Complex Operative Unit of General Surgery
Sede
Ospedale Bolognini
Via Paderno, 21 - 24068 SERIATE (BG)
(piano 1° c/o Chirurgia Generale)
Recapiti
Reparto di degenza (c/o U.O. Chirurgia Generale) :
Tel. 035.306.3333 / 3335
Fax: 035.306.3518
Ambulatorio n° 8 Senologia (c/o Poliambulatori):
Tel. 035.306.3941
Call Center Regionale
numero verde Tel.: 800.638.638
Centralino Ospedale: 035.306.111
e-mail: senologia.seriate@bolognini.bg.it
Organizzazione
L’Unità di Senologia dell’Ospedale “Bolognini” di Seriate è funzionalmente integrata nell’U.O. di Chirurgia Generale per la degenza e i servizi e comprende un centro diagnostico Ambulatoriale nei Poliambulatori (Ambulatorio n° 8).
I letti per la degenza in Chirurgia sono 31 e a seconda delle necessità, alcuni di essi vengono resi disponibili per il ricovero delle pazienti affette da patologia mammaria.
L’intero progetto di sviluppo dell’Unità di Senologia è stato prima ideato e successivamente realizzato tenendo conto delle principali esigenze dell’utenza cui si rivolge.
In particolare è stata presa in considerazione la possibilità di semplificare il più possibile l’iter diagnostico rivolto alla paziente, favorendo l’obiettivo principale e più complesso, cioè la formulazione della diagnosi, resa spesso possibile addirittura con un unico accesso ospedaliero.
Anche durante il follow-up successivo tutti gli appuntamenti relativi a consulenze oncologiche vengono presi direttamente dalla nostra segreteria organizzativa; ottenuta la pianificazione dell’intero follow-up medico e chirurgico e calendarizzati gli eventi, si invia la relativa documentazione dettagliata al medico di medicina generale che ha in cura la paziente nel territorio.
The activity type is specialized and multidisciplinary and relies on the close and valuable collaboration with the representatives of the Services of Diagnostic Radiology, Pathology and of Oncology in the company.
Includes:
Activities for outpatient diagnostic phase
Planning and preparation for surgery Surgery
assistance during hospitalization
Discharge planning and follow-up Follow-up surgical ambulatory
planning follow-up for cancer cases require
How access to the clinic for Breast
In Breast surgery can be accessed with the demand of clinical breast examination "carried out on regional prescription by general practitioners and booked the CUP (by phone toll-free number: 800638638 ). During the visit should be performed there recently mammography or ultrasound as possible to facilitate the diagnostic process.
of Breast Surgery is operational on Tuesday and Friday morning from 8.30 to 13.00
Activities Ambulatory
The organizational management of clinics and coordinated by Ms Emanuela Tiraboschi. After
I have read of recent mammography or ultrasound performed by the patient by the practitioner makes the breast specialist breast examination.
In selected cases, and only if deemed necessary by the results of your tests, you can do besides visit the following examinations in emergency:
Mammography Ultrasound Needle biopsy ultrasound-guided breast
The close interdisciplinary collaboration with medical staff and technicians of the Department of Radiology of 'Hospital Seriate guarantees maximum diagnostic accuracy. For the diagnosis and staging of cancer is to be based:
Mammography Ultrasound Nuclear Magnetic Resonance
multislice spiral CT
After the clinical breast examination is immediately rilasciato un referto medico dettagliato.
Il medico che ha effettuato la biopsia mammaria consegnerà l’esame istolog
ico non appena questo è disponibile. La consegna dell'esame istologico ed il colloquio relativo all'iter diagnostico/terapeutico successivo avvengono previo appuntamento in ambulatorio n°8. Generalmente è necessario attendere circa una settimana per ottenere un referto istologico dopo una biopsia mammaria. Durante il colloquio, se è previsto un intervento chirurgico, il medico dopo averlo dettagliatamente illustrato, consegna il foglio informativo relativo, in modo che la paziente possa rileggerlo a casa con calma ed eventualmente porre quesiti specifici alla successiva visita di pre-ricovero.
Programming hospitalization for surgery
Completed the outpatient diagnostic procedure in cases of established disease, the patient is immediately placed on the list of planning surgery.
The average time waiting for the intervention to date for cancer generally do not exceed those set by the Supervisory Authority. The benign disease has the longest waiting times.
