„Minor surgery“ means interventions that affect pathological changes that are localized in the skin level, just under the skin or on fingernails or toenails. As a rule, these diseases can be treated under local anesthesia.
These diseases can be acute, i.e. sudden, or develop over a longer period of time (chronic).
Typical diseases that are treated as part of „minor surgery“ are:
- care of fresh wounds
- infected wounds
- Ingrown toenails, possibly with inflammation of the nail wall (Unguis incarnatus)
- Growths under the skin (subcutaneous tumors), e.g. sebaceous cysts, sacs (atheromas)
- Fatty tissue growths (lipomas)
- growths on the skin (skin tumors)
- Nail ulcers, Nail circumference (Panaritium)
- foreign body removal
- Bruising under nails (subungual hematoma)
- Removal of ganglions, i.e. soft tumors that emanate from joints or tendon sheaths (ganglion)
Registration at the doctors’s office
Of course, we treat acute injuries such as cuts or lacerations or acutely inflamed wounds in a timely manner without prior notification during our office hours. Treatment is possible at any time in our ambulant operation room. Chronic diseases that fall under the care of minor surgery should take place at a scheduled appointment in order to avoid long waiting times.
You can easily, quickly and confidentially arrange an appointment in our doctor’s office.
Of course, we treat privately insured patients, but as a surgical doctor’s office with statutory health insurance, we can of course also offer our expertise to people with statutory health insurance.
- by phone
- directly online in the appointment calendar on our website or
- by email
When introducing yourself, it is important that you can describe in detail how your symptoms came about, how they affect you in everyday life, how long the problems have been occurring, how they could be influenced and how the entire course of time has developed has.
It is important that sufficient time is devoted to the complaints at this stage, as even seemingly unimportant details can be crucial clues.
Targeted questions by the experienced surgeon often give a good first indication of the cause of the symptoms.
But the initial consultation is more than just listing complaints by type, severity, time of occurrence and ways to influence them. The initial consultation must always provide space for a professional acquaintance with the person who trustingly goes into treatment.
Different people may objectively have the same complaints, but they are perceived individually. What is unbearable for one person does not bother the other at all and vice versa. The assessment by the surgeon must also take this fact into account, and this is only possible if the initial consultation is not reduced exclusively to the objective complaints. Instead, we focus on people as individuals with their own assessment of their physical problem.
In addition to describing the history of the symptoms, the physical examination is one of the main pillars for finding a diagnosis.
Of course, it is important to you that the physical examination is also in the hands of a surgeon with many years of clinical, technical and operational experience in order to avoid misinterpretations. After all, it should be routine and discreet and quickly lead to a reliable result.
In some cases, an ultrasound examination may be necessary to confirm the diagnosis and to determine the size of the finding in depth or for targeted orientation during treatment. We carry out this ultrasound examination immediately in our doctor’s office.
Diagnosis and explanation
The diagnosis results from the history, the physical examination and, if necessary, from the technical examination (sonography).
I would then like to explain to you what the corresponding illness means for you:
- What exactly are the anatomical changes in your body?
- How and why did these develop?
- How severe is this illness?
- What course of the disease can be expected in the future with or without treatment?
- What effects can be expected on other areas of life?
- Are further investigations necessary?
- Are the changes harmless or dangerous?
Ultimately, you should be able to identify which anatomical changes are mechanically causing your symptoms and in what way. In addition, how exactly your change is to be evaluated individually in the eyes of an experienced surgeon in comparison to most other sufferers of this type.
Your referring family doctor automatically receives a detailed report of findings and recommendations from us, so that a professional flow of information is guaranteed.
The diseases that allow treatment under local anesthetic as part of „minor surgery“ are usually immediately visible on the body surface and can be treated afterwards. Tissue parts that we remove are usually subjected to a technical (histological) examination in order to be able to precisely analyze the type and properties of the tissue.
In the case of inflamed wounds, several operations in a row may be necessary. The aim is to achieve a gradual improvement in the findings and ultimately to bring about healing.
Sometimes it is useful to take a sample of the inflamed tissue. This sample is examined for the pathogens responsible for the infection. In the case of antibiotic therapy, this information can then be very decisive for the choice of the right antibiotic.
Planning and preparation of the surgery
The otherwise necessary and customary planning and preparation of an operation is usually not necessary in the context of „minor surgery“. „Blood-thinning“ drugs and organ diseases play a rather subordinate role here.
Nevertheless, a thorough and informative consultation about the type and scope of the planned intervention is necessary. The possible complications and risks are also discussed. This briefing gives you the opportunity to ask any questions you have about the surgery.
The interview is based on a standardized information sheet, which also serves as a legally relevant document.
Dealing with uncertainty, anxiety and nervousness
Of course, the informational discussion must also take into account aspects that go beyond the factual facts. Many people experience anxiety when they think about having an operation. We know how regularly this fact is simply ignored in modern medicine, despite the fact that it plays such an important role.
Especially if you have never had an operation before, you may feel uncertain and nervous before the operation.
By addressing and discussing these concerns in a targeted manner, a prepared and confident mind is ultimately created in addition to the extensive factual information. You can then go into the surgical treatment with complete confidence.
For us, you as a person are the focus of our activities and our actions are geared towards ensuring that you also feel optimally cared for emotionally.
Performing the surgery
The surgical procedures are always carried out on an ambulant basis in our modern operating room in our surgical doctor’s office with experienced and highly specialized staff.
The operation as a decisive focus in the treatment process is carried out exclusively by myself.
This ensures that you will receive friendly and professional care before, during and after the procedure.
Immediately after the procedure, you will still be pain-free in the surgical area. This is due to the fact that you will then have been injected with a local anesthetic in the operated area, independently of the procedure carried out, the effect of which will last beyond the time of the procedure. Involuntary reactions of the body, which otherwise occur with pain, do not occur and also contribute to your well-being. Over the course of the next few days, you should stock up on mild to moderate painkillers, which you should take as needed.
Sometimes a suture is not necessary at all if we use absorbable sutures to close the skin. If non-absorbable suture material has to be used, these sutures are removed on the 12th day after the operation. With a waterproof plaster on the wound, you can shower at any time after the operation. It is better to wait around 14 days after the procedure until the wound has healed with a full bath and sauna sessions.
In any case, you will receive all the behavioral recommendations and information on aftercare that are relevant to you.
In acute emergencies after an operation, you can of course also contact us personally by telephone at any time.
Visit to the doctor’s office for post-operative check
After ambulant operations, a check-up visit to the surgical office follows depending on the operation and findings. We then check the clinical and, if necessary, sonographic findings after the operation and also assess the surgical wound. All appointments will of course be given to you in writing as a reminder.
After completion of the treatment, your family doctor will receive a detailed report on the entire process, including the operation performed, the recommended follow-up treatment and medication.