Surgical treatment of vulvar intraepithelial neoplasia with extended vulvectomy in Hospital Freising
Hospital Freising
Freising, Germany
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Program id #
722717
Dr. med. Dario Vincenti
Department of Gynecology, Mammology and Obstetrics
Specialized in: gynecology, mammology, obstetrics The program includes:
- Initial presentation in the clinic
- clinical history taking
- review of medical records
- physical examination
- laboratory tests:
- complete blood count
- general urine analysis
- biochemical analysis of blood
- inflammation indicators (CRP, ESR)
- indicators blood coagulation
- tumor markers (CEA, CA19-9, CA125)
- gynecological examination:
- ultrasound examination: pelvis, abdomen
- CT/MRI of the abdomen and pelvis
- preoperative care
- extended vulvectomy
- 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
- Colposcopy (if available)
- Biopsy results (if available)
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About the department
The Department of Gynecology, Mammology and Obstetrics at the Hospital Freising provides the full range of medical services in its areas of specialization. The healthcare facility offers all conservative and surgical methods for treating diseases of the female reproductive system and female breast. The central place in clinical practice is given to surgery for uterine cancer, cervical cancer, ovarian cancer, endometrial cancer, vulvar cancer, as well as breast malignancies. Breast cancer is treated by experienced specialists from the Breast Center, which is certified in accordance with DIN EN ISO 9001:2015 standards. The department's team of gynecologists also has excellent qualifications in the surgical treatment of urinary incontinence and pelvic organ prolapse. In addition, doctors at the medical facility specialize in reconstructive plastic surgery on the external female genital organs. They perform hymenoplasty (surgery to repair the hymen), labiaplasty (surgery to correct the size and shape of the labia), and other surgical procedures. The department annually treats more than 1,500 patients with gynecological conditions and breast diseases. The medical facility has 30 beds. The department's pride is its modern maternity wards, where more than 1,000 children are born every year. The department's team of obstetricians provides comprehensive pregnancy management, ranging from ultrasound screening of the 1st trimester to painless childbirth with subsequent care for the mother and newborn child. The department is headed by Dr. med. Dario Vincenti.
The department's team of gynecologists is highly professional in the diagnosis and treatment of cancers of the female reproductive system. Cervical, ovarian, and endometrial cancers are the most commonly encountered oncological diseases in the clinical practice of physicians. Should oncology be suspected, the patient will undergo a comprehensive examination, including laboratory tests, instrumental diagnostics, imaging tests, and a biopsy with the subsequent histological examination of the material. With comprehensive diagnostic data in hand, gynecologists, together with oncologists (if necessary, doctors from other related fields may be involved), analyze the clinical case and develop the most effective treatment regimen. The department's specialists provide comprehensive treatment because only a combination of several therapeutic methods can achieve complete recovery or long-term remission. The first-line treatment is surgery, the extent of which depends on the stage of the cancer process. Surgical procedures for cervical, ovarian, and endometrial cancers are performed in the department laparoscopically or through a transvaginal approach. Surgery is usually accompanied by chemotherapy. If clinically indicated, radiation therapy, hormone therapy, and/or immunotherapy may also be carried out. In many cases, qualified psycho-oncologists are involved in the therapeutic process, whose work is aimed at combating depression and apathy because patients do not always manage to cope with the emotional shock after diagnosis.
An integral part of the daily work of the department's doctors is the treatment of breast cancer, the most common cancer among women around the world. The department has the status of a specialized Breast Center (DIN EN ISO 9001:2015 certificate), which indicates high standards of breast cancer treatment. Doctors at the medical facility are guided by the recommendations of the German Cancer Society (DKG) in their work and practice an interdisciplinary approach. The diagnostic stage involves individual consultations followed by laboratory tests, imaging tests (ultrasound, mammography, CT, and/or MRI), and a biopsy. Should breast cancer be detected, an effective treatment regimen will be developed for the patient, taking into account her needs and wishes. As a rule, treatment begins with surgery. For the department's breast specialists, it is important to preserve the affected mammary gland, so organ preservation surgery is most commonly performed. The advanced stages of cancer may require a mastectomy. In such cases, doctors offer reconstructive plastic surgery with silicone implants or autologous tissue to restore the aesthetics of the breast. In many cases, chemotherapy and hormone therapy are included in the treatment regimen for breast cancer. In some cases, radiation therapy and antibody therapy can also be carried out. Breast cancer patients can also receive psychological support whenever required.
