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good care of you
Hospital Martha-Maria Munich
Teaching Hospital of the Ludwig-Maximilians-University Munich
Department of Surgery
Efficiency Report
2006, 2007,2008
Training
Health
Quality of life
Hospital Martha-Maria Munich
Department of Surgery
Hospital Martha-Maria Munich
Teaching Hospital of the Ludwig-Maximilians-University Munich
Wolfratshauser Straße 109 81479 Munich
Phone 0049-(0)89 7276 – 0
Fax 0049-(0)89 7276 – 233
Internet page www.martha-maria.de
Department of Surgery
Head of the Department Heinrich Fürst, MD
Professor of general, thoracic and vascular surgery h.fuerst@martha-maria.de
Sekretary Mrs. Andrea Karantonis, Phone: 0049-(0)89 7276–224
Consultation hours Monday to Friday on appointment only
Managing Senior Surgeon Erich Jünger, MD
Senior Surgeon Thomas Negele, MD
Senior Surgeon Rita Peller, MD
Senior Surgeon Andreas Walter, MD
Senior Surgeon Wilhelm Gronenberg, MD
Head of Orthopedic Surgery, certified by Employers´liability Association
Department of Anaesthesiology
Head of the Department Lino Negri, MD
Managing Senior Anaesthesiologist Mathias Heyduck, MD
Senior Anaesthesiologist Roswitha Heger, MD
Senior Anaesthesiologist Barbara Korpal-Berdychowski
Senior Anaesthesiologist Ludwig Nißl, MD
Senior Anaesthesiologist Josef Zoderer, MD
Director of Nursing Service
B. König
Business Administration Manager
O. Riedinger Business Manager T. Lübben Hospital Matron R. Müller Director A. Cramer
Contents
Figure 1: Development of the number of procedures performed 2005 - 2008 4
Figure 2: Development of hospital stay and Case Mix Index 4
Procedures on thyroid gland, Tab. 1 5
Frequency of difficult procedures on the thyroid gland, Tab. 2 5
Figure 3: Percental rate of thyroid cancer in different age groups 6
Procedures on the parathyroid gland, Tab. 3 6
Abdominal procedures, Tab.4 7
Colorectal procedures, Tab. 5 8
Procedures for diseases of the lymphatic system, skin, breast, Tab. 6 9
Thoracic procedures, Tab. 7 9
Orthopedic procedures, Tab. 8 10
Vascular procedures, Tab. 9 10
Diagnostic procedures (ultrasound), Tab. 10 11
Fig. 1 Development of procedures performed 2005 - 2008
Fig. 2 Development of hospital stay and Case Mix Index
1,15 1,14 1,13 1,12 ´06 ´07 ´08 VD CMI
J CMI = Case Mix Index Q VD = hospital stay (days) 6,4 6,3 6,2 6,1 6,0 2500 2600 2700 2800 2900 3000 2005 2006 2007 2008
Procedures for thyroid gland diseases 2008
Resection of the thyroid gland 2407
Partial resections 1011
Dunhill`s procedures 587 (24 %)
Procedures for recurrent
goiter 326 (13 %)
Bilateral subtotal resections. 61 (2.4 %) Other subtotal resections 36 (1.5 %)
Sternotomies 1 (0.04 %)
Thyreoidectomies 1076
Hemi-Thyreoidectomies 320
Excision of the thyreoglossic cyst 2
Neurolysis of the recurrent
laryngeal nerve 28
Temporary tracheostomy 6
Struma of the tongue base 2
2445 Tab.1
Frequency of difficult procedures on the thyroid gland
Total resection of one thyroid lobe 907
Total thyroidectomy 1076
Procedures for recurrent goiter 326
Procedures for malignant diseases 375
Grave`s disease 58
Cervical Lymphadenectomy 178
Radio-Guided Surgery 3
Fig. 3: Percental rate of thyroid cancer in different age groups.
Operations performed in the hospital Martha-Maria Munich in the year 2008.
Procedures on the parathyroid gland 2008
Primary HPT 128
Secondary HPT 64
Sternotomy 1
Replantations 385
Parathyroidectomy for diseases of the parathyroid gland 193
All procedures on the parathyroid gland 578
Tab. 3 HPT = Hyperparathyroidism 0% 5% 10% 15% 20% 25% 30% 35% 40% <30 30-39 40-49 50-59 60-69 70-79 >79
Abdominal procedures 2008
Colorectal procedures 359 Hernia repair 134 Inguinal hernia 75 conventional 61 laparoscopic 14 Umbilical hernia 36Recurrent incisional hernia 21
Femoral hernia 1 Epigastric hernia 1 Hepatobiliary Surgery 95 Cholecystectomies 80 conventional 8 laparoscopic 71 conversions 1 bileduct surgery 11 liver surgery 4 Other procedures 87 Esophageal Surgery 3 partial resection 1 other procedures 2 Gastric Surgery 12 Gastrectomy 1 Subtotal resection 4 others 7 Endocrine Surgery Adrenalectomy laparoscopic 5 Pancreatic Surgery 1 696 Tab. 4
Colorectal procedures 2007 and 2008
Colon surgery 386
Large bowel resections 64
Anal procedures 77
others 222
Procedures for colostomies 23
Rectal surgery 70
Anterior rectal resection 70
Small bowel surgery 61
Resections 35 others 26 Appendectomies 152 conventional 108 laparoscopic 44 669 Tab. 5
Procedures for diseases of the lymphatic system, skin and breast 2008
Abscess drainage, resection of soft tissue/skin tumors 94
Vacuum coverage (vacusil) 119
Skin reconstruction (transplantation, flaps) 24
Breast surgery 15
Dissection of regional lymphnodes 195
530
Tab. 6
Thoracic procedures 2007 and 2008
Thoracoscopic pleurodesis 14
Mediastinal tumors 24
Sympathectomy 13
Atypical pulmonary resections 7
Anatomical pulmonary resections 11
Other thoracic procedures 28
97
Orthopedic procedures 2008
Treatment of fractures (out-patients) 122
Treatment of fractures (in-patients) 39
Fractures due to industrial injuries 30
Osteosyntheses 14
Other procedures for bone diseases (implant removal, biopsies, amputations) 12
Procedures of muscle/tendon diseases 8
Treatment of fractures 191
Orthopedic procedures 34
Tab. 8
Vascular procedures 2007 and 2008
Implantation of venous ports 29
Varicosis 7 Others 13 Embolectomy/ Thrombectomy 3 AV shunt 2 54 Tab. 9
Diagnostic procedures (ultrasound)
Sonography of the neck 2227
Others (hernias, soft tissue, tendons, joints.) 83
Abdominal sonographies 817 3127 Tab. 10
