Eszter Lajkó: New hope for the surgery of the Oberschwabenklinik!

Eszter Lajkó has been a functional and visceral surgery of the Upper Swabia Clinic since November 2024. The 33-year-old specialist in visceral surgery specializes in Proktology, a sub-area that deals with diseases of the rectum. Lajkó was born in Hodmezovasarhely, Hungary, and acquired her academic degree at the University of Szeged, where she wrote her diploma thesis on the "evaluation of the neoadjuvant therapy of rectal carcinoma".

her career began in the Sigmaringen hospital before moving to the Upper Swabia Clinic in Ravensburg in 2021. Lajkó describes visceral surgery as a combination of precision, teamwork and empathy. She particularly emphasizes the importance of cooperation in the team and individual patient care. In addition to her medical activity, she has sporting hobbies such as tennis and device diving as well as an interest in traveling, especially in distant goals.

focus on rectal carcinoma

In rectal carcinoma, also known as rectal cancer, the complete removal of the infected intestinal sections is of central importance. The preservation of continence, i.e. the stool retention function, has a top priority. Standardized surgical procedures are used here, including the deep anterior resection, the coloanal or peranal anastomosis and the formation of pouch.

The total mesorectal excision (TME) according to Bill Hald is often used because it minimizes functional disorders of the pelvic organs. In cases of certain tumor infiltration and lymphatic gland infestation, neoadjuvant therapy (chemotherapy and/or radiation therapy) is recommended before the main surgery in order to reduce the tumor mass, increase the chances of survival and to improve the quality of life through preserved continence. After the operation, a guideline -friendly aftercare is carried out with a standardized recording of continence.

In the case of benign colon diseases, such as diverticulitis or incontinence, surgeons prefer minimally invasive surgical procedures. The transanal endoscopic mucosaresection (TEM) is used particularly in the case of larger rectalicadenomes, whereby the anus is accessed and not through the belly.