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Munich, Germany
University Hospital LMU Munich
The LMU Clinic in Munich is one of the largest university hospitals in Germany. Included in the top 15 best clinics in Europe, it is a center of high-performance medicine, innovation and medical-technological progress, in which individual care for patients, safety and trust are combined.
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University Hospital LMU Munich
University Hospital of the Ludwig Maximilian University is one of the most famous institutions in Germany. This is a large center consisting of dozens of departments and providing medical care in a variety of areas. The most experienced specialists work here, and the latest scientific research is carried out. About 500,000 patients visit the clinic every year.
The LMU University Hospital Munich is divided into two campuses — Grossharden and Innestadt.
Includes 29 specialized clinics, 11 institutes and 7 departments.
The LMU University Hospital Munich is divided into two campuses — Grossharden and Innestadt.
Includes 29 specialized clinics, 11 institutes and 7 departments.
Advantages of the LMU Munich
The highly qualified doctors of the LMU University Hospital Munich guarantee the highest quality of service and demonstrate high results in the treatment of the most complex diseases. Thanks to this, LMU Munich is associated with quality and a high level of service.
- Highly Qualified DoctorsNarrow-profile specialists with vast medical experience.01
- Latest Diagnostic EquipmentPossibility to undergo diagnostics at an accelerated pace.02
- Effective Approaches to TreatmentUse of modern methods in surgery, improved types of therapy, latest drugs.03
Achievements of the LMU Munich — International Awards
LMU's Specialization
At the LMU University Hospital Munich, you can undergo treatment in a variety of areas and get a positive result. The treatment is carried out by doctors whose knowledge is recognized all over the world.
Oncology
In most cases, the diagnosis of cancer overtakes patients and their relatives completely unprepared and in a short time changes their usual life. At LMU Munich, patients receive individualized treatment and supportive care to improve their quality of life while fighting the disease.
In the lung cancer center of the LMU Munich, diagnostics and treatment are carried out at the highest level in accordance with national and international protocols. The center is certified by the German Cancer Society. Patients receive special oncological, psychoanalytic and palliative care.
The competence of specialists in basic and clinical research, as well as effective diagnostics and therapy, make it possible to achieve positive results in the fight against the disease. The main goal of the center is the long-term improvement of the prognosis and quality of life of patients diagnosed with lung cancer.
The competence of specialists in basic and clinical research, as well as effective diagnostics and therapy, make it possible to achieve positive results in the fight against the disease. The main goal of the center is the long-term improvement of the prognosis and quality of life of patients diagnosed with lung cancer.
Liver Center at the LMU Munich occupies a leading position in the rating list of international centers for the fight against oncology. Diagnostics, treatment and care of patients with liver cancer is carried out at the highest medical and scientific level. Since liver cancer is an interdisciplinary problem, specialists from various fields closely cooperate in the center. This allows patients to choose the most effective methods of dealing with the disease.
The hospital offers:
The hospital offers:
- diagnostics of liver tumors
- surgical interventions for benign and malignant liver tumors
- liver transplantation
- interventional radiological interventions
- immunotherapy and molecular targeted therapy
- structured prevention and rehabilitation.
Mammary gland cancer is one of the most common malignant diseases in women. At present, the best chances of survival can only be achieved with timely and reliable diagnostics, followed by interdisciplinary high-quality therapy, which is planned from the very beginning, taking into account the nature of the tumor.
The center offers the most modern methods of breast cancer therapy under the supervision of highly qualified specialists with many years of experience.
Breast Center of the LMU Munich offers:
The center offers the most modern methods of breast cancer therapy under the supervision of highly qualified specialists with many years of experience.
Breast Center of the LMU Munich offers:
- diagnostics and therapy of all benign and malignant breast diseases in women and men;
- modern diagnostic methods;
- all methods of breast surgery, including reconstruction and plastic surgery;
- drug therapy in our own oncology day clinics;
- a wide range of studies for all stages of the disease;
- interdisciplinary oncology conferences;
- psycho-oncological assistance;
- modern radiation therapy;
- consultations on family risks and genetic diagnostics;
- counseling young patients wishing to have children;
- comprehensive obstetric care for pregnant women.
