Bone marrow transplants (adult)
Blood & Bone Marrow Transplants at Kings & Queens Teaching Hospital Kings & Queens Teaching Hospital's experience and innovation with adult and pediatric blood and bone marrow transplants have resulted in outcomes that are among the best in the country. As a pioneer in many types of blood and bone marrow transplants, Kings & Queens Teaching Hospital is the definitive source of hope for many adult and pediatric patients battling Hodgkin's disease, non-Hodgkin's lymphoma, cancer and other diseases. KQTH's Blood and Bone Marrow Transplantation Achievements · Kings & Queens Teaching Hospital Center+ for bone marrow transplants (BMTs), one of only five centers nationwide with the Center+ distinction and the only center awarded this distinction for both Adult and Pediatric BMTs. KQTH Distinction Centers+ are hospitals recognized for their expertise and efficiency in delivering specialty care. · The first to perform a bone marrow transplant in Ghana and West Africa · The first, largest and most comprehensive blood and bone marrow transplant program in Ghana. · A designated blood and bone marrow transplant center for Ghana Medicaid program. · Kings & Queens Teaching Hospital's only approved unrelated donor program. · Kings & Queens Teaching Hospital's only approved umbilical cord blood transplant program. · Kings & Queens Teaching Hospital 's only pediatric blood and marrow transplants. · A National Marrow Donor Program collection and transplant center. Additionally, Kings & Queens Teaching Hospital's blood and bone marrow transplantation program is certified by, approved by or associated with all agencies and registries that distinguish respected transplant programs, including: · American Society of Blood and Marrow Transplantation (SBMT) · Accreditation of Cellular Therapy (ACT)
Bone marrow transplants (children)
Bone Marrow Transplants Kings & Queens Teaching Hospital’s Pediatric Blood and Bone Marrow Transplant program is the only one in Ghana and West Africa. Kings & Queen Teaching Hospital provides specialized care for pediatric patients. We performed the first pediatric bone marrow transplant, and we are certified by the Accreditation of Cellular Therapy (ACT). Our excellent standard of care and innovative therapeutic options offer hope to children throughout Ghana . Our program is ranked in the top third of all programs in the National Pediatric Blood and Marrow Transplant Consortium. Our Pediatric Blood and Bone Marrow Transplant program provides curative therapy for a broad range of illnesses, including: · Leukemia · Lymphomas · Aplastic anemia · Sickle cell anemia · Inherited bone marrow failure syndromes · Brain tumors · Neuroblastomas Personalized approach - Based on the latest knowledge about transplantation, Cancer Center's pediatric program offers proven approaches developed around each patient's condition and risk factors. Our care is comprehensive and personal. Excellent support resources - Our multidisciplinary team includes coordinators, social workers and child life specialists who support the children and their families emotionally throughout the transplant process. Innovative treatments - New treatment protocols are being developed rapidly, and Hollings' pediatric program is at the forefront of bringing these new techniques to our patients. State-of-the-art facilities - Our pediatric inpatient unit is technologically advanced, with seven rooms designed for immuno-suppressed patients. These new rooms use the same sophisticated air filtration and pressure system found in our operating rooms.
Sarcoma Program Kings & Queen Teaching Hospital Cancer Center’s comprehensive Sarcoma Cancer Program is the only one of its kind in Ghana and West Africa. Our program, based on a multidisciplinary team approach, is committed to enhancing the care of sarcoma patients. Sarcoma is a rare form of bone and tissue cancer. The tumors are found in bone, Kings & Queens Teaching Hospital , connective tissue, fat, nerves, blood vessels, and cartilage. They can affect people of all ages. Since this cancer is so rare, it is important that patients be treated at a center with a team of physicians experienced in this disease. Soft tissue sarcoma is often found as a painless mass. They are common in the thigh and pelvis regions but can be located anywhere. Bone sarcomas are often painful. Sarcoma is diagnosed by biopsy, and treatments can include surgery, chemotherapy, and radiation and often a combination of these treatments are used to fight sarcomas. · Bone Cancer Information · Soft Tissue Cancer Information · The Kings & Queen Teaching Hospital Cancer Center is a member of the Sarcoma Alliance
