Diagnosis of childrens digital fibromatosis in University Hospital Rechts der Isar Munich
University Hospital Rechts der Isar Munich
Munich, Germany
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Program id #
201901
Prof. Dr. med. Hans-Günther Machens
Department of Adult and Pediatric Plastic Surgery, Hand Surgery
Specialized in: plastic surgery, hand surgery 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 blood test
- tumor markers
- inflammation markers (CRP, ESR)
- blood coagulation analysis (aPTT, PT, INR)
- CT/MRI of the hand (if clinically indicated, additional cost is 650/1200 €)
- biopsy with histological study (if clinically indicated, additional cost is 2500 €)
- nursing services
- consultation of related specialists
- services of all leading experts
- explanation of individual treatment plan
Required documents
- Medical records
- Photo of the affected area(s)
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About the department
The Department of Adult and Pediatric Plastic Surgery, Hand Surgery at the University Hospital Rechts der Isar Munich offers the full range of services in its areas of specialization. The department successfully performs surgical interventions to improve the appearance at the patient's desire, operations to restore a lost or deformed part of the body due to an accident, as well as operations to remove tumors and correct congenital or acquired deformities. The department's specialists also perform surgical interventions to treat hand diseases, deformities and injuries. Doctors have unique experience in tissue transplantation, finger, arm and hand replantation surgery. In addition, the department offers all modern methods of treating lymphedema, including severe forms of pathology. Many surgical procedures are performed on an outpatient basis, which is an added benefit to patients. Thanks to its high treatment success rates, the medical facility enjoys an excellent reputation both in Germany and far beyond its borders. The department is headed by Prof. Dr. med. Hans-Günther Machens.
The department's medical team consists of 16 highly qualified doctors who make every effort to achieve the best functional and aesthetic results. Surgical interventions are performed in state-of-the-art operating rooms with all the necessary equipment. Outpatient surgical procedures are performed in a separate outpatient operating room. To provide medical care in urgent clinical situations, a specially trained team of doctors works around the clock in the department.
In the field of reconstructive surgery, special attention is paid to surgery on the mammary glands, operations on soft tissues, tendons, nerve endings and blood vessels after injuries, operations to restore the attractive appearance and functions of various parts of the body after tumor resection. The department's surgeons have many years of experience, and modern surgical techniques allow performing effective interventions with minimal trauma to healthy tissues.
Those patients who do not like the appearance of a particular part of their body seek help from the department's aesthetic surgeons. The surgeons specializing in this medical field perform plastic surgery without clinical indications – at the patient's own request. The most popular are operations for breast augmentation and tummy tuck, liposuction, as well as nose and ear reshaping surgery, facelift. The department also treats wrinkles with Botox and filler injections. Prior to any operation, the patient undergoes a complex of diagnostic tests to assess the state of health, as well as exclude both operative and postoperative risks.
The department is one of the leading medical facilities in Germany specializing in the treatment of hand diseases and injuries. The highly qualified surgeons perform complex surgical interventions to treat wrist joint and finger joint arthrosis, nerve ending compression syndromes, hand fractures and traumatic injuries, Dupuytren's contracture, and hand defects in children. It should be noted that the department also performs corrective operations after unsuccessful surgical treatment of hand pathologies. The department includes a highly specialized Replantation Surgery Center, whose services are available to patients around the clock. In July 2008, the department's surgeons performed the first transplantation of both arms above the elbow for the first time in world history. About 40 specialists took part in the surgery under the guidance of the Head Physician of the department, Prof. Hans Günther-Mahens. The surgery was a brilliant success and gave many patients who had lost their upper extremities a chance to avoid disability. In some cases, the department's doctors successfully eliminate hand pathology using conservative treatments, without resorting to the surgical intervention.
