Department of Plastic Surgery
October 25,2023 Update
Notice to patients who received breast reconstructive surgery with breast implants
Introduction
Making good use of plastic surgery
Responsibility Saitama Medical Center
Department of Plastic Surgery
Toshiharu Minabe
Plastic surgery is a medical field (basic medical department) that first treats the face, and then systemic diseases of the skin and subcutaneous tissues by surgery. Unfortunately, there are not enough hospitals and clinics with this department in Saitama Prefecture, even though there is a population of 7.3 million people.
The face, which is the organ that symbolizes us as human beings, includes the forehead, eyelids, external ear, and the outer nose and lips and is always exposed, and it protects the brain, senses and feeding. The plastic surgeon must not only understand the important structures of the face, but also have sufficient knowledge of the frame, the muscles, and the nerves and the blood vessels which support it. Also, since wounds (scars) can also impair the "morphology and function" of the face after a fresh wound has healed, it is the only specialized department that is familiar with how to heal wounds and aims for a "clean appearance" (esthetic outcome).
Facial illnesses include congenital abnormalities such as cleft lip, blepharoptosis, accessory auricle, and microtia, as well as injuries and burns, benign and malignant tumors, facial fractures, canalis facialis, and postoperative deformations and deficiencies after surgery from other departments. It also supports blepharoptosis and stains/sagging which are age-related dysfunctions. The same treatment techniques used for the face can be applied to abnormalities of the limbs (polysyndactia, skin ulcers, trauma, and tumors) which are likewise exposed.
Plastic surgeons of our department have advanced medical treatment techniques, such as skin transplants, skin flaps and micro surgery, and we perform surgical treatments for breast reconstruction and limb lymphedema. We are one of the most high-volume hospitals in these cases in Saitama Prefecture. In addition, non-operative treatments such as negative pressure closure therapy have been introduced as methods to assist advanced surgery, and treatment with surgery and other treatments is done according to the condition. In other words, we practice "Your Happiness is our Happiness" which prioritizes patient-oriented treatment.
"Wound Care day" was enacted on the 5th of May each year, which is Children's Day or "kid's day" in Japan as the anniversary of the treatment by a plastic surgeon.
Patient care at our department
The reception time for initial consultation with patients is between
8:30 am and 11:00 am.
In principle, a referral letter is necessary, but we are OK without.
In the case of an emergency, we do initial consultations outside of these hours, but
please be sure to contact us by telephone before you come to the clinic.
9:00 a.m.-5:00 p.m.: Plastic surgery outpatient (049-228-3636)
5:00 pm-9:00 am:
Night and holiday emergency reception(049-228-3594)but please call us in the afternoon when possible.
[Medical Service Content]
In our hospital, we perform all-round plastic surgery in general.
[Specialty outpatient and Unique outpatient]
Eyelid Outpatient (first, third and fifth Friday afternoons), Breast reconstruction and formation outpatient (Wednesday afternoons), Lymphedema outpatient (Wednesday afternoons, 2nd and 4th Friday afternoons) are conducted by appointment (please contact the Department of Plastic Surgery outpatient).
Main diseases and target symptoms
Trauma, general wound management and surgery
- Incised wound
- Contused wound
- Tangential wound
- Stab wound
- Bite wound (Animal bite, Human bite)
- Finger/Hand amputation
- Vascular injury (Upper/Lower extremity, Other peripheral nerves)
- Nerve injury (Facial nerve, Upper/Lower extremity nerve)
- Tendon injury (Finger, Hand, Forearm)
- Lachrymal duct injury
- Facial fracture (Nasal bone, Orbital floor, Zygomatic bone, Maxillary bone, Multiple facial fracture, and post-traumatic facial bone deformity )
Breast Reconstruction
- Primary reconstruction
- Delayed reconstruction
- ―Tissue expander
- ―Silicone implant
- ―Autologous reconstruction (Free deep inferior epigastric artery perforator flap: DIEP/ superficial inferior epigastric artery flap: SIEA, Pedicled latissimus dorsi musculocutaneous flap: LDMC, other flaps)
Lymphoedema, surgical and conservative combination therapy
- Idiopathic lymphoedema
- Secondary lymphoedema
- ―Lymphaticovenous anastomosis: LVA
- ―Vascularized lymph node transfer
Nonhealing ulcer / Chronic wound, conservative to surgical treatment, reconstruction
- Post-traumatic / Post-surgical wound Osteomyelitis (Sternal osteomyelitis, Post-traumatic osteomyelitis) , Fistula (Tracheocutaneous fistula, Pharyngocutaneous fistula, Rectovaginal fistula, Rectocutaneous fistula), Infection/Exposure of embedded material or device (Plate, Pace-maker), Exposure of deep tissue (tendon, bone, joint), others.
