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Department of obstetrics, gynaecology, and senology

Dr. med. Jan Dunnebacke
gynaecology, senology, obstetrics

About the department

The department of obstetrics, gynaecology, and senology at the Academic Hospital Koblenz-Montabaur deals with diagnosing and treating internal and external female genital organs and breast diseases. The doctors provide comprehensive management of pregnancy, safe delivery, and postpartum care for mother and child. Childbirth takes place in modern delivery rooms, equipped with everything necessary for a successful delivery. Children always stay with their mother after birth to promote early contact between mother and child. If desired, patients are provided with analgesic therapy, such as homoeopathy, acupuncture, and relaxation baths. The department also includes the Breast Center, certified by the German Cancer Society and the German Society for Senology. Doctors work according to the current recommendations of professional societies and treat all malignant and benign diseases of the mammary glands, including in males.

Gynaecologists of the department pay special attention to the surgical and medical treatment of malignant neoplasms of the genital organs. In surgery, the department focuses on minimally invasive, endoscopic surgical methods, laparoscopic and vaginal, and open procedures, especially in large tumour operations for diseases of the uterus and ovaries. Specialists also offer all modern surgical techniques to treat prolapse and urinary incontinence. In addition, for the first time, minimally invasive sclerotherapy of the endometrium with a gold mesh (NOVASURE) has been introduced.

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Treatment and diagnostic focus of the department

Diagnosis: 

  • Prolapse and incontinence problems
  • Malignant tumours of the genitals
  • Uterine fibroids 
  • Endometriosis 
  • Pelvic pain 
  • Malignant and benign diseases of the mammary glands
  • Inflammation of the mammary gland (mastitis) 
  • Other pathological conditions

Diagnostic procedures: 

  • Speculum examination
  • Colposcopy (to visually examine the cervix as well as the vagina and vulva)
  • Pap smear (to detect potentially precancerous and cancerous processes in the cervix)
  • Pelvic exam
  • Laboratory tests
  • Ultrasound examination 
  • Mammography (low-energy X-rays to examine the breast)
  • Breast biopsy 
  • Diagnostic laparoscopy 
  • Hysteroscopy (inspection of the uterine cavity by endoscopy with access through the cervix)

Treatment: 

  • Minimally invasive, endoscopic abdominal surgery (laparoscopy)
  • Classic endometrial ablation
  • Resectoscopy, e.g. for fibroids
  • Conisation with sling resection
  • Laser therapy for vulvar correction
  • Major open tumour surgery
  • Breast surgery for benign and malignant diseases
  • Plastic reconstruction of the breast (own tissues, implants)

Obstetrics:

  • Integrated management of pregnancy
  • Natural childbirth
  • Cesarean section
  • Relaxation baths
  • Pain relief during childbirth (epidural anaesthesia, acupuncture, homoeopathy)
  • Postpartum care for mother and child
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