Treatment of encopresis (bowel incontinence) with artificial sphincter implantation in Hospital Harlaching Munich
Hospital Harlaching Munich
Munich, Germany
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Program id #
155245
PD Dr. med. Mia Kim
Department of General and Abdominal Surgery
Specialized in: general and abdominal surgery The program includes:
- Initial presentation in the clinic
- clinical history taking
- physical examination
- review of medical records
- laboratory tests:
- complete blood count
- general urine analysis
- biochemical analysis of blood
- TSH-basal, fT3, fT4
- indicators of inflammation (CRP, ESR)
- indicators blood coagulation
- abdominal ultrasound
- CT/MRI abdomen
- colonoscopy
- preoperative care
- artificial sphincter implantation
- cost of artificial sphincter
- symptomatic treatment
- control examinations
- the cost of essential medicines and materials
- nursing services
- nutrition recommendations
- full hospital accommodation
- explanation of future recommendations
Required documents
- Medical records
- Anal sphincter ultrasound (if available)
- Pelvic MRI (if available)
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About the department
The Department of General and Abdominal Surgery at the Hospital Harlaching Munich provides high-quality surgical treatment of inflammatory diseases and cancers of the abdominal cavity and anterior abdominal wall. Whenever possible, the specialists prefer sparing minimally invasive surgical techniques. The department's team of surgeons has a wealth of experience in the field of minimally invasive hernia repair, thanks to which it has been awarded the quality certificate of the German Hernia Society (DHG). To provide comprehensive medical care, the department's surgeons cooperate closely with gastroenterologists. In addition, the department's specialists perform interventions to form a vascular access for patients who require dialysis. The key focus of the department's clinical practice is on the surgical treatment of gastrointestinal malignancies. The medical facility is part of the Cancer Center Munich Süd. More than 2,000 surgical procedures are performed in the department's high-tech operating rooms every year. The Chief Physician of the department is PD Dr. med. Mia Kim.
Nowadays, colon cancer is one of the most common malignant gastrointestinal diseases. The department's doctors have extensive and successful experience in the treatment of this pathology. Cancer treatment is always a complex clinical task, and therefore a special role is given to interdisciplinary collaboration of doctors from related medical disciplines. The department's surgeons cooperate closely with oncologists, radiologists, radiation therapists, chemotherapists and specialists in nuclear medicine. The doctors cooperatively consider a clinical case and develop the optimal treatment regimen, taking into account particular clinical indications, including the stage of cancer, tumor localization, patient's general health condition, his age and other important factors. The department's team of surgeons provides treatment to more than 1,200 patients every year. In the case of colon cancer, surgery is inevitable, so the patient needs hospitalization. In some cases, minimally invasive intervention is possible. At the initial stages of colon cancer, preference is given to endoscopic removal of tumors. Prior to surgery or after it, the patient usually undergoes chemotherapy and/or radiation therapy. The department also offers an innovative therapeutic technique called hyperthermic intraperitoneal chemoperfusion (HIPEC). The essence of this procedure is as follows: after resection of all visible neoplasms, the doctors pour a warmed sterile solution of chemotherapy drugs into the abdominal cavity. Such an approach allows the doctors to destroy the remaining malignant cells in the abdominal cavity, as well as suppress the growth of inoperable tumors. One of the main advantages of the HIPEC technique is its effectiveness even in the advanced stages of cancer. During the entire therapeutic process, cancer patients receive competent psychological care. In addition, the attending physicians devote sufficient time to communication with their patients in order to establish trusting contact, surround them with care and create a friendly atmosphere in the department.
Another important focus of the department's surgeons is gallbladder surgery (as a rule, these are surgical procedures for gallstone disease). The specialists annually perform about 200 interventions in this field. Most gallbladder interventions are performed using sparing minimally invasive techniques. Open operations are performed mainly for malignant tumors. As a rule, after such interventions the patient spends no more than 2-3 days in the hospital.