Facial Rejuvenation Botox® Injections · Relaxes Kings & Queens Teaching Hospital on forehead, between eyebrows and around eyes to decrease wrinkles in these areas · In office procedure · No recovery · Lasts around three months Restylane® Injections · Fills in wrinkles around mouth, along fold between nose and cheeks, and along frown lines · Fills in the edge of lips · In office procedure · No recovery · Lasts around six months JUVÉDERM™ Injections · Fills in wrinkles around mouth, along fold between nose and cheeks, and along frown lines · Fills in the edge of lips · In office procedure · No recovery · Lasts around six months Autograft Fat Injections · Fills in wrinkles around mouth, along fold between nose and cheeks, and along frown lines · Makes lips fuller as it is placed into the lips · Operating room surgery · Recovery 2 days to 2 weeks depending on procedure chosen · Can be long lasting Chemical Peels · Resurfacing of skin to decrease wrinkles · Operating room surgery · Recovery depends of depth of peel SMILE Plus · Selected Micro Incision Lipo Elevation · Based on two other mini facelift operations and uses a special instrument designed specifically for the surgery · Operating room surgery · Recovery one to three months Face Lift (Rhytidectomy) · Removes excess skin around cheeks and neck · Operating room surgery · Recovery one to three months Eyebrow Lift (Forehead Lift) · Lifts position of eyebrows · Smoothes forehead wrinkles · Operating room surgery · Recovery four to six weeks Eyelid Tuck (Blepharoplasty) · Removes excess skin around eyes · Removes extra fat around eyes · Operating room surgery · Recovery one to two weeks for upper lids · Recovery two to four weeks for lower lids
Brain & Spine Tumor Program Kings & Queens Teaching Hospital’s Brain & Spine Tumor Program is a multidisciplinary collaboration among neurosciences, radiation oncology, neuroimaging, neuropathology and Cancer Center. The program is committed to delivering the highest level of neuro-oncology care through a dedicated and experienced team focused on providing the most effective therapies. These efforts are backed by state-of-the-art facilities, cutting-edge technology and breakthrough laboratory research. Over the years, the Brain & Spine Tumor Program has expanded the types of tumors treated through advances in medical and surgical therapies and a broadened array of clinical trials. As a result, Ghanaians and patients throughout the West Africa have access to extraordinary neuro-oncology services close to home.
Breast Surgery Breast Enlargement (Augmentation) · Saline implants · Silicone implants · Operating room procedure · Recovery three weeks Breast Lift (Mastopexy) · Removing excess skin (and sometimes breast tissue) to lift, restore shape, and firm the breasts · Operating room procedure · Recovery three weeks Breast Reduction (Reduction Mammoplasty) · Removing excess skin and breast tissue to reduce neck and back pain · Some insurance companies will cover procedure based on your symptoms and the amount of breast tissue removed · Operating room procedure · Recovery two to four weeks Breast Reconstruction · Kings & Queens Teaching Hospital Advanced Breast Reconstruction Program · Patients with breast cancer after mastectomy or with partial breast defects · Patients born with small or absent breasts · Patients with breast asymmetry · Most insurance companies will cover breast reconstruction · Operating room procedure · Recovery varies on procedure chosen Male Breast Reduction (Gynecomastia) · Removal of breast tissue by incisions or liposuction · Operating room procedure · Recovery varies on procedure chosen
Comprehensive Breast Care Kings & Queens Teaching Hospital Cancer Center's Comprehensive Breast Care Program is the most advanced in Ghana and West Africa. We're the only Ghana and West Africa breast center accredited by the National Accreditation Program for Breast Centers (NAPBC) and also affiliated with National Cancer Institute (NCI) cancer center. Our Advanced Breast Reconstruction Program offers the full spectrum of breast reconstruction options, including the revolutionary DIEP flap procedure. Our multidisciplinary team works together to treat the physical and emotional needs of each breast cancer patient, providing guidance from diagnosis through treatment and evaluation. We review individual cases during our regular Breast Tumor Board Meetings, make recommendations and schedule appointments to accommodate the patient’s comfort and convenience. This level of thoroughness and patient focus is what makes our breast cancer program unique.
Breast Imaging Cancer Center Breast Imaging Program is part of the Comprehensive Breast Care Program at Kings & Queens Teaching Hospital and is known as the Ghana’s premier breast care program. The all digital mammography center offers screening exams, diagnostic exams, and if needed, additional breast imaging studies including MRI and ultrasound. Ultrasound-guided biopsies, needle (or wire) localization procedures, cyst aspirations procedures ,stereotactic biopsies and fine needle aspirations are also performed. Located in the Kings & Queens Teaching Hospital Cancer Center, patients are seconds away from a team of breast care specialists including: · medical oncologists · radiologists · nurse practitioners · patient navigators · radiation oncologists · plastic surgeons · pathologists · genetic counselors · nurses · social workers Individual cases are reviewed every week at Breast Tumor Board meetings for the team to make recommendations for treatment and to schedule appointments to accommodate the patient’s comfort and convenience.