The Pancreas Center at the LMU Clinic Munich offers a unique combination of interdisciplinary diagnostic and therapeutic interventions, using state-of-the-art medicines, as well as surgical, interventional and radiotherapy procedures.
An important feature of the center is the ability to comprehensively treat all diseases of the pancreas at the highest level. Therefore, the focus is not only on the diagnosеiсs and treatment of malignant diseases of the pancreas, but also on the diagnosеiсs and treatment of cystic tumors, which are often a harbinger of oncology, acute and chronic pancreatitis, up to pancreas transplantation in type I diabetes.
An important feature of the center is the ability to comprehensively treat all diseases of the pancreas at the highest level. Therefore, the focus is not only on the diagnosеiсs and treatment of malignant diseases of the pancreas, but also on the diagnosеiсs and treatment of cystic tumors, which are often a harbinger of oncology, acute and chronic pancreatitis, up to pancreas transplantation in type I diabetes.
Personalized therapy for each patient at LMU Munich is aimed at achieving the highest efficiency and reducing the risk of possible complications. The LMU Bladder Cancer Center Munich offers competent cancer care. The main task is a comprehensive diagnostics and therapy of bladder neoplasms, ureter and renal pelvis. After a thorough diagnostics, the patient is prescribed individual therapy. The therapy regimen is always approved interdisciplinary, that is, with the participation of specialists from different fields, which helps to avoid making an erroneous decision.
Standard diagnostics includes laboratory tests, ultrasound of the genitourinary system, the study of the cellular composition of urine, cystoscopy and fluorescent diagnostics. These studies help to accurately determine the presence and type of pathological changes. To determine the stage of the tumor disease, additional studies are carried out, for example, CT with a contrast agent, MRI, skeletal scintigraphy.
During surgical interventions for bladder cancer, transurethral resection of the bladder is performed in combination with photodynamic diagnostics. At advanced stages of the disease, radical removal of the bladder, chemotherapy and radiation therapy are performed.
Standard diagnostics includes laboratory tests, ultrasound of the genitourinary system, the study of the cellular composition of urine, cystoscopy and fluorescent diagnostics. These studies help to accurately determine the presence and type of pathological changes. To determine the stage of the tumor disease, additional studies are carried out, for example, CT with a contrast agent, MRI, skeletal scintigraphy.
During surgical interventions for bladder cancer, transurethral resection of the bladder is performed in combination with photodynamic diagnostics. At advanced stages of the disease, radical removal of the bladder, chemotherapy and radiation therapy are performed.
It is one of the leading centers in Germany. The specialists at the LMU Colorectal Cancer Center Munich provide comprehensive multidisciplinary care from diagnostics, prevention and early detection to long-term postoperative care after overcoming the disease. It uses both proven, well-established and innovative methods of therapy: endoscopic, including minimally invasive surgical procedures, as well as chemotherapy and radiation therapy.
The Center is certified by the German Cancer Society.
The Center is certified by the German Cancer Society.
It is important to remember that with prolonged improper treatment of endometriosis, a benign disease becomes malignant. Therefore, it is extremely important to undergo high-quality diagnostics and get the right recommendations from specialists.
The LMU Endometriosis Center Munich is a certified center for endometriosis of the highest level. The specialists have many years of medical experience and comply with all international criteria in the field of diagnosеiсs and treatment of endometriosis.
This benign disease in women requires the cooperation of specialists from other medical fields. For patients, the concept of therapy is selected on an individual basis after a detailed examination and personal consultation.
The LMU Endometriosis Center Munich is a certified center for endometriosis of the highest level. The specialists have many years of medical experience and comply with all international criteria in the field of diagnosеiсs and treatment of endometriosis.
This benign disease in women requires the cooperation of specialists from other medical fields. For patients, the concept of therapy is selected on an individual basis after a detailed examination and personal consultation.
