Centers of Excellence
- Internal Medicine Dept. I
- Trauma and Reconstructive Surgery
Chair: Prof. Dr. med. Ehninger
The Internal Medicine Dept. I provides complete diagnostics and therapy of non-malignant and malignant diseases: a wide spectrum of cancers, blood disorders including coagulating disturbances, diseases of the gastro-intestinal and respiratory tract and infectious diseases including HIV and AIDS.
Where the diagnosis and treatment of malignant diseases requires interdisciplinary action, we collaborate with the Dresden University ComprehensiveCentre. The diagnosis and treatment facilities we offer our patients are of the highest standard. The latest findings of cancer research, new drugs and our own developments are all part of our clinical practise. Close cooperation with distinguished specialists of the Dresden University guarantees the highest quality of medical care in every stage of each illness. We also provide cancer pain therapy and psychooncological support for our patients and their relatives, as well as an explicit internal check-up. More tests can be arranged at short notice if required.
Department of Haematology and Oncology
- Acute and chronic leukemias
- Hodgkin’s disease
- Non-Hodgkin’s lymphoma
- Gastrointestinal cancer
- Lung Cancer
High-dose chemotherapy with haematopoietic stem-cell support are applied if indicated. Related and unrelated stem-cell and bone-marrow transplantations are performed and fast worldwide donor searches are initiated.
Department of Pulmonology
Bronchoscopy, including bronchologic intervention (laser therapy of endobronchial tumors), pleuroscopy, autofluorescence bronchoscopy (early detection of endobronchial tumors)
- Lung function laboratory: bodyplethismography, CPX spiroergometry
- Diagnostic, vasoreactivity testing and treatment of pulmonary hypertension
- Sleep-associated breathing disorders like obstructive sleep apnea syndrome, central sleep apnea syndromes
Department of Gastroenterology
- Percutaneous transhepatic cholangioscopy (PTC)
- Endoscopic retrograde cholangio-pancreaticography (ERCP)
- Argon plasma coagulation (APC)
- Magnification endoscopy, chromoendoscopy
- Mini-endosonography, conventional endosonography
- Endoscopic mucosal resection (EMR), polypectomy
Chair: Prof. Dr. med. Rüdiger von Kummer
The clinic of Neuroradiology is known worldwide as an international reference centre for image interpretion and a centre for neuroradiological interventions.
The clinic of Neuroradiology is highly specialized in the performance and image interpretation of computed tomography (CT) and magnetic resonance imaging (MRI) for patients with diseases of the central nervous system (multiple sclerosis, tumours of the brain, spinal cord and orbit, metabolic diseases, brain atrophy, trauma, hydrocephalus, developmental disorders, infectious diseases, epilepsy and stroke). The clinic is well equipped with 2 high-field MRI scanners (Siemens Vision and Sonata) and one multi-slice CT (Siemens Sensation). Functional MRI examinations and MR spectroscopy are performed on a routine basis. Neuroradiology is recommended as an International Reference Centre for image interpretation and is involved in many multi-centre trials on treatment of nervous diseases. It serves the patients of the University Hospital Dresden, as well as patients from local and more distant hospitals on an outpatient basis or using teleradiology.
Prof. von Kummer serves on steering and safety committees in many trials and has authored books on CT diagnosis of acute stroke and the management of acute stroke patients.
The clinic of Neuroradiology is a recommended centre for minimal invasive interventions into the brain and spinal cord. Using micro-catheter technology and modern biplane angiography, Prof. von Kummer and his team currently treat 80 patients with cerebral aneurysms, 40 patients with arterio-venous malformations of the brain and spine, and 60 patients with obstructions of brain supplying arteries per year. Professor von Kummer and his team embolizes tumours preoperatively and recanalizes arteries with local thrombolysis, angioplasty and stenting in case of acute stroke and pending stroke in close cooperation with Neurosurgery and Neurology.
Chair: Prof. Dr. med. Hans Zwipp
Trauma Center level 1
The clinic of trauma and reconstructive surgery at the Dresden university hospital has an international reputation for treating acute and chronic injuries to the foot and ankle. The chair, Professor H. Zwipp is a leading member of the AO Germany and has been president of the AO-ASIF Foot and Ankle Expert Group from 1994 to 2006.
