Varicose veins with venous ulcer by skin grafting and necrectomy in ATOS Clinic Heidelberg
ATOS Clinic Heidelberg
Heidelberg, Germany
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Program id #
410507
PD Dr. med. Andreas Dacho
Department of Plastic, Aesthetic and Reconstructive Surgery
Specialized in: plastic, aesthetic and reconstructive surgery The program includes:
- Initial presentation in the clinic
- clinical history taking
- review of medical records
- physical examination
- laboratory tests:
- complete blood count
- biochemical analysis of blood
- Lipid metabolism (HDL/LDL, cholesterol,
triglycerides Lip(a), homocysteine) - blood coagulation analysis (aPTT, PT, INR)
- inflammation indicators (CRP, ESR)
- metabolic status (uric acid, total glucose, HbA1c)
- cardiovascular disease risk markers
- kidney function test (creatinine, urea)
- bacteriological smear from the ulcer
- color doppler echocardiography
- duplex peripheral arteries
- doppler/ duplex venous
- phlebography (as indicated)
- preoperative care
- skin grafting and necrectomy
- daily dressings and wound care
- symptomatic treatment
- control examinations
- the cost of essential medicines and materials
- nursing services
- full hospital accommodation
- developing of further guidance
Required documents
- Medical records
- Doppler ultrasound/duplex scanning (if available)
- MRI/CT scan (if available)
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About the department
The Department of Plastic, Aesthetic and Reconstructive Surgery at the ATOS Clinic Heidelberg specializes in the full range of surgical procedures in its areas of expertise. The main clinical focus is reconstructive and aesthetic facial plastic surgery. The department brilliantly performs face and neck lifts, otoplasty, rhinoplasty, mentoplasty, and blepharoplasty, as well as reconstructive surgery to correct appearance defects following tumor removal surgery and treatment of burns and injuries. The department also offers a variety of non-surgical cosmetic procedures for facial skin rejuvenation, the most popular of which are treatment of facial and décolleté wrinkles with filler injections or lipofilling, PRP therapy (vampire lift), and microneedling (percutaneous collagen induction). Another important area of work for the plastic surgeons in the department is the removal of benign and malignant skin tumors. The specialists mostly perform resections of spinaliomas, basaliomas, melanomas, and suspicious moles that may potentially degenerate into a malignancy. The department's operating rooms are equipped with the latest technology, and hygiene and safety standards are strictly observed here. The plastic surgeons in the department always strive to achieve the best and most natural results. Before any surgery or cosmetic procedure, the doctors hold an individual consultation to discuss the patient's wishes and the possibilities of their implementation.
The Head Physician of the department is PD Dr. med. Andreas Dacho. The specialist has been ranked among the best plastic surgeons in Germany by the reputable Focus magazine for many years in a row. He is also a holder of the prestigious "Leading Medicine Guide" certificate. Dr. Andreas Dacho's primary specialization is aesthetic and reconstructive facial plastic surgery.
The department has earned a reputation as one of the best facial plastic surgery centers in the region. Any surgical procedure carries certain risks, and facial surgery is considered a highly complex procedure, as the slightest mistake by the surgeon can lead to irreversible consequences and appearance defects. Fortunately, the team of plastic surgeons in the department has excellent qualifications in the field of facial plastic surgery. Facelift is one of the most popular surgeries in the clinical practice of the department. As a result of the surgery, the patient gets rid of wrinkles, sagging and flabby skin, nasolabial folds, and other signs of aging. A circular facelift is the most common option. It provides the best aesthetic result. The department's surgeons prefer to use endoscopic techniques for facelifts. The surgery is performed through miniature incisions using long and thin instruments under imaging guidance. Such operations leave only small wounds that heal quickly, and even the surgeon who performed the operation will hardly be able to find postoperative scars after 3-4 months.
Another modern and effective method of facial skin rejuvenation is lipofilling. The essence of the procedure is the transplantation of the patient's own fat tissue from other parts of the body to the facial area to restore skin elasticity. Lipofilling can also be used to correct facial asymmetry (hemiatrophy) and congenital and acquired defects. Surgeons perform the procedure using minimally traumatic surgical techniques, which contributes to rapid wound healing in the postoperative period. The main advantage of this method is that, unlike fillers (Botox, hyaluronic acid, etc.), the fat tissue is completely compatible with the patient's own body tissues, which makes it possible to achieve the most natural result. In addition, there is usually no need for repeat surgery.
