Surgery

Surgeries are often done in a surgical procedure room, the so-called operating room (short form “OR”). This room meets the statutory requirements.
The main focus of the office is on endoscopies (so-called “arthroscopies” of the knee joint with cruciate ligament surgery), shoulder surgeries and foot surgeries.

These procedures can be done on an outpatient or inpatient basis.

Ambulatory (outpatient)

means that a surgical procedure ( which doesn’t differ from a procedure performed stationary) is performed and surveillance takes place at the so-called post-anesthesia care unit (PACU) for about 2 hours.
Subsequently, the patient gets released into their home environment.
Postoperative care will be taken care of by your surgeon or family physician.
A list with surgeries that should be done ambulatory is made by a legislator.
If such a procedure can be done ambulatory will be decided up front by a surgeon or anesthesiologist.
At our office it is common to do examinations before the procedure takes place.
These examinations  are done by us, an anesthesiologist and family physician.
We will organize appropriate treatments which will also be documented in a “surgery folder”.

Stationary (inpatient)

means that a surgical procedure is performed and the postoperative surveillance takes place at the hospital often combined with the immediate beginning of postoperative care on an inpatient basis.
Usually, this kind of treatment is used in cases of long surgeries and/or on patients at high risks.
Those risk factors are conditions after heart attacks, thrombosis and /or embolism, increased tendency to bleed, serious issues with the organ system.
This also includes social circumstances, e.g. people that live by themselves.
Surgeries take place at the Nardini clinic (St. Johannis hospital in Landstuhl).

Preventive check-ups, decisions if surgery is necessary and organization are done by us and the preparations for surgery is done by our colleagues from the St. Johannis hospital.

Postoperative treatment is done in our doctors office immediately after they release the patient.

Following procedures can normally be done ambulatory:

Surgeries on the hand:

Stenosis of the anular ligament, the so-called “flicking finger”, Dupuytren’s contracture, ganglion of the wrist, nerve congestion syndrome, carpal tunnel syndrome (CTS), whitlow, stenosis of the tendon sheath, tenosynovitis, so-called tendovaginitis ( most common: tendovaginitis stenosans de quervain).

Surgeries on the elbow:

Lateral epicondylitis, so-called “tennis elbow”, epicondylitis medialis, so-called “golfer’s elbow”, nerve congestion syndrome, so-called “sulcus ulnaris syndrome (SUS)”