Reconstructive surgery of the foot and ankle
Complex reconstructions are performed after malunited fractures, ligamentous instabilities, soft tissue injuries and tendon dysfunction. Severe neuropathic deformities and chronic osteomyelitis are treated surgically. Preoperative planning includes high-quality, multiplanar computed tomography (CT) and magnetic resonance imaging (MRI) scans including 3D analysis, computer simulation and pedography.
Surgery is performed in high-tech, state-of-the-art laminar flow operating rooms equipped with high-resolution image intensifiers, a variety of arthroscopes, endoscopes, a Zeiss operation microscope and ultrasound. Reorientating measures after malunited fractures and dislocations of the ankle, calcaneus, talus and midfoot aim at regaining foot function and joint preservation.
The complete spectrum of anterior and posterior stabilization techniques is performed for traumatic cervical, thoracic, thoraco-lumbar and lumbar spine lesions (incl. posterior or thoracoscopic anterior decompression). All minimal invasive (lumbar spine) or thoracoscopic (thoracic and thoraco-lumbar spine) anterior fusion techniques are performed regularly, most notably percutaneous posterior instrumentations of thoraco-lumbar spine fractures. Reconstruction of posttraumatic malalignment of the cervical, thoracic and lumbar spine is performed routinely as well.
Shoulder, elbow and forearm surgery
Acute and chronic instability of the glenohumeral, acromioclavicular and sternoclavicular joints is treated by open, minimally invasive and arthroscopic procedures. Special attention is paid to posttraumatic impingement and malunion of the proximal humerus. Upper arm, elbow and lower arm fractures are treated according the AO-Principals and fixed in communited or osteoporotic fractures with interlocking plates or nails. As with other reconstructive procedures, preoperative planning includes high-resolution ultrasound, CT and MRI.
Pelvic, hip, knee and lower extremity
Complex pelvic fractures including acetabular fractures and fracture dislocation are anatomically reconstructed according preoperative CT-scanning and fixed according updated AO-Principals. Axial malalignment at the lower extremity and around the knee is corrected with intra- and extramedullary osteosynthesis after reorientating osteotomy. Reconstructive knee surgery includes open and arthroscopic procedures for chronic ligamentous instability and osteochondral defects including osteochondral autografts (OATS) and autologuous chondrocyte transplantation.
Trauma of the wrist and hand as well as bony malformations, soft tissue problems (like defects, infections, contractures, impingements) and tendon dysfunction are treated according to high standards. Nerve decompression for carpal tunnel syndrome is done endoscopically on an outpatient basis.
For postoperative rehabilitation our department cooperates with several facilities specializing in orthopedic rehabilitation in the vicinity of Dresden. All of them are well equipped and are situated in beautiful surroundings in traditional resorts.
Basic research activities focus on modification of metallic implants and hydroxyapatite-based bone substitutes with extracellular matrix components to enhance bone healing and minimize adverse reactions. Further work is related to tissue engineering with mesenchymal stem cells for critical defects in long bones after temporary stabilization with specially designed PMMA-cylinders.
Biomechanical experiments and several prospective and retrospective clinical studies focus on reconstructive surgery of the foot/ankle and spine.
Chair: Prof. Dr. med. Klaus-Peter Günther
Conservative and surgical treatment of musculoskeletal disorders including early postoperative rehabilitation in the following subspecialties:
Sports medicine, knee and shoulder treatment
Diagnosis and minimal invasive treatment of sporting injuries, knee and shoulder problems.
- Shoulder instabilities, impingement and tears of the rotator cuff
- Acute and chronic knee instability (ligament injuries)
- Meniscal tears and cartilage damage of the knee joint
- Malalignment of the legs (e.g. multilevel deformity correction)
- Hip and knee osteoarthritis (e.g. preventive osteotomies, partial and total joint replacement, new concepts of joint preserving surgery)
- Treatment of rheumatic disorders (rheumatoid arthritis)
The nonoperative and operative treatment of spinal deformities, inflammatory and degenerative disorders of the spine:
- Idiopathic scoliosis
- Neuromuscular disorders with concomitant spinal deformities (e.g. MMC, cerebral palsy and muscular dystrophy)
- Osteoarthritis of the spine (conservative/surgical treatment including minimally invasive surgery)
Diagnosis and therapy of congenital and acquired hand and finger deformities (e.g. congenital malformation, rheumatoid destruction, Dupuytren’s contracture) and nerve compression syndromes.
