Neonatal and Foetal Surgery
The Neonatal and Foetal Surgery Programme is a part of the Paediatric Surgery Department. The joint work of this Department alongside the Neonatology and Obstetrics Departments has made it possible to put in place the Foetal Medicine Programme, which stands out for its extensive experience and the excellent results it achieves in treating the most complex surgical pathologies, including the management of long gap oesophageal atresia, gastroschisis, necrotising enterocolitis, diaphragmatic hernia and spina bifida.
Our Foetal Surgery Programme was created in 2012, and we offer all therapy possibilities to treat foetal malformations. Among others, we treat diaphragmatic, pulmonary and neck hernias (sacrococcygeal), urinary obstructions, cervical tumours and tumours in the middle of the thorax (mediastinal), disorders between twins, amniotic bands (deformities to a part of the baby due to compression in the womb of the mother), and also spina bifida, which is when the spinal column of the foetus does not close properly during the first month of pregnancy.
Vall d'Hebron Hospital has extensive clinical experience in the intrauterine treatment of congenital diaphragmatic hernias, amniotic bands, spina bifida, as well as in other foetal surgical procedures (cervical tumours, congenital lung malformations, etc.). We are a reference centre in foetal surgery techniques, both in Spain and abroad.
Portfolio of services
- Exeresis of sacrococcygeal teratoma
- Repair of gastroschisis (primary closure, Schuster technique)
- Repair of paralysis and diaphragmatic eventration
- Repair of intestinal perforations (abdominal drainage, laparotomy)
- Repair of diaphragmatic agenesis (synthetic membranes)
- Repair of oesophagus atresia (any type)
- Repair of atresia and stenosis of the digestive tract
- Repair of acquired intestinal stenosis
- Repair of inguinal hernia in babies
- Repair of omphalocele and cord hernia (primary closure and Schuster technique)
- Repair of annular pancreas
- Repair of intestinal rotation defects
- Endoscopic laser repair of congenital and acquired tracheoesophageal fistula
- Postnatal repair of congenital diaphragmatic hernia
- Surgical repair of congenital and acquired tracheoesophageal fistula
- Oesophageal elongation techniques to repair long gap atresia
- Treatment for intrauterine and postnatal testicular torsion
- Treatment for necrotising enterocolitis (enterostomies, enteroanastomosis, abdominal zipper)
- Surgical treatment for meconial peritonitis
- Surgical treatment of intestinal cystic fibrosis complications
- Surgical treatment for spina bifida
- Surgical treatment in the foetus: congenital diaphragmatic hernia, spina bifida, amniotic bands, oral and cervical tumours, EXIT technique, pulmonary malformations, hydrops, urethral valves.
Dr. Elena Carreras, medical coordinator of the Obstetrics and Reproductive Endocrinology Department, explains how the appearance of the ultrasound revolutionised the work of staff and how new intrauterine foetal therapy techniques will mark the future of the Department.
The constant search for excellence is part of Hospital Vall d’Hebron’s nature. The biggest hospital in Catalonia and the leader in many fields, headed since February 2015 by Dr. Vicenç Martínez Ibáñez, who has a close personal and professional relationship with the Hospital. Dr. Martínez Ibáñez says that if Vall d’Hebron did not exist, it would need to be invented. The current director trained at the hospital, where he was one of the protagonists of an historic moment: the first paediatric liver transplant in Spain. Now, he is committed to continuing this legacy and, always putting the patient first, achieving excellence across all staff.
The Neonatology Department’s Sibling Project is a workshop for the siblings of new-born babies admitted to the Paediatric Intensive Care Unit in the Vall d’Hebron Maternity and Children's Hospital. Through simulated games and situations, the project prepares them to get used to seeing their younger siblings in a hospital medical setting.
Vall d’Hebron University Hospital’s kitchen serves more than 1,000 meals a day, twice a day, not counting breakfast. A reality that José Parrilla and Carmina Esteban know all too well.From three kitchens to one and from coal to gas. That is how the hospital’s catering service has evolved. A place where the needs of each patient must be taken into account and where there is room for small, juicy anecdotes.
The former head of the Thoracic Surgery Department, Dr. Mercè Canela, recently retired, recalls the important evolution of the Department to become a leader in Spain and a lung transplant pioneer. A task made possible thanks to collaboration with professionals from other departments, an added value in the personal and team environment.