The LMU Munich Head and Neck Cancer Center has a motivated team of doctors, nurses and other healthcare professionals who offer patients optimal medical care. Its main task is the diagnostics and treatment of malignant neoplasms in the head and neck. Here, patients can undergo diagnostics using the most modern equipment. The data obtained are summarized and discussed at an interdisciplinary tumor boards which is attended by experienced representatives of various medical fields. Thus, the best individual form of therapy is determined for each patient.
If necessary, professional psycho-oncological assistance can be provided. All necessary measures are carried out in accordance with the latest developments and recommendations by medical specialists. This allows patients to effectively counteract cancer, minimize side effects, and improve the quality of life.
Another direction after oncological treatment is social reintegration. The center closely cooperates with rehabilitation institutions.
If necessary, professional psycho-oncological assistance can be provided. All necessary measures are carried out in accordance with the latest developments and recommendations by medical specialists. This allows patients to effectively counteract cancer, minimize side effects, and improve the quality of life.
Another direction after oncological treatment is social reintegration. The center closely cooperates with rehabilitation institutions.
The therapeutic use of cell preparations opens up new perspectives in the fight against many diseases and represents a clinically and scientifically innovative field of work.
Patients with the following types of cancer are currently being treated with cellular drugs:
Patients with the following types of cancer are currently being treated with cellular drugs:
- leukemia;
- lymphomas, including multiple myeloma;
- sarcomas;
- germ cell tumors;
- neuroblastoma;
- non-small cell lung cancer.
The LMU Endocrine Tumor Center Munich is a world-renowned center for the diagnostics and treatment of benign and malignant tumors of the hormone-producing glands, for instance, such diseases as adrenal carcinoma, pheochromocytoma and thyroid carcinoma.
The most modern methods are used for diagnostics and follow-up. These include imaging techniques: positron emission tomography (PET), CT and MRI, as well as specialized ultrasound. Sensitive and specific laboratory procedures help to establish a correct diagnosis and, over time, to initiate and adjust individual therapy.
The most modern methods are used for diagnostics and follow-up. These include imaging techniques: positron emission tomography (PET), CT and MRI, as well as specialized ultrasound. Sensitive and specific laboratory procedures help to establish a correct diagnosis and, over time, to initiate and adjust individual therapy.
The goal of the interdisciplinary penile cancer center of the LMU Munich clinics is patient-oriented and individually optimized therapy for penile cancer. One of the areas is to maintain the quality of life with the help of organ-preserving surgical methods. Years of experience in diagnostics, therapy and aftercare of this rare tumor means that affected patients can be offered an interdisciplinary, coordinated treatment concept at the highest medical level.
The center specializes in providing interdisciplinary medical care to patients with neuroendocrine tumors of the gastrointestinal system. Specialists provide treatment at the highest level using the latest methods and technologies. The plan is drawn up individually for each patient at the interdisciplinary oncological council for neuroendocrine tumors. In addition, innovative diagnostic methods and clinical studies are used here to achieve a successful result.
The Center for Neuro-Oncology LMU Munich is certified by the German Cancer Society. Highly qualified experienced specialists use the latest techniques to fight tumors. Great importance is given to individual patient care from the moment of their first visit and throughout the entire period, which includes psychological assistance.
Hematology and Oncology
LMU Munich covers a wide range of services and occupies a leading position among German university hospitals specializing in hematological and oncological diseases. Here, care is taken not only about the physical, but also about the psychological state of patients and their loved ones.
LMU Munich works in the following areas:
LMU Munich works in the following areas:
It is one of the most innovative areas of hemato-oncology. LMU Munich has all the advanced methods, such as immune response checkpoint inhibitors. This is a new class of anticancer drugs, different from traditional chemotherapy and targeted drugs. Immunotherapy with immune checkpoint inhibitors has significantly improved performance in the fight against malignant tumors.
The specialists also work with the most modern diagnostic method — CAR-T cell therapy. These are immune cells that are genetically modified and can recognize a tumor. Cells are very effective in fighting them.
