1. Healthcare

HEALTH SERVICES CATALOGUE
1. CLINICAL ANALYSES. LABORATORY
HAEMATOLOGY
BLOOD COUNT
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Third-generation cell counters
Erythroblast and immature granulocyte counts in all blood counts
Specific channels for platelets, basophils, blasts and abnormal lymphocytes.
New parameters: Mean reticulocyte haemoglobin content (CHr)
Immature platelet fraction (reticulated)
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Microscopic review by haematologist
MORPHOLOGY
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Peripheral blood morphology
Red blood cell abnormalities
Myelograms
Diagnosis of haematological diseases
IMMUNOHEMATOLOGY
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Transfusions in coordination with Rotger Clinic´s Hemotherapy Services:
auto-blood transfusions, PRP (platelet-rich plasma)
Study of uncommon blood groups
Haemolytic anemias
Monitoring of pregnant women
Studies of foetus-mother compatibility
SERVICES PROVIDED
HAEMOSTASIS AND THROMBOSIS
ANTICOAGULANT TREATMENT MONITORING
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Daily checks
Classical anticoagulants: Sintrom, Aldocumar, Warfarin, Macumar, etc.
New anticoagulants: Pradaxa, Xarelto, Eliquis,
INR fingerstick testing
Heparin dose adjustment
PLATELET AGGREGATION
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Whole blood impedance aggregometer
Antiaggregant treatment monitoring: Adiro, Aspirin, Clopidogrel, Plavix, etc.
Platelet activity analysis
THROMBOPHILIA TESTING
HEALTH SERVICES CATALOGUE
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Testing for genetic risk factors of thrombosis (Factor V Leiden mutation,
Factor II, Factor XII, MTHFR, etc.)
Acquired thrombotic risk factors
Study of recurrent pregnancy loss
SPECIAL COAGULATION
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Study of purpura and haemorrhagic diseases
Special coagulation tests
Von Willebrand disease
Specialist consultation
GENERAL BIOCHEMISTRY
BLOOD
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Basic biochemistry with renal, hepatic, lipid, anaemia (ferrokinetics, vitamin
B12 and folic acid), bone calcium, cardiac and muscular studies.
Analysis of blood sugar concentration and glycated haemoglobin, taking of
glucose curves.
Measuring proteins using protein electrophoresis, dosing of immune
globulin, free light chains, and study of monoclonal bands.
Blood gases: study of acid–base imbalance and CO-oximetry
URINE
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Cytochemical analysis and examination of fresh urine sediment
Fresh urine biochemistry test (microalbuminuria /creatinine,
calcium/creatinine etc.)
24-hour old urine: determining biochemistry and hormones
Kidney stone analysis
FAECES
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Faecal occult blood
Digestive analysis using faeces
Protein analysis (calprotectin, alpha 1-antitrypsin etc.)
Analysis of 24-hour faeces - lipids in faeces (Van de Kamer)
BIOLOGICAL FLUIDS
Sweat test (Iontophoresis)
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Amniotic fluid (karytype and aneuploidies)
Other fluids
o Beta-trace protein in biological fluid
o Basic CSF analysis, TAU and amyloid-beta, oligoclonal bands, etc.
o Other fluids: pleural, peritoneal etc.
Semen analyses (basic analysis)
HEALTH SERVICES CATALOGUE
MEDICINES
THERAPEUTIC MONITORING
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Levels of different drugs: digoxin, lithium, valproic acid, antidepressants,
immunosuppressants (tacrolimus, ciclosporin, methotrexate) etc.
TOXICOLOGY
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Toxins in urine
Toxic drug levels in blood (paracetamol, ASA, etc.)
IMMUNOLOGY
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Autoimmunity, basic testing for connective tissue diseases (antinuclear
antibodies - ANAs, ENAs etc.) and other autoantibodies (antithyroids, antireceptors acetylcholine, anti-neuronal antibodies etc.)
Allergen-specific IgE testing of food, plants, animals, insects, mould, synthetic
products, drugs, etc.
HBDT test
Food intolerances in blood (food sensitivity test, ALCAT etc.)
Breath tests for sugar intolerances (lactose, fructose etc.) and bacterial
overgrowth testing.
HORMONES AND TUMOUR MARKERS
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Hormone dosing
Assessment of multiple tumour markers
Endocrinological functional tests performed and monitored by our medical
and nursing staff at all times (Synacthen test, GH test after exercise, etc.).
MICROBIOLOGY
BACTERIOLOGY AND MYCOLOGY
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Use of different cultivation media: solid, liquid, chromogenic, selective etc.
Incubation in different conditions: aerobiosis, anaerobiosis, with CO2
enrichment and in microaerophiles
Automated incubation of blood cultures
Cultures of other sterile fluids (CSF, pleural etc.) using conventional and
automated methods
Cultures from wounds, exudates, biopsies, surgical specimens
Urine cultures using chromogenic media
Stool tests, detection of Clostridium difficile toxin
Diagnosis of sexually-transmitted diseases: urethritis, cervicitis etc.
