Sant Joan Despí Hospital, Hospitalet General Hospital

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 of 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 wide 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

Patology after bariatric surgery:

• Body contouring surgery in cases of massive weight loss: abdominoplasty, cruroplasty and mastopexy.

Patology 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 hydrosadenitis due to wide resection and reconstruction
• Reconstruction in tumor recurrences with rescue surgery

Special techniques:

• Microsurgery
• Hangers of perforators