• Specialized Training Program

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To patients who have undergone breast reconstruction or augmentation surgery using Allergan implants at our hospital

Allergan's textured silicone implants and tissue expanders were linked to the development of breast implant-associated anaplastic large cell lymphoma (BIA-ALCL), and on July 24, 2019, the company voluntarily recalled the products from the global market and discontinued sales.

BIA-ALCL is a rare disease, and the incidence rate is currently estimated to be 1 in 3,817-30,000. Therefore, implant removal is not currently recommended. However, patients who already have implants should have regular checkups every two years (preferably once a year).

For more information about BIA-ALCL,Japanese Society of Oncoplastic Breast Surgery websitePlease select "For the general public" and click "noticePlease refer to "

If you have any other questions, please contact the Plastic Surgery Clinic.

[Contact Information]
Kitano Hospital Plastic Surgery Outpatient Department

For young doctors interested in plastic surgery

From April 2020, our hospital will serve as a core hospital, and will also serve as a medical center for the Japanese Red Cross Osaka Hospital, the Japanese Red Cross Wakayama Medical Center, Kyoto University Hospital, Shiga University of Medical Science,Kamogawa ClinicConsists ofKitano Hospital Plastic Surgery Specialist Training Programhas begun.
Plastic surgery training programs require a minimum of six months of training at a core facility and a minimum of three months of training in regional medical care during the four-year training period. By training at these hospitals, students can gain experience with a wide range of cases, and it is also possible to go on to graduate school after obtaining specialist qualifications.
We welcome students and interns who wish to receive training in plastic surgery at our hospital.

Greetings

Plastic surgery is a medical specialty that mainly deals with a variety of diseases related to the shape of the body surface. Our department handles most diseases that are treated in the field of plastic surgery.
Typical illnesses we treat include skin tumors (benign and malignant), trauma such as facial bone fractures, lymphedema, varicose veins of the lower limbs, ptosis, facial nerve paralysis, reconstruction for deformities and tissue defects after malignant tumor removal, polysyndactyly, congenital diseases such as ear deformities and cleft lip and palate, and cosmetic treatments.
We are constantly working on cutting-edge treatments in each field, using techniques such as skin examinations using a magnifying glass (dermatoscope), surgery using special instruments under a microscope (microsurgery), and delicate suturing techniques. By pursuing these techniques, we strive to not only treat diseases but also provide treatments that make scars as inconspicuous as possible, thereby improving quality of life (QOL).
In addition, our department is conducting research into the regeneration of central and peripheral nerves, including spinal cord injuries, and lymphatic vessel regeneration, with the aim of clinical application. Please feel free to consult with the Department of Plastic Surgery.

Characteristics (main treatments, medical equipment, pioneering initiatives, etc.)

• We strive to minimize surgical scars through delicate suturing and skin manipulation techniques.
• Skin examination using a magnifying glass (dermatoscope).
• In cooperation with breast surgeons, we perform reconstruction surgery for tissue defects after breast cancer surgery using artificial materials (silicon implants) and autologous tissue (latissimus dorsi muscle, rectus abdominis muscle, free deep inferior epigastric artery perforator flap).
• We use microsurgery techniques to suture lymphatic vessels, small blood vessels, and nerves using an operating microscope. When performing lymphaticovenular anastomosis for lymphedema, we use a microscope equipped with a light source for ICG fluorescence observation to visualize the small lymphatic vessels during surgery and precisely suture the lymphatic vessels and venules.
• We are one of the few facilities that perform endoscopic subfascial incompetent perforator resection (SEPS) for varicose veins in the lower extremities that have caused skin hardening, swelling, and ulcers. This procedure, led by the Endoscopic Venous Disease Treatment Study Group, was approved as advanced medical treatment in May 2009 and has been covered by insurance since April 2014. With this method, an endoscope is inserted into the subfascial layer through healthy skin without making an incision in the affected skin, and the incompetent perforators (thin veins that connect deep veins with superficial veins close to the skin) that are causing the ulcers are resected, preventing the development of new ulcers and delayed wound healing.
• If facial nerve paralysis causes severe eyelid closure problems (inability to close the eyes), corneal ulcers may develop.
  We are one of the few facilities that perform corneal sensation reconstruction surgery using nerve transfer surgery for this type of corneal ulcer.
• We perform surgery to correct facial distortion when smiling or speaking by dynamic facial nerve reconstruction.
• For varicose veins in the lower extremities, we offer high-frequency treatment in addition to the usual saphenous vein stripping surgery.High-frequency treatment can be performed under general anesthesia and as an outpatient procedure.
• We perform outpatient surgery under general anesthesia for children.
• Long-pulse dye laser (V-beam) irradiation for vascular lesions such as infantile hemangioma and Sturge-Weber syndrome is covered by health insurance.
• In our cosmetic outpatient clinic, we provide anti-aging treatments, laser treatments for moles and blemishes, and laser hair removal treatments, including for men's facial hair.

Specialized Training Program

• 2024 Plastic Surgery Resident (Kitano Hospital Plastic Surgery Specialist Training Program)

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• Leading the development of treatments for spinal cord injury patients at Da Nang Hospital in Vietnam (reported in Vietnamese media)
  Bệnh viện Đà Nẵng và Đại học y của Nhật hợp tác về cấy ghép tế bào gốc
  BV Đà Nẵng học “mẫu chuẩn”
  BV Đà Nẵng học 'mẫu chuẩn' cấy ghép tế
  Bệnh viện Đà Nẵng và Đại học y của Nhật hợp tác về cấy ghép tế bào gốc