Automated culture of microbacteria in a liquid medium: mycobacterium
tuberculosis, environmental mycobacteria, rapid growth mycobacteria etc.
HEALTH SERVICES CATALOGUE
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Sensitivity tests: antibiograms using different methods, microdilution, disc
diffusion method, E-test etc., information about MICs
Making stains specifically for each case: Gram staining, methylene blue
stains, Kinyoun stains, Ziehl-Neelsen stains etc.
Detection of bacterial antigens based on immunechromatography in
different samples: streptococcus pyogenes in throat cultures, helicobacter
pylori in faeces, streptococcus pneumoniae and legionella pneumophila in
urine etc.
Breath test to detect Helicobacter pylori
MYCOLOGY
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Mycological cultures: dermatophytes, filamentous fungi, environmental
mycoses etc.
PARASITOLOGY
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Identification of intestinal parasites using microscopy, staining,
immunochromatographic antigen detection.
Identification of haematological parasites
VIROLOGY
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Identification of different virus antigens using immunochromatographic
methods: adenovirus, rotavirus, RSV, influenza virus etc.
INFECTIOUS SEROLOGY
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Hepatitis
Human immunodeficiency virus
Serology of pregnant women
Respiratory diseases serology
Serology of infectious agents in general
GENETICS AND MOLECULAR BIOLOGY
KARYOTYPES
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Cytogenetic analysis of different samples:
o Peripheral blood (constitutional karyotype)
o Bone marrow
o Amniotic fluid
o Foetal remains, etc.
ANEUPLOIDIES
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Prenatal testing for aneuploidy to detect foetal chromosomal alterations
(Down´s syndrome, Patau´s syndrome, Edwards´ syndrome and alteration of
X and Y chromosomes)
o In amniotic fluid
o In maternal blood
HEALTH SERVICES CATALOGUE
MOLECULAR MICROBIOLOGY
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Rapid identification of bacteria and virus using PCR
o Sexually transmitted diseases (chlamydia, gonococcus, etc.)
o Papillomavirus (HPV)
o Sepsis and meningitis (meningococcus, listeria, pneumococcus etc.)
o Mycobacterium tuberculosis and resistance to rifampicin
o Respiratory viruses
o Herpes virus and cytomegalovirus
o Etc.
MOLECULAR ONCOLOGY
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Cancer biomarkers
o KRAS, NRAS
o EGFR
o Etc.
MUTATIONS
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Study of mutations in haematology:
o Thrombophilia: factor V mutation (Leiden), factor II mutation,
MTHFR
o Oncohematology: JAK2 mutation, translocation BCR-ABL
PREVENTIVE MEDICINE
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Nutrition
Cardiovascular
Cancer risk
Etc.
2. PATHOLOGICAL ANATOMY
ANATOMOPATHOLOGICAL TESTS
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Inclusion in paraffin
Freezing
Immunofluorescence
Moss technique
CYTOLOGY
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Papanicolaou stains
Dift-Quick staining
Millipore filters
Cytocentrifuges
HEALTH SERVICES CATALOGUE
FNAP
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In our own laboratory (superficial)
In collaboration with Radiology Services (deep)
IMMUNOHISTOCHEMISTRY
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Antibodies for tumours and diagnosis
Markers as prognostic factors
DuoCISH (In situ hybridisation)
Hormone receptors
3. ANAESTHESIA
PRE-ANAESTHESIA CONSULTATION
ANAESTHESIA PROCEDURES:
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General, spinal and combined anaesthesia
Deep block anaesthesia
Intravenous regional anaesthesia
Monitored anaesthesia sedation
Central venous line placement
POST-ANAESTHESIA CARE IN POST-OPERATIVE RECOVERY UNIT
4. DIGESTIVE APPARATUS
OUTPATIENT VISITS
FIBER COLONOSCOPY
FIBER GASTROSCOPY
RCP
OESOPHAGEAL STENOSIS DILATION
TREATMENT OF OESOPHAGEAL VARICES
POLYPECTOMY
5. AREA OF THE HEART
CLINICAL CARDIOLOGY
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Outpatient visits
Hospitalisation
Cardiological staff on duty every day of the year.
Pre-op examinations
COMPLEMENTARY EXAMINATIONS
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Electrocardiography
HEALTH SERVICES CATALOGUE
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Stress test + spirometry
Stress test and cardiac perfusion scan
Cardiac perfusion scan, resting
24-hour ECG (Holter)
Transthoracic ultrasound scan
Transoesophageal ultrasound scan
Dobutamine stress ultrasound scan
64 slice coronary CT scan
Cardiac NMR
HEMODYNAMIC SERVICES
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Diagnostic cardiac catheterisation
Intracoronary ultrasound
Endomyocardial biopsy
Coronary angioplasty (balloon, stents, atherectomy in acute myocardial heart
attacks, etc.)
Mitral valvuloplasty
Intra-aortic counterpulsation balloon
Percutaneous closure of interatrial communications and perivalvular leaks
ELECTROPHYSIOLOGY SERVICES
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Arrhythmia appointments
