Santariškių g. 2, 08661 Vilnius
tel. (+370) 5 236 5000
faks. (+370) 5 236 5111
info@santa.lt

      

SANTAROS KLINIKOS

VILNIAUS UNIVERSITETO LIGONINĖ

Achievments

Spausdinti

Department of Plastic and Reconstructive Surgery

The Department of Reconstructive Microsurgery (presently known as the Department of Plastic and Reconstructive Surgery) was founded on April 1, 1982 following the order of the Minister of Health of the Lithuanian Soviet Socialist Republic. It was the first department of the kind both in Lithuania and the entire Baltic Region. It was a significant achievement in the field of Lithuanian medicine attained by devoted physicians, especially so because at that time the health care authorities of the Soviet Union had no plans to open such an institution in the Baltic States. A considerable input was made by Prof. K. Vitkus who laid the foundations for the entire project and developed replantation and composite tissue transplantation. A number of reconstructive surgeries requiring high level of expertise were performed for the first time on the scale of the entire former Soviet Union, e.g. the first transplantation of vascularized nerve was performed by Assoc. prof. M. Minderis in 1985. Later, this method was widely applied in the clinical practice. Many surgeries were also novel to Lithuania, e.g. Dr. V. Klimas was the first physician in Lithuania to employ microsurgery in the treatment of female infertility. In 1990, Dr. V. Tutkus and Dr. J. Baldwin visiting from the USA performed the first knee arthroscopy for treatment purpose in Lithuania and anterior cruciate ligament-plasty during knee arthroscopy. The following doctors received national awards for reconstructive microsurgeries performed during 1982-1988: Dr. K. Vitkus, Dr. M. Vitkus, Dr. J. Olekas, Dr. M. Minderis, Dr. V. Klimas, Dr. G. Rauba, Dr. S. Špokevičius and Dr. V. Tutkus.

Each year the Department of Plastic and Reconstructive Surgery receives about 1500 patients and performs about 1500 surgeries.

The range of performed surgeries is especially wide. The Department remains one of the key centers for replantation and complex arm trauma treatments in Lithuania. The specialists of the center successfully perform replantation of amputated extremities (mostly hands) and complex reconstructive surgeries on patients with multiple arm injuries. Successful replantations of limbs exceed 90% and match the results of the best foreign clinics. If there is no possibility to replant the digits of a hand, its functions can be restored by toe-to-hand transplantation. The transplantation success rate is 100%. The reconstruction of thumb is of utmost importance as this digit is the most significant for proper hand functioning. Great results have also been achieved in pediatric surgeries of congenital hand anomalies.

A lot of experience has been amassed in the field of breast reconstruction surgeries after mastectomy. There are many possibilities to help women after oncological surgeries, but people often lack information. Our patients are offered a wide selection of breast reconstruction possibilities ranging from silicone implants, tissue expanders and expander-implants to autologic reconstruction techniques such as lipofilling (for partial breast defects) or microsurgical flaps. In 2012, the microsurgical reconstruction with a TRAM flap was replaced by its modern modification called the DIEP flap. Its main advantage is the total preservation of the rectus abdominis muscle which in turn causes no abdominal wall hernia. This method of reconstructive surgery was recognized worldwide as the gold standard in autologic breast reconstruction.

Multiple extremity injuries often involve defects of the soft tissue of the skin. The solution of this problem most frequently relies on reconstructive surgery, i.e. transfer of pedicled or free flap.

Nose and ear reconstruction surgeries due to congenital anomalies or deformities after traumas are also successfully performed.

Great results are received in breast reconstructive microsurgeries after mastectomy performed by grafting the tissue from the patient’s stomach or back. There are many possibilities to help women after oncological surgeries; unfortunately, people often lack the necessary information.

The staff of the Department annualy performs over 500 surgeries of various peripheral nerve injuries. Throughout the years, the Department has established certain approaches to the treatment of various peripheral nerve injuries (traumas, compression neuropathies, tumors). Extremely complex reconstructions of brachial plexus injuries caused by traumas are also performed at the Department. Great success has been achieved in facial nerve repairs of patients with old traumas, i.e. correcting the appearance of the paralyzed side of the face.

The Department has also established an approach for treating hand rheumatoid arthritis. The number of patients receiving surgeries of rheumatoid arthritis due to tendon and joint injuries is increasing every year. Hand deformations are considerably reduced and further deterioration of the condition is prevented. The surgeons have wide possibilities in this field, including endoprosthesis of the hand joints. In 2005, Dr. N. Jakutis (MD) and his colleagues were the first ones in the entire country to replace the palm joints severely damaged by rheumatoid arthritis with state-of-the-art silicone implants following the globally recognized surgical procedure. The surgeons used a special set of surgical instruments designed for such type of surgeries.

The staff of the Department of Plastic and Reconstructive Surgery successfully performs arthroscopies (endoscopies) of the wrist, knee, shoulder, elbow and tarsus. Compared to the traditional open surgery approach, the advantage of this type of surgical interventions lays in the reduced traumatism of the surgery and the fact that patients can return to work much sooner.

Atnaujinta 2016-10-03
Straipsnis parodytas: 3063 kartų(kartus)
 
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