The department's service range includes:
- Reconstructive plastic surgery
- Microsurgical tissue transplants for the correction of defects after accidents or tumor removal
- Lymph node transplant for severe lymphedema of the upper or lower extremities
- Breast reconstructive surgery: plastic surgery after mammary gland removal, reconstruction in case of breast malformations and asymmetry, treatment of gynecomastia
- Reconstructive surgery after skin cancer treatment
- Reconstructive surgery and transplants for facial nerve palsy, partial paralysis or motility disorders of the facial muscles
- Treatment of nerve lesions and restoration of motor function after severe injuries, treatment of tumors or congenital malformations
- Aesthetic plastic surgery
- Bodily plastic surgery
- Breast augmentation (with the help of implants or the patient's own tissue)
- Breast reduction
- Breast lift
- Liposuction
- Body Contouring (breast, abdominal and hip lift)
- Tummy tuck (abdominoplasty)
- Facial plastic surgery
- Scar revision (using laser and other advanced techniques)
- Eyelid lift
- Face lift
- Forehead lift (endoscopic method)
- Neck lift
- Lip augmentation
- Wrinkle treatment
- Nose reshaping
- Ear reshaping
- Chin reconstruction and reduction
- Bodily plastic surgery
- Hand surgery
- Finger and upper extremity replantation surgery (specialized 24/7 Replantation Surgery Center)
- Treatment of pain syndrome caused by nerve ending compression: carpal tunnel syndrome, cubital canal syndrome, Guyon's canal syndrome
- Treatment of Dupuytren's contracture
- Correction of hand malformations
- Reconstructive hand surgery after severe injuries
- Treatment of hand fractures and other hand injuries
- Treatment of wrist joint and finger joint arthrosis
- Treatment of tendovaginitis
- Treatment of ganglion
- Regenerative therapy
- Cell therapy
- Tissue therapy
- Therapy with innovative biomaterials and growth factors
- Other therapeutic options
Curriculum vitae
University Education and Professional Career
- Since 12.2007 Head of the Department of Adult and Pediatric Plastic Surgery, Hand Surgery at the University Hospital Rechts der Isar Munich.
- 11.2003 Extraordinary Professorship, University Hospital Luebeck.
- 10.1999 - 11.2007 Senior Physician (since 02.2004 Managing Senior Physician) of the Department of Plastic Surgery and Hand Surgery at the University Hospital Luebeck.
- 11.2002 Additional qualification in Hand Surgery.
- 10.2001 Optional advanced training, Intensive Care in Plastic Surgery, including medical care for severe burns.
- 07.1999 Habilitation.
- 02.1999 Board certification in Plastic Surgery.
- 08.1997 - 09.1999 Senior Physician, Department of Plastic Surgery, Hand Surgery and Reconstructive Surgery, Hannover Medical School.
- 12.1996 Additional qualification in Plastic Surgery.
- 04.1995 Board certification in Surgery.
- 06.1993 - 07.1997 Assistant Physician, Department of Plastic Surgery, Hand Surgery and Reconstructive Surgery, Hannover Medical School.
- 03.1991 - 06.1993 Assistant Physician, Department of Abdominal and Transplant Surgery, Hannover Medical School.
- 08.1988 - 02.1991 Civil Service Physician and Assistant Physician (since 04.1990), Department of Surgery, University Hospital Heidelberg.
- 06.1988 Admission to medical practice.
- 10.1981 - 06.1988 Study of Medicine in Hanover, Goettingen, Heidelberg, Wuhan (China) and Chicago.
Prizes, Awards and Honors
- 2008 Heinz Maier Leibnitz Medal, Technical University of Munich.
- 2008 Karl Max von Bauernfeind Medal, Technical University of Munich.
- 2000 Scientific Prize of the British Association of Plastic Surgeons.
- 1997 Scientific Award of the German Working Group for Hand Surgery.
Memberships in Professional Societies
- Since 2005 German Society for Regenerative Medicine (DGRM).
- Since 2004 Plastic Surgery Research Council, USA (PSRC).
- Since 2002 European Association of Plastic Surgeons (EURAPS).
- Since 2000 Surgical Working Group on Molecular Diagnostics and Therapy (CAMO).
- Since 1999 Surgical Working Group on Wound Healing (CAW).
- Since 1998 German Society for Burn Treatment (DGV).
- Since 1998 International Society for Burn Injury (ISBI).
- Since 1995 Surgical Working Group on Burn Medicine (CAVM).
- Since 1994 German Society for Hand Surgery (DGH).
- Since 1993 German Society of Plastic, Reconstructive and Aesthetic Surgeons (DGPRÄC).
