Special Clinical Focus

  • Malignant conditions of the neck region, thoracic and abdominal cavity
  • Conditions of the small and large intestine
  • Gallstones
  • Inguinal, umbilical and incisional hernias
  • Rectal conditions
  • Inflammation of the pancreas

About us

The Department of General, Abdominal and Minimally Invasive Surgery at the Asklepios City Hospital in Bad Toelz provides a very wide range of surgical services, focusing in particular on abdominal surgery, hernia surgery, coloproctology and tumour surgery. The specialists at the City Hospital in Bad Toelz perform most procedures minimally invasively, which is gentler for the patient, exposes him to less risk and results in a more rapid recovery. 

Thanks to the outstanding expertise in this so-called keyhole surgery technique, the Department of General, Abdominal and Minimally Invasive Surgery has been qualified by the German General and Abdominal Surgery Association (DGAV) as a Centre of Excellence for Minimally Invasive Surgery. For the patient, this means that he can be confident of being given excellent surgical care here. The specialists almost always perform procedures on the intestinal tract and the surgical treatment of inguinal hernias, umbilical hernias and incisional hernias minimally invasively.

The Department is headed by the Chief Doctor, Dr Heike Kremser, who is a specialist in minimally invasive surgery and who has exceptionally wide experience in all the surgical areas covered by the Department. Her emphases include abdominal surgery, hernia surgery and coloproctology. Dr Kremser’s range of services also includes the treatment of benign and malignant tumours (tumour surgery). 

Robot-assisted (da Vinci) Surgery:

Under the direction of its Lead Consultant, Dr Marc Krumrey, Dr Kremser’s department also relies on the “da Vinci Si” robot surgery system.

During surgery with the da Vinci system, the surgeon manipulates the surgical instruments from a console, which stands in the operating theatre next to the operating table. The surgical field is very conveniently displayed for the surgeon in a greatly enlarged 3-D high definition view. As a result, the surgeon’s awareness and understanding of the anatomical structures is made considerably easier. The da Vinci system transfers the movements of the surgeon’s fingers and hands smoothly and precisely in seven degrees of freedom to tiny instruments inside the patient’s body.

The surgeon can also use his feet to adjust the position of the camera via pedals and can change between a variety of instruments. Viewed in this light, the da Vinci system is not a robot, but a so-called “master-slave system”, which only implements what the surgeon directs.

As the current literature shows, patients are generally more quickly fit again following procedures using the “da Vinci system“, require less pain relief and develop complications less often than for open techniques.

Range of services of the Department of General, Abdominal and Minimally Invasive Surgery General Surgery

General surgery

  • Inguinal and abdominal wall hernias (endoscopic, conventional, with or without mesh)
  • Surgery to the thyroid gland with electronic monitoring of the vocal cord nerves
  • Surgery to the parathyroid glands
  • Removal of the gallbladder for lithiasis
  • Appendicectomy (“appendix” surgery)
  • Soft tissue surgery

Robot-assisted (da Vinci) Surgery:

We perform the following procedures for the relevant indications also using the da Vinci Si system:

  • Cancer of the stomach (GIST, gastric carcinoma)
  • Pancreatic cancer
  • Colorectal cancer (carcinoma of the colon)
  • Rectal cancer and anal cancer (rectal carcinoma, anal carcinoma)
  • Diverticulitis of the sigmoid colon (sigmoid diverticular disease, sigmoid diverticulitis)
  • Hepatic tumours (liver metastases)
  • Chronic constipation (obstipation)
  • Gastro-oesophageal reflux disease (acid reflux)
  • Stool incontinence

Abdominal Surgery

  • Surgery to the oesophagus
  • Surgery to the stomach
  • Intestine-preserving procedures for inflammatory intestinal conditions (Crohn’s disease)
  • Procedures on the colon and rectum
  • Surgery to the pancreas for benign and malignant conditions
  • Partial excision of the liver
  • Surgery to the biliary tract for benign and malignant conditions
  • Surgery to the adrenal glands

Minimally Invasive Surgery (MIC)

  • Excision of the gallbladder for lithiasis
  • Inguinal hernia surgery (TAPP and TEP)
  • Appendicectomy for inflammation of the appendix
  • Release of adhesions
  • Laparoscopic fundoplication for reflux disease (GERD), including “thoracic stomach”
  • Bowel prolapse (rectal prolapse)
  • Adrenalectomy
  • Colonic and rectal surgery, benign and malignant conditions (sigmoid diverticulitis and carcinoma of the colon and rectum)
  • Pulmonary surgery

Proctology

  • Treatment of haemorrhoids (conventional and Longo technique)
  • Anal fissures
  • Plastic fistula closure, Crohn’s disease
  • Incontinence surgery, prolapse surgery (also transanally)
  • Transanal microsurgery (TEM) for broad-based [?text missing]
  • Rectal polyps and early-stage cancer

Special techniques in oncology

  • Excision of malignant tumours in the gastrointestinal tract, endocrine organs and soft tissues
  • Resection of metastases in the liver
  • Multivisceral resection for tumours of the lesser pelvis in collaboration with the Department of Gynaecology and Urology

Emergency care

  • All emergency surgery in the abdominal area (perforations of the stomach, gallbladder, colon;
  • Intestinal circulatory disorders; acute inflammation of the gallbladder and appendix; incarcerated hernias, inflammation of the peritoneum)
  • Our Casualty Department is available 24 hours per day for emergencies. It is staffed by surgeons around the clock.

Diagnostic Services

  • Laparoscopic keyhole surgery, proctoscopy and rectoscopy
  • Endosonography
  • Measurement of sphincter pressure
  • Dynamic magnetic resonance defaecography
Leading Medicine Guide

Selected expert in the specialist field Visceral Surgery

Other services

  • Care of chronic and complicated wounds
  • Abdominal surgery
  • Coloproctology
  • Treatment of benign and malignant tumours
  • Tumour surgery
  • Inflammation of the ileum, sigmoid diverticulitis
  • Chronic inflammatory intestinal conditions (Crohn’s disease)
  • Adhesions following other abdominal surgical procedures
  • Malignant conditions of the small and large intestine
  • Acute inflammation of the appendix

Directions

Airports near

  • Munich airportapproximately 90.5 km
  • Innsbruck airportapproximately 93.2 km

Railway stations in the vicinity

  • Bad Toelz railway stationapproximately 2.8 km

Other certificates of the specialist