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.
Rosalia Moure arrived at Vall d’Hebron University Hospital in 1967. She spent her entire working life in the linen and laundry department of the Hospital. Rosalia Moure has witnessed the Hospital’s big transformations, from dictatorship to democracy and from analogue to digital systems.
Dr. Josep Sánchez de Toledo Codina, head of the Paediatric Haematology and Oncology Department, tells us about a Department that has laid the foundations for the specialism in Spain. He also remembers the evolution of transplants from haematopoietic stem cells and progenitors, from the beginning, buying the material at a shop in Barcelona city centre, to the more than 1,200 transplants that have now been performed.
Dr. Francesc Bosch, Head of the Haematology Department, talks about the complexity of the Department, which has turned Vall d’Hebron into a reference centre in haematology thanks to its commitment to transplants and the use of new treatments. The Clinical Trials Unit helps a lot, giving access to treatments for complex patients.
The Master's Degree in Biomedical and Translational Research is an official programme created to train researchers with the requisite combination of scientific knowledge and skills to contribute to the future success of biomedical research.
Fermín Fernández Álvarez, Porter Coordinator, explains the importance of the role these professionals play in the hospital. After 36 years at Vall d’Hebron, Fermín is a real master of the ways things are done. He says that a porter has to combine humility, discretion and safety with a single goal: that patients receive human and friendly treatment.