Services
Dermatology
Our role Dermatology is the medico-surgical speciality concerned with diseases of the skin, the mucous membranes and integument (hair, nails, body hair). Image Image In addition to dermatological diseases as such, other diseases or certain treatment can also have an impact on skin health. This is why dermatologists often work closely together with other medical or surgical services Pr Véronique Del Marmol Head of the Interhospital Dermatology Department at the H.U.B. Our specialities The H.U.B’s Interhospital Dermatology Department is structured as follows: General dermatology is often the gateway to another specialised consultation.   Paediatric dermatology, which straddles the Erasmus Hospital and the HUDERF, treats all skin diseases in children.   Oncological dermatology, which straddles the Jules Bordet Institute and the Erasmus Hospital, treats all skins cancers (melanoma and others) and skin lymphomas, as well as  dermal toxicities linked to certain cancer treatments. Innovative methods of early diagnosis are also available.    Dermatological emergencies responds to acute and sudden problems. Examples: allergic reaction, zona disease, skin infection, acute diabetic foot, etc.    Chronic sore care (especially sores linked to diabetic foot) is carried out at the Erasmus Medical Center (EMC).  The Allergology Clinic treats  contact allergies, eczema, hives and certain occupational diseases that affect the skin. Its activities are  both diagnostic (patch test, prick test, etc.) and therapeutic. The reference centre for Verneuil’s disease (or hidradenitis suppurativa) is Belgium’s only centre  dedicated to this disease.  It is a part of a European Reference Network (ERN). ***mettre logo ERN + lien vers vidéo*** The skin, hair and hormones consultation is concerned with skin diseases that could have a hormonal origin. Examples: hirsutism, alopecia (hair loss), alopecia areata, stubborn acne, etc.   A dermatologist holds a consultation in gynaecology for diseases  affecting the  female genital mucosa. Examples: vaginal candidiasis, STIs, condyloma, etc.   The consultation dedicated to diseases of the  male genital mucosa. Examples: STIs, condyloma, etc. .  The psoriasis consultation (see dedicated sheet).  The immunity disorders consultation  follows up transplant patients or patients with an innate or acquired immunity disorder that results in skin fragility.   Joint consultations with other specialists are proposed for  Inflammatory diseases (such as psoriatic arthritis), with rheumatology; Auto-immune bullous and systemic diseases of the lupus type, with  internal medicine ; Dermatosurgery with plastic surgery; Dermatopaediatrics with paediatrics; Mucosal diseases with gynaecology. Aesthetic dermatology proposes laser treatment for rosacea and laser CO2 for  dermabrasion treatment.Please note: A supplement of 55 euros will be charged for non-invasive skin imaging (L-OCT). In the case of a complex consultation (multiple lesions, for example), a supplement of 75 euros will be charged. An additional charge of 100 euros will be made for mapping. Our team Image Our specialists Focus The H.U.B’s Interhosptial Dermatology Department is the reference and training centre for non-invasive imaging. By combining a confocal microscope and optical coherence tomography (LC-OCT), it is possible, for example, to see in the epidermis with near-cell resolution. This permits a diagnosis of certain diseases without having to take a skin sample (biopsy).  Image Research The H.U.B’s Interhospital Dermatology Department carries out many clinical and translational research projects. In particular, it helps draw up disease registers   (Verneuil’s disease/ hidradenitis suppurativa, psoriasis, skin cancers, etc.). This provides for a better understanding of their sub-types, their development and response to treatment.   
