We take good care of you

Transcription

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 Quality of life Health

2 Hospital Martha-Maria Munich Department of Surgery Efficiency Report 2006, 2007, 2008

3 Efficiency Report Hospital Martha-Maria Munich, Department of Surgery Hospital Martha-Maria Munich Teaching Hospital of the Ludwig-Maximilians-University Munich Wolfratshauser Straße Munich Phone 0049-(0) Fax 0049-(0) Internet page 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) 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 Senior Surgeon Andreas Walter, MD Wilhelm Gronenberg, MD Head of Orthopedic Surgery, certified by Employers liability Association Department of Anaesthesiology Head of the Department Managing Senior Anaesthesiologist Senior Anaesthesiologist Senior Anaesthesiologist Senior Anaesthesiologist Senior Anaesthesiologist Lino Negri, MD Mathias Heyduck, MD Roswitha Heger, MD Barbara Korpal-Berdychowski Ludwig Nißl, MD 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 2

4 Chirurgische Klinik, Krankenhaus Martha-Maria München. Leistungsbericht Contents Figure 1: Development of the number of procedures performed 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 Vascular procedures, Tab Diagnostic procedures (ultrasound), Tab Endoscopies, Tab

5 Efficiency Report Hospital Martha-Maria Munich, Department of Surgery Fig. 1 Development of procedures performed Fig. 2 Development of hospital stay and Case Mix Index VD 6,4 6,3 6,2 6,1 CMI 1,15 1,14 1,13 6, CMI = Case Mix Index VD = hospital stay (days) 1,12 4

6 Chirurgische Klinik, Krankenhaus Martha-Maria München. Leistungsbericht Procedures for thyroid gland diseases 2008 Resection of the thyroid gland 2407 Excision of the thyreoglossic cyst 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 Neurolysis of the recurrent laryngeal nerve 28 Temporary tracheostomy 6 Struma of the tongue base 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 Tab. 2 5

7 Efficiency Report Hospital Martha-Maria Munich, Department of Surgery Fig. 3: Percental rate of thyroid cancer in different age groups. Operations performed in the hospital Martha-Maria Munich in the year % 35% 30% 25% 20% 15% 10% 5% 0% < >79 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 6

8 Chirurgische Klinik, Krankenhaus Martha-Maria München. Leistungsbericht 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 Endocrine Surgery Gastrectomy 1 Subtotal resection 4 others 7 Adrenalectomy laparoscopic 5 Pancreatic Surgery Tab. 4 7

9 Efficiency Report Hospital Martha-Maria Munich, Department of Surgery 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 Tab. 5 8

10 Chirurgische Klinik, Krankenhaus Martha-Maria München. Leistungsbericht 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 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 Tab. 7 9

11 Efficiency Report Hospital Martha-Maria Munich, Department of Surgery 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 10

12 Chirurgische Klinik, Krankenhaus Martha-Maria München. Leistungsbericht Diagnostic procedures (ultrasound) Sonography of the neck 2227 Others (hernias, soft tissue, tendons, joints.) 83 Abdominal sonographies Tab. 10 Endoscopies Laryngoscopies 460 Gastroscopies 197 Coloscopies 138 Endosonographies 21 Bronchoscopies Tab