Diagnostic tests
Ablation of accessory pathways
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AV node ablation
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Ablation of dual intranodal pathways
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Ablation to destroy short-circuits in ventricular tachycardia
Atrial flutter ablation and atrial fibrillation
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Cardioversion
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Pacemaker insertion
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Re-synchronizer insertion
Defibrillator insertion
CARDIAC SURGERY
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Coronary surgery (vein, mammary, radial grafts) with ECC or without ECC.
Valvular replacement surgery
Mitral and aortic valve repair surgery
Closure of cardiac short-circuits
Aorta surgery
Carotid endarterectomy
Pacemaker insertion
HEALTH SERVICES CATALOGUE
PAEDIATRIC CARDIOLOGY
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Outpatient visits
Hospitalisation
Echocardiogram
6. CHECK-UPS AND PREVENTIVE MEDICINE
PERSONALISED PREVENTIVE MEDICAL VISITS
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Clinical examination
Family history
Specific groups (executives, people who practice sports, etc.)
Genetic counselling (consultancy) if it is deemed useful.
PREVENTION OF MALE CANCERS
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We emphasise the importance of screening for prostate, colon and lung
cancer.
PREVENTION OF FEMALE CANCERS
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We emphasise the importance of screening for breast and gynaecological
cancer.
Genetic counselling (consultancy) if it is deemed useful.
PREVENTION OF CARDIOPULMONARY DISEASES
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Electrocardiographic tests
Stress tests
Holter
Other tests depending on assessment (including genetic study, magnetic
resonance etc.).
7. CARDIOVASCULAR SURGERY
OUTPATIENT VISITS
VASCULAR DIAGNOSTIC PROCEDURES
CARDIAC SURGERY
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Carotid surgery
Coronary surgery (vein, mammary, radial grafts)
Valvular replacement surgery
Mitral valve repair surgery
Closure of cardiac short-circuits
Aorta surgery
Phlebosclerosis
Peripheral angioplasty in vascular diseases
Pacemaker insertion
HEALTH SERVICES CATALOGUE
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Defibrillator insertion
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Aortic stent insertion
Aortic aneurism surgery
Direct arterial surgery
8. GENERAL SURGERY
OUTPATIENT VISITS
CONVENTIONAL AND LAPAROSCOPIC SURGERY
9. MAXILLOFACIAL SURGERY
MAXILLOFACIAL SURGERY
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Bone transplants
Pre-implant surgery
Sinus elevation
Transposition of dental nerve
Dysgnathic surgery
Traumatology
FACIAL AESTHETIC SURGERY
10. OBESITY SURGERY
OBESITY SURGERY
DIABETES SURGERY
BARIATRIC SURGERY
OESOPHAGUS AND GASTRIC SURGERY
11. ORTHOPAEDIC SURGERY AND TRAUMATOLOGY
TRAUMA AND POLYTRAUMA IN ADULTS
TRAUMA AND POLYTRAUMA IN CHILDREN
PRIMARY AND FOLLOW-UP SURGERY FOR MULTIPLE JOINT REPLACEMENT
MINIMALLY INVASIVE OSTEOSYNTHESIS
HIGHLY COMPLEX ARTHROSCOPIC SURGERY
MICROSURGERY
SPINAL TRAUMA AND ORTHOPAEDIC SURGERY
RECONSTRUCTIVE FOREFOOT SURGERY
SPECIALISED SHOULDER AND HAND SURGERY
HEALTH SERVICES CATALOGUE
12. PAEDIATRIC SURGERY
OUTPATIENT VISITS
PAEDIATRIC SURGERY
13. PLASTIC, AESTHETIC AND RECONSTRUCTIVE SURGERY
HEAD AND NECK
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Congenital diseases: malformations
Trauma
Tumours
Other head and neck diseases
Reconstructive head and neck surgery
TRUNK
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Treatment of thoracic and abdominal congenital malformations
Breast reconstruction
Chest wall reconstruction
Abdominal wall reconstruction
UPPER LIMBS
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Injury assessment and treatment
Hand surgery
Compartment syndrome surgery
Surgery on brachial plexus and peripheral nerves
Tendon surgery
Coverage of defects in upper limbs
Infections and tumour surgery
LOWER LIMBS
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Injury assessment and treatment
Peripheral nerve surgery
Tendon surgery
Coverage of defects in lower limbs
Infections and tumour surgery
GENITOURINARY SYSTEM
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Congenital malformation surgery for male and female genital systems
Penis reconstruction
Vulvar reconstruction
HEALTH SERVICES CATALOGUE
BURNS
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Electrical burns treatment
Chemical burns treatment
Treatment of injuries caused by cold, radiation and radioactivity
Treatment of burns in special areas
Treatment of damage caused by burns
AESTHETIC SURGERY
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Blepharoplasty. Otoplasty
Facial ageing surgery
Facial contouring surgery
Primary and secondary rhinoplasty
Body contouring surgery. Liposuction. Lipofilling
Aesthetic breast surgery: augmentation, reduction, mastopexy
Abdominoplasty
Genital aesthetic surgery
14. THORACIC SURGERY
OUTPATIENT VISITS