- Since 1993 German Society of Surgery (DGC).
Photo of the doctor: (c) Klinikum rechts der Isar der Technischen Universität München
About hospital
The University Hospital Rechts der Isar Munich was founded in 1834. It combines long traditions with the very latest advances in modern medicine. The medical facility includes 33 specialized departments and 20 interdisciplinary centers, where patients can receive top-class medical care in all medical fields.
The hospital annually admits more than 65,000 inpatients for diagnostics and treatment, and about 250,000 outpatients receive effective medical care. The hospital also performs more than 40,000 surgical procedures every year, and about 2,100 babies are born here annually. One of the most significant achievements of the medical facility can be called the first transplantation of both arms above the elbow performed in 2008. The surgery that lasted 15 hours, and in which 40 doctors of various medical specialties took part, became a real sensation in the scientific world. Thanks to a unique surgical procedure, the doctors managed to give the patient new hands.
In addition, the employees of the hospital are actively involved in research activities, in which they study various diseases, as well as develop new therapeutic options for their treatment. It should be noted that the research institutes of the hospital are among the most reputable research organizations in the world. A striking example can be considered the Roman Herzog Comprehensive Cancer Center, whose specialists cooperate closely with the Comprehensive Cancer Center Munich in order to find new treatment methods for cancers.
The university hospital has a strict quality management system to maintain a high level of patient care. Since 2011, the hospital has been certified in accordance with DIN EN ISO 9001:2015 at the national and international level. The medical facility was also recertified by TÜV Rheinland in 2020.
The hospital annually provides medical services not only to German citizens, but also to thousands of patients from different countries of the world. This indicates that the hospital has an excellent reputation in the international medical arena and takes on the most complex clinical cases where other medical centers are unable to help the patient.
Photo: (с) depositphotos
Accommodation in hospital
Patients rooms
The patients of the University Hospital Rechts der Isar Munich live in comfortable single and double rooms with modern design. An accompanying person may stay with the patient in the single room. All patient rooms have an ensuite bathroom with shower and toilet. The furnishings of a standard patient room include an automatically adjustable bed, a bedside table for personal belongings, a table and chairs for receiving visitors, a wardrobe, a telephone and a TV. The patient rooms also have Wi-Fi.
The hospital also has enhanced-comfort rooms, corresponding to the level of a high-end hotel. Such patient rooms have additional amenities: a safe, a mini fridge and upholstered furniture.
Meals and Menus
The patients of the hospital are offered a balanced and healthy three meals a day: breakfast, lunch and dinner. The patients have a choice of three different menus for lunch – a classic full menu, as well as a dietary and vegetarian one. When cooking meals, the chefs comply with the current recommendations of the German Society for Nutritional Medicine (DGEM) and the German Nutrition Society (DGE).
If for some reason you do not eat all the foods, you will be offered an individual menu. The hospital also houses a cafeteria with a large assortment of hot and cold drinks, snacks and desserts.
Further details
Standard rooms include:
Toilet
Shower
Wi-Fi
TV
Religion
Religious services are available upon request.
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.
The hospital offers a full range of laboratory tests (general, hormonal, tests for infections, antibodies, tumor markers, etc.), genetic tests, various modifications of ultrasound scans, CT scans, MRI and PET / CT, angiography, myelography, biopsy and other examinations. Treatment with medications, endoscopic and robotic operations, stereotaxic interventions is carried out here, modern types of radiation therapy are also used. The hospital offers patients all the necessary therapeutic techniques.
- CAR T-cell therapy
- Autologous and allogeneic bone marrow transplantation
- Transcatheter aortic valve implantation (TAVI)
- Radical and organ-preserving interventions for kidney cancer
- Iridoplasty and iridotomy with Nd-YAG laser
These are acute and chronic leukemias, solid malignant tumors, heart failure, cardiac arrhythmias, heart valves stenosis and insufficiency, vasculitis, benign prostatic hyperplasia, pathologies of retina and vitreous body, Guillain-Barré syndrome, myasthenia gravis and other pathologies.
- Hematology and oncology
- Cardiology
- Nephrology
- Urology
- Ophthalmology
Over 877 highly qualified physicians work at the hospital.
