University Hospital Essen
Department of Pediatric Surgery (289971)
Specialized in: pediatric surgery
The Department of Pediatric Surgery under the direction of Dr. med. Gabriele Krawzak is in the Essen University Hospital at the Department of General, Abdominal and Transplant Surgery. In tight and trustful cooperation with the Department of Pediatrics of the Essen University Hospital, there are treated children of all ages from very premature babies and up to adolescents 18 (and in some cases even older).
In close cooperation with the Department of Gynecology and Obstetrics and the Department of Neonatology at the Center for Pediatrics I (Neonatology, Intensive Care Medicine, Neuropediatrics), the Department is part of the Level I Perinatal Center at the Essen University Hospital. Thus, already during pregnancy, parents receive interdisciplinary consultations with regard to the diseases detected before birth, their severity and treatment options after the birth. The premature babies, who are monitored by neonatologists in the Intensive Care Unit at the Perinatal Center, can have disorders of the intestinal circulation (the so-called necrotizing enterocolitis), which can require surgery. Congenital inguinal hernias are quite common, however, not a very serious problem of premature babies, who usually receive a required surgical treatment before their discharge. Furthermore, surgery in children can be performed also in the first days of their life, for example, in case of an incomplete formation of the esophagus and/or gastrointestinal tract, as well as defects of the diaphragm (congenital diaphragmatic hernia) and abdominal wall (gastroschisis/omphalocele).
In cooperation with the Department of Pediatrics II (Nephrology, Gastroenterology and Endocrinology), the Department treats patients with acute and chronic kidney diseases, who need a temporary or continuous dialysis. Moreover, there is assessed a necessity for kidney transplant, which can be both from a living donor and within the framework of Eurotransplant (International European Fund Program).
Chronic inflammatory bowel diseases (Crohn’s disease, ulcerative colitis) can also require surgical treatment, namely the removal of an incurable intestinal area (bowel resection) or an installation of a temporary / rare and permanent artificial anus (entero-, colostomy). The interdisciplinary team of specialists considers clinical cases of infants and children of any age with acute and chronic liver failure. If necessary, there is provided a liver transplant from a living donor. The Essen University Hospital has one of the largest Liver and Kidney Transplant Centers for infants, children and adolescents in Germany.
In collaboration with the Department of Pediatrics III (Hematology / Oncology, Pulmonology, Cardiology), the Department observes patients, especially with malignant tumors. This aims to specify a primary diagnosis by means of biopsy (tumor sampling), to make a histologic examination, as well as to provide a definitive tumor resection (removal) usually within the so-called “multimodal” treatment plan (including chemo- and/or radiation and/or surgical treatment). The surgical placement of safe venous catheters (BROVIAC and HICKMAN catheters; PORT-A-CATH system) is usually an additional measure. The latter are often necessary for the treatment of children with chronic pneumonia (cystic fibrosis).
In addition to the aforementioned options, the Department of Pediatric Surgery under the direction of Dr. med. Gabriele Krawzak treats many children by means of cutting-edge diagnostic and therapeutic methods. It closely cooperates with the related disciplines at the Essen University Hospital, such as urology / pediatric urology, anesthesiology, radiology, traumatology / orthopedics, otolaryngology, ophthalmology, neurosurgery, hand and plastic surgery.
- Essen, Germany