During this waiting period for surgery is performed (with a single sign in the hospital for a period of a morning) Evaluation of pre-admission, which includes:
Visit Medica, compiling medical records and sign the informed consent
Electrocardiogram
Blood chemistry + tumor markers (when applicable)
chest x-ray
Abdominal ultrasound (if necessary)
expert advice
Visit Anestesiologica
In special cases, that is whether it will be necessary to conduct further specialist tests for emerging diseases or medical conditions which require further investigation, may extend the prericovero with any other access.
Admission
Generally benign disease is managed in day-surgery and the patient in the morning and submitted ricoveratasi ad intervento chirurgico viene dimessa qualche ora dopo l’intervento, appena le condizioni generali e locali lo consentono.
Per la patologia neoplastica il ricovero è previsto per il giorno che precede l’intervento ed è dedicato alla preparazione all’accesso in Sala Operatoria e, quando richiesto, all’esecuzione della Linfoscintigrafia mammaria per la ricerca del Linfonodo sentinella.
Questo importante esame diagnostico è effettuato il pomeriggio che precede l’intervento presso la Medicina Nucleare dell’Ospedale di Treviglio ove la paziente viene accompagnata dai nostri operatori sanitari, senza alcun tipo di onere per lei.
L’attività di Chirurgia Breast
The strength of the surgery is the accurate pre-operative strategic planning of all phases of the application of modern techniques of Onco-PLASTIC SURGERY. The patient is always directly followed by the Breast Surgeons performing operations of Surgical Oncology and Reconstructive Plastic Surgery of the breast.
Among the interventions that are performed more frequently in our unit:
- surgical treatment of benign breast disease in
Day Surgery - surgical excisional biopsy by stereotactic centering of nonpalpable lesions (eg. Microcalcifications)
- + Excisional biopsy histology in Extemporaneous Pathology of lesions not amenable to preoperative fine needle aspiration and its immediate surgery
- conservative surgery (quadrantectomy) with plastic remodeling of the remaining breast + + sentinel node biopsy examination Impromptu in histological pathology including: examination of the excised edge of the dial + extemporaneous examination of the sentinel node for possible further radicalization immediately in case of neoplastic infiltration of the margins and / or axillary lymph node dissection IMMEDIATE total (during the same operation) in the case of lymph node metastases sentinel (for the retrieval of sentinel node radioguided surgery is done through the special dedicated equipment called NEOPROBE).
- simple mastectomy or extended lymphadenectomy + locoregional including possible reconstruction of plastic skin of the chest wall by sliding skin flaps in cases of very large tumors.
- mastectomy "skin-sparing" with immediate prosthetic reconstruction
- mastectomy "nipple sparing with immediate prosthetic reconstruction
- bilateral mastectomy with immediate prosthetic reconstruction
- unilateral mastectomy with immediate prosthetic reconstruction and mastopexy or breast augmentation or reductive symmetrization of the contralateral
reconstruction of the "areola-nipple"
- Lipofilling: autotransplantation of fat tissue for reconstruction after breast-conserving surgery (quadrantectomy) or remodeling after prosthetic reconstructions (all multiple treatments under local anesthesia in an outpatient hospital)
SEE SPECIAL SECTION ON lipofilling to next --->
Inpatient ward
The patient has the right to choose the hospital under the NHS or have the option of a private room, if he needs more comfort.
All rooms are very comfortable and equipped with toilets.
You can choose the desired menu based on food availability given daily, always in relation to its prescription.
discharge and follow-up
At the end of hospitalization, the patient is adequately informed of the precautions to be observed during his recovery and how to book subsequent outpatient control. Just hold
histology, the surgeon explains to the patient the conclusion of the surgical treatment and its outcome and is the same program, if necessary, appropriate follow-up Cancer medical and surgical treatment.
The Oncology Day Hospital is located on the 3rd floor of the Hospital and is part of the Oncology Division of the AO "Bolognini" Seriate, directed by Prof. G. Nastasi, whose ward is located in Alzano L.do. Once the program need chemotherapy, you can do with access to Day Hospital with one of our hospitals located in Seriate, raise or Piario, choosing according to your needs and comfort.
professional activity
The patient has the right to choose to be visited, or subjected to intervention surgery is under the NHS, under the free-lance, that privately. In the latter case, in accordance with applicable law, will guarantee a visit and underwent surgery by the doctor of his choice (extra-time service) have been agreed with the ways and times. Those who have health insurance often choose this type of service fee, then reimbursed by their insurance: for this reason, you can request in advance an estimate of planned spending.
For more information click on the following link: http://www.centroconsumatori.tn.it/147d267.html
0 comments:
Post a Comment