Surgery

Within the framework of the surgical outpatient clinic, we provide surgical and proctological examinations, pre-operative consultations, review and discussion of medical findings, and outpatient surgical procedures. Depending on the nature of the complaints, proctological and surgical patients receive prompt, professional, and safe care, with the involvement of a designated attending physician or the private surgical inpatient unit, as well as other medical specialties when necessary.

Why might you consult a surgeon?

• Evaluation of chronic abdominal complaints
• Pre-operative consultation for general surgery, abdominal surgery, or proctological procedures
• Post-operative follow-up, wound check, dressing change, or suture removal
• When risk assessment or evaluation of diagnostic results is required
• Follow-up care for asymptomatic patients with certain conditions
  (e.g. benign soft-tissue lesions, after previous proctological procedures)
• Consultation regarding histopathology results
• Proctological screening – regularly recommended over the age of 40
• Mole removal based on a dermatologist’s recommendation
• Acute care of an injured mole – no dermatology referral required
• Surgical removal of atheromas and lipomas
• Outpatient treatment of ingrown toenails
• Incision and drainage of small skin and soft-tissue abscesses
• Hemorrhoid ligation
• Treatment of thrombosed/external hemorrhoids
• Proctological follow-up care for patients with IBD
• Post-operative follow-up, dressing changes, wound care
• Management of chronic wounds and ulcers

What symptoms should you pay attention to?

• Acute abdominal complaints – if inpatient emergency care is required, the patient is referred to the territorially competent acute surgical department
• Soft-tissue inflammation
• Persistent abdominal complaints, palpable lumps, or swelling
• Proctological symptoms

Which surgical services do we provide, and which cases are referred onward?

Acute cases and complex conditions requiring tertiary or specialized hospital care are referred to the appropriate provider.

In our private surgical inpatient unit, we offer observation, one-day surgery, and procedures requiring longer hospitalization.

We currently do not provide acute surgical or on-call inpatient department care.

For patients operated on in our private unit, we provide 24-hour on-call coverage on the ward, every day of the week.

How does the consultation take place?

Appointment booking: online or by phone

Medical history: previous illnesses, surgeries, medications, current symptoms

Physical examination:

• Proctological examination
• General surgical examination
• Targeted examination of the affected area

Diagnostics – examinations available through our radiology department:

• Abdominal, pelvic, and soft-tissue ultrasound
• Plain and contrast-enhanced X-ray examinations
• Short-wait CT and MRI scans
• Virtual colonoscopy (after gastroenterology consultation)

Procedures available in our department:

• Hemorrhoid surgery
• Removal of moles, basal cell carcinoma, melanoma
• Dermoid cyst surgery
• Dermoid cyst surgery using minimally invasive EPSiT technique – Dr. Schöller
• Abscess drainage
• Gallbladder surgery
• Excision of lipomas and atheromas
• Endometrium removal
• Thyroid surgery
• Hiatal hernia and anti-reflux surgery
• Hernia repairs (inguinal, umbilical, abdominal wall) – TEP, eTEP, TAPP, IPOM
• Fistula surgery
• Fistula surgery using minimally invasive VAAFT technique – Dr. Schöller
• Lymph node removal
• Foreign body removal
• Bariatric (weight-loss) surgery
• Rectal polyp surgery
• Varicose vein surgery
• Wound care and dressing changes

Findings and treatment plan: surgical recommendation, post-treatment plan, and scheduling of follow-up visits.

All removed lesions are sent for histopathological examination.

When is follow-up required?

The timing is always determined individually.

• Within 3–21 days after surgical or proctological procedures, depending on the type of intervention
• If wound pain, redness, swelling, discharge, or wound dehiscence occurs
• For evaluation of new diagnostic results (ultrasound, CT, MRI)
• For patients under follow-up care, at protocol-defined intervals even if asymptomatic
• According to the treating physician’s recommendation

Related examinations and services

• Soft-tissue ultrasound
• Abdominal and pelvic ultrasound
• X-ray
• CT, MRI
• Virtual colonoscopy
• Gastroenterology consultation and, based on their recommendation, endoscopic examinations
  (gastroscopy, colonoscopy)
• Outpatient procedures, one-day surgery, inpatient care

FAQ – Surgical Outpatient Clinic

1. What preparation is required for a surgical examination?
No special preparation is needed; previous medical records, histopathology reports, and imaging results should be brought if available.

2. Is removal of skin lesions painful?
The procedures are performed under local anesthesia and are painless.

3. When will I receive the histopathology result?
Usually within 3 weeks; the surgeon will review and comment on the result.

4. When is a surgical consultation necessary?
A personal consultation is required for all conditions and diseases requiring surgery.

5. Do you provide acute surgical care?
Urgent cases requiring hospital treatment are referred according to territorial competence; we do not provide acute inpatient surgical care.

Further answers to frequently asked questions related to the surgical outpatient clinic can be found on the following page:
https://bhc.hu/szolgaltatasaink/gyik/rendelesek/sebeszetkerdesek

Reviewing physician

The description of the outpatient clinic was prepared with the contribution of Dr. Andrea Schöller, Head of Surgery, general surgeon and proctologist.