Resection of Neuroblastoma (ganglioneyroblastoma)
University Hospital Essen
Essen, Germany
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Program id #
290132
Dr. med. Gabriele Krawzak
Department of Pediatric Surgery
Specialized in: pediatric 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
- tumor markers, including n-myc
- indicators of inflammation
- indicators blood coagulation
- CT / MRI of the abdomen and retriperitoneum
abdominal and retroperitoneal ultrasound - preoperative care
- resection of the tumor
- histologically and immunohistochemically
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
- Brain MRI/CT scan (not older than 3 months)
- Biopsy results (if available)
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About the department
The Department of Pediatric Surgery at the University Hospital Essen offers the full range of general neonatal and pediatric surgery, as well as minimally invasive surgical treatment of all congenital and acquired malformations of the thoracic and abdominal organs, retroperitoneal space, in children of all age groups. The department cooperates closely with the Departments of Obstetrics and Neonatology, and is part of the Level I Neonatal Center. Thus, it offers comprehensive medical care for newborns and premature babies. It applies the cutting-edge technology and treatment regimens. The Chief Physician of the department is Dr. med. Gabriele Krawzak.
The indications for surgical treatment during the neonatal period may be gastrointestinal circulation disorders (necrotizing enterocolitis), congenital inguinal hernias, incomplete formation of the esophagus and/or gastrointestinal tract, as well as the defects of the diaphragm (congenital diaphragmatic hernia) and abdominal wall (gastroschisis / omphalocele), etc.
In collaboration with the Department of Pediatric Nephrology, Gastroenterology and Endocrinology, the department treats patients with acute and chronic kidney diseases who need temporary or permanent dialysis. If necessary, the affected kidney may be removed (nephrectomy).
Also, the surgical treatment may be indicated in chronic inflammatory bowel diseases (Crohn's disease, ulcerative colitis, etc.). With the help of surgical interventions, the significant improvement can be achieved in rare congenital liver diseases (biliary atresia, progressive familial intrahepatic cholestasis, etc.). The infants and children of all ages with acute and chronic liver failure are offered the entire spectrum of services, ranging from the interdisciplinary diagnostics to liver transplantation.
In addition, in collaboration with the Department of Pediatric Hematology, Oncology, Pulmonology and Cardiology, the department treats patients with malignant diseases. The department's specialists have in their arsenal the entire spectrum of diagnostic and therapeutic interventions, ranging from biopsy sampling for histological examination to tumor resection as part of multimodal therapy. The standard axillary procedure is the surgical installation of a safe venous access (central venous catheters, Broviac/Hickman), which is often performed in children with chronic lung diseases.
In addition to the listed methods, the department offers all other very latest surgical techniques for the diagnostics and treatment of diseases in children and adolescents. The treatment is provided in collaboration with the Departments of Adult and Pediatric Urology, Anesthesiology, Radiology, Traumatology/Orthopedics, Otolaryngology, Ophthalmology, Neurosurgery, Hand Surgery, Plastic Surgery, etc. The combination of the advanced experience of doctors and state-of-the-art technology provides the best treatment results.
