Services Provided in the Clinic and Polyclinic for Pediatric

Spectrum of Care

Whenever possible and appropriate, operations are minimally invasive, i.e. performed using the video-assisted "key hole method". The advantages include less pain, quicker recovery, shorter clinic stay and smaller scars. We always decide case-by-case which procedure is most advantageous for each child. Before the operation we will throughly inform and advise you.

Premature infant and newborn surgery

Premature infant and newborn surgery

At this early age, illnesses requiring surgery include birth defects, functional disorders or severe infections of the intestines as well as tumors. Infants require a meticulous approach, a great deal of experience with inferring indications, elaborate surgical techniques under loupe glasses and especially deft operating skill. Only tight interdisciplinary teamwork between neonatologists, pediatric intensive care physicians, pediatric anesthesiologists, radiologists and cardiologists will lead to a successful outcome. We frequently operate right there in the pediatric intensive care ward, to spare premature infants the stress of being transported to the operating room.

Indications for pediatric surgical intervention are:

  • Esophageal atresia
  • Duodenal atresia
  • Small intestinal atresia
  • Large intestinal atresia
  • Rectum-/Anal atresia
  • Gastroschisis
  • Omphalocele
  • Hypertrophic pyloric stenosis

 

Questions? Please contact:

Prof. Dr. Barthlen

 winfried.barthlen@uni-greifswald.de

or arrange an appointment for a specialist consultation!

Thoracic surgery

Thoracic surgery

Lung abnormalities or tumors are rare in childhood. Today they are usually detected with ultrasound before birth. But it does happen that they are first noticed in babies or toddlers because of repeated bronchitises and infections. If such abnormalities must be operated on, it is usually possible to save the healthy lung tissue by only removing the abnormal feature. This also holds true for secondary spreading (metastasis) of an otherwise localized primary tumor. Particularly in lung surgery, video-assisted, minimally-invasive entry has really proven itself, in that postoperative pain and scarring are markedly reduced and the children recover rapidly. It applies also to minimally invasive correction of funnel chest according to Nuss, in which we have special depth of experience.

Indications for pediatric surgical intervention are:

  • Lungensequester
  • Zystisch-adenoide Malformation (CCAM)
  • Lungenzyste / Bronchuszyste
  • Emphysema
  • Funnel chest
  • Pigeon chest

 

Questions? Please contact:

Prof. Dr. Barthlen

winfried.barthlen@uni-greifswald.de

or arrange an appointment for a specialist consultation !

Abdominal surgery

Abdominal surgery

In abdominal surgery, too, we carefully weigh the indications for a surgical intervention and the pros and cons of a minimally invasive procedure in each and every case. Not every child with a stomach ache has appendicitis and has to be operated on! To better deal with the frequent problem of chronic stomach pain, we have set up an interdisciplinary specialist consultation that includes pediatricians and child psychologists

Indications for pediatric surgical intervention are:

  • Gastroesophageal reflux disease
  • Biliary atresia
  • Choledochuszyst
  • Ovarian cysts
  • Endometriosis
  • Toxic megacolon / Morbus Hirschsprung
  • Diaphragmatic hernia
  • Hypertrophe Pylorusstenose
  • Congenital Hyperinsulinism
  • Leberzyste
  • Splenic cyst
  • Renal cyst
  • Mesenteric cysts

 

Questions? Please contact:

Prof. Dr. Barthlen

winfried.barthlen@uni-greifswald.de

or arrange an appointment for a specialist consultation !

Tumor surgery

Tumor surgery

Small, benign tumors of the skin and the sub-cutaneous fatty tissue (dermal cysts, lipomas) as well as neck cysts and fistulas are removed with small, cosmetically-placed incisions. In the case of hemangiomas (strawberries), either monitoring or laser surgical ablation is indicated. We will advise you in this regard during our specialist’s consultation. The seldom-occuring lymphangiomas are ablated with inflammation-inducing medication and/or are removed surgically.