Dermatologie - Erasme
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Endocrinology
Our role Endocrinology is the medical speciality concerned with the hormones secreted by the various endocrine glands:  the pituitary gland, the thyroid gland, the parathyroid gland, the adrenal glands, the pancreas, the ovaries and the testicles.  Diseases of the endocrine glands are either a hormonal malfunctioning (excessive or insufficient production of one or more hormones) or tumours, usually benign.  Image Image Image Image We always seek to provide an optimal treatment for every patient. To do so, we work in close cooperation with numerous medical or surgical specialities. Professor Bernard Corvilain head of the Endocrinology Department at the Erasmus Hospital Our specialities The Erasmus Hospital Endocrinology Department provides general and specialised consultations depending on the gland in question:   The Diabetology ClinicThyroid pathologies such as hyperthyroidism, hypothyroidism, goiter and thyroid nodules (cf Focus). In the case of thyroid cancer the treatment is organised in conjunction with specialist doctors from the Jules Bordet Institute.   Pituitary pathologies  are principally adenomas (tumours) that can secrete too many hormones and/or impede the proper functioning of the gland or lead to the compression of adjacent anatomical structures. The treatment sometimes takes the form of neurosurgery.    Adrenal gland pathologies: adrenal insufficiencies (Addison’s disease, congenital adrenal hyperplasia), corticosteroid hypersecretion syndrome (Cushing syndrome, hyperandrogenism),  tumours of the adrenal medulla, etc. In the case of malignant tumours the multidisciplinary treatment is organised in conjunction with specialists from the Jules Bordet Institute.   Hyperandrogenism, frequently associated with polycystic ovary syndrome (PCOS), is treated in cooperation with  gynaecologists and dermatologists from the H.U.B. Pathologies of the calcium and phosphate metabolism. The treatment of hyper- and hypocalcemia – and of their possible consequences for the skeleton and kidneys – is organised in conjunction with rheumatologists and nephrologists from the H.U.B. Male and female hypogonadism : Turner’s and Klinefelter’s syndrome are treated in cooperation with gynaecologists and urologists from the H.U.B. The transition consultation concerns young adults with an endocrine pathology that began in childhood and is designed to ensure that optimal follow-up continues into adulthood. An endocrinologist from the Erasmus Hospital meets the young patient (and their parents) and the treating child endocrinologist from the HUDERF prior to transition to adult endocrinology at the Erasmus Hospital.    The Endocrinology Departments at the Erasmus Hospital and the HUDERF children’s hospital are recognised as a European expert centre in treating rare endocrine diseases that are sometimes of genetic origin.   Our team Image Our specialist doctors Focus The  (para)thyroid nodule diagnostic unit provides a weekly joint consultation with doctors specialised in endocrinology, radiology and nuclear medicine. Patients meet with these specialists in succession at the same place and during the same morning or afternoon for the purposes of diagnosis (ultrasound, scintigraphy scan and/or bone density scan) and a proposed treatment.      Research The diabetes and obesity investigation clinic, headed by Professor Mirian Cnop, supervises a number of fundamental, translational and clinical research projects on various types of  diabetes.   
Endocrinologie-Diabétologie - Erasme
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Gastroenterology
Our role Gastroenterology is the medico-technical discipline concerned with digestive pathologies, that is, pathologies of the digestive tract - from the mouth to the anus – and the organs and glands situated in the abdomen: liver, pancreas and gall bladder.  Image Although we are separate entities, in practice we form together with digestive surgery and digestive oncology a large medico-surgical department that treats digestive pathologies. Within which our patients often follow integrated care pathways. Our specialities The Erasmus Hospital's Medical Gastroenterology Department spans 7 clinics that correspond to recognised fields of expertise:The Intestinal Diseases Clinic (examples: Crohn's disease,  cœliac disease, ulcerative colitis, auto-immune diseases)  The Digestive Endoscopy Clinic The Liver Disease Clinic that is a reference centre, especially for advanced liver diseasesThe Liver Transplant Clinic that carries out liver transplants The Functional Digestive Pathologies Clinic – pathologies that are the number one reason for consultations in gastroenterology – that proposes, in particular, a digestive comfort consultation for irritable intestine syndrome and gastro-oesophageal reflux, for example   The Pancreatic Diseases and Nutritional Support Clinic that treats non-cancerous pancreatic diseases (e.g. pancreatitis), problems of (mal)nutrition and parenteral feeding, at hospital or at home     The Integrated Obesity Centre. Our team Image Our specialist doctors Focus The Erasmus Hospital Medical Gastroenterology Department is a reference centre – and reputed training centre – for endoscopy, for purposes of diagnosis and treatment.  New procedures at the leading edge of technology are studied here.  