They save the life to a fetus with an endoscopy to Unclog a bronchus

15 03 2012

Specialists of the Hospital Clínic and Sant Joan de Déu have practiced surgery pioneer in the world to Unclog a clogged bronchus of a fetus with an endoscopy of 26 weeks, an operation that saved his life.

“Thanks to ultrasound could be detected the problem in time; If I had not intervened, the girl would be dead”, has featured today in a press conference Dr. Julio Moreno, the catalan Sant Joan de Déu hospital neonatologist.

After the operation, the pregnancy had a normal evolution and, to the 38 weeks and with 2,5 kg, was born a girl that currently has 16 months and makes a normal life.

It is the first time in the world involving a fetus of a bronchial atresia right (serious obstruction of the bronchial tubes) through a tiny endoscope, of 3 mm, by the trachea.

Anatomía del árbol bronquial

Anatomy of the bronchial tree

After entering the appliance through the mouth of the fetus, specialists from the Clinic of Barcelona and Sant Joan de Déu observed the obstruction and drilled it with a laser, in a manner that reconectaron the bronchi and thus deflated lung to regain its normal size.

Bronchial atresia at fetal stage had described above, but in all cases not be had been able to intervene and the fetus had died before birth or shortly after delivery.

The operation presented today, was it carried out a year and a half ago, was short, half hour, but very delicate, because that was practiced in a fetus of 800 grams with such tissues as a role of smoking and a few millimeters of the heart.

In the case presented today, one of the main bronchi that connect the trachea lung was not well formed and lacked a portion, What did the lung stayed isolated and their secretions cumulate, This body swelling and causing heart failure.

With words of gratitude to the doctors, the mother of the baby, Monica Colomina, of 33 years, It has reported today the moment in which proposed you to intervene it: “It was the only option, We tested or interrupted pregnancy”.

As explained by his mother, the girl, that is called Alaitz (that means joy in Basque) ago “a completely normal life and is happy and happy”.

The only intervention that has had to undergo Alaitz thirteen days of birth was a surgical operation to remove two of the three lobes of the right lung, damaged by bronchial obstruction.

According to the Montserrat Dr. CASTAÑÓN, Sant Joan de Déu Pediatric surgeon, having lost two lobes of a lung does not affect the quality of life of Alaitz in any aspect.

The intervention, designed entirely in Barcelona by specialists of the Clinic and Sant Joan de Déu, offers an option to save the life of a congenital abnormality such as bronchial atresia which affects one of every 10.000 fetuses.

The Chief of the service of fetal medicine of the Clínic Hospital, Eduard Gratacós, It pointed out that new treatments as presented today show that Barcelona is reference in medical innovation and that Catalonia has a system of public health “terrific”.

The Hospital de Sant Joan de Déu and the Clinic collaborate on various projects and are part of the “Health University of Barcelona Campus” (HUBc), an Alliance or ‘ hub’ which encompasses to 30 the training entities, research and knowledge transfer in the field of the health sciences.

In fetal surgery, the Clinic and Sant Joan de Déu give solution to more of 200 cases of pathologies, constituting one of the five centers in the world with more volume of interventions in this area. [en línea] Madrid (ESP):, 15 de marzo de 2012 [REF. 13 March of 2012] Available on Internet:

Dr BRUGADA: In times of crisis: thinking about the future

2 05 2011

Prof. Josep Brugada

Medical Director, Hospital Clínic, Barcelona

Our welfare state is not at its best. The economic reality we are placing at the level that is us as a modern State, democratic but less rich than we thought. We have consumed beyond our means and we now have to return what was spent. Many of the investments have been made without strategic planning and thinking more in the territorial or electoral immediacy that needs as a country.

Now we have to accept that we spend what we have and that many of the infrastructure will be underused resigned. Some because they had never built since its usefulness was more than doubtful, and other because does not have the means to implement them at full capacity. This includes, as not, health infrastructures. We have an enviable health care system in many respects. Universal coverage, free benefits, very limited co-payments (Pharmacy) and generosity with all social sectors, even those newcomers not involved of the financing of the same so far.

A system that has an expenditure ceiling. It is unthinkable to keep this situation indefinitely, especially if spending increases exponentially and income are reduced significantly by the decrease in the collection of the State. And this is the situation that we have experienced in recent years. Now have to rethink the entire system. Adapt our expenses to revenues. Do what have to argue why sustainable works and as argues the Prof. Guillem López-Casasnovas, making solvent, changing it, What is not now.

We cannot play as a country to this uncertainty in basic social benefits, and health certainly is one of them. The crisis should be the fuse that fired the necessary evolution towards a health smoothly and continue running regardless of political changes, Economic and social.