The specialists also work with the most modern diagnostic method — CAR-T cell therapy. These are immune cells that are genetically modified and can recognize a tumor. Cells are very effective in fighting them.
LMU Munich is a world-renowned center where a large number of clinical studies are carried out, for example, in the study of low-grade GLSG lymphomas and mantle cell lymphomas.
LMU Munich is a leading center for patients with acute leukemia with a wide range of clinical studies and several research groups. For the diagnostics of leukemia, it has its own laboratory, where research is carried out using the latest technologies.
LMU Munich operates as a world-renowned training center in the field of gastrointestinal tumors and manages a large number of national and international research projects. Both early clinical trials and internationally approved studies are being conducted here. This allows to create an effective treatment plan for the patient.
Another focus of LMU Munich is the care of patients diagnosed with bone and soft tissue sarcoma. In patients with advanced soft tissue sarcomas, within the concept of multimodal therapy, regional deep hyperthermia is used in combination with chemotherapy. In addition, a variety of studies are being conducted on various subtypes of sarcoma.
Neurosurgery
The Department of Neurosurgery at LMU Munich uses the latest scientific advances in disease diagnostics and patient care. Great importance is attached to the selection of an individual treatment plan, according to the highest medical standards.
Neuro-oncology deals with neoplastic diseases of the brain and spinal cord, as well as tumors of peripheral nerves. Diagnostics and therapy of brain tumors in adults and children is a key focus of the LMU Munich. For this, all the necessary diagnostic, surgical, conservative and therapeutic options are available.
The treatment of neurooncological diseases is carried out in close interdisciplinary collaboration with colleagues from neurology, neuropathology, radiation oncology, nuclear medicine, neuroradiology and the European Cyberknife Center.
The aim is to determine the best therapy concept for each patient in accordance with applicable international clinical and scientific standards. Therefore, in addition to therapeutic measures that have proven to be effective, ongoing clinical studies of various diseases are also offered.
The treatment of neurooncological diseases is carried out in close interdisciplinary collaboration with colleagues from neurology, neuropathology, radiation oncology, nuclear medicine, neuroradiology and the European Cyberknife Center.
The aim is to determine the best therapy concept for each patient in accordance with applicable international clinical and scientific standards. Therefore, in addition to therapeutic measures that have proven to be effective, ongoing clinical studies of various diseases are also offered.
Tumors of the skull base require special therapy, taking into account their growth, and being attentive to the cranial nerves responsible for hearing, touch, motor function of the face, tongue mobility and the act of swallowing, as well as eye coordination.
Tumors that are treated here:
Tumors that are treated here:
- acoustic neuromas;
- meningiomas;
- chordomas;
- epidermoids and others.
Treatment of diseases of the circulatory system of the brain and spinal cord is one of the main focuses of the LMU Munich clinic. The specialists deal with:
- aneurysms
- dural arteriovenous fistulas
- arteriovenous malformations (AVM, angioma)
- cavernomas
- stroke.
The department specializes in the treatment of all spinal diseases, for example:
The LMU Munich carries out all the necessary types of diagnostics, as well as treatment and rehabilitation techniques. Therapeutic measures include all evidence-based methods:
- degenerative syndromes of compression of the nerve roots and spinal cord caused by herniated discs, spinal stenosis, segmental instability
- chronic neck and back pain, facet joint syndrome
- traumatic injuries of the spine (fractures)
- tumors of the spine and spinal cord
- syndromes and spinal deformities.
The LMU Munich carries out all the necessary types of diagnostics, as well as treatment and rehabilitation techniques. Therapeutic measures include all evidence-based methods:
- microsurgical minimally invasive decompressive operations
- instrumental stabilizing operations in the area of the entire spine using neuronavigation and intraoperative computed tomography
- drug blockade of the facet joints under CT control, cryotherapy of the facet joints
- the use of implants to replace the intervertebral disc.