THORACIC SURGERY
15. DERMATOLOGY
OUTPATIENT VISITS
SURGERY
16. DIAGNOSTIC IMAGING
PLAIN X-RAYS
We can perform all conventional X-ray tests for both children and adults.
OTHER X-RAY TESTS (REMOTE CONTROL)
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Upper GI and small bowel series
Bowel transit
Barium enema
Hysterosalpingography
Intravenous urography
Urethrography and cystography
MAMMOGRAPHY AND DENSITOMETRY
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Digital mammography with tomosynthesis
HEALTH SERVICES CATALOGUE
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Stereotactic biopsy
Bone densitometry and analysis of body fat and muscle mass
ULTRASONOGRAPHY
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Plain ultrasound
Colour Doppler ultrasound, vascular analysis
Ultrasound-guided biopsy
Obstetric ultrasound
Neonatal ultrasound
Breast ultrasound, fine-needle aspiration puncture (FNAP) and biopsy
Prostate ultrasound and biopsy, transvaginal ultrasound
CT SCANS
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Plain CT scan and with contrast (neurological, thoracic, abdominal and limb
screening. CT enterography and CT urography)
Angio-CT scan
Virtual colonoscopy
CT coronarography (MDCT coronary), Ca-score
CT-guided punctures and biopsies. Stereotactic biopsies
MAGNETIC RESONANCE
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Plain MR and with contrast (neurological, thoracic, abdominal, limb and
musculoskeletal screening)
Cerebral and prostate spectroscopy
Breast MR
MR enterography and cholangio-MR
Prostate MR
Foetal MR
Cardiological tests, including stress MR
Paediatric MR and with anaesthesia
VASCULAR INTERVENTIONS
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Diagnostic tests
Angioplasty for supra-aortic trunk intervention, lower limbs, TIPS
Diagnosis and treatment of intra- and extracranial vascular malformations.
Embolization and stents
Fluoroscopy-guided biopsies
Percutaneous diagnosis and treatment. Drain placement
Vertebroplasties
Phlebography and lymphography
Tumour ablation, chemoembolization. Radioembolization with microspheres,
hepatic chemosaturation.
HEALTH SERVICES CATALOGUE
17. DIET AND NUTRITION
OUTPATIENT VISITS
18. ENDOCRINOLOGY
OUTPATIENT VISITS
19. PHYSIOTHERAPY AND REHABILITATION
OUTPATIENT VISITS
ELECTROTHERAPY
GYM FOR DIFFERENT AREAS OF THE SPINE
KINESITHERAPY
LASERTHERAPY
MAGNETOTHERAPY
MASSAGE THERAPY
MECHANOTHERAPY
PELVIC FLOOR REHABILITATION
20. GYNAECOLOGY AND OBSTETRICS
OBSTETRICS
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Pregnancy monitoring
Prenatal diagnosis (amniocentesis)
Birth preparation
Obstetric ultrasound (2D, 3D, 4D)
Low intervention birth
GYNAECOLOGY
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Surgery:
o Laparoscopy
o Laparotomy
o Vaginal
Hysteroscopy
Diagnostic imaging (gynaecological ultrasound, NMR, CT, mammography,
breast ultrasound, densitometry)
Family planning
Cervical diseases (cytology, colposcopy, surgical treatment)
Menopause
REPRODUCTIVE COUNSELLING
HEALTH SERVICES CATALOGUE
GYNAECOLOGICAL ONCOLOGY
PELVIC FLOOR UNIT (URINE INCONTINENCE)
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Diagnosis
Treatment (rehabilitation and surgery)
BREAST DISEASE UNIT
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Diagnosis (mammography, ultrasound, NMR, anatomopathological study)
Treatment (surgery, sentinel lymph node, chemotherapy)
EARLY DETECTION OF CERVICAL AND BREAST CANCER
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Cytology and detection of human papillomavirus
Mammography
21. HAEMATOLOGY AND HEMOTHERAPY
CLINICAL
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Haematological appointments
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Onco-hematological treatments
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Hemostasis and thrombosis appointments
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Anticoagulant therapy
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Sternal punctures
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Bone marrow biopsies
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Therapeutic phlebotomies
HEMOTHERAPY
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Transfusions
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Auto-blood transfusions
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PRP preparation (platelet-rich plasma)
IMMUNOHEMATOLOGY
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Analysis of haemolytic anaemias
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Identification of uncommon antigens and antibodies
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Monitoring of pregnant women
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Studies of foetus-mother compatibility
HEALTH SERVICES CATALOGUE
22. EXTRACORPOREAL LITHOTRIPSY
RENAL LITHOTRIPSY
BILIARY LITHOTRIPSY
23. INTERNAL AND HEPATOLOGICAL MEDICINE
OUTPATIENT VISITS
24. NUCLEAR MEDICINE
SCINTILLATION CAMERA
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Radio-guided parathyroid surgery
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Cistern scintigraphy
