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When keyhole surgery is appropriate?

studies on minimally invasive techniques

Bochum - For 15 years, conducted in Germany so-called keyhole surgery with minimally invasive surgical techniques. Gall bladder, appendix and part of the colon are now removed without an abdominal incision. Which patients benefit from surgery this technique is a subject of the press conference on 13 September at the Gastroenterology 2007: August 12 to 15 September in Bochum.

Minimally invasive surgical techniques delight patients, because they mean much smaller scars and usually shorter hospital stays. However, not everything that is technically possible to make sense. "There are a lot of - particularly benign - diseases, where the superiority or at least equivalence of minimally invasive surgical techniques compared with open operations studies showed," Professor says med Köckerling, president of the German Society of Visceral Surgery (DGVC ), Hannover.

depends in complex surgery in the abdomen and removal of malignant tumors, but success largely on the hospital and the training of the operator. Which interventions the superiority of minimally invasive procedures available science, experts explain the visceral surgery in Bochum.

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Diakonia: Medical care in nursing homes need to be better

Kott President welcomes thrust of the Health Minister

Berlin, 10 September 2007. Diakonie supports the intent of
Health Minister Ulla Schmidt, nursing homes, the appointing its own
's permit. "The medical care of old people in the
homes must be improved," said President Klaus-Dieter Diakonia Kott.
"There are shortcomings, and it is good that the policy seeks to address that." However, there
Kott to consider that in the homes not only
GP, but also eyes and ears of doctors, surgeons or psychiatrists
would be required. "It is of great advantage if there is a fixed
medical contact", the Diakonia-President. For some institutions
permanent home doctors are reasonable.

experience with the ability to make home doctors, there was already in the
Handicapped people said Kott. However, the experiences were not particularly positive
. Since the doctors are paid from the existing budget and would
No additional funds were provided, they
possibility was hardly used. In this respect, he feared that the proposed clause
despite all good intentions does not apply.
"In the area we come to care about by doctors not
Medical practitioners should get more incentives to seek care
people -.. And the deficiencies in medical care
must be transparent"

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More safety for patients by skill

Visceral Surgery 2007, 12 to 15 September, Bochum

Minimally invasive surgery in the abdomen:

More safety for patients through qualification

Bochum - Minimally invasive interventions in the abdomen for patients above all safe and useful when they are performed by well trained surgeons. However, the training and education is lagging minimally invasive surgery of the rapid development of minimally invasive surgical techniques in many areas afterwards. What additional qualifications are required and how to identify these patients may explain experts of the German Society of Visceral Surgery (DGVC) at a press conference on 13 September in Bochum.

Minimally invasive surgical techniques are particularly useful in the abdomen: the technology allows complex procedures without large abdominal incision, thus reducing the number of wound healing. However, this technique can only be gentler on the patient if the surgery without complications runs. "Studies show that the learning curve in minimally invasive surgery, even for experienced open abdominal surgery is very long," says Professor Dr. med Köckerling, President of the DGVC, Hannover. This professional association has therefore already some years ago the certificate, Minimally invasive surgery 'was introduced, proving the necessary additional qualifications of the surgeons: The qualification looks far from a certain number of courses, internships and minimally invasive surgery. In addition, recordings will be submitted for review. The certificate shall be supplemented in future by a practical test: An experienced expert observed several minimally invasive surgery a surgeon, before it receives the certificate.

A further requirement of DGVC and their Surgical Association for Minimally Invasive Surgery (Camic) is that not only the surgeons are qualified, but also the hospitals. This example, must have adequate equipment and instruments and participate in measures for quality assurance. "Patients will have a minimally invasive procedure to undergo in the abdomen, can choose their hospital. You should pay attention to the proper qualifications, " Professor recommends Köckerling.