Treatment Concept of Vascular Surgery at PGD International
Minimally invasive, gentle and safe. These are the stipulations that govern the treatment concept of the department of vascular surgery at Waldkrankenhaus Spandau. The spectrum of the special treatment includes endovascular procedures (minimally invasive) of the aorta of the abdomen, surgeries at the carotid artery with local anaesthesia as well as laser treatment of varicose veins and and the reconstruction of deep veins.
In order to achieve the best results for the patient, a careful and thorough diagnosis is conducted before treatment. This is where the team led by Dr. Adam Czerwinski, the conducting vascular surgeon of the vascular center at Waldkrankenhaus, mainly relies on ultrasound. This allows an immediate and accurate representation of the indication, and the renunciation of nephrotoxic contrast agents.
Interventions on the main artery (aorta) and pelvic artery
Necessary procedures are performed using advanced techniques. Any anatomy conditions at the abdominal and pelvic arteries are handled with these techniques. If you can not achieve the desired success endovascularly, an open surgery is carried out via a gentle side access (retroperitoneal access).
Surgery at the carotid artery with plexus anesthesia
For operations at the clamped carotid artery, as for the elimination of restrictions, the intervention is performed using local anesthesia (plexus anesthesia). This guarantees the best possible monitoring as well as the monitoring of the patient to prevent stroke due to insufficient supply of brain in the phase of the operation, in which the artery is clamped. Due to the plexus anesthesia the patient is approachable all the time. Monitoring is carried out with the help of a squeaking ball, which the patient presses regularly. Does the squeaking stop, the surgeons can response immediately. E. g. by inserting a shunt, so that the brain is again supplied with enough blood. When operating under full anesthesia an under-supply of the brain with blood normally is detected too late. Therefore this form of intervention is undertaken primarily for the patient safety. At the same time it also is a highly demanding form of surgery. In an intervention with local anesthesia, the patient lays on the operating table in a different way, which demands more dexterity of the surgeon. In addition, greater self-control and focus is necessary because the surgeon must not be distracted by the knowledge that the patient is awake.
Treatment of varicose veins and leg ulcers
As phlebologists Dr. Adam Czerwinski MD has set up a department of phlebology after taking office as head of vascular surgery in September 2015. Here, the laser process is used to remove varicose veins. This method is particularly gentle for elderly patients and has - especially for young patients - the effect that no visible scars remain, which significantly affects the appearance of the legs. The spectrum of this section also includes the reconstruction of deep veins in postthrombotic syndrome (Z.n. thrombosis), that have developed in the open leg of the patient.
The department of of vascular surgery at Waldkrankenhaus Spandau is headed by Dr. Adam Czerwinski, Chief Vascular Surgeon, Medical Specialist for Surgery, Medical Specialist in Vascular Surgery, Phlebologist, Endovascular Surgeon