Fortunately, solid malignant tumors are seen infrequently in childhood. Through close, interdisciplinary collaboration among all medical specialties concerned with this subject, it has been possible during recent decades to achieve radically improved results in their treatment worldwide. In our clinic as well, all children receive multi-modal treatment, through the pediatric hematology and oncology section of the pediatric clinic and in accordance with the guidelines adopted by the internationally-accepted Society of Paediatric Oncology and Haematology (GPOH). In our capacity as pediatric surgeons, we are qualified in the rapid, complication-free implantation of central venous access ports (port systems, Broviac catheters); in minimally invasive yet still conclusive removal of tumor tissue for accurate typing (biopsy); and, above all, in the sparing, surgical removal of the tumor. That is an area of concentration for our clinic. Timing and scope of the operation are arrived at in consultation with GPOH’s studies directorate. The removed tumor material is scientifically examined in collaboration with the Institute for Pathology (Dr. Dombrowski) and the Institute for Functional Genomics Research (Dr. Völker), in order to trace the causes of these diseases and to develop new treatment options.

Indications for pediatric surgical intervention are:

  • Neuroblastoma
  • Nephroblastoma / Wilms tumor
  • Hepatoblastoma
  • Rhabdomyosarcoma

 

Questions? Please contact:

Prof. Dr. Barthlen

winfried.barthlen@uni-greifswald.de

or arrange an appointment for a specialist consultation !

Urology

Urology

Today many findings are being collected about the kidneys and the efferent urinary passages with prenatal diagnostics. We inform and advise the parents-to-be in the context of an interdisciplinary consultation with neonatalogists and pediatric nephrologists. Not all findings call for treatment and the saying “less is more” is particularly relevant in pediatric urology. Should it nevertheless be necessary, we will initiate the appropriate diagnostics and perform the surgical treatment. In our specialist’s consultation you will be counseled and attended to on the basis of the most up to date science; and we will be glad to do so in the form of a second opinion.

Indications for pediatric surgical intervention are:

  • Ureterabgangsstenose
  • Stenosis of the urethral meatus / Enlarged ureter
  • Vesikoureteraler Reflux
  • Neurogenic bladder
  • Urethral flaps
  • Hypospadia
  • Cystitis, pyelonephritis, urinary retention

 

Questions? Please contact:

Prof. Dr. Barthlen

winfried.barthlen@uni-greifswald.de

or arrange an appointment for a specialist consultation !

Traumatology

Traumatology

It goes without saying that children in testing their abilities and exploring their surroundings will sometimes get hurt. It is especially important in pediatric traumatology to quickly turn the big catastrophe of a broken leg into a small problem with little residual pain soon after an operation or just after having been wrapped in a plaster cast. Monitoring the way the break is mending and seeing to it that even complex fractures heal without complications is done during our specialist’s consultations. Our clinic is licensed as a provider of medical referee services for day care and school accidents.

Non-traumatic bone lesions, such as cysts, benign tumors, bone protuberances and bone inflammations (osteomyelitis) are also in our repertoire.

We treat scald and burn wounds according to the most modern criteria. All interventions are done pain-free under anesthesia. Since the psychological trauma often is almost greater for children (and parents) than the physical injury, we offer support by child psychologists.

Children who have suffered concussions are monitored intensively on our ward and recuperate with their parents present.

We are guided throughout our practice by the latest scientific findings. So, for example, with regard to blunt abdominal trauma, the realization is gaining more and more ground that operating on it is not always immediately required, provided that the circulatory situation is stable. We can “ride out” even severe injuries to abdominal organs in our intensive care ward, thanks to experience and continuous monitoring.

Indications for pediatric surgical intervention are:

  • Syndaktylie
  • Scalds and burns
  • Clavicle Fracture
  • Fractures of all kind and localisation

 

Questions? Please contact:

Prof. Dr. Barthlen

winfried.barthlen@uni-greifswald.de

or arrange an appointment for a specialist consultation !