- Chronic venous insufficiency
- Diabetic foot ulcer / gangrene
- Ischemic foot ulcer / gangrene
- Pressure ulcer (Sacrum, Ischium, Trochanter)
- Chronic post-radiation ulcer
- Chronic burn ulcer / Squamous cell carcinoma on burn scar
- Other nonhealing / chronic ulcers
- ―Skin graft
- ―Local flap
- ―Pedicled flap
- ―Free flap
- ―Amputation( Toe, Tarsal joint, Ankle, Below-knee, Knee joint, Above-knee, Hip joint)
- ―Revascularization (cooperated with department of vascular surgery /cardiology)
Skin / Soft tissue tumor (malignant, benign), resection and reconstruction
- Atheroma
- Nevus (Melanocytic nevus, Sebaceous nevus, Spilus nevus)
- Lipoma
- Dermoid cyst
- Calcifying epithelioma
- Foreign body franuloma
- Neurinoma, Schwannoma
- Basal cell carcinoma
- Squamous cell carcinoma
- Bowen's disease
- Paget's disease
- Malignant melanoma
- Other skin / soft tissue tumors
- ―Skin graft
- ―Local flap
- ―Pedicled / Free flap
- ―Free flap
Other reconstruction of oncologic surgical defect
- Head and neck reconstruction
- Extremity reconstruction after sarcoma resection
- Abdominal / Chest wall reconstruction
- Other reconstructions
Burn / Post-burn sequelae
- Epidermal burn
- Superficial / Deep dermal burn
- Deep burn
- Temperature burn
- Chemical burn
- Cold injury
- Electric injury
- Post-burn contracture
- Squamous cell carcinoma on burn scar
- ―Skin graft
- ―Local flap
- ―Pedicled / Free flap
Scar
- Hypertrophic scar
- Keloid
- Contracture
- ―Z-plasty, W-plasty, other local flaps
- ―Tissue expander
- ―Radiation therapy (cooperated with department of radiation oncology)
- ―Skin graft
- ―Pedicled / Free flap
Congenital malformation
- Ear deformity (accessory tragus, preauricular fistula, Cryptotia)
- Polydactyly, Syndactyly
- Cleft lip, Cleft palate, Alveolar cleft
- Umbilical hernia, Congenital umbilical anomaly
- Congenital ptosis
- Others
Others
- Age-related ptosis
- Facial nerve palsy
- Pilonidal sinus
- pyoderma
- Ingrown toenail
- Alopecia
- Osmidrosis
- Inverted nipple
Aesthetic surgery
- Blepharoplasty
- Lower eyelid surgery
- Aesthetic rhinoplasty
- Aesthetic breast surgery
- Liposuction
- Abdominoplasty
- Others
Treatment results
| 2017 - Surgeries | Total 683 cases |
| Disease name | (Number of cases) |
|---|---|
| External wounds | 229 cases |
| Tumors | 236 cases |
| Congenital abnormality | 41 cases |
| Cicatrices cicatrix contracture/keloids | 24 cases |
| Intractable ulcers | 53 cases |
| Inflammatory/degenerative diseases | 46 cases |
| Cosmetic surgery | 47 cases |
| Other | 1 cases |
| Laser treatment | 6 cases |
Medical staff
| Name | Job Title | Position | Specialized Field | Credentials |
|---|---|---|---|---|
| 三鍋 俊春 (Minabe Toshiharu)  |
Professor | Chief of General Management | General Plastic surgery Breast Reconstruction Flaps |
Japan Society of Plastic and Reconstructive Surgery Board Certified Fellow/Trainer Dermatologic Surgery and Oncology Board Certified Trainer Reconstruction/Micro Surgery Board Certified Trainer Pediatric Plastic Surgery Board Certified Trainer Japan Society of Cranio-Maxillo-Facial Surgery Board Certified Fellow |
| 大西 文夫 (Onishi Fumio)  |
Professor | Chief of Clinical Services Chief of Education Manager of Outpatient Services |
Reconstructive Micro Surgery Lymphedema Pediatric plastic surgery |
Japan Society of Plastic and Reconstructive Surgery Board Certified Fellow/Trainer Reconstruction/Micro Surgery Board Certified Trainer Pediatric Plastic Surgery Board Certified Trainer |
| 加賀谷 優 (Kagaya Yu)  |
Assistant Professor | Chief of Inpatient Services Chief of Research |