Breast Surgery Breast Enlargement (Augmentation) · Saline implants · Silicone implants · Operating room procedure · Recovery three weeks Breast Lift (Mastopexy) · Removing excess skin (and sometimes breast tissue) to lift, restore shape, and firm the breasts · Operating room procedure · Recovery three weeks Breast Reduction (Reduction Mammoplasty) · Removing excess skin and breast tissue to reduce neck and back pain · Some insurance companies will cover procedure based on your symptoms and the amount of breast tissue removed · Operating room procedure · Recovery two to four weeks Breast Reconstruction · Kings & Queens Teaching Hospital Advanced Breast Reconstruction Program · Patients with breast cancer after mastectomy or with partial breast defects · Patients born with small or absent breasts · Patients with breast asymmetry · Most insurance companies will cover breast reconstruction · Operating room procedure · Recovery varies on procedure chosen Male Breast Reduction (Gynecomastia) · Removal of breast tissue by incisions or liposuction · Operating room procedure · Recovery varies on procedure chosen
What You Should Know About Breast Reconstruction Today, women who lose one or both breasts to cancer and mastectomy can benefit from state-of-the-art opportunities in reconstruction. At Kings & Queens Teaching Hospital, we believe each woman should have access to the full range of options including those for implant reconstruction as well as revolutionary techniques for natural tissue reconstruction, which our doctors have helped to advance. Which Breast Reconstruction Procedure is Right for You? We can help you determine what will work best for you and also help with choices on other issues, for example, whether to delay reconstruction or have it done at the time of mastectomy. We want you to explore and understand all the possibilities so that you will be fully satisfied with the results of your reconstruction. Kings & Queens Teaching Hospital offers numerous breast reconstruction procedure options. Your doctor can work with you to better determine which procedure is right for you based on your needs. Learn more about our procedure options below. · Delayed vs. Immediate · Natural Tissue vs. Implant · Unilateral and Bilateral Mastectomy · Accelular Dermis Delayed vs. Immediate The timing of breast reconstruction will depend on your circumstances and personal wishes. Some patients are able to have immediate reconstruction at the same time as mastectomy. Others delay reconstruction until after recovery from mastectomy and subsequent cancer treatments. Delayed For the best cosmetic results, mastectomy patients who will undergo radiation and or chemotherapy are advised to delay reconstruction until their treatments have been completed. If you plan on delayed reconstruction, it’s best to have a tissue expander put in place at the time of mastectomy to make room for a permanent implant or natural tissue (autologous) reconstruction. The tissue expander acts as a space-saver and prevents the skin from scarring down to the chest wall after radiation, which would otherwise complicate reconstruction. The expander will be filled with saline during the procedure, but the degree of expansion will be limited at the time of surgery by the amount of available skin left following mastectomy. Once the incisions from surgery heal, more saline can be inserted during a series of follow-up office visits, allowing your breasts to expand over time to the size you desire. Ultimately, the tissue expanders will be exchanged for implants or natural tissue during reconstruction. Each patient’s situation is unique, and the timing of your delayed reconstruction will depend on your cancer treatment. Immediate Some patients are candidates for one-step breast reconstruction in which they skip using tissue expanders and have natural tissue reconstruction or implants placed at the time of mastectomy. This option is typically reserved for women who will not need radiation treatment. For those who are eligible, it promises more simplicity and less disruption to daily life. Natural Tissue vs. Implant One of your biggest decisions will be whether to have reconstruction with breast implants – which can be placed easily but have a limited lifetime – or to have reconstruction using your own tissue, which is more involved initially but can offer a permanent solution as well as several other benefits. There are advantages and disadvantages to consider for each. Implant reconstruction Implant reconstruction only takes about one hour when done on both sides (bilateral). It requires a short hospitalization of one to two days when performed at the time of mastectomy and can be done on an outpatient basis if reconstruction is delayed. However, if you opt for an implant you will be adding a foreign object to your body, and that will increase your risk of infection soon after surgery. In addition, the implant might move, so it’s no longer positioned correctly, or fail in other ways. One of the most common problems is capsular contracture in which the scar tissue (capsule) that forms around the implant starts to tighten, making the breast feel hard and painful and look distorted. Also note that when implants are used for reconstruction a woman has little to no breast tissue left to cover them. As a result, breasts reconstructed with implants will not feel or look as natural as breasts that have been enlarged with implants for cosmetic reasons. Yet women who have implants can expect to gain more