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Direct and indirect cyst scintigraphy
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Myocardial viability testing after stress/at rest
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Phleboscintigraphy with marked red blood cells
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Marked leukocyte scintigraphy
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Bone marrow scintigraphy
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Pulmonary ventilation scintigraphy
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Bile duct scintigraphy
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Scintigraphic diagnosis of Meckel's diverticulum
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Scintigraphic detection of gastrointestinal haemorrhage
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Cardiac innervation scintigraphy with 123I-MIBG
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Spleen scintigraphy
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Gastric emptying scintigraphy
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Salivary gland scintigraphy
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Hepatosplenic scintigraphy
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Pyrophosphate myocardial scintigraphy
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Whole-body bone scintigraphy
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Parathyroid scintigraphy
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Pulmonary perfusion scintigraphy
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Quantitative pulmonary perfusion scintigraphy
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Gastroesophageal reflux scintigraphy
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Renal scintigraphy (DMSA)
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Suprarenal cortical scintigraphy
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Suprarenal medulla scintigraphy
HEALTH SERVICES CATALOGUE
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Testicular scintigraphy
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Thyroid scintigraphy
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Indirect lymphoscintigraphy
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Body scan with 131I/123I - MIBG
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Whole-body scan with 131I for thyroid cancer
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Whole-body scintigraphy with gallium citrate
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Whole-body somatostatin receptor scintigraphy
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Diuretic renogram
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Renogram post-ACE
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Cardiac SPECT stress test with pharmaceutical agent
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Brain perfusion SPECT
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Basal ganglia SPECT
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Bone SPECT
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Radioisotopic synoviorthesis
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Treatment with Zevalín (radioimmunotherapy for lymphoma)
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Radioisotope therapy to treat metastatic bone pain
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Radioisotope therapy to treat hyperthyroidism
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Radio-metabolic therapy with Yttrium-90 for liver metastases
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Ventriculography
SENTINEL LYMPH NODE
PET (POSITRON EMISSION TOMOGRAPHY):
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Cancer staging with PET-CT
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Brain metabolism with PET-CT
25. PNEUMOLOGY
OUTPATIENT VISITS
BRONCHOFIBROSCOPY
26. AREA OF NEUROSCIENCES
NEUROSURGERY
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Microsurgical treatment of herniated cervical discs with/without prosthesis
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Microsurgical treatment of herniated lumbar disks
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Microsurgical treatment of lumbar spinal stenosis without prosthesis
HEALTH SERVICES CATALOGUE
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Microsurgical treatment of medullary tumours
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Microsurgical treatment of aneurysms and vascular brain malformations
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Extra-intracranial bypass
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Microsurgery for brain and cranial base tumours
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Microsurgery for Chiari malformation
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Microsurgical decompression for trigeminal neuralgia
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Neurosurgery for pain
NEUROPHYSIOLOGY
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Sleep appointments (Sleep Unit)