Functional neurosurgery deals with the surgical restoration of impaired or defective functions of the nervous system that are not amenable to adequate medical treatment. The spectrum includes:
- uncontrolled pain syndromes
- movement disorders
- spasticity.
The neurosurgical treatment of epilepsy at LMU Munich aims to improve the quality of life and psychosocial well-being of patients when medical therapy fails. The main goal of epilepsy surgery is to eliminate seizures or at least significantly reduce their frequency without causing neurological or neuropsychological deficits. Surgical treatment of epilepsy has a positive effect on the number of recurrent seizures and further development in childhood.
Maxillofacial Surgery
LMU Munich provides diagnostics and surgery for diseases of the oral cavity, jaws, face and upper body. Depending on the condition and severity, treatment can be performed on an outpatient or inpatient basis. The following groups of diseases are diagnosed and treated:
These include surgical extraction of teeth, resection of root tips, and treatment of jaw cysts.
These include abscesses and suppurations of bones and soft tissues, inflammation of the maxillary sinuses, infected cysts.
Fractures of the upper and lower jaws can be treated conservatively or through surgery. Treatment of soft tissue injuries can be carried out using microsurgical techniques, as well as in collaboration with a neurosurgeon or ENT specialist.
Correction of the position of the upper and lower jaw is carried out surgically. It is also possible to lengthen the jawbone. This correction is done in close cooperation with the orthodontist.
Cleft lip and palate are treated through a surgery. Primary operations are performed first, then corrective operations. The orthodontist takes an active part in the treatment.
To replace lost teeth, artificial tooth roots, so-called dental implants, are used in the jawbone. If there is enough bone, they can be inserted directly into the designated area of the jaw. Otherwise, before or during implantation, surgical manipulations must be carried out in order to improve the so-called implant site.
Surgical treatment for various tumors depends on the result of the tissue examination, the location and extent of the tumors, and the condition of the patient. In the case of malignant tumors, combined treatment is often used: surgical treatment followed by radiation and/or chemotherapy.
The LMU Munich clinic provides non-invasive and invasive diagnostics, as well as surgical treatment of diseases of the temporomandibular joint. The treatment is carried out in close cooperation with a specialist in dental prosthetics.
Patients with congenital or acquired soft tissue defects of the face and neck, as well as jaw bones, undergo all the necessary diagnostics in order to receive effective treatment. If necessary, transplantation of tissues and bone parts is performed. Depending on the problem, such transplants are performed partly as free tissue grafting, partly as microsurgical tissue grafting. In addition to restorative procedures, cosmetic procedures are performed on the jaws and soft tissues of the face.
Gastroenterology and Hepatology
Medical care is tailored to the individual needs of patients. Clinical studies carried out at an early stage allow for an effective treatment plan. Close interdisciplinary cooperation with clinics and institutes of the Munich University Hospital allows to conduct rapid diagnostics and therapy.
Modern endoscopy opens up wide possibilities in treatment. Diagnostic endoscopy with high resolution viewing and sampling, in order to distinguish between benign and malignant diseases, plays a huge role in the selection and correction of therapy. This often helps to avoid surgical interventions.
Range of diagnostic and therapeutic procedures:
Modern endoscopy opens up wide possibilities in treatment. Diagnostic endoscopy with high resolution viewing and sampling, in order to distinguish between benign and malignant diseases, plays a huge role in the selection and correction of therapy. This often helps to avoid surgical interventions.
Range of diagnostic and therapeutic procedures:
Esophagogastroduodenoscopy is an endoscopy of the esophagus, stomach and duodenum. This is the absolute standard of diagnostics. The high-resolution optics of endoscopes in HD or 4K format allow for a qualitative and detailed assessment of the mucosa, as well as macroanatomy.
Endoscopy of the colon and lower small intestine. The aim is to identify inflammatory and tumor-like changes.
The procedure allows therapeutic interventions on the bile or pancreatic ducts. With few exceptions, it is not used for diagnostics because there is a risk of acute inflammation of the pancreas on first ERCP. Instead, endosonography or MRCP (Magnetic resonance cholangiopancreatography) are safe alternatives for diagnosing the bile ducts and pancreas.
