscopy using the Saling technique
- Childbirth: natural childbirth, including water birth, and C-section
- Postnatal care for mother and baby
- Intensive care for premature babies and newborns with congenital pathologies
- Fetal surgery
- Other medical services
Curriculum vitae
Higher Education
- Medical studies, Friedrich Alexander University Erlangen-Nuremberg.
- Master of Medical Sciences, University of Texas Medical Branch at Galveston, Texas, USA.
Additional Qualifications
- Certified instructor in ultrasound diagnostics in accordance with the recommendations of the German Society of Ultrasound in Medicine (DEGUM).
- Board certification in Gynecology and Obstetrics.
- Specialization in Special Obstetrics and Perinatology.
- Specialization in Special Prenatal Diagnostics DEGUM II.
- Certified breastfeeding and lactation consultant, International Board Certified Lactation Consultants (IBCLC).
Professional Career
- 1997 Preparation for board certification in Gynecology and Obstetrics, RWTH Aachen University and Hannover Medical School.
- 1999 Thesis defense and Doctorate, Friedrich Alexander University of Erlangen-Nuremberg.
- 2000 Postdoctoral Fellow, Section of Reproductive Medicine, Department of Obstetrics and Gynecology.
- 2004 Senior Physician, Department of Gynecology, University Hospital Heidelberg.
- 2007 Habilitation and PD title, Ruprecht Karl University of Heidelberg.
- 2007 Head Physician, Section of Prenatal Diagnostics, Department of Gynecology, University Hospital Heidelberg.
- 2009 Head Physician (specialization: Obstetrics and Perinatology), Department of Gynecology, St. Mary's Hospital Hamburg.
- Since 2017 Head Physician, Department of Obstetrics, Asklepios Hospital Barmbek Hamburg.
Research Interests
- Fetal malformations with a special focus on spina bifida, gastroschisis, and omphalocele.
- Gestational diabetes mellitus.
- Treatment of maternal diseases: thrombophilia, rheumatism, neurological diseases, liver diseases, and kidney pathologies.
- Multiple pregnancy.
- Postpartum bleeding.
- Preeclampsia and HELLP syndrome.
- Prevention of preterm birth (Co-Founder of the Working Group "Experts in the prediction and prevention of preterm birth").
- Intrauterine growth restriction.
Prizes, Awards, and Honors
- 2002 Scientific Award, Working Group on Perinatal Medicine (AGMFM).
- 2003 Highlight des Nordens Research Prize, North German Society of Gynecology and Obstetrics (NGGG).
Membership in Professional Societies
- Working Group for Obstetrics (AGG) of the German Society for Gynecology and Obstetrics (DGGG).
- Professional Association of Gynecologists (BVF).
- German Association of Managing Obstetricians and Gynecologists.
- German Society for Gynecology and Obstetrics (DGGG).
- German Society of Ultrasound in Medicine (DEGUM).
- Hamburg Obstetrics Society.
- International Society of Ultrasound in Obstetrics and Gynecology (ISUOG).
- North German Society of Gynecology and Obstetrics (NGGG).
- German Association of Head Physicians (VLK).
Photo of the doctor: (c) Asklepios Klinik Barmbek
About hospital
The Asklepios Hospital Barmbek Hamburg is an academic hospital of the University of Hamburg. The hospital was opened in 2005, and today it is one of the best and most modern medical centers in Europe. The priority areas of specialization of the medical facility are emergency medical care and comprehensive treatment of cancer, urologic diseases, gastrointestinal diseases, and pulmonary diseases, as well as abdominal surgery and thoracic surgery. The hospital provides patients with top-class medical services that meet international standards.
The hospital has 620 beds. More than 36,000 inpatients and about 74,000 outpatients are treated here every year. The patients' health is in the safe hands of a highly professional team of over 1,600 doctors and nursing staff.
The hospital offers high-quality diagnostic and therapeutic services and strictly follows current clinical protocols. The hospital boasts modern infrastructure and state-of-the-art medical equipment. The hospital is one of the few in Europe where patients are successfully operated on using the da Vinci surgical system. The hospital also houses well-equipped endoscopy rooms, cardiac catheterization laboratories, laser surgery rooms, and operating rooms for arthroscopic interventions. All these technical resources contribute to effective and, at the same time, minimally traumatic treatment.
It is worth noting that the hospital has vast experience in serving international patients. According to the Medical Travel Quality Alliance (MTQUA), the Asklepios Hospital Barmbek Hamburg ranks among the top three medical centers worldwide for medical tourism.
The medical center also holds the international DIN EN ISO 9001:2015 quality certificate, attesting to the excellent medical services provided. For its outstanding achievements in oncology and surgery, the hospital has been awarded certificates from the German Cancer Society (DKG) and the German Society for General and Visceral Surgery (DGAV).
Photo: (с) depositphotos
Accommodation in hospital
Patients rooms
The patients of the Asklepios Hospital Barmbek Hamburg live in comfortable single and double rooms. Each patient room has an ensuite bathroom with a shower and a toilet. The patient room furnishings include an automatically adjustable bed, a bedside table, a table and chairs for visitors, a TV, a radio, and a telephone. Wi-Fi access is also available in the patient rooms.
Patients can also be accommodated in enhanced-comfort rooms, which additionally include a rest area with upholstered furniture and a working area with a desk and a reading lamp. The bathroom in the enhanced-comfort rooms includes necessary toiletries, changeable towels, bathrobes, slippers, and a hairdryer. The enhanced-comfort rooms correspond to the standards of a high-class hotel.
Meals and Menus
The hospital offers tasty and balanced meals. Patients receive several menus to choose from and can see the menu in advance using a special mobile application. The hospital takes patients' food preferences into account and offers a wide range of dietary and vegetarian dishes. Breakfast, lunch, and dinner are served in the patient's room.
There is a cozy cafeteria on the first floor of the hospital where one can enjoy a cup of aromatic coffee or delicious tea with a dessert. The cafeteria offers a wide selection of snacks and salads.
There is a small store on the territory of the hospital where one can buy fresh fruits, yogurts, sweets, and magazines.
Further details
Standard rooms include:
Shower
Toilet
Wi-Fi
TV
Religion
There is a prayer room on the first floor of the hospital where patients can find solitude for prayer.
The hospital has an evangelical pastor who is happy to talk with patients and support them in the process of their treatment.
Representatives of other religions are available upon request.
Accompanying person
Your accompanying person may stay with you in your patient room or at the hotel of your choice during the inpatient program.
Hotel
You may stay at the hotel of your choice during the outpatient program. Our managers will support you for selecting the best option.
