As of: February 6, 2024, 9:00 a.m
By: Veronika Ahn-Tauchnitz
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The department for vascular surgery at the Asklepios City Clinic in Bad Tölz was closed on January 31st.
© Asclepius
Some special vascular surgical procedures are no longer possible at the Tölzer Asklepios Clinic.
Because the head physician left, the department will no longer be continued.
The company explains the background.
Bad Tölz – The Tölz Asklepios City Clinic has closed the department for vascular surgery.
The move took place on January 31st.
The previous chief physician Dr.
Peter Sabisch has decided to change, according to a press release from the clinic.
We wish him all the best.
As a result, the decision was made to no longer continue the department.
But isn't it fatal to say goodbye to an entire department before the announced hospital financing reform, which will bring with it structural changes?
“As part of the hospital reform announced by Federal Health Minister Prof. Lauterbach, specialization will be further promoted and even more treatments will be concentrated in larger medical departments,” answered clinic managing director Felix Rauschek when asked by our newspaper.
“Smaller departments are then no longer allowed to carry out such therapies.
Vascular surgery was the smallest department in the city clinic and would not have been able to meet the required criteria for a large vascular surgery center in the future.” In other words: the clinic is already closing the department that would have had to be said goodbye to anyway as part of the reform.
Clinic wants to prepare for hospital reform
If a successor for Sabisch had been sought, the “refilling of the chief physician position would ultimately have been limited in time and would have made little sense for everyone involved.
That’s why we decided against it,” said Rauschek.
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Rather, this is preparing the clinic for the foreseeable effects of the reform and making it future-proof, emphasizes the managing director.
“The provision of vascular surgical care is neither necessary for extended emergency care (emergency department level 2) nor for the treatment of stroke patients in the stroke unit.”
Other departments partially take over the services
In principle, it is possible to “collect and map a large part of the services from vascular surgery in other specialist departments,” adds the managing director.
The departments of general and visceral surgery as well as interventional cardiology would take over part of the care.
According to Rauschek, these include, for example, the treatment of atherosclerosis of the extremity arteries, the treatment of erysipelas and patients with diabetes.
Patients with chronic kidney disease (stage 5), embolism and thrombosis of arteries or with complications caused by implants and transplants could also continue to be treated.
“Only part of the treatment spectrum was mentioned here.
We can also depict a large part of an initial diagnosis.”
Stent or bypass operations are no longer possible
Due to the closure of the department, there are also treatments that will no longer be possible at the Tölzer Clinic in the future.
These are special vascular surgical procedures.
According to Felix Rauschek, these include amputation and disarticulation of the lower extremities (around 3 per month), vascular surgical stent or bypass operations (around 5/month) as well as the treatment of aneurisms (around 1/month) and the treatment of occlusions or stenosis of the carotid artery (approx. 0.5/month).
The removal of varicose veins is also no longer possible.
However, “these days, this service is also predominantly provided in outpatient structures,” says Rauschek.