The department also offers high-quality obstetric services. The medical facility has everything you need for pregnancy management in all trimesters, childbirth, and postpartum care for mother and child. Childbirth takes place in three comfortable maternity rooms designed in pleasant colors. Each birthing room has a special bath for water births. For pain relief during childbirth, obstetricians offer epidural anesthesia, homeopathy, acupuncture, and aromatherapy. If clinically indicated, the department's obstetricians perform C-section procedures using the sparing Misgav-Ladach technique. After delivery, both mother and child receive comprehensive care, and neonatologists conduct screening tests for the newborn. The department has a Rooming-in system, which means that a mother and her newborn child are accommodated in one room.
The department's clinical focuses include the following:
- Gynecology
- Surgery for gynecological malignancies: uterine, cervical, ovarian, endometrial, vulvar, and vaginal cancers
- Surgery for urinary incontinence and pelvic organ prolapse
- Hysteroscopy and laparoscopy for uterine fibroids, intrauterine adhesions, abnormal uterine bleeding, and endometriosis
- Uterine curettage
- Cervical conization
- Female sterilization (tubal ligation)
- Postpartum scar correction
- Condyloma removal
- Marsupialization for Bartholin gland cysts
- Reconstructive plastic surgery on the female external genital organs: hymenoplasty, labiaplasty, and plastic reconstruction for female genital mutilation
- Mammology
- Organ preservation surgery for breast cancer
- Reconstructive breast surgery with silicone implants or autologous tissue
- Chemotherapy
- Radiation therapy
- Hormone therapy
- Antibody therapy
- Obstetrics
- Comprehensive pregnancy management
- Childbirth: classic childbirth, water childbirth, and C-section procedures using the sparing Misgav-Ladach technique
- Postpartum care for mother and newborn baby
- Other medical services
Curriculum vitae
Dr. med. Dario Vincenti has been heading the Department of Gynecology, Mammology and Obstetrics at the Hospital Freising since July 2012. Previously, the specialist held the post of Managing Senior Physician at the Hospital Kaufbeuren and the post of Senior Physician at the Hospital Mutterhaus Trier. While working at the Hospital Mutterhaus Trier, Dr. Dario Vincenti founded the Center for Pelvic Floor Disorders. The doctor's priority clinical focus is minimally invasive surgery for gynecological diseases with a special emphasis on the surgical treatment of cancer of the female reproductive system. Dr. Dario Vincenti graduated from the University of Erlangen-Nuremberg.
Photo of the doctor: (c) Klinikum Freising GmbH
About hospital
The Hospital Freising has gained an excellent reputation as a medical complex with top-class medical services that meet international standards. It is an academic hospital of the Technical University of Munich and works closely with the University Hospital Rechts der Isar Munich, one of the best in Germany and Europe. The Hospital Freising operates 11 specialized departments representing various medical fields such as general and abdominal surgery, gynecology, mammology, obstetrics, gastroenterology, oncology, hematology, orthopedics, traumatology, cardiology, pulmonology, radiology, and others. Each department has a highly competent team of doctors who are brilliantly skilled in modern diagnostic and treatment methods.
The hospital treats more than 15,000 inpatients and more than 25,000 outpatients annually. About 1,000 newborns are born every year in the maternity wards of the Department of Obstetrics. There are 353 beds at the hospital. The medical facility provides conservative and surgical treatment and offers 24-hour emergency care. The hospital has implemented a strict quality management system in accordance with DIN EN ISO 9001 standards, which allows for monitoring all in-hospital processes, treatment effectiveness rates, and patient satisfaction indicators. The Hospital Freising was awarded the DIN EN ISO 9001 quality certificate in 2008 and has since successfully undergone the certification process, demonstrating impeccable medical services.
Despite the presence of high-tech equipment and modern infrastructure, the hospital attaches great importance to a humane attitude towards the patient, understanding of their individual needs and wishes, and sensitive care. Each patient and their clinical case are unique, so the treatment regimen is developed exclusively on an individual basis. This approach is one of the keys to high-quality medical care at the Hospital Freising.
Photo: (с) depositphotos
Accommodation in hospital
Patients rooms
The patients of the Hospital Freising stay in comfortable single and double rooms. All patient rooms are quite spacious and designed in light colors. The patient room furnishings include an automatically adjustable bed, a bedside table with a pull-out tray, a wardrobe, a table and chairs, a telephone, and a TV. Each patient room has an ensuite bathroom with a shower and a toilet. The patient rooms have access to Wi-Fi.
Meals and Menus
The patient and his or her accompanying person are offered a choice of three set menus daily, including a vegetarian one. If, for some reason, you do not eat all the foods, you will be offered an individual menu. Please inform the medical staff about your dietary preferences prior to treatment.
Further details
Standard rooms include:
Toilet
Shower
Wi-Fi
TV
Religion
The hospital has its own chapel where you can have a private place to pray at any time of the day. Worships are held in the chapel on Sundays and religious holidays.
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.