The department is certified by the German Hernia Society (DHG), and therefore its specialists have exclusive competence in the surgical repair of inguinal hernias, incisional hernias and epigastric hernias. The type of surgical intervention is selected for each patient on an individual basis (Shouldice operation, Lichtenstein operation, transabdominal preperitoneal hernioplasty, total extraperitoneal hernia repair, other interventions). In most cases, the patient can leave the hospital within a day after the operation. It should be noted that the department's specialists are proud of their successful experience in the surgical repair of life-threatening hernias and recurrent hernias.
The department's range of surgical services includes:
- Surgical treatment of gastrointestinal cancers
- Surgical treatment of liver and pancreatic cancers
- Surgical treatment of inflammatory bowel disease (Crohn's disease and ulcerative colitis)
- Surgical treatment of gallbladder and biliary tract diseases
- Surgical treatment of diverticular disease
- Surgical repair of inguinal hernias, incisional hernias and epigastric hernias
- Shouldice operation
- Lichtenstein operation
- Transabdominal preperitoneal hernioplasty
- Total extraperitoneal hernia repair
- Surgical interventions to form dialysis access
- Surgical interventions to implant port systems
- Other medical services
Curriculum vitae
Professional Career
- Since 02.2021 Chief Physician of the Department of General and Abdominal Surgery at the Hospital Harlaching Munich.
- 02.2018 Reference Surgeon of the German Society for General and Abdominal Surgery; work at the Reference Center for Coloproctology in the Department of General, Abdominal, Transplant, Vascular and Pediatric Surgery at the University Hospital Wuerzburg.
- 01.2018 Head of the Section for Colorectal Surgery in the Department of General, Abdominal, Transplant, Vascular and Pediatric Surgery at the University Hospital Wuerzburg.
- 09.2017 Member of the European Board of Surgery Qualification (EBSQ).
- 01.2017 Senior Physician in the Department of General, Abdominal, Transplant, Vascular and Pediatric Surgery at the University Hospital Wuerzburg.
- 01.2016 - 04.2016 Member of the European Society of Coloproctology; work in the Department of Abdominal and Endocrine Surgery at the University Hospital Nantes, France.
- 12.2015 Grant for a trip abroad from the German Society for General and Abdominal Surgery, Department of Colorectal Surgery at the University Hospital Oxford.
- 01.2015 Additional specialization in Proctology.
- 09.2013 Board certification in Abdominal Surgery.
- 09.2008 - 12.2016 Research Fellow, Department of General, Abdominal, Transplant, Vascular and Pediatric Surgery at the University Hospital Wuerzburg.
- 01.2007 - 08.2008 Assistant Physician, Department of General, Abdominal and Thoracic Surgery at the Hospital Nuremberg.
Scientific Career
- From 2020 Advisory Board on Coloproctology, Springer Medicine.
- From 2017 Participant in clinical trials in accordance with the Legislation on circulation of medicines.
- 05.2016 Venia Legendi in Surgery, University of Wuerzburg.
- 04.2016 Habilitation in Surgery, Department of General, Abdominal, Transplant, Vascular and Pediatric Surgery at the University Hospital Wuerzburg. Thesis subject: "Functional bowel diseases – quality of life with these pathologies and neural signal deficiency".
- 11.2012 -10.2013 Research project, Interdisciplinary Center for Clinical Research (IZKF). Subject: "Molecular genetic examinations of the enteric nervous system of the rectum for the assessment of its pathophysiological significance in chronic constipation".
- 06.2008 Doctoral thesis defense, Department of Anesthesiology and Intensive Care, Heidelberg University Hospital. Subject: "The role of transgenic expression of the caspase inhibitor CrmA in the development of focal brain ischemia".
Clinical Interests
- Abdominal surgery.
- Colorectal surgery.
- Minimally invasive colon surgery (colon cancer, sigmoid diverticulitis).
- Minimally invasive rectal surgery (rectal cancer, rectal polyps, rectal prolapse).
- Minimally invasive treatment of chronic inflammatory bowel disease (Crohn's disease, ulcerative colitis).