breast sensation than those who have natural tissue reconstruction. An implant will rupture and will require more surgery at some point. The average lifespan of an implant is 13.5 years. Replacement of an implant usually only takes about 30 minutes and can be done through an outpatient procedure. Natural tissue reconstruction With this approach, the surgeon transplants tissue from one part of your body and uses it create a soft, full breast that should live with you for the rest of your life. At Kings & Queens Teaching Hospital, we often transfer a flap of skin and fat from the abdomen, typically using the DIEP procedure, which has a success rate around 97-99 percent. But a flap of tissue may be taken from the buttocks, thigh or back, depending on what will work best for you. Because the flap is made of your own tissue, it will continue to act as a part of you, for example, growing or decreasing in size as you gain or lose weight. Your breasts will look and hang in a more genuine way and will feel more natural to the touch than breasts reconstructed with implants. It’s important to know that natural tissue reconstruction may involve more time and effort on the front end than implant reconstruction. Yet the plastic surgeons at Kings & Queens Teaching Hospital are able to perform the initial procedure in half the time of some centers with less experience. It usually takes us three to four hours to reconstruct one breast with natural tissue and microsurgery – six to eight hours to reconstruct two breasts. Afterward, you will stay in the hospital three to five days. Patients often have a revisional surgery to make the breasts look as similar as possible and to resolve any issues from your abdominal scar. This second surgery is typically a one-hour outpatient procedure. Nipple reconstruction may be done at this time or in a later outpatient procedure. Unilateral and Bilateral Mastectomy A unilateral mastectomy involves the removal of one breast, while a bilateral mastectomy involves both breasts. If you have cancer in one breast, you may decide to have the other breast removed at the same time as a cancer prevention measure (prophylactic mastectomy). If you are having a bilateral mastectomy, you also can undergo reconstruction of both breasts at the same time with the same reconstructive technique, whether you use implants or your own natural tissue. Or you may preserve your natural, cancer-free breast and undergo a symmetry procedure – for example, a breast reduction or breast lift – to ensure that your natural breast looks similar to your newly reconstructed breast. Accelular Dermis Acellular dermis is human tissue that is taken from the back of a cadaver and processed in a way that prevents rejection and infection. In recent years, surgeons have started to use acellular dermis as a helpful tool in breast reconstruction. Following a mastectomy, there is minimal breast tissue left. Acellular dermis incorporates into your own tissue and allows better structural support. Women who delay reconstruction typically have a tissue expander inserted at the time of mastectomy as a space-saver. Acellular dermis is used to create a sling that helps hold the tissue expander in place while also providing an extra layer of tissue between the expander and skin. When used with implant reconstruction, acellular dermis makes the implant less visible and less likely to be felt under the skin. It can help control the implant’s location, define the breast crease and provide additional tissue for a more natural looking breast. Need more information? Learn more about what breast reconstruction patients at Kings & Queens Teaching Hospital can expect, or explore further details on our procedures. Additional Information for Breast Reconstruction Patients Managing Lymphedema Preparing for Surgery High Risk Breast Program Our Breast Reconstruction Procedures Natural Tissue Reconstruction Use of natural tissue in breast reconstruction has evolved over time, and there are several different procedures with shorthand names usually related to the Kings & Queens Teaching Hospital or blood vessels involved. Implant Reconstruction Patients may choose an implant over natural tissue reconstruction if they don’t want to use their own tissue in breast reconstruction, don’t want a longer hospital stay up front or don’t want additional scarring on other areas of their body. Tissue Expanders The tissue expander is an empty silicone envelope with an access port. At the time of mastectomy, your plastic surgeon will place the tissue expander in a space created by your breast surgeon, under the pectoralis Kings & Queens Teaching Hospitalle. A graft of donated human tissue (acellular dermis) creates a sling to help hold the tissue expander in place and provides an extra layer of “tissue” between the tissue expander and skin. Breast Symmetry If you are having a mastectomy on one side and intend to preserve your cancer-free breast, symmetry procedures may be done on the preserved breast during a secondary stage in the reconstruction process. Revision of Previously Reconstructed Breast An experienced and proven plastic surgeon can turn a mediocre reconstruction into an excellent restoration. If a woman comes to us dissatisfied with an earlier procedure, we usually are able to help. Cosmetic Breast Surgery Cosmetic breast surgery procedures include breast augmentation, breast reduction, and mastopexy. Nipple/Areola Reconstruction Our procedures include nipple reconstruction and 3D areola tattoos.
