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For the hips, heart and brain: “Keyhole” surgical technique

The days of operations with the associated larger incisions are history for many operations today. Instead, small, keyhole-shaped openings are now sufficient to carry out operations with the instruments, which are only a few millimeters in diameter.

Through the keyhole to the new hip joint in Bad Berka

In the endoprosthesis center of the Central Clinic Bad Berka, surgeons use artificial hip joints in a minimally invasive manner on patients. As one of the few clinics in Thuringia, the clinic for orthopedics and trauma surgery offers the so-called AMIS technology. This means a front (engl. anterior) minimal iinvasive intervention surgery) for the implantation of an artificial hip joint. Here, muscles, vision and nerves are spared because the muscles are not severed, nicked or squeezed.

“The patients can be mobilized faster and are much more likely to manage their everyday lives independently.”

There are many benefits to this technique, including less blood loss during surgery and less pain.

“Up to now, hip prostheses have been operated on from the side or from the rear. With the new method, the patient lies on their back and the hip prosthesis is inserted through a small incision on the front of the thigh. The hip and thigh muscles remain unaffected. A hip joint operated in this way has a lower risk of dislocation because the stabilizing muscles were not injured. The risk of limping is reduced and chronic pain can be prevented in the long term, ”explains chief physician Prof. Olaf Kilian.

In 2020, the Clinic for Orthopedics and Trauma Surgery at the Central Clinic Bad Berka received the certificate as an endoprosthetics center for the seventh time.


E.A prosthesis for the heart – keyhole operations on the heart valve in Bad Berka

In the heart center of the Central Clinic Bad Berka, equipped with a cardiac catheter laboratory and a state-of-the-art hybrid operating room, keyhole operations are part of daily business.

There, minimally invasive interventions by cardiac surgeons, cardiologists, vascular specialists and interventional radiologists can be carried out at the same time. B. to repair or replace heart valves or to implant aortic stents for enlarged vessels. This surgical option is of particular benefit to patients for whom heart valve surgery cannot be performed because of their age or other severe diseases.

Health podcasts from August 2020: Dr. med. Thomas Kuntze, chief physician at the Clinic for Cardiac Surgery, on the subject of “A prosthesis for the heart – keyhole operations on the heart valve”

Via the keyhole into the brain: slipped discs and brain tumors in Bad Neustadt

With the help of state-of-the-art technology and digitization, operations are performed on the brain, spinal cord, nerves and spine via the smallest keyhole openings: This is the specialty of private lecturer Dr. Albrecht Waschke, the chief physician of the Clinic for Neurosurgery at the RHÖN-KLINIKUM Campus Bad Neustadt. The clinic is one of the few in Germany that offers these methods.

In addition to the appropriate technical equipment, you also need a surgeon who has mastered the procedures. “To learn this, extensive knowledge is required that goes beyond the six years of specialist training,” says Dr. Waschke. His range of treatments includes the removal of brain tumors and aneurysms as well as conservative and surgical treatment of the spine.

Thanks to the new technology, patients usually need significantly less time to recover from an operation, can sometimes be released back home after four days and have a lower risk of infection. For the specialist, in addition to increased comfort, the cosmetic result is also relevant in this context.

“We no longer have to shave hair and the stress for the patient is less if he knows in advance that a large cut on the brain is not necessary.”

Virtual surgery planning with 4K resolution, which is now possible, also allows many surgical steps to be planned and played through in advance. Thanks to the “mapping” technique, areas of the brain can be precisely localized, comparable to a map, before an intervention, for example where the sensitive speech or motor skills field is located.

Patients who undergo surgery for a herniated disc also benefit from the advances in technology. In most cases, an endoscope can be used. This way, scars hardly arise. For the future, Waschke anticipates further innovations in the field of neurosurgery – which he sees as a pioneer and technically the most complexly equipped subject among the surgical disciplines – especially in the expansion of virtual reality.

Minimally invasive endoscopic neurosurgery Keyhole operations on the brain, spinal cord, spine and nerves have many advantages for patients:

  • – shorter lying time and faster recovery
  • – less pain
  • – less tissue is injured
  • – better cosmetic result


The experts:

Your expert for orthopedics and trauma surgery:

Prof. Dr. med. Olaf Kilian
Chief physician of the Clinic for Orthopedics and Trauma Surgery at the Central Clinic Bad Berka

Image film of orthopedics and trauma surgery:


Your expert for cardiac surgery:
Dr. med. Thomas Kuntze
Chief physician of the Clinic for Cardiac Surgery at the Heart Center in the Central Clinic Bad Berka

Health podcasts from August 2020
Dr. med. Thomas Kuntze, Chief Physician at the Clinic for Cardiac Surgery, on the subject:
“A prosthesis for the heart – keyhole surgery on the heart valve”


Your expert for neurosurgery:

PD Dr. med. Albrecht Waschke
Head of the Department of Neurosurgery on the RHÖN-KLINIKUM Campus Bad Neustadt

Patient story:
Diagnosis of a brain tumor




The post For the hips, heart and brain: OP technology “keyhole” appeared first on RHÖN-GESUNDHEITSBLOG.

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