Plastic surgery
Plastic surgery is a clinical department aiming at improving the quality of life and organizational functions based on the patient's appearance by surgically restoring mainly birth defects and defects on the body surface. It handles tissues of the whole body, including skin, subcutaneous tissue, blood vessels, peripheral nerves, fascia, in the whole body, and also handles restoration of bones in the cranium and face.
Specifically, there are cases of trauma such as a traffic accident and burns (especially the face, fingers, limbs), fractures of the face and fingers, tumors of skin and subcutaneous tissues, reconstruction after cancer excision such as breast and head and neck, We deal with any acquired defects and deformation including problems. Treatment of wounds that are difficult to cure such as refractory skin ulcers caused by pressure ulcer and diabetes, treatment of atrophy and deformation of tissues due to collagen diseases and inflammatory diseases, ptosis, nail diseases and hyperhidrosis , I am doing treatment to solve the disease related to modeling and its troubles.
At Jichi Medical University Hospital, treatment for birth defects on the body surface such as the face, trunk, hands and feet (under 15 years old) is handled in "Childhood Plastic Surgery". In addition, cosmetic treatment and rejuvenating treatment accompanying aging are handled in "cosmetic surgery".
Plastic surgery is a clinical department aiming at improving the quality of life and organizational functions based on the patient's appearance by surgically restoring mainly birth defects and defects on the body surface. It handles tissues of the whole body, including skin, subcutaneous tissue, blood vessels, peripheral nerves, fascia, in the whole body, and also handles restoration of bones in the cranium and face.
Specifically, there are cases of trauma such as a traffic accident and burns (especially the face, fingers, limbs), fractures of the face and fingers, tumors of skin and subcutaneous tissues, reconstruction after cancer excision such as breast and head and neck, We deal with any acquired defects and deformation including problems. Treatment of wounds that are difficult to cure such as refractory skin ulcers caused by pressure ulcer and diabetes, treatment of atrophy and deformation of tissues due to collagen diseases and inflammatory diseases, ptosis, nail diseases and hyperhidrosis , I am doing treatment to solve the disease related to modeling and its troubles.
At Jichi Medical University Hospital, treatment for birth defects on the body surface such as the face, trunk, hands and feet (under 15 years old) is handled in "Childhood Plastic Surgery". In addition, cosmetic treatment and rejuvenating treatment accompanying aging are handled in "cosmetic surgery".
Greeting
Guidance of Jichi Medical University's Department of Plastic Surgery. 吉村浩太郎
Formation of Jichi Medical School There are three departments in the Department of External Sciences. "Plastic surgery" and "cosmetic surgery" at Jichi Medical University Hospital, "Childhood plastic surgery" at Tochigi Children Medical Center are doing medical treatment. "Plastic surgery" will treat the whole body diseases, trauma, postoperative deformation and defects. We treat fractures with face and hand as well. "Cosmetic surgery" responds to requests for external appearance other than disease. "Child forming plastic surgery" is doing plastic surgery of patients under 15 years old, mainly treatment of congenital anomalies of the cranio-maxillofacial face and limbs.
Three clinics and departments dealing with congenital anomalies (otolaryngology dealing with malformations such as auricles, orthopedics dealing with deformities of limbs, acetone dealing with bruising) are our surviving surgery about 60 years ago It is. As a translation of plastic surgery, I decided to use the word "plastic surgery" as the name of the conference. Incidentally in China and Taiwan, I write "整形外科" (to shape). I write the Japanese orthopedic surgery as "骨科" (to cure bones) in Chinese. Cosmetic surgery writes "美容外科" even in Chinese.
After that, plastic surgery not only dealt with birth defects of the body surface and repair of trauma but also reconstructed large defects of the organization due to surgery and trauma. Since microsurgery technology was born in the 1970s, transplantable tissues were investigated in the body based on the anatomy of blood vessels and nerves, and various techniques were born. After many clinical trial and error, it has developed and refined. For future development of plastic surgery, we can name tissue regenerative medicine and fertilized medicine.
In the history of its development, reconstructive surgery hurts another part of the patient's body (taking an organization to transplant) in order to reconstruct a "part of" the patient's body. did. Various types of surgical procedures developed in the field of plastic surgery continued to develop through a period of rapid growth and came into a mature period in the 21st century. Plastic surgery now faces the need to justify and minimize potential risks and body sacrifices associated with each operation. Its ultimate solution is regenerative medicine that creates tissue from zero (stem cells). We have also learned that even if we do not make tissues and organs inside the test tube, just controlling the behavior of the stem cells present in the body from outside the body can properly renew the tissue inside the body. The development of technology to control the behavior of cells has become the path of this medical treatment.
Plastic surgery has been reaching its therapeutic objective mainly by changing the shape and quantity of tissues. However, it was impossible to change or improve the quality (function) of the organization. Poor morbid tissue, it is ischemia, tissue without curative ability, reserve ability, extension ability, many with chronic inflammation and fibrosis (mineralization). Stem cells and growth factors that the tissue should originally have become barren tissues that have already been consumed and depleted. With severe things, the surgical wound itself is in a state where it can not be cured even if some operation is done. The representative one is the surrounding organization which performed radiotherapy with cancer treatment. It is also a case of autoimmune diseases, and it is a pathology that is seen as a consequence of chronic inflammation even in ischemic diseases, fibrotic diseases and metabolic diseases. These are not limited to body tissues, but are common pathological conditions common to many organs throughout the body. It is fertilization treatment to return such barren tissue to the original. The therapeutic effect has already been clarified in radiotherapy tissues such as preserved breast cancer therapy and diabetic chronic skin ulcer. Future plastic surgery will also cure the quality and function of the organization. In this field, we are conducting research and treatment leading the world in these fields.
In our department of external science, we actively respond to many emergency injuries, including body trauma, facial bone fracture, extensive burn injuries, fractures and fractures of fingers. In addition, we are also dealing with such deformities after healing and movement restriction (contracture), treatment of hypertrophic scars and keloids, as well as care for cosmetic scars. Treatment of congenital anomalies performed in pediatric plastic surgery is highly appreciated, and many patients with difficult treatment are introduced from the neighborhood. Reconstruction treatment of tissue defects seen after removal of various cancers, coating reconstruction of bone · muscle and internal organs exposed site, reconstruction of symptomatic fixed facial nerve paralysis, tissue atrophy due to radiation disorders and inflammatory diseases, contracture I will treat pain. In fact, many of the pain and movement restrictions associated with scarring and trauma can be treated appropriately. Surgery that is the most frequently performed statistically in plastic surgery in Japan is an age - related eyelid ptosis surgery, which can be done without hospitalization. It supports the troubles of the whole body such as the axilla, genitals, navel, hair and nails. From now on, we will actively respond to various chronic intractable skin ulcers including pressure ulcers, diabetic ulcers, radiation ulcers, osteomyelitis and so on. If there are problems with the lives of the patients, please feel free to introduce the hospital. Also, if you have something to notice, I would like to take care of you even if you give me a word of guidance and suggestions, I am very happy.