Healthcare Trends VIDEO.  Congenital malformations in children.  "Parents agree to transfer fingers to toes"

Sidona Susanu, Chief Physician of Plastic, Aesthetic and Reconstructive Surgery, talks about reconstructive and aesthetic surgeries, within Healthcare Trends, a weekly show on medical topics conducted by MEDIAFAX in partnership with Banca Transilvania – Medical Division.

Cosmetic surgery is extremely laborious, says the doctor, who observes that in Romania there are applications for rhinoplasty, breast reduction, and the current trend includes applications for 3D liposuction, eyelid rejuvenation, body remodeling and mommy makeover – treatment for women who have given birth and will to return to the previous forms.

Regarding the most difficult interventions, breast augmentation (silicone implant) is the one that requires a longer recovery and support from the family, unlike other interventions.

Cosmetic surgery is not reimbursed by the Insurance House, just to keep the places for those who need plastic surgery.

The situation of burn patients: what has improved since the tragedy at Colectiv

“Unfortunately, Romania remains in the European top and in the first countries in the world in terms of the number of patients burned per capita. At least 10,000 burn patients are hospitalized in a year, of which 4,000 need hospitalization, and of these, about 1,500 of them are critical patients. We report an average of 200 burnt patients who die annually in Romania, given that there are agreements for the transfer of burnt patients abroad, but about 20-25 end up being transferred “, says doctor Sidona Susanu.

There are no burn centers with zero mortality, the guest mentions, although, abroad, the mortality is slightly lower than in Romania. And this is because there are a number of complications of the disease of the burned patient, which has a certain pathology that makes it difficult to treat aggressively and the necessary surgeries.

However, there is a gap between what is done abroad for burn patients and what is done in Romania. But the tragic moment at Colectiv changed things in the field, the specialist also notes.

“In 2017, the organization and operation of the structures that treat burn patients has already been regulated, by Order 476/2917. Thus, all structures were required to reach a minimum standard for the care of the burned patient. Meanwhile, efforts have been made to build three large burn centers. There will be one in Bucharest, one in Târgu-Mureş and another in Timişoara. Some have already started construction. A large burnout center costs hundreds of millions of euros for building and equipment. A bed for the burned sea costs 100,000 euros. It is difficult to obtain funds, but important steps are being taken, says the doctor.

There are no burn centers with zero mortality, the doctor mentions, although, abroad, the mortality is slightly lower than in Romania. And this is because there are a number of complications of the disease of the burned patient, which has a certain pathology that makes it difficult to treat aggressively and the necessary surgeries.

However, there is a gap between what is done abroad for burn patients and what is done in Romania. But the tragic moment at Colectiv changed things in the field, the guest also notes.

Surgery in children

Limb amputations are extremely common in children, attracting the guest’s attention, as well as burns. “Amputations of fingers, hands, forearms, calves, thighs, feet – are an extremely common pathology.”

“Children use unsupervised electrical equipment, knives, bottles, or are the victims of serious road accidents, in which children’s limbs are torn off, but fortunately, children can be recovered if they arrive at the hospital in less than two hours,” he said. doctor Sidona Susanu.

Then, congenital facial malformations are added, which require complex reconstructions. Rabbit lips and other extremely complex facial malformations make life difficult for the little one. Reconstructions in children with malformations can be done two or three days after birth, notes the guest, parents wanting to help their children have a good physiognomy and normal function of the hands, for example. Often, the toes are surgically transferred from the feet to the hands, says the doctor.

At the same time, during the show, the specialist talks about the technological innovations in the field.

Cosmetic surgery is not reimbursed by the Insurance House, just to keep the places for those who need plastic surgery.

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