The team of plastic surgeons in the department specializes in rhinoplasty, an operation to correct the shape and size of the nose. In most cases, rhinoplasty is performed for aesthetic reasons, when the patient is unhappy with his or her appearance and wants to change the shape of the nose. However, rhinoplasty is also often clinically indicated when the patient has nasal breathing problems. Specialists perform both open and closed rhinoplasty: an open approach is indicated in cases of congenital malformations, hump on the bridge of the nose, asymmetry, wide bridge of the nose, large nostrils, secondary deformities after injuries and surgeries, and nasal breathing problems; a closed technique is used when the patient wants to correct the shape and size of the nose without medical indication, or a deviated nasal septum. In closed rhinoplasty, incisions are made inside the nose, and in open rhinoplasty, an incision is made on the skin of the columella (between the two nostrils).
The departments range of medical services includes the following:
- Plastic reconstructive surgery
- Rhinoplasty, including cleft lip and nose
- Septoplasty
- Turbinate vasotomy
- Blepharoplasty
- Otoplasty
- Plastic correction of congenital malformations
- Local flap plastic surgery
- Reconstructive plastic surgery after injuries, burns, unsuccessful operations, and tumor removal surgery
- Facial nerve plastic surgery
- Plastic surgery for Frey's syndrome
- Plastic aesthetic surgery
- Facelift
- Neck lift
- Forehead lift
- Lipofilling
- Rhinoplasty
- Otoplasty
- Blepharoplasty
- Mentoplasty
- Scar revision in the face, neck, and décolleté
- Surgery for the correction of benign and malignant skin changes
- Surgery for acne scars
- Surgery for age warts (seborrheic keratosis)
- Surgery for hemangiomas
- Surgery for atheromas
- Surgery for histiocytomas
- Surgery for keloid scars
- Surgery for keratoacanthomas
- Surgery for lentigo maligna melanoma
- Surgery for actinic keratosis
- Surgery for nevi
- Surgery for melanoma
- Surgery for squamous cell skin cancer and Bowen's disease
- Surgery for burn scars
- Surgery for basal cell carcinoma
- Surgery for soft tissue tumor removal
- Surgery for lipomas
- Surgery for fibromas
- Surgery for cysts
- Non-surgical aesthetic procedures
- Wrinkle treatment with Botox, hyaluronic acid, and autologous fat injections
- PRP therapy (vampire lift)
- Microneedling (percutaneous collagen induction)
- Other medical services
Curriculum vitae
Higher Education
- 1992 - 1999 Medical studies, Ruprecht Karl University of Heidelberg.
- 1995 - 1999 Scholarship by the Friedrich Naumann Foundation, Berlin.
- 1996 Research Fellowship with Prof. Dr. med. David van Thiel, Director of the Transplant Center, Albert Chandler Medical Center, Lexington, Kentucky, USA.
- 1998 Incentive Award by the Wilhelm and Else Heraus Foundation, Hanau, and the Society of German Natural Scientists and Physicians, Berlin.
Professional Career
- 1998 - 1999 Secretary of the Working Group on Oncology, Cancer Center, University Hospital Heidelberg.
- 1999 - 2001 Work in the Department of Otolaryngology, University Hospital Heidelberg.
- 2001 - 2005 Work in the Department of Hand Surgery, Plastic and Reconstructive Surgery, Center for Severe Burns, Trauma Clinic Ludwigshafen; work in the Department of Plastic and Hand Surgery, University Hospital Heidelberg.
- 2003 Rotation, Department of Trauma Surgery and Reconstructive Surgery, Section for Post-Traumatic Osteomyelitis, Trauma Clinic Ludwigshafen; work in the Department of Trauma Surgery, University Hospital Heidelberg.
- 2005 - 2008 Work in the Department of Otolaryngology, University Hospital Leipzig.
- 2007 Board certification in Otolaryngology.
- 2007 - 2008 Senior Physician, Department of Otolaryngology, University Hospital Leipzig.
- 2008 - 2009 Surgeon, Department of Plastic and Aesthetic Surgery, St. Joseph's Hospital Essen-Kupferdreh; Consultant Physician, Catholic Hospital Ruhrhalbinsel Essen.
- 2009 Board certification in Plastic, Aesthetic and Reconstructive Surgery.
- 2010 - 2013 Senior Physician, Department of Plastic and Aesthetic Surgery, St. Joseph's Hospital Essen-Kupferdreh; Consultant Physician, Catholic Hospital Ruhrhalbinsel Essen.
- Since 2011 Secretary General of the Rhinoplasty Society of Europe (RSE).
