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Surgical treatment of breast abscess with its incision and drainage (45599) | Hospital Cologne-Holweide - BookingHealth
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Surgical treatment of breast abscess with its incision and drainage

Hospital Cologne-Holweide

Cologne, Germany
Program id # 45599
Doctor photo
Prof. Dr. med. Mathias Warm
Department of Mammology
Specialized in: mammology

The program includes:

  • Initial presentation in the clinic
  • clinical history taking
  • review of medical records
  • physical examination
  • laboratory tests:
    • complete blood count
    • general urine analysis
    • biochemical analysis of blood
    • inflammation indicators (CRP, ESR)
    • indicators blood coagulation
  • ultrasound examination of the breast
  • preoperative care
  • partial resection of the breast abscesses 
  • histologically examination of the remote tissues
  • symptomatic treatment
  • control examinations
  • the cost of essential medicines and materials
  • nursing services
  • full hospital accommodation
  • explanation of future recommendations

Required documents

  • Medical records
  • Ultrasound scan (if available)

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About the department

The Department of Mammology at the Hospital Cologne-Holweide provides the full range of diagnostic and therapeutic services for women and men with benign and malignant breast diseases. The department also successfully performs breast plastic surgery, including breast augmentation and reduction. Prior to such surgical procedures, patients receive detailed counseling on all issues related to the upcoming surgery. The department has comfortable diagnostic rooms equipped with state-of-the-art devices for ultrasound scans, mammography, and breast MRI. The department's doctors also specialize in performing various types of biopsies, including core needle biopsy, vacuum-assisted biopsy, and stereotactic biopsy. During the treatment of benign breast conditions, doctors often manage to solve the problem with conservative therapeutic methods. As for the treatment of breast cancer, which is one of the most common and life-threatening oncologic diseases among women worldwide, surgical resection is most often performed in combination with drug therapy and/or radiation therapy. The department's medical team makes every effort to provide each patient with individualized and effective treatment that meets their needs.

The department is headed by Prof. Dr. med. Mathias Warm, a highly qualified obstetrician and gynecologist who has impressive clinical experience. According to the Focus medical magazine, Dr. med. Mathias Warm has been repeatedly ranked among the top doctors in the area of his specialization. The professor previously headed the Breast Center at the University Hospital Cologne and also made a great contribution to the development of the Department of Mammology at the Hospital Cologne-Holweide.

Many patients seek medical help from the department every year, most of whom are diagnosed with breast cancer. More than 8 surgical interventions on the breast are performed daily in the department's operating rooms. Breast cancer is one of the most dangerous oncologic diseases and the most common type of cancer among women, often affecting young women of childbearing age. This is due to the lack of symptoms in the early stages of cancer development, as a result of which the diagnosis is already made at the 3-4 stage, when the malignant cells have spread beyond the breast.

When a woman with suspected breast cancer is admitted to the department, the doctor carries out a clinical examination and palpation, studies the patient's medical history, etc. Following that, instrumental diagnostic tests are performed, including 3D and 4D sonography and digital mammography. In some cases, the department's specialists may also use magnetic resonance imaging. Should the diagnostic results cause concern to the breast specialist, the next step will be a biopsy. The procedure involves obtaining a sample of breast tissue for detailed analysis in a laboratory. In cases of suspected breast cancer, biopsy results play a crucial role in making an accurate diagnosis. The department performs several types of biopsy, such as core needle biopsy, vacuum-assisted biopsy, and stereotactic biopsy.

A treatment regimen for breast cancer is developed during interdisciplinary tumor boards with the participation of breast specialists, gynecologists, surgeons, oncologists, radiation therapists, and other specialists. The task of the department's doctors is to provide the most effective and sparing treatment possible. As a rule, surgery is the first-line treatment. In advanced cancer stages, a patient may be indicated for breast removal surgery (mastectomy). In such cases, women often fall into despair, especially if a mastectomy is required for a young woman. The department, however, is a progressive medical facility that offers the services of highly qualified plastic surgeons. The specialists successfully perform plastic breast reconstruction after extensive resections using silicone implants, expanders, and autologous adipose tissue.