Plastic-reconstructive surgery

Plastic-reconstructive surgery

Indications for plastic surgery intervention with children have to be more strictly evaluated than even with adults. But when protruding ears, large scars, swelling of mammary glands in pubescent boys (gynecomastia), or a funnel chest (see Thoracic Surgery) lead to emotional problems or limited functioning, then indications for plastic correction may prevail even in childhood. It is particularly called for with abnormalities of the urethra (hypospadia), fused or extra fingers and toes (syndactyly, hexadactyly) or for large birthmarks (nevi). We will also gladly give you advice in the form of a second opinion.

Indications for pediatric surgical intervention are:

  • Hypospadia
  • Haemangioma
  • Lymphangioma / Cystic hygroma
  • Syndactyly, Polidaktylie
  • Funnel chest
  • Pigeon chest
  • Scalds and burns

 

Questions? Please contact:

Prof. Dr. Barthlen

winfried.barthlen@uni-greifswald.de

or arrange an appointment for a specialist consultation !

Laser medicine

Laser medicine

Treating "strawberries" (haemangiomas) that quite frequently occur in newborns today is done with laser therapy. The hemangiomas are gently ablated under anesthesia, to prevent unattractive scarring and to make more extensive operations unnecessary. We employ the most advanced dye lasers and Nd-YAG lasers.

Indications for pediatric surgical intervention are:

  • Haemangioma

 

Questions? Please contact:

Prof. Dr. Barthlen

winfried.barthlen@uni-greifswald.de

or arrange an appointment for a specialist consultation !

Neurosurgery

Neurosurgery

Congenital or acquired abnormalities in the spinal region or of the central nervous system with enlargement of the brain’s subarachnoid space (hydrocephalus) in fact have become rare, thanks to improved prophylaxis and prenatal diagnostics. But even today sufficient, complication-free draining (conventionally or endoscopically) of cerebrospinal fluid is still the best treatment for preventing or at least lessening neurological deficits. These children are treated in Greifswald by an interdisciplinary competency network consisting of Pediatric Surgery (Director: Professor Barthlen), Neurosurgery (Director: Professor Schroeder), Neuropediatrics (Director: Professor Lauffer) and the Neurologic Rehabilitation Center (Director: Dr. Gläser).

Indications for pediatric surgical intervention are:

  • Hydrocephalus
  • Spina bifida
  • Cranial deformities

 

Questions? Please contact:

OA PD Dr. Fritsch (Neurochirurgie)

fritschm@uni-greifswald.de

Prof. Dr. Barthlen

winfried.barthlen@uni-greifswald.de

or arrange an appointment for a specialist consultation !

Pain therapy

Pain therapy

As more recent studies have shown, even newborns, infants and older children are highly sensitive to pain. Unfortunately, this is not something we can change nor is that sticking with needles and operations hurt. But we can do our utmost to have children suffer as little pain as possible, with the help of anesthesiologists, neonatologists and intensive care doctors. We use the available powerful analgesics generously, as well as local anesthetic procedures involving the spinal cord. Reducing the children’s (and their parents’) anxieties to a minimum by initiating anesthesia, blood sample taking or bandaging changes in a professional manner also goes a long way.

 

Questions? Please contact:

Prof. Dr. Barthlen

winfried.barthlen@uni-greifswald.de

or arrange an appointment for a specialist consultation !

Outpatients surgeries

Outpatients surgeries

We do outpatient procedures in our clinic, particularly the following :

  • Inguinal hernia
  • Undescended testicle
  • Prepuce tightness (phimosis)
  • Removing metal implants after osteosyntheses
  • Umbilical hernia
  • Removal of skin tags, small tumors, foreign objects
  • Hydrocele

 

Questions? Please contact:

Prof. Dr. Barthlen

winfried.barthlen@uni-greifswald.de

or arrange an appointment for a specialist consultation !

Conservative treatments:

Conservative treatments:

Indications for pediatric surgical intervention are:

  • Chronic abdominal pain
  • Constipation
  • Scalds and burns

 

Questions? Please contact:

Prof. Dr. Barthlen

winfried.barthlen@uni-greifswald.de

or arrange an appointment for a specialist consultation !

 

 

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