Since the end of 2005, the Gynaecology and Mastology Service of the High Complexity Hospital “President Juan Domingo Perón” provides comprehensive and specialized care to women who have pathologies related to their reproductive system. We count on experience, professional formation and advanced technological resources that grant the greater benefits of complexity of the province. Administratively, it is a Section of the General Surgery Service, at the same time, it depend on the Clinical Management of the Hospital.
Being part of a High Complexity Hospital, the objective of this Section is based fundamentally on the offering of advanced clinical and surgical treatments, aiming to become a Reference Center for the care of oncological pathologies and minimally invasive surgery in this province.
To offer a service through academically updated professionals in order to respond to gynaecology cases that are sent by the reference system of public and private health units of the province.
The gynecology section aspires to become a service characterized by an excellent teaching, assistance and research organization of its specialty, without leaving the humanitarian sense to take care with quality and warmth, to women who have some gynecological pathology.
The Response Modality is divided into Ambulatory Care (outpatient clinics), and Inpatient Care (post surgical or as an interconsultation with other medical specialties).
The consultation is accessed through scheduled shifts, after referral from a Second Level Public Hospital or from the Private health insurance, specifying in detail the diagnosis of the patient, the treatment carried out until the moment of the referral, and its reason.
The patient is evaluated until clinical and surgical resolution of the reason for her referral, and after completing the corresponding controls, she is referred again to her initial doctor, continuing with the usual medical controls in the second level or in private institutions where she check with.
Patients requiring hospitalization will do according to the level of care required by their pathology, arranging for it to be hospitalized at Day Hospital (diagnostic and therapeutic hysteroscopies, minor breast surgeries); hospitalization in Intermediate Care (laparoscopic and conventional surgeries); hospitalization in Intensive Care or Coronary Unit when the case requires it.
Following the concept of integral care of the institutionalized patient, the section collaborates in the evaluation of patients who request it for the other services during their multidisciplinary study.
The section prioritizes the offer of underdeveloped surgical activities in the local environment, as well as the attention of those cases in which the associated comorbidities of the patients require greater infrastructure and / or multidisciplinary management during the final therapeutic process.
Under this concept the evaluation, treatment and joint monitoring of oncological patients (in association with Clinical Oncology services, Mental Health, General Internal Medicine and General Surgery) is carried out to offer an adequate resolution for patients with cervical, endometrial, breast, and vaginal cancers (all of them with advanced techniques of investigation of the sentinel lymph node by combined method); and for optimal cytoreduction for ovarian cancer.
In addition to oncological patients, those with benign pathology that can be underwent by Laparoscopic Surgery, Hysteroscopy, and with the most innovative minimally invasive surgical techniques for effort incontinence and pelvic floor disorders are received; thus becoming the most updated center for the response of pelvic floor dysfunction and urogynaecology.
In this way, the list of surgical benefits can be grouped into large groups depending on the patient's underlying pathology:
a) BENIGN PATHOLOGY OF UTERUS AND ANNEXES
- Diagnostic Hysteroscopy
- Hysteroscopy Surgery (Resectoscopy)
- Laparoscopic Surgery for pathologies of the annexes (ovaries and tubes)
- Laparoscopic myomectomy
- Laparoscopic hysterectomy
- Conventional abdominal hysterectomy
- Vaginal hysterectomy in non-prolapsed uteri
b) MALIGNANT PATHOLOGY OF UTERUS AND ANNEXES
- Wertheim-Meigs operation for cervical cancer with sentinel lymph node by combined method
- Radical trachelectomy in cervical cancer with sentinel lymph node by combined method
- Annex-hysterectomy + Lumboaortic lymphadenectomy in endometrial cancer with sentinel lymph node by combined method
- Cytoreduction in ovarian cancer
- Radical vulvectomy + Inguinal lymphadenectomy for vulvar cancer with sentinel lymph node by combined method
c) MAMMARY PATHOLOGY
- Quadrantectomy with or without axillary emptying
- Radiosurgical biopsy
- Extended lumpectomy + Sentinel node by combined method
- Modified radical mastectomy with sentinel lymph node by combined method
- Quadrantectomy with or without axillary emptying
d) PELVIC FLOOR PATHOLOGY
- Conventional or laparoscopic Burch surgery
- Uteropromontopexy or Colpopromontopexy in uterine prolapse
- Midurethral placement in effort incontinence
- Floor Repair Kit for pelvic floor reconstructive surgery