- Minimally invasive treatment for chronic constipation and fecal incontinence.
- Proctology (hemorrhoids, anal fistulas, anal abscesses, anal fissures, pilonidal sinus).
Memberships in Professional Societies
- German Society for General and Abdominal Surgery.
- European Society of Coloproctology.
- Association of Bavarian Surgeons.
Photo of the doctor: (c) München Klinik Harlaching
About hospital
According to the prestigious Focus magazine, the Hospital Harlaching Munich ranks among the top 20 medical centers in Bavaria, and is also one of the 100 best hospitals in Germany!
The medical complex provides top-class medical care, which meets modern European standards. The medical facility is an Academic Hospital of the Ludwig Maximilian University of Munich, thanks to which it has access to the very latest clinical achievements. The hospital is proud of its large bed capacity, which accounts for more than 700 beds. The doctors of the medical complex annually provide treatment to over 79,000 patients both on an inpatient and outpatient basis. The work of the hospital's medical team is based on an individual approach to each patient, since each patient and his clinical case are unique. The specialists develop individual medical programs, which allow them to achieve complete cure even in particularly complex clinical cases.
The hospital includes 17 specialized departments and many narrowly focused centers, including the Trauma Center, Breast Center, Gynecologic Cancer Center, Level I Perinatal Center, etc. The priority clinical activities of the medical facility include traumatology, neurology, gynecology and obstetrics, oncology, urology, pediatric and adolescent medicine. In addition, the doctors of the medical complex have long experience in the treatment of diseases of the cardiovascular system, kidneys and urinary tract, diseases of the gastrointestinal tract and lungs.
The hospital has been awarded the prestigious DIN EN ISO 9001:2015 certificate, which confirms the excellent quality of medical services and high patient satisfaction with medical care. The successful clinical activities of the hospital are also awarded with certificates from the German Cancer Society, the German Cardiac Society, the German Stroke Society, the German Trauma Society, the German Hernia Society and other specialized medical associations.
The patients of the hospital benefit from medical care by leading doctors in Germany with rich practical experience and excellent qualifications. The specialists devote enough time to personal communication with patients, strive to establish trust with them and do everything possible to ensure not only a successful treatment outcome, but also a pleasant stay in the hospital.
Photo: (с) depositphotos
Accommodation in hospital
Patients rooms
The patients of the Hospital Harlaching Munich live in comfortable single and double rooms with light colors. Each patient room has an ensuite bathroom with shower and toilet. The standard patient room furnishings include an automatically adjustable bed, a bedside table, a wardrobe, a table and chairs for receiving visitors. The bed has a built-in modern multimedia system with the help of which the patient can control the TV and radio. In addition, the multimedia system can be used to make telephone calls. Wi-Fi access is also available in the hospital. There is a ban on smoking in the hospital.
The patients can also live in enhanced comfort rooms. These patient rooms have additional toiletries, towels, hairdryer, safe, mini-fridge and upholstered furniture.
The hospital has a library with a wide selection of books for every taste, including audio books, magazines, DVDs and CDs.
The hospital also has a cozy cafe where the patients can have a tasty snack, enjoy a cup of aromatic coffee or hot tea with dessert.
Meals and Menus
The patient and the accompanying person are offered tasty and healthy three meals a day. The diet is quite varied. The restaurant of the hospital is certified in accordance with the DIN ISO 22000: 2005 quality standards, so the patients can be sure that when cooking the chefs use only the freshest and highest quality products.
If you are on a specific diet for some reason, you will be offered an individual menu. Please inform the medical staff about your dietary preferences prior to the treatment.
Further details
Standard rooms include:
Toilet
Shower
Wi-Fi
TV
Religion
The religious services are available upon request.
Accompanying person
During the inpatient program, the accompanying person can live with the patient in a patient room or a hotel of his choice. Our managers will help you choose the most suitable option.
Hotel
During the outpatient program, the patient can stay at the hotel of his choice. Our managers will help you choose the most suitable option.
