Plastic Surgery
- About the Observatory
- Units and benefits
- Research
- Teaching activity
- Related information
About the Observatory
Plastic Surgery is a peculiar specialty, since it does not treat a single organ, or system, nor does it have a defined anatomical area. It is defined as a branch of surgery that deals with the surgical correction of any congenital, acquired, tumoral or involutional process that requires the repair or replacement of structures that affect the body's form and/or function. Its techniques are based on tissue transplantation and mobilization.
It is understood, therefore, that it is a specialty with a great interaction with the other specialties with which it collaborates in a multidisciplinary way in order to achieve optimal results with a quick recovery and minimal aesthetic repercussions.
In recent years, plastic surgery has experienced an exponential development of surgical techniques that has improved the quality of care and patient satisfaction.
In order to provide a satisfactory healthcare response, the Plastic and Reconstructive Surgery Service has adequate facilities and the most advanced technology that allows it to perform complex reconstructive techniques such as reconstruction with vascular microsurgery.
It serves the reference population from the age of 15.
The teams work simultaneously at the Hospital de Sant Joan Despí and the Hospital General de l'Hospitalet and, in a coordinated manner, with the other specialties, to provide an answer that has continuity of care.
The service is organized into two large teams that provide assistance to all pathologies in the field of action of the specialty:
– The breast team, integrated into the Oncology Care Functional Unit.
– The General Plastic Surgery team
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Update date: 11/08/2023
Units and benefits
It is a multidisciplinary unit that diagnoses and treats benign and malignant pathology of the mammary gland.
The Hospital de Sant Joan Despí and the Hospital General de l'Hospitalet have the resources to provide comprehensive care: triage, diagnosis (stereotaxic mammography, interventional nuclear magnetic resonance), surgical and/or oncological treatment, psychotherapy and, finally , when necessary, immediate, deferred reconstructive surgery and correction of possible sequelae.
Devices and facilities
The Plastic Surgery service collaborates in oncological surgeries with:
• A weekly session of central operating theatres.
• 12 hours per week of external consultation.
For deferred reconstruction and refinement sessions you have:
• Two weekly sessions of central operating theatres
• 6 hours per week of consultation
Procedures and assistance lines
The integration and collaboration of the Plastic Surgery Service with the breast unit makes it possible to offer, in the indicated cases, an immediate reconstruction of quality and to offer all the reconstructive possibilities: autologous with microsurgery or other types of pendants or heterologous with breast implants .
The breast pathology procedures offered are as follows:
• Oncoplastic surgery for breast cancer in the context of the Functional Oncology Care Unit (mastectomy and immediate reconstruction, tumorectomy and partial reconstruction with oncoplasty techniques).
• Delayed reconstruction after mastectomy.
• Reconstruction of the nipple and micropigmentation of the areola.
• Surgery for severe breast deformities, including asymmetries and large hypertrophies.
• Masculinization of the pectoral within the surgical care program for trans people.
The Plastic Surgery service also deals with surgical diseases of the skin, the head and neck area, the thorax or the limbs but, above all, it collaborates with the other specialties to provide solutions to the processes tumors that require tissue repair or replacement.
Devices and facilities
• 3 weekly sessions of central operating theatres.
• 15 weekly outpatient operating room sessions.
• Surgical collaborations on demand in the central operating theaters with other specialties.
• 12 hours a week of consultation.
Procedures and assistance lines
It is a team that offers the treatments specific to the specialty and, at the same time, collaborates closely with the specialties that require it, mainly: Dermatology, Traumatology and Otorhinolaryngology and performs the following procedures.
- Head and neck pathology:
• Reconstructive surgery for oral and oropharyngeal cancer
• Oculoplastic and orbit surgery
• Surgery of facial paralysis
- Skin pathology:
• Skin cancer surgery
• Surgical treatment of melanoma
• Severe hidrosadenitis due to extensive resection and reconstruction, in both men and women
- Pathology of the locomotor system:
• Surgical treatment of chronic sores and loss of substance of traumatic origin and osteomyelitis
• Surgical treatment of the diabetic foot
- Tumors of soft parts:
• Treatment of benign soft tissue tumors
- Pathology after bariatric surgery:
• Body contouring surgery in cases of massive weight loss: abdominoplasty, cruroplasty and mastopexy.
- Pathology of the genitals:
• Male: total and partial reconstruction of the penis.
• Female: vaginal reconstruction and vulvar reconstruction.
- Pathology of the lymphatic system:
• Selective biopsy of the sentinel node of the breast, of the head and neck, of melanoma and also of the skin
• Lymphadenectomy with oncological indication: head and neck, breast, melanoma...
- Anal and perianal pathology:
• Severe hidrosadenitis due to extensive resection and reconstruction
• Reconstruction in tumor recurrences with rescue surgery
- Special techniques:
• Microsurgery
• Hangers of perforators
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Update date: 11/08/2023
Research
- Breast Team: ERAS Program in breast reconstruction with microsurgery.
- General Plastic Surgery Team: Planning in House of the reconstruction with vascularized bone pendants.
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Update date: 11/08/2023
Teaching
• Undergraduate teaching given to third-year students at the University of Barcelona.
• Contribution to the training of surgical specialists from other specialties.
Continuing education:
Update training sessions on the diagnosis and treatment of the specialty's own pathology.
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Update date: 11/08/2023