Reconstructive Micro Surgery Nonhealing Ulcer Breast Reconstruction |
Japan Society of Plastic and Reconstructive Surgery Board Certified Fellow/Trainer Reconstruction/Micro Surgery Board Certified Trainer |
| 鈴木 愛弓 (Suzuki Ayumi)  |
Instructor | General Plastic surgery Reconstructive Micro Surgery Breast Reconstruction |
Japan Society of Plastic and Reconstructive Surgery Board Certified Fellow | |
| 河野 暉 (Kono Hikaru)  |
Instructor | General Plastic surgery Eyelid Reconstruction Lymphedema |
Japan Society of Plastic and Reconstructive Surgery Board Certified Fellow |
|
| 内田 真由佳 (Uchida Mayuka)  |
Clinical Fellow | General Plastic surgery | ||
| 鈴木 尚登 (Suzuki Naoto)  |
Clinical Fellow | General Plastic surgery | ||
| 辻田 真秀 (Tsujita Mashu)  |
Clinical Fellow | General Plastic surgery | ||
| 大島 諒士 (Ohshima Ryoji)  |
Clinical Fellow | General Plastic surgery | Japanese Orthopaedic Surgery Assocation certified orthopaedic specialist |
|
| 門間 梨子 (Kadoma Riko)  |
Clinical Fellow | General Plastic surgery | ||
| 安井 祥子 (Yasui Sachiko)  |
Clinical Fellow | General Plastic surgery | ||
| 樋野 忠司 (Hino Tadashi)  |
Lecturer (part-time) | General Plastic surgery Blepharoptosis |
Japan Society of Plastic and Reconstructive Surgery Board Certified Fellow | |
| 山川 知巳 (Yamakawa Tomomi)  |
Clinical Fellow | Medical Director of Floor | General Plastic surgery Breast Reconstruction |
Japan Society of Plastic and Reconstructive Surgery Board Certified
Fellow Reconstruction/Micro Surgery Board Certified Trainer Pediatric Plastic Surgery Board Certified Trainer |
| 福澤 見菜子 (Fukuzawa Minako)  |
Lecturer (part-time) | General Plastic surgery Gynecologic Plastic Surgery |
Japan Society of Plastic and Reconstructive Surgery Board Certified Fellow |
Outpatient clinic
| Department of Plastic Surgery | ||||||
| Monday | Tuesday | Wednesday | Thursday | Friday | Saturday | |
| 午前 | ||||||
| 初診 再診 |
鈴木 愛弓 (Suzuki Ayumi) |
三鍋 俊春 (Minabe Toshiharu) (陪席：安井、門間) |
大西 文夫 (Onishi Fumio) (陪席：鈴木/辻田） |
河野 暉 （Kono Hikaru) |
加賀谷 優 (Kagaya Yu) |
（交替制） |
| 初診 再診 |
門間 梨子 (Kadoma Riko) |
大島 諒士 (Oshima Ryoji) |
安井 祥子 (Yasui Sachiko) |
鈴木 尚登 (Suzuki Naoto) |
||
| 午後 | ||||||
| 再診 |
鈴木 愛弓 (Suzuki Ayumi) |
大島 諒士 (Oshima Ryoji) |
安井 祥子 (Yasui Sachiko) |
加賀谷 優 (Kagaya Yu) |
||
| 門間 梨子 (Kadoma Riko) |
（交替制） |
鈴木 尚登 (Suzuki Naoto) |
||||
| 専門外来 |
リンパ浮腫 大西 文夫 (Onishi Fumio) |
眼瞼下垂・まぶた 河野 暉 (Kono Hikaru) |
リンパ浮腫 大西 文夫 (Onishi Fumio) (第2週） |
|||
| 眼瞼下垂・まぶた 樋野 忠司 (Hino Tadashi) （第1.3.5週） |
||||||
| 乳房再建・形成 三鍋 俊春 (Minabe Toshiharu) |
||||||
| 乳房再建・形成 加賀谷 優 (Kagaya Yu) 鈴木 愛弓 (Suzuki Ayumi) |
||||||
| 乳房再建・形成 安井 祥子 (Yasui Sachiko) 山川 知巳 (Yamakawa Tomomi) （第2.4週） |
||||||
To the Medical Institutions
To the Medical Institutions
9:00 a.m.-5:00 p.m.: Outpatient plastic surgery(049-228-3636)
5:00 pm-9:00 am:
Night and holiday emergency reception(049-228-3594)
Please contact us by phone.
Notice of recruitment of senior residents (specialist)
Our department is a core facility for the new specialist training program. It is possible to train for all of the plastic surgery diseases necessary for acquiring a specialty. In addition, training options will be expanded by collaborating with nine other facilities, such as other university hospitals, children's hospitals, and local hospitals. For more information, please refer to the Clinical Training Center (Senior Resident Training program) at Saitama Medical Center.
Contact: Saitama Medical Center Clinical Training Center
TEL / FAX：049-228-3802
e-mail：kensi@saitama-med.ac.jp
Saitama Medical Center, the Department of Plastic Surgery
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