Internal ultrasound examination (sonography). An ultrasound probe is inserted into the esophagus, stomach, or intestines using an endoscope. In this way, clearer images of deeply located organs can be obtained.
Orthopedics and Traumatology
The highly qualified specialists of LMU Munich provide qualified care for chronic and degenerative diseases of the musculoskeletal system.
Patients receive a full range of first-class medical care in accordance with advanced medical standards.
Patients receive a full range of first-class medical care in accordance with advanced medical standards.
LMU has a team of experienced doctors specializing in tumor orthopedics, plastic surgery, surgery, radiology, pediatric oncology, radiation therapy and pathology. The treatment uses modern surgical and oncological procedures.
One of the most difficult clinical pictures, both in terms of diagnostics and therapy, are tumors of the musculoskeletal system. High-resolution MRI is used in modern diagnostics of such tumors. An effective solution to this problem may be the latest implants, minimally invasive tumor ablation under CT-control. These methods allow not only to remove the tumor but also to preserve the functionality of the limbs.
Amputation, which was the most common treatment for malignant bone tumors until the 1970s, is now only needed in isolated cases.
One of the most difficult clinical pictures, both in terms of diagnostics and therapy, are tumors of the musculoskeletal system. High-resolution MRI is used in modern diagnostics of such tumors. An effective solution to this problem may be the latest implants, minimally invasive tumor ablation under CT-control. These methods allow not only to remove the tumor but also to preserve the functionality of the limbs.
Amputation, which was the most common treatment for malignant bone tumors until the 1970s, is now only needed in isolated cases.
The LMU Munich center specializes in all types of injuries, including severe ones. The field of
trauma surgery covers the entire spectrum of treatment of injuries, bones and soft tissues. An important advantage is the close interdisciplinary cooperation with all departments of the clinic. This provides comprehensive treatment of injuries of any complexity.
trauma surgery covers the entire spectrum of treatment of injuries, bones and soft tissues. An important advantage is the close interdisciplinary cooperation with all departments of the clinic. This provides comprehensive treatment of injuries of any complexity.
The Septic Surgery Center LMU Munich specializes in the treatment of complex wounds of lower extremities. Experienced specialists of the center, in close cooperation with colleagues from other medical fields, develop a treatment concept specially adapted for a particular patient. Treatment is carried out on an outpatient basis, and if necessary, inpatient. Many wounds can be healed with conservative therapy. However, in some cases, surgical therapy is necessary.
The Center for Orthopedics and Traumatology LMU Munich deals with the elimination of bone defects, deformities and differences in the length of lower limbs. The qualifications of the center's specialists meet a high international level.
The center treats:
The center treats:
- congenital bone defects, deformities;
- acquired bone defects, deformities: after an accident / after poliomyelitis and other pathologies;
- leg length discrepancy;
- differences in arm length (eg, shoulder, collarbone);
- X-legs:
- torsion deformations (twisting inward or outward);
- cartilage damage during displacement;
- false joints (insufficient bone healing / so-called pseudoarthrosis);
- bone defects (such as bone loss due to an accident, tumor, or infection).
Vascular Surgery
The Department of Vascular Surgery at LMU Munich offers a wide range of treatments, from complex aortic surgeries to endovenous sclerotherapy of varicose veins using radiowaves. In addition, for patients with serious vascular diseases, an individual interdisciplinary treatment concept is available.
Accurate diagnostics allows you to start therapy before the aorta's size reaches critical excess. LMU Munich specializes in the treatment of this complex clinical picture and offers patients an individualized treatment plan. Minimally invasive stent treatment (vascular support) or open surgery on the thoracic aorta can be done.
Calcificiation in arterial blood vessels often lead to narrowing (stenosis) or even occlusion of the vessels. Depending on the severity and location of these vascular changes, the patient may experience corresponding symptoms — the so-called "intermittent claudication". If the vascular disease is aggravated, pains appear at rest.