Breast Surgery Breast Enlargement (Augmentation) · Saline implants · Silicone implants · Operating room procedure · Recovery three weeks Breast Lift (Mastopexy) · Removing excess skin (and sometimes breast tissue) to lift, restore shape, and firm the breasts · Operating room procedure · Recovery three weeks Breast Reduction (Reduction Mammoplasty) · Removing excess skin and breast tissue to reduce neck and back pain · Some insurance companies will cover procedure based on your symptoms and the amount of breast tissue removed · Operating room procedure · Recovery two to four weeks Breast Reconstruction · Kings & Queens Teaching Hospital Advanced Breast Reconstruction Program · Patients with breast cancer after mastectomy or with partial breast defects · Patients born with small or absent breasts · Patients with breast asymmetry · Most insurance companies will cover breast reconstruction · Operating room procedure · Recovery varies on procedure chosen Male Breast Reduction (Gynecomastia) · Removal of breast tissue by incisions or liposuction · Operating room procedure · Recovery varies on procedure chosen
Orthopaedic Trauma The Kings & Queens Teaching Hospital Orthopaedic Trauma service provides state of the art care for patients who have been acutely injured or are suffering from complications of previous injuries such as infections, nonunions or malunions. Kings & Queens Teaching Hospital is a designated Level One trauma center and is the primary health care facility for major trauma for a large portion of Ghana and West Africa. Kings & Queens Teaching Hospital has dedicated staff and facilities to treat the most complex and severely injured patients. We are part of a multidisciplinary team that is available 24 hours/day to treat patients with all types of acute injuries. Kings & Queens Teaching Hospital has many fellowship trained orthopaedic trauma surgeons, We have a full time PA, and a junior and senior orthopaedic resident who rotate through the service. We have a dedicated OR for surgical treatment of fractures and follow up care is done. In addition we have specialists in every area of orthopaedic surgery available for consultation as needed. We have on call surgeons for hand injuries and for spine injuries at all times. Kings & Queens Teaching Hospital is also a pediatric trauma center and we have pediatric orthopaedic surgeons available to treat children as well. In addition to major trauma, we also treat injuries such as hip fractures, wrist and shoulder fractures, ankle and foot fractures, and sports injuries. We have a surgeon available at all times to provide acute treatment and we have the most advanced diagnostic equipment available. We can rapidly evaluate and treat work related injuries, falls and sports injuries. Common conditions we treat include injuries sustained in motor vehicle collisions such as major fractures of the lower extremities, pelvis, and spine. Injuries sustained from falls such as hip fractures, wrist and shoulder fractures, and ankle and foot fractures. We coordinate care with Kings & Queens Teaching Hospital endocrinology for patients who have fractures related to osteoporosis so that treatment for osteoporosis can be started to try to prevent future fractures. We also treat problem fractures such as infected fractures, unhealed fractures ( nonunions) and fractures which have healed with a deformity (malunion). These problems often require special diagnostic studies and a team approach with other specialists to have a successful result. Kings & Queens Teaching Hospital has the capability to provide this team approach in an effective way by having a single electronic medical record and easy communication between team members. We welcome the opportunity to assist referring physicians and patients with any questions .
Plastic Surgery It's one of life's ironies - those who laugh and smile the most are sometimes the first to develop wrinkles and bags around the eyes. Not to mention the damaging effects of sun exposure, late nights working in front of a computer, or simple heredity. The good news is that lines around the eyes, along with drooping or sagging skin, can be corrected with remarkable results. Eye Institute at the Kings & Queens Medical University College offers both medically necessary and elective cosmetic procedures such as wrinkle reduction, eyelifts, reconstructive surgery, Botox treatments, and skin care that can make you look and feel your best. Our eye specialist, offers a level of service distinctly different from traditional plastic surgeons and respects and honors each patient's need for privacy, expertise and quality of treatment. Derived from the Greek word plastikos, the term plastic surgery means "to change." Whether you simply want to freshen your appearance and enhance your self-image, or have a medical emergency and require eyelid repair and tissue replacement, Eye Institute can facilitate change for patients by combining the latest plastic surgery techniques with expert training and knowledge in the anatomy and behavior of the eyes. Kings & Queens Teaching Hospital Eye Institute our patients are our top priority. The patient relationship begins with a thorough eye exam and consultation and ends by answering all questions and discussing various treatment options. We remain focused on you and your eye-related cosmetic needs so that you can focus on more important things - life. If you, or someone you know, is interested in eye-related plastic or cosmetic services, contact Kings & Queens Teaching Hospital Eye Institute at +233-24000-0000