The diagnostic and therapeutic range of the department includes:
- Minimally invasive procedures
- Treatment of spontaneous pneumothorax (bullae resection)
- Biopsy in lung diseases of unknown origin
- Biopsy / resection of the thoracic wall tumors (for example, neuroblastomas)
- Treatment of congenital cystic lung malformations (pulmonary sequestration)
- Treatment of congenital esophageal malformations (esophageal atresia)
- Treatment of congenital diaphragmatic malformations (diaphragmatic hernia)
- Minimally invasive correction of pectus excavatum (Nuss procedure)
- Interventions on the cardia in gastroesophageal reflux disease
- Hypertrophic pyloric stenosis (pyloric spasm)
- Gallbladder removal in inflammation or gallstones
- Liver biopsy
- Surgical treatment of liver and spleen cysts
- Total or partial splenectomy (spleen removal) due to the hematological diseases (for example, spherocytosis)
- Biopsy of the abdominal and retroperitoneal organs in tumors of unknown origin for the development of treatment strategies in accordance with national and international protocols
- Removal of benign / malignant tumors of the abdominal cavity and retroperitoneal space (for example, neuroblastomas)
- Appendectomy
- Catheter implantation for peritoneal dialysis
- Standard surgical interventions
- Surgical treatment of biliary atresia
- Liver / kidney transplantation in children of all age groups
- Intestinal atresia
- Gastrointestinal tract malformations
- Hirschsprung disease / aganglionosis
- Sacrococcygeal teratoma
- Inguinal hernia
- Umbilical hernia
- Removal of cervical cysts / neck fistulas
- Imposition of an artificial tracheal external fistula (tracheostomy)
- Lymphangioma resection
- Hemangioma resection
- Implantation of Broviac / Hickman catheters for dialysis and port systems (Port-A-Cath)
- And other diagnostic and therapeutic surgical interventions
Photo of the doctor: (c) Universitätsklinikum Essen
About hospital
According to the authoritative Focus magazine the University Hospital Essen ranks among the top German hospitals!
With 27 specialized departments and 24 institutes, the hospital in Germany is a maximum care medical facility. The hospital has 1,300 beds for inpatient treatment. A highly qualified medical team of more than 6,000 employees takes care of the health of patients. All the specialists give preference to an interdisciplinary medical care, which guarantees a comprehensive treatment taking into account the smallest aspects of a particular pathology. The hospital annually diagnoses and treats more than 50,000 inpatients and about 195,000 outpatients, which testifies to the prestige of the medical institution and the highest quality of treatment in Germany.
The hospital presents all the modern medical fields. Nevertheless, special attention should be given to the following major fields of specialization as oncology, transplantology and cardiology, as well as research activities in the field of immunology, infectology and translational examinations of pathologies of the nervous system and behavioral disorders.
Established on the basis of the standard American model of Comprehensive Cancer Centers, the West German Cancer Center (WTZ) in Essen was recognized as the best medical facility of this kind in Germany in 2009. Nowadays, the center holds leading positions both on the national and international medical markets. The basis of its successful clinical practice is the use of very latest treatment methods and an interdisciplinary approach to each clinical case. The West German Organ Transplant Centre (WZO) is also recognized as one of the best in the country and one of the few in Germany, which specializes in the transplantation of all vital organs, such as kidney, liver, pancreas, heart and lungs. Special attention is paid to kidney and liver transplantation.
The hospital in Germany is proud of its high-tech medical equipment, experienced and competent staff, productive research activities, which allow to guarantee the accurate diagnostics and effective treatment, including rare and very complex clinical cases for every patient. Consequently, the hospital is considered a perfect embodiment of high-quality treatment in Germany.
Photo: (c) depositphotos
Accommodation in hospital
Patients rooms
The patients of the University Hospital Essen live in comfortable rooms designed in bright colors. The standard room furnishing includes an automatically adjustable bed, a bedside table, a personal wardrobe, a personal call button with a built-in light panel, a telephone, a TV and a radio. The Internet access is available at an additional cost.
Meals and Menus
The patients of the hospital are offered a daily choice of three menus. The patients are also offered alternative types of menus, if their religion requires the exclusion of certain foods. If you follow a certain diet or suffer from food intolerance, you will be provided with a menu of your choice by discussing it with your attending physician in advance. The hospital also houses a bistro and a cafe, where one can have a tasty snack, enjoy hot and cold drinks.
Further details
Standard rooms include:
Toilet
Shower
TV
Accompanying person
There are a few types of hotels for the accompanying persons, who want to stay near the hospital. The hotel of the Essen University Hospital offers apartments on the first floor of the nursing high-rise building. The DRK nursing also offers single and double rooms.
The hotel in Grugapark is available for the parents, whose children stay in the hospital. The parents of children with cancer can also stay here. Moreover, The Department of Pediatrics offers its rooms for parents.