Diagnosis and therapy of hard- and soft-tissue musculoskeletal tumours (close collaboration with national tumour registers and the local tumour centre).
Paediatric orthopaedic treatment
Diagnosis and treatment of common disorders of the child’s spine (scoliosis) and extremities (e.g. foot disorders, congenital malformations, developmental dysplasia of the hip, Perthes disease) including complex pelvic osteotomies and reconstructive procedures.
Chair: Prof. Dr. Manfred P. Wirth
The clinic of urology provides expertise and sophisticated scientific treatment for all aspects of urology.
The clinic provides comprehensive treatment for all kinds of urogential malignancies. This includes diagnosis in difficult cases, minimally invasive as well as radical surgical treatment, and conservative treatment such as immuno- and chemotherapy.
Prostate cancer is treated by radical open or robotic surgery as well as by brachytherapy with seed implantation. The clinic performs over 350 radical prostatectomies per year, making it one of the busiest in Germany. All forms of adjuvant treatment for prostate cancer are available, and the advanced disease can be treated by scientifically validated forms of chemotherapy. Prostate cancer represents one of the main research interests of the department and top-level expertise is available for the most advanced treatment of any stage of this disease.
Advanced bladder carcinoma is treated by radical cystectomy and all urinary diversion procedures are performed regularly with high frequency. These include nerve-sparing resection techniques, as well as all forms of continent diversion in men and women.
Renal cell carcinoma is treated by open or laparoscopic complete or partial nephrectomy depending on the size of the tumour. Organ-sparing surgery is performed routinely if indicated, as is the removal of large intracaval tumour thrombi reaching below or above the diaphragm. For patients with advanced or metastasized renal cell carcinoma immunotherapy or treatment with the recently approved angiogenesis inhibitors Sutent® or Nexavar® is offered. The clinic treats all stages of testicular cancer which includes chemotherapy and surgery for advanced metastatic disease. Retroperitoneal lymphadenectomy or residual tumour resection is performed using nerve-sparing techniques wherever possible.
Post-operative recovery is aided by experienced urological physiotherapists and in-patient rehabilitation treatment, if indicated, is provided in the modern rehabilitation centre at the picturesque village of Kreischa near Dresden.
Stone treatment includes all possible modern techniques from extracorporeal lithotripsy (ESWL) for renal, and in-situ treatment for ureteral stones, ureteroscopic stone extraction or lithotripsy using mechanical or laser techniques, and percutaneous endoscopic renal surgery (PCNL)for the removal of large or staghorn renal calculi. Open-stone surgery is only rarely necessary, as the vast majority of all stone patients can be treated successfully using an endoscopic approach.
The clinic of urology is the surgical transplantation centre for the eastern part of Saxony. Transplantation of old and very old recipients is performed routinely, as is living-donor transplantation from relatives.
All forms of urological reconstructive surgery, including hypospadia repair, functional bladder surgery for reflux disease in adults and children, implantation of protheses for erectile impotence, urinary undiversion and repair of urethral strictures, are routinely performed. Reconstruction and repair of recurrent urethral strictures is performed by plastic techniques using buccal mucosa implants.
The clinic provides all forms of sophisticated and modern diagnostic tools for urinary incontinence, as well as all conservative and surgical techniques for the treatment of underlying disorders, such as retropubic suspension techniques, paraurethral injection, suburethral sling procedures, sacrocolpopexy and the implantation of prosthetic devices
Chair: Prof. Dr. Dr. Thomas Zahnert
The ORL University Clinic is one of the leading centres worldwide in basic and clinical research of ear and skull base.
Results from our R&D activities, such as innovative prostheses and new approaches to middle-ear reconstruction, have been introduced directly into surgical procedures for patients suffering from chronic middle-ear diseases such as cholesteatoma, tympanic membrane perforation or otosclerosis. Innovative diagnostic techniques, such as laser-Doppler-vibrometry or the dynamic probe, which was invented in our laboratory, are successfully used in diagnosis. Our vast experience in middle-ear surgery, founded on knowledge of middle-ear function gained in our basic research, is attracting an increasing number of patients from all over the country.