In close collaboration with the Vascular Centre, LMU Munich offers both proven and innovative treatments. These can be both balloon expansions of the smallest vessels, and major operations on the main artery (aorta).
In close collaboration with the Vascular Centre, LMU Munich offers both proven and innovative treatments. These can be both balloon expansions of the smallest vessels, and major operations on the main artery (aorta).
Narrowings in the area of the internal carotid arteries may be discovered incidentally when the patient already had neurological disorders or a stroke. A higher degree of constriction can lead to the transfer of thrombs. Depending on the size of the blood clot, severe circulatory disorders can occur in the affected area of the brain.
The goal of carotid artery narrowing therapy is to prevent stroke. With a high degree of narrowing, prevention plays an important role which is selected individually together with neurologists and neuroradiologists.
The goal of carotid artery narrowing therapy is to prevent stroke. With a high degree of narrowing, prevention plays an important role which is selected individually together with neurologists and neuroradiologists.
Varicose veins are a common disease. The cause is dysfunctional venous valves, due to which blood "flows" into the legs. This creates the typically tortuous veins on the thigh and lower leg. For high-quality treatment, it is necessary to conduct an accurate comprehensive diagnostics in order to select an effective therapy, and, if necessary, to perform a vascular surgery. In the LMU Munich clinic, instead of the classic vein removal, a modern minimally invasive procedure performed with a thermoprobe or a laser device can be recommended. It is performed under local anesthesia and allows you to quickly recover after surgery.
The Department of Vascular Surgery at LMU Munich has many years of experience in the field of vein diseases, especially in very complex and difficult cases.
The Department of Vascular Surgery at LMU Munich has many years of experience in the field of vein diseases, especially in very complex and difficult cases.
A high level of specialization in vascular surgery also lies in the installation and correction of dialysis access, which is a lifeline for patients with severe kidney dysfunction. In addition to the primary initial installation of the so-called "arteriovenous fistula", patients who have undergone multiple previous operations also undergo complex reconstructive operations. At LMU Munich, effective treatment is carried out in close cooperation with qualified specialists in the fields of nephrology, angiology and interventional radiology.
The LMU Clinic Munich is fitted up with the latest generation of diagnostic equipment such as computed and magnetic resonance angiography. Thanks to high-quality diagnostics, it is possible to accurately assess the pathology of any vessel and make the right decision in the method of therapy. Together with the partners of the Vascular Center, the Vascular Surgery Department of the LMU Munich performs all the diagnostic procedures necessary to clarify diseases of the arteries and veins:
- Dopplerography
- Ultrasound in B-mode
- Duplex sonography
- Color-coded duplex sonography
- Percutaneous measurement of post-capillary microcirculation or post-capillary oxygen saturation
- Segment oscillography
- Light reflection rheography (LRR)
- Photoplethysmography (PPG)
- Phlebodynometry
- Doppler measurement of blood flow
- Digital Subtraction Angiography
- Intraoperative neuromonitoring by continuous recording of SEP (sensory-motor evoked potentials) and transcranial dopplerography
- Intraoperative neuromonitoring using transcranial dopplerography
- Endovenous varicose therapy
- Radiofrequency obliteration (VNUS closure)
- Laser obliteration
Cardiac Surgery
The Department of Cardiac Surgery at LMU Munich has a highly qualified team of doctors, nurses and administrative staff who are focused on quality patient care. Disease control concepts are based on the latest scientific discoveries as well as many years of experience. Close cooperation with specialists from other medical fields allows for a flexible and holistic approach to the problem of a particular patient.
Chronic heart failure is often the final stage of many cardiac diseases of various etiologies. Heart failure usually presents with symptoms such as shortness of breath, fatigue, and swelling. The cardiology of the LMU Clinic Munich uses the most modern and safe methods for the treatment of heart failure. If necessary, implantation of the following systems is carried out:
- 3-chamber pacemakers (CRT) due to asynchronous ventricular function;
- mechanical pumps (LVAD) to support left ventricular function;
- microaxial pumps for short-term support of the left ventricle;
- extracorporeal pumps for heart and lung support (ECLS, ECMO).