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Blink reflex + direct facial
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Electroencephalograms
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Electromyography
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Electromyography (fibre density)
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Electromyography (jitter)
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Quantitative electromyography
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Electroneurography
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Repetitive stimulation
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Study of reflex responses (F and H)
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Polysomnographic sleep study (polysomnography)
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Auditory evoked potentials
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Somatosensory evoked potentials
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Visual evoked potentials
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Multiple sleep latency test
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Video-EEG up to 12 hours in adults and children
NEUROLOGY
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Neurological outpatient services
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Epilepsy appointments
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Headache appointments
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Dementia appointments
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Parkinson´s disease appointments
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Neuromuscular disorders appointments
HEALTH SERVICES CATALOGUE
27. OPHTHALMOLOGY
OUTPATIENT VISITS
PRESBYOPIA SURGERY
CATARACTS
OCULOPLASTY
REFRACTIVE SURGERY
GLAUCOMA
28. ONCOLOGY
We have a team of 2 medical oncologists, 2 nurses, 1 nursing assistant and 2
administrative staff who provide comprehensive cancer services.
Medical screening and other procedures can help to detect cancer at an early stage.
One of the most important of these procedures is PET, an essential diagnostic tool
which helps provide a complete picture about cancer growth and spread. The Rotger
Clinic offers PET scanning, which quickly shows how far the disease has spread and can
be used to determine the appropriate treatment for each patient.
We also have a Day Hospital, staffed by highly-qualified professionals, which provides
specialist outpatient treatment for cancer and haematological patients. One of its
prime objectives is to deliver comprehensive medical care to all patients quickly and
efficiently. We have doctors on duty and a telephone helpline for minor emergencies.
At the Day Hospital cancer patients are given the chemotherapy preparation and
treatment they need, and it also provides other treatments such as hormone therapy
or specific treatments for haematological, diseases, rheumatic diseases, etc., which
need to be administered by specialised trained professionals. The staff are also trained
in the care and management of venous access, such as the port-A catheter.
Our nursing staff make sure that patients and their families have all the information
they need about their treatment during their stay in the Day Hospital, and explain the
care plan they need to follow. They also keep in close contact with family members at
home.
We have a Multidisciplinary Cancer Team, made up of oncologists, radiologists,
surgeons, pathologists, nuclear medical doctors etc., who meet to discuss each case
and reach a unanimous agreement on the best way to treat each patient.
The Cancer Department at the Rotger Clinic works in close collaboration with the
Genetics Unit, the hematologic analysis laboratory, and specialist radiologists to
ensure that each patient receives the best available treatment. It also coordinates with
the Radiotherapy Department at the Miramar Polyclinic, specialists in palliative care
medicine, home care services, and the General and Joan March Hospitals to ensure
that all cancer patients and their families receive comprehensive care and assistance.
The Clinic participates in clinical trials, and its interventional radiology and anaesthesia
services collaborate to implement innovative techniques such as hepatic
chemosaturation therapy – it is the only centre in Spain in to provide this therapy. It
has also successfully performed 3 innovative treatments for patients who had a
HEALTH SERVICES CATALOGUE
metastatic cancer that did not respond to conventional treatments: Yttrium spheres;
hepatic chemoembolization; and radiofrequency to treat metastases.
We also have a peritoneal carcinomatosis programme which offers specialist surgery
(Dr Morales) and includes the administration of intraperitoneal chemotherapy with
thermal perfusion.
29. OTOLARYNGOLOGY
OUTPATIENT VISITS
AUDIOMETRY
VERTIGO STUDY
FIBER-LARYNGOSCOPY
LARYNX MICROSURGERY
TYMPANOPLASTY
TYMPANOPLASTY CHOLESTEATOMA
TONSILS AND ADENOIDS
STAPEDECTOMY
MAXILLO-ETHMOIDAL AND SPHENOIDAL EMPTYING + SEPTOPLASTY
MYRINGOTOMY
DRAINAGE
30. PAEDIATRICS
OUTPATIENT VISITS
31. INTERVENTIONAL RADIOLOGY
ONCOLOGY INTERVENTIONS