- 2011 - 2013 Head of the German Rhinoplasty Center, Department of Plastic Surgery, Catholic Hospital Ruhrhalbinsel Essen.
- 2014 Head Physician, Department of Plastic and Reconstructive Facial Surgery, University Hospital Mannheim.
- Since 2015 Head Physician, Department of Plastic, Aesthetic and Reconstructive Surgery, ATOS Clinic Heidelberg.
Prizes, Awards, and Honors
- 1986 Baden-Wuerttemberg History and Politics Award.
- 1990 Max Planck Gymnasium Prize, Karlsruhe-Rueppurr.
- 2017 Leading Medicine Guide.
- Since 2018 Rated as the best Plastic Surgeon and Otolaryngologist in Heidelberg according to the Focus magazine.
Memberships in Professional Societies
- German Society of Plastic, Reconstructive and Aesthetic Surgery (DGPRÄC).
- Association of German Aesthetic Plastic Surgeons (VDÄPC).
- German Society of Oto-Rhino-Laryngology, Head and Neck Surgery (DGHNOKHC).
- European Academy of Facial Plastic Surgery (EAFPS).
- Rhinoplasty Society of Europe (RSE).
- International Society of Aesthetic Plastic Surgery (ISAPS).
- International Confederation for Plastic, Reconstructive and Aesthetic Surgery (IPRAS).
- European Society of Plastic, Reconstructive and Aesthetic Surgery (ESPRAS).
- European Rhinologic Society (ERS).
- Interplast Germany.
Photo of the doctor: (c) ATOS Klinik Heidelberg
About hospital
The ATOS Clinic Heidelberg is a reputable medical complex with high standards of patient care. The clinic was founded in 1991. Since then, it has taken a leading position in the European medical arena in the treatment of diseases of the musculoskeletal system and many other pathologies. The clinic has a highly professional team of doctors, many of whom are world-renowned professors. Specialists work with state-of-the-art equipment. They use classical and innovative treatment methods with high efficiency. Personalized medical care is a priority in the clinic: doctors carefully study each clinical case and develop individual diagnosis and treatment regimens, taking into account each patient's needs and wishes. Patients not only from Germany but also from other countries of the world regularly seek medical help from the clinic, which indicates the outstanding quality of medical services and the high level of trust patients have in the specialists of the ATOS Clinic Heidelberg.
In addition to providing top-notch medical care, the clinic is distinguished by its modern design. When a patient crosses the threshold of the clinic, he or she has the impression that he or she is not in a medical facility but in a luxury hotel. This idea is part of the clinic's working concept because the patient's comfort and psychological state play an important role in achieving successful treatment outcomes. The clinic offers cozy rest areas where patients can distract themselves from the therapeutic process and socialize. It goes without saying that the equipment in the diagnostic, treatment, and operating rooms is of a very high standard, which enables effective and safe treatment.
Patient care is important throughout the therapeutic process. The nursing staff treats each patient's life situation with respect and compassion and surrounds him or her with care. The doctors are focused on the best results, are always open to communication with the patient, and are happy to answer any questions.
More than 96% of patients rate their treatment experience and the quality of medical care at the ATOS Clinic Heidelberg positively.
It should be noted that the clinic is recognized as one of the best in the country in the field of foot surgery, hand surgery, hip, knee, and shoulder surgery, as well as in the field of spine surgery and aesthetic plastic surgery, according to the rating of Focus magazine.
Photo: (с) depositphotos
Accommodation in hospital
Patients rooms
The patients of the ATOS Clinic Heidelberg stay in single and double rooms. The clinic also offers accommodation in enhanced-comfort patient rooms. The patient rooms are made in light colors and modern design to create a comfortable and cozy atmosphere during the patient's stay in the hospital. The standard rooms are equipped with an automatically adjustable bed, a bedside table, a TV, a telephone, and air conditioning. The rooms have Wi-Fi access. Enhanced-comfort patient rooms are additionally equipped with upholstered furniture, a safe, and a mini-bar.
Meals and Menus
The clinic offers delicious and varied meals three times a day: breakfast is served as a buffet, lunch offers a choice of three set menus, and dinner also offers a choice of several set menus. The menu is mainly European cuisine. If, for some reason, you cannot eat all the foods on the menu, you will be offered an individual menu. Please inform the medical staff about your dietary preferences prior to the treatment.
The clinic also has a cozy cafe with a wide range of hot and cold drinks, cakes, snacks, sandwiches, salads, and hot dishes.
Further details
Standard rooms include:
Toilet
Shower
Wi-Fi
TV
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.
