We take good care of you

12  Download (0)

Full text

(1)

We take

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

(2)

Hospital Martha-Maria Munich

Department of Surgery

(3)

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

(4)

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

(5)

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

(6)

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

(7)

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

(8)

Abdominal procedures 2008

Colorectal procedures 359 Hernia repair 134 Inguinal hernia 75 conventional 61 laparoscopic 14 Umbilical hernia 36

Recurrent 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

(9)

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

(10)

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

(11)

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

(12)

Diagnostic procedures (ultrasound)

Sonography of the neck 2227

Others (hernias, soft tissue, tendons, joints.) 83

Abdominal sonographies 817 3127 Tab. 10

Endoscopies

Laryngoscopies 460 Gastroscopies 197 Coloscopies 138 Endosonographies 21 Bronchoscopies 16 832 Tab. 11

Figure

Updating...

References

Related subjects :