Percutaneous thermal ablation

Percutaneous ethanol injection

Embolotherapy in oncology

Chemoembolization (TACE)

Portal vein embolization

Radioembolization (SIRT)

Chemoperfusion

Chemosaturation
HEALTH SERVICES CATALOGUE
VASCULAR INTERVENTIONS

Arterial
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o

Venous
o
o
o
o
o
o
o
o

Treatment of critical ischemia of lower limbs
Angioplasty and iliofemoral stenting
Endovascular treatment of diabetic foot (angioplasty and stenting
below the knee; pedal angioplasty)
Thrombosis with catheter
Percutaneous thrombin injection in pseudoaneurysms
Endovascular aneurysm repair (EVAR)
Thoracic endovascular aneurysm repair (TEVAR)
Fenestration-branched EVAR
Endovascular treatment of visceral aneurysms
Endovascular treatment of peripheral aneurysms
Endovascular treatment in aortic dissections
Carotid stents
Renal angioplasty and stents
Renal denervation to treat high blood pressure
Stenting for subclavian artery and brachiocephalic trunk
Treatment of AV fistula dysfunction and stenting
Endovascular treatment of strokes
Endovascular recanalization for chronic venous occlusions
Placement and removal of inferior vena cava filters
Stenting of superior and inferior vena cava
Venous access-Ports/PICCs, Hickman, haemodialysis
Percutaneous thrombectomy/thrombolysis for deep vein thrombosis
Thrombolysis for upper and lower limbs
Transjugular intrahepatic portosystemic shunt (TIPS) to treat
bleeding from oesophageal varices and intractable ascites
TIPS for the Budd-Chiari syndrome
Embolization
o
o
o
o
o
o
Vascular malformation treatment
Embolization and stenting in trauma
Varicocele embolization
Embolization for gastrointestinal bleeding
Embolization for haemoptysis
Embolization for epistaxis
IMAGE-GUIDED NON-VASCULAR INTERVENTIONS

Biopsy

Drainage
HEALTH SERVICES CATALOGUE

Gastrostomy and gastrojejunostomy

Oesophageal stenting

Gastrointestinal stenting

Biliary drainage

Biliary stents (plastic and metal)

Nephrostomy and ureteral stents
GYNAECOLOGICAL INTERVENTIONS

Embolization of uterine fibroids

Embolization for pelvic congestion syndrome

Embolization for postpartum haemorrhage

Fallopian tube recanalization
MUSCULOSKELETAL INTERVENTIONS

Biopsy

Guided infiltration and injections

Cementoplasty

Tumour ablation

Preoperative marking of tumours
SPINE INTERVENTIONS

Biopsy

Discography

Vertebroplasty and vertebral augmentation

Thermal ablation
NEURORADIOLOGICAL INTERVENTIONS

Endovascular treatment of cranial aneurysms

Embolization of intracranial arteriovenous malformations

Treatment of acute cerebral stroke (clot retrieval, intra-arterial lysis)

Treatment of spinal vascular malformations
NASOLACRIMAL DUCT AND SALIVARY GLAND INTERVENTIONS
PAEDIATRIC INTERVENTIONS
HEALTH SERVICES CATALOGUE

Paediatric genitourinary intervention (percutaneous nephrostomy, ureteral
stent placement)

Gastrointestinal interventions (balloon dilation of stenosis etc.)