Surgery is mostly complemented with conservative therapies such as chemotherapy, radiation therapy, hormone therapy, targeted therapy, immunotherapy, etc. The dosage, duration, and intensity of the course of conservative treatment depend on the patient's clinical data, her age, general health condition, the outcomes of previous surgical resection, and other factors.

Young women with breast cancer who are planning to become pregnant in the future are interested in preserving their fertility after chemotherapy or radiation therapy because these methods may irreversibly impact reproductive health. The department has introduced a special FertiPROTEKT program, within which the patient can receive comprehensive advice on the possibilities for planning motherhood in the future.

In the postoperative period, the department's doctors provide comprehensive care and rehabilitation, including individual and group therapeutic exercises, physiotherapeutic procedures, and neurotherapy. All these measures aim to improve the patient's health and achieve maximum recovery after the treatment is completed. Therapeutic exercises and physiotherapy help in the prevention of thrombosis and edema, normalize shoulder mobility, and promote overall healing. Neurotherapy can eliminate a number of undesirable post-surgery consequences, including impaired wound healing, painful scars, pain after surgery and irradiation, as well as neuropathic pain.

The department's range of diagnostic and therapeutic options includes:

  • Diagnostics
    • Examination and palpation for the initial assessment of the breast condition
    • 3D and 4D breast sonography and assessment of lymphatic drainage on both sides
    • Digital mammography
    • Magnetic resonance imaging
    • Lymph node and bone scintigraphy
    • Positron emission tomography
    • Biopsy
      • Core needle biopsy
      • Vacuum-assisted biopsy
      • Stereotactic biopsy
  • Treatment
    • Surgical treatment
      • Breast surgery to remove benign and malignant tumors of varying complexity
      • Reconstructive breast surgery after mastectomy
    • Conservative treatment
      • Chemotherapy
      • Radiation therapy
      • Hormone therapy
      • Targeted therapy
      • Antibody therapy
      • Immunotherapy
    • Postoperative rehabilitation: therapeutic exercises, physiotherapy, and neurotherapy
  • Other medical services

Curriculum vitae

Higher Education and Professional Career

  • 1986 - 1992 Medical studies, Ernst Moritz Arndt University of Greifswald.
  • 1992 - 1994 Internship, Department of Gynecology, Hospital Stralsund (Academic Hospital at Ernst Moritz Arndt University of Greifswald).
  • 1994 - 1997 Assistant Physician, Department of Gynecology, Hospital Stralsund (Academic Hospital at Ernst Moritz Arndt University of Greifswald).
  • 1996 Thesis defense, Department of Gynecology, Hospital Stralsund (Academic Hospital at Ernst Moritz Arndt University of Greifswald).
  • 1998 Board certification in Gynecology and Obstetrics.
  • 1997 - 2000 Senior Physician, Department of Gynecology, City Hospital Wolfsburg.
  • 2002 Optional advanced training in Special Operative Gynecology.
  • 2003 Qualified Instructor for Breast Ultrasound.
  • 2003 Certificate from the German Society of Ultrasound in Medicine (DEGUM II) for Breast Sonography.
  • 2003 Head of the Breast Center at the University Hospital Cologne.
  • 2004 Deputy Head of the Department of Gynecology and Obstetrics at the University Hospital Cologne.
  • 2005 An authorized person for conducting advanced training/retraining within the optional advanced training program in Special Operative Gynecology.
  • 2006 Seminar Leader at the German Society of Ultrasound in Medicine (DEGUM); additional qualification in Tumor Drug Therapy.
  • 2009 Professional Auditor of the Breast Centers in North Rhine-Westphalia.
  • 2009 Habilitation, Faculty of Medicine, University of Cologne. Subject: "Individualized clinical approaches to the treatment of women with breast cancer based on the prediction of response to neoadjuvant chemotherapy".
  • Since 2010 Head Physician of the Department of Mammology at the Hospital Cologne-Holweide.
  • 2011 Certificate from the German Society of Ultrasound in Medicine (DEGUM III) for Breast Sonography.
  • Since 2016 Extraordinary Professorship at the University of Cologne.

