Department of Phlebology and Vascular Surgery (110)

About the Department of Phlebology and Vascular Surgery at Eilenriede Clinic Hannover

The Department of Phlebology and Vascular Surgery at the Eilenriede Clinic Hannover offers conservative and interventional treatment of the full range of diseases of the veins, arteries and lymphatic vessels. The key focus in the medical facility is on the treatment of varicose veins. The department's specialists are also competent in the treatment of obliterating endarteritis, lymphedema, leg ulcers, carotid stenosis, occlusive peripheral arterial disease and other vascular pathologies. The department's doctors give preference to conservative treatments for vascular diseases, while surgical interventions are the last-line therapy. Many diagnostic and therapeutic procedures are performed on an outpatient basis, so the need for patient hospitalization is quite rare. The department has been conducting its successful clinical activities for over 25 years, which confirms the high quality of the medical services provided. The department is headed by Dr. med. Michael J. Hutter.

The department's key area of ​​specialization is the treatment of varicose veins – pathological expansion of the superficial veins of the lower limbs, accompanied by impaired blood flow. The disease manifests itself not only by external changes, but also by such symptoms as pain, burning, sensation of "buzzing" and stiffness of the legs, night cramps, etc. The department's specialists recommend patients not to delay their visit to the clinic, since at the advanced stages of varicose veins, the only effective treatment is surgical intervention, while at the early stages, compression therapy, sclerotherapy, local treatment with ointments and gels are sufficient. Without a satisfactory result from conservative treatment, a decision is made to carry out an interventional procedure: stripping, laser surgery, intervention using VenaSeal Sapheon bioglue. Surgical interventions for varicose veins are performed under general or local anesthesia – the optimal type of anesthesia is determined by a competent anesthesiologist. When performing surgical treatment, the department's specialists also pay attention to achieving a good aesthetic result.

The department also provides treatment for obliterating endarteritis. Pathology most often affects the arteries and capillaries of the lower extremities. To confirm the diagnosis, the department's specialists use such diagnostic tests as Doppler ultrasound, duplex scanning, oscillography, capillaroscopy, etc. In most cases, the treatment is based on the intake of medications (analgesics, anticoagulants, antiallergic and hormonal drugs, vitamin complexes) and physiotherapeutic procedures (electrophoresis, magnetotherapy, thermal procedures, hydrotherapy). A prerequisite for the therapeutic process is the cessation of smoking, alcohol intake and hypothermia – otherwise the drugs will not give the desired effect. Surgical treatment of obliterating endarteritis is indicated in the absence of positive dynamics from pharmacotherapy, as well as at the advanced stages of pathology.

The department's service range is complemented by the diagnostics and treatment of lymphedema. Pathology develops due to an impairment of the lymph outflow, as a result of which it accumulates in the intercellular space and an increase in the volume of the extremities occurs. To cure the disease, the department's doctors use conservative treatments and perform surgical interventions. The first option is more effective at stages 1 and 2, and includes the use of such techniques as compression therapy, infusion therapy, and manual lymphatic drainage. The treatment of the advanced stages of lymphedema is carried out with the help of surgical intervention: removal of excessive adipose tissue, imposition of lymphovenous anastomoses, creation of bypasses for lymph drainage.

The department's range of medical services includes:

• Diagnostics and treatment of varicose veins
  • Conservative therapy
    • Compression therapy
    • Sclerotherapy
    • Local treatment with ointments and gels
  • Surgical treatment
    • Stripping
    • Laser surgery
    • Surgery using VenaSeal Sapheon bioglue
• Diagnostics and treatment of obliterating endarteritis
  • Conservative therapy
    • Drug therapy
    • Physiotherapy
  • Surgical treatment
• Diagnostics and treatment of lymphedema
  • Conservative therapy
    • Compression therapy
    • Manual lymphatic drainage
    • Infusion therapy
  • Surgical treatment
    • Removal of excess subcutaneous tissue
    • Imposition of lymphovenous anastomoses
    • Creation of bypasses for lymph drainage
• Diagnostics and treatment of chronic leg ulcers
  • Conservative therapy
  • Skin flap surgery
• Diagnostics and treatment of arterial diseases
  • Carotid artery stenosis
  • Aneurysms
  • Occlusive peripheral arterial disease
• Diagnostics and treatment of other vascular diseases

Photo of the doctor: (c) Eilenriede Klinik