Affiliated to our department is the saxonian cochlea-implant-center (SCIC), founded in 1995. Up to now, more than 500 patients have been provided with cochlea implants successfully. The core of the concept is the integration of preoperative (pediatric) audiological diagnostics and surgical treatment, as well as the language and speech development therapy and rehabilitation, realized by a competent team of physicians and therapists.
All modern treatments of tumor diseases in the head-and-neck region are successfully established at the ORL University Clinic. They include resection of tumors in the pharynx/larynx region with laser and ultrasonic devices, and reconstruction with microvascular free flaps. Non-invasive therapy, using radio- and chemotherapy, has been established in cooperation with our radiological and chemotherapeutical department.
The ORL University Clinic Dresden also houses an important phoniatric department, which employs ll modern technologies relating to voice and larynx function. Modern laser surgery for diseases of the larynx and surgery for tracheal problems such as tracheal stenosis with endothesis or anastomosis surgery are well developed in our surgical department.
Rhinology / Skull base surgery
The Rhinology department combines basic and clinical research with surgical procedures. The allergy laboratory has developed innovative diagnostic procedures that are globally unique and have evolved directly from our basic research. Furthermore, our department also houses the internationally renowned Smell and Taste Centre, home of the German study group of olfaction and taste disorders of the German ORL Society. Basic research into this “forgotten” sense has resulted in many innovative approaches to diagnostic and therapeutic procedures.
In our surgical theatres we have gained vast experience in endonasal endoscopic surgery of the sinus, including the endoscopic repair of frontobasal trauma and tumors.
Here we are able to benefit of modern navigation systems that use stereotactic integration of digitalized tomography (CT/MRI).
Furthermore, we are glad to have a tight collaboration with the department of neurosurgery that gives us the chance to discuss and treat pathologies with an intracranial expansion interdisciplinary.
Chair: Prof. Dr. Lutz E. Pillunat
The University Eye Clinic is one of the leading departments of opthalmology in Europe. All areas of ophthalmology are covered and practised by well-trained experts in several supspecialties.
Beside refined diagnostic skills, the department with 110 employees including 25 physicians and scientists, offers all surgical procedures performed in ophthalmology. In 2009 we performed 6650 major surgical operations and about 7000 Laser procedures. Areas of special expertise include:
The glaucoma centre offers the most refined techniques for glaucoma diagnosis including laser scanning optic nerve head analysis, retinal nerve fibre layer analysis, early damage detection by short-wavelength perimetry and frequency doubling perimetry. Furthermore, the glaucoma centre offers Europe‘s best equipped diagnostic centre for disorders of ocular blood flow in glaucoma. We offer measurements of total ocular blood flow by pneumotonography, diagnostic colour doppler imaging of retrobulbar vessels, analysis of capillary optic nerve head blood flow by laser Doppler flowmetry, measurement of retinal capillary blood flow by laser scanning doppler flowmetry, and the analysis of vessel regulation by continous digital retinal vessel analysis.
Pediatric ophthalmology and neuroophthalmology
The centre for peadiatric ophthalmology specializes in the surgical treatment of congenital disorders such as congenital glaucoma, congenital cataracts and congenital disorders of the eyelids. Patient care is handled in an interdisciplinary fashion together with the department of pediatrics. Special interdisciplinary care is taken in children with uveiitis and in newborn children suffering from retinopathy of prematurity.
The centre for refractive surgery offers all currently available diagnostic and therapeutic options. These include corneal refractive surgery (Lasik, PRK, INTACS), clear lens extraction, antiastigmatic keratotomy, phacic lens implantation (ICL), multifocal lens implantation. Corneal refractive surgery is performed by using the most refined Excimer laser systems. A corneal topography controlled LASIK is available, as well as an aberrometric approach.
Ocular blood flow centre
Disorders of ocular blood flow are quite common nowadays, as many diseases like diabetes, arterial hypertension or malnutrition occur more frequently with greater life expectation. The ocular blood flow centre offers the complete spectrum of diagnostic and therapeutic approaches for disorders of ocular circulation.