Memberships in Professional Societies

  • German Society of Gynecology and Obstetrics (DGGG).
  • Society for Reconstructive Surgery in Gynecology (AWO-Gyn).
  • Working Group on Breast Sonography of the German Society of Ultrasound in Medicine (DEGUM).
  • Professional Association of Gynecologists.
  • Lower Rhine-Westphalian Society for Gynecology and Obstetrics.
  • Quality Life House (Haus Lebenswert e.V).
  • North Eastern German Society of Gynecological Oncology (NOGGO), Board Member.
  • German Society for Senology (DGS).
  • German Cancer Society (DKG).
  • Working Group on Gynecological Oncology (AGO).
  • German Society of Plastic, Reconstructive and Aesthetic Surgeons.
  • German Society for Osteooncology (DOG).
  • Rhineland Society of Gynecologists (GenoGyn).
  • Women After Cancer (FRANKA e.V.).
  • Breast Cancer Society (Brustkrebs Deutschland e.V.).
  • Scientific Advisory Board Member of the Governing Board "Estimation of mortality within the German Mammography Screening Program" at the Federal Office for Radiation Protection.

Photo of the doctor: (c) Krankenhaus Köln-Holweide


About hospital

According to the reputable Focus magazine, the Hospital Cologne-Holweide ranks among the top medical centers in North Rhine-Westphalia! 

The medical complex is an academic hospital of the University of Cologne, providing patients with high-quality healthcare based on the latest achievements in university medicine. The hospital admits patients with various diseases, including cancer, diseases of the hematopoietic system, urinary system, gastrointestinal tract, ENT organs, etc. The hospital is known for having one of the largest Departments of Obstetrics in Germany, where more than 1,800 babies are born every year. The health facility also houses the specialized Breast Cancer Center and the Colon Cancer Center, whose treatment success rates are consistently high. The hospital has advanced technical resources and highly qualified staff to provide patients with effective medical care in the areas of its specialization.

The hospital has a total of 465 beds. The medical facility annually admits about 20,500 inpatients and more than 63,900 outpatients for diagnostics and treatment. The hospital provides comfortable conditions and modern infrastructure to meet the needs and wishes of patients. The medical team at the hospital prefers a multidisciplinary approach to medical care, which is particularly valuable in treating complex conditions such as cancer.

In 2009, the hospital was successfully certified by "High-Quality Management of Acute Pain Syndrome" TÜV Rheinland Group in gynecology, surgery, urology, otorhinolaryngology, and anesthesiology. In addition, the hospital became the first emergency medical facility for adults in Cologne to be KTQ® (Cooperation for Transparency and Quality in Healthcare) certified.

The specialists at the hospital always strive to provide each patient with high-quality medical care in a pleasant atmosphere. Doctors are open to dialog, gladly answer all questions that patients are interested in, and provide moral support throughout the therapeutic process.

Photo: (с) depositphotos

Accommodation in hospital

Patients rooms

The patients of the Hospital Cologne-Holweide live in comfortable single and double rooms designed in light colors. Each patient room has an ensuite bathroom with a shower and a toilet. The furnishings of a standard patient room include an automatically adjustable bed with an orthopedic mattress, a bedside table, a wardrobe for personal belongings, a table and chairs for receiving visitors, and a TV with international channels. Wi-Fi is also available in the patient rooms.

The patients can stay in enhanced-comfort rooms, if desired. Such rooms are more spacious and additionally equipped with a safe, a mini-fridge, and upholstered furniture.

Meals and Menus

The patients are offered three tasty and healthy meals a day: breakfast, lunch, and dinner. Breakfast and dinner are served as buffets, and for lunch, there is a set of three menus to choose from.

If, for some reason, you do not eat all the foods, you will be offered an individual menu. Please inform the medical staff about your dietary preferences prior to treatment.

Further details

Standard rooms include:

Toilet
Shower
Wi-Fi
TV

Religion

A worship service is held in the chapel at the hospital every Sunday. There is also a prayer room at the hospital where one can pray in private.

The services of 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.