Percutaneous treatment of osteoid osteoma
PAIN TREATMENT

Splanchnic and celiac plexus: Neurolysis

Vertebroplasty and cementoplasty without thermoablation
MISCELLANEOUS

Recovery of foreign bodies / repositioning

Invasive and functional testing (for example in pancreatic NET, pituitary
tumours)
32. INTENSIVE CARE UNIT
GENERAL

Ventilation assistance with Evita Infinity 500

High-intensity non-invasive ventilation

Philips monitoring

Peristaltic perfusion and syringe pumps

Extra-renal filtration techniques
POSTOPERATIVE

ICP monitoring of neurocritical patients

Supply of TPN solution

Epidural analgesia
CARDIAC

Arrhythmia monitoring/control centre

Transthoracic and transesophageal echocardiograms

Maquet counterpulsation balloon
TRAUMA

Thoracic drainage with dilatation

Thoracic /abdominal ultrasound in situ.
HEALTH SERVICES CATALOGUE
33. NEONATAL INTENSIVE CARE UNIT
34. A&E
GENERAL
TRAUMATOLOGY
PAEDIATRIC
ANAESTHESIOLOGY
DIGESTIVE SYSTEM
CARDIOLOGY AND HEMODYNAMICS
CARDIAC SURGERY
GENERAL AND DIGESTIVE SURGERY
MAXILLOFACIAL SURGERY
PLASTIC AND RECONSTRUCTIVE SURGERY
HAEMATOLOGY
INTERNAL MEDICINE
NEUROLOGY
NEUROSURGERY
OPHTHALMOLOGY
OTORHINOLARYNGOLOGY
PSYCHIATRY
RADIODIAGNOSIS
UROLOGY
35. UROLOGY
PHIMOSIS - CIRCUMCISION
VASECTOMIES
HYDROCELE
VARICOCELE - CONVENTIONAL OPEN SURGERY, LAPAROSCOPIC SURGERY AND
EMBOLIZATION
URETHROPLASTY - ENDOSCOPIC, OPEN-FLAP, TERMINOTERMINAL,
RENAL LITHIASIS- PERCUTANEOUS NEPHROLITHOTOMY WITH HOLMIUM LASER,
OPEN PYELOLITHOTOMY AND LAPAROSCOPIC PYELOLITHOTOMY
URETERAL LITHIASIS –URETERORENOSCOPY WITH HOLMIUM LASER LITHOTRIPSY
URETERAL STENOSIS - URETHROPLASTY WITH HOLMIUM LASER, LAPAROSCOPIC
PYELOPLASTY
HEALTH SERVICES CATALOGUE
TRANSURETHRAL RESECTION OF THE PROSTATE 
With AMS GREENLIGHT laser
RADICAL PROSTATECTOMY– OPEN
RADICAL NEPHRECTOMY– OPEN OR LAPAROSCOPIC
PARTIAL NEPHRECTOMY– OPEN OR LAPAROSCOPIC
TOTAL NEPHRECTOMY– OPEN OR LAPAROSCOPIC
RADICAL CYSTECTOMY– OPEN
UROLOGICAL ULTRASOUND
TRANSRECTAL ULTRASOUND
RANDOM TRANSRECTAL PROSTATE BIOPSY
STUDY AND TREATMENT OF ERECTILE DYSFUNCTION
PENILE CURVATURE SURGERY
PENILE PROSTHESIS
PELVIC FLOOR SURGERY
TOT, TVT PROSTHESIS
MESH FOR CYSTOCELE CORRECTION
TRANSURETHRAL RESECTION FOR BLADDER CANCER:

Conventional

With Holmium laser
TRACT CANCER RESECTION - PERCUTANEOUS TRACT WITH HOLMIUM LASER
URETERORENOSCOPY WITH HOLMIUM LASER
CYSTOSCOPY - FLEXIBLE CYSTOSCOPE
URETERORENOSCOPY – FLEXIBLE URETERORENOSCOPE
URODYNAMIC AND FUNCTIONAL UROLOGICAL STUDIES
36. PAIN UNIT
OUTPATIENT VISITS
THERAPEUTIC TESTS FOR PAIN MANAGEMENT