Cardiac arrhythmias may manifest as a slow or rapid heartbeat. If the heart rate is too low, a pacemaker may be used. A fast heart rate can lead to atrial fibrillation and may require implantation of a defibrillator. In severe forms of heart failure, a three-chamber system is implanted, which improves cardiac output by synchronizing the work of the heart.
LMU Munich has many years of experience in the implantation of pacemaker systems. They are served in an interdisciplinary collaboration of cardiac surgeons, cardiologists and pediatric cardiologists in accordance with national and international guidelines. Particular attention in the department is paid to the conversion of systems and the removal of infected or defective pacemaker and defibrillator electrodes. More than 120 such complex interventions are performed annually.
LMU Munich has many years of experience in the implantation of pacemaker systems. They are served in an interdisciplinary collaboration of cardiac surgeons, cardiologists and pediatric cardiologists in accordance with national and international guidelines. Particular attention in the department is paid to the conversion of systems and the removal of infected or defective pacemaker and defibrillator electrodes. More than 120 such complex interventions are performed annually.
The goal of treating coronary heart disease is to improve blood circulation in problem areas of the myocardium using bypass surgery. Coronary bypass surgery eliminates angina pectoris and significantly increases the survival rate.
To achieve the best results and maximum safety, LMU Munich has developed a special concept that includes the following aspects:
To achieve the best results and maximum safety, LMU Munich has developed a special concept that includes the following aspects:
- use of multiple arteries, if possible, to improve long-term prognosis;
- preferably endoscopic bypass;
- coated minimized cardiopulmonary bypass systems to reduce side effects;
- measures to save blood;
- direct quality control through intraoperative measurement of blood flow in the vessel during bypass.
Mechanical circulatory support systems are needed to keep the patient alive during surgery until a donor heart is transplanted, or as a possible alternative form of therapy for end-stage heart failure.
The Berlin-Heart Excor is used at the LMU Clinic Munich as a pneumatically driven mechanical circulatory support system. This system helps to support one or both chambers of the heart at the same time.
The Berlin-Heart Excor is used at the LMU Clinic Munich as a pneumatically driven mechanical circulatory support system. This system helps to support one or both chambers of the heart at the same time.
The LMU Clinic Munich is one of the largest centers in Germany in the field of heart transplantation for children and adults. The center has performed more than 1,200 heart transplants since 1981. Significant events in the activities of the center were:
- first heart transplant in Germany;
- creation and standardization of the transport service necessary for the transport of a patient for heart transplantation over long distances by helicopter or aircraft in Central Europe;
- first heart-lung transplant in Germany;
- first heart-lung-liver transplantation in Germany in collaboration with a surgical clinic.
Pathological changes in the aorta in the chest area are usually expansions (aneurysms) due to congenital or acquired weakness of the vascular wall. This can lead to thinning or rupture of the vessel wall. The disease is especially insidious in that 95% of patients are completely asymptomatic. Often the diagnostics is discovered incidentally, especially in patients with high blood pressure. The risk increases with the presence of concomitant diseases, as well as with smoking and stress. The absolute priority of cardiac surgery at the LMU Munich clinic is complex aortic surgery. Treatment is always interdisciplinary and individual. Basically, only the latest generation prostheses are used. Some of them are made individually for the patient. In addition, there are many international partnerships with leading institutions around the world.
Heart valve disease is manifested by symptoms such as shortness of breath, chest pain, cardiac arrhythmias, or sudden loss of consciousness. Therapies are varied and include medical, open surgical, and catheter procedures. Therapy should always be selected individually, taking into account concomitant diseases. From a surgical point of view, the principle applies that reconstructive procedures are preferable to replacement. Currently, many interventions can already be performed minimally invasively. In case of need for replacement, the LMU Munich Clinic uses the latest generation of biological and mechanical prostheses.