Cooperation with the ULB's Polytechnic Faculty has even permitted the development of an endoscope able to carry out partial gastric sleeve surgery. This procedure has shown its effectiveness in weight loss among obesity patients.   Research Thanks to its large "biobank", the Medical Gastroenterology Department works with the ULB's Experimental Gastroenterology Laboratory in pursuing 3 main lines of translational research:  liver diseases and cancerschronic inflammatory bowel diseasespancreatic cancers.A clinical research unit permits access to innovative treatments, notably in oncology, hepatology and inflammatory bowel diseases.   Publications Common genetic variation in alcohol-related hepatocellular carcinoma: a case-control genome-wide association study Authors: Eric Trépo, PhD *, Stefano Caruso, PhD *, Jie Yang, PhD *, Sandrine Imbeaud, PhD, Gabrielle Couchy, PhD, Quentin Bayard, PhDJournal : The Lancet Oncology, Volume 23, Issue 1, January 2022 Endoscopic sutured gastroplasty in addition to lifestyle modification: short-term efficacy in a controlled randomised trial Authors: Vincent Huberty, Ivo Boskoski, Vincenzo Bove, Pauline Van Ouytsel, Guido Costamagna, Marc A Barthet, Jacques DevièreJournal : Gut-Bmj Journal, published October 28, 2020 Collecting New Peak and Intermediate Infliximab Levels to Predict Remission in Inflammatory Bowel Diseases Authors: Claire Liefferinckx, Jérémie Bottieau, Jean-François Toubeau, Debby Thomas, Jean-François Rahier, Edouard Louis, Filip Baert, Pieter Dewin, Lieven Pouillon, Guy Lambrecht, François Vallée, Severine Vermeire, Peter Bossuyt, Denis FranchimontJournal : Inflammatory Bowel Diseases, Volume 28, Issue 2, February 2022, Pages 208–217 Long-term outcomes in patients with decompensated alcohol-related liver disease, steatohepatitis and Maddrey's discriminant function Authors: Delphine Degré, Rudolf E. Stauber, Gaël Englebert, Francesca Sarocchi, Laurine Verset, Florian Rainer, Walter Spindelboeck, Hassane Njimi, Eric Trépo, Thierry Gustot, Carolin Lackner, Pierre Deltenre, Christophe Moreno Journal : Journal of Hepatology, 2020, vol. 72
Gastroentérologie - Erasme
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Geriatrics
Our role Geriatrics is concerned with the care of persons aged 75 and over who are in fragile health due to the accumulation of chronic or acute diseases, (risk of) falling, malnutrition, cognitive disorder, etc. Image Image This holistic approach means that geriatrics is an interdisciplinary medical discipline. Geriatricians work in teams, with nurses, auxiliary nurses, physiotherapists, occupational therapists, dietitians, speech therapists, (neuro)psychologists, social workers and also with other specialist doctors Professor Sandra De Breucker Head of the Geriatric Department at the Erasmus Hospital Our specialities The Erasmus Hospital Geriatric Department is structured around 5 areas of care as defined by the Royal Decree on the Care Programme for Geriatric Patients:   The Geriatric Hospitalisation Unit with 50 beds at the Erasmus Hospital and 84 beds at the Geriatric Rehabilitation Centre (CRG) in Woluwe-Saint-Lambert.  Geriatric consultations given by geriatricians who each have a subspeciality:   orthogeriatrics, cardiogeriatrics, oncogeriatrics, psychogeriatrics, geriatric emergencies, sarcopenia and (mal)nutrition (see Focus).    The Geriatric Day Hospital  which patients attend as outpatients during one or two days for a diagnosis or to administer certain treatment (transfusion,  intravenous iron, treatment of osteoporosis, etc.) at the request of the GP or specialist doctor.   Internal geriatric liaising  that involves a multidisciplinary mobile team assessing geriatric patients hospitalised in other hospital departments. Persons identified as fragile benefit from a specific care pathway (assessment, multidisciplinary assessment, opinion and follow up).   External geriatric liaising  that involves cooperation with partners outside the hospital, namely the GP, rest and care home, rehabilitation centres and/or home care providers so as to ensure effective continuity of geriatric care.    Our team Image Our medical specialists Focus Each geriatric subspeciality – orthogeriatrics, cardiogeriatrics, oncogeriatrics, psychogeriatrics, geriatric emergencies and (mal)nutrition  – is the subject of a specific care pathway. Example: A 75-year-old patient with a fragile profile and with cancer. The oncologist refers the patient to the specialist oncogeriatrics doctor and his or her team. They assess the patient and draw up recommendations at the nutritional, functional and therapeutic level so that the patient is best placed to be able to tolerate the cancer treatment.    Research The Erasmus Hospital Geriatric Department participates in a number of clinical studies. Example: Evaluation of the effectiveness of fall sensors fitted in hospitalisation rooms, evaluation of  the  characteristics and needs of close helpers, influence of nurses training on managing pain in elderly patients admitted for hip fracture, etc.       Publications Analysis of inflammatory markers and hormones in old cancer patients: a descriptive study. Authors : Sandra De Breucker, Sylvie Luce, Rose Njemini, Ivan Bautmans, Lore Decoster, Tony Mets, Thierry PepersackJournal : Exp Gerontol. 2020 ;130:110787. doi : 10.1016/j.exger.2019.110787. Profile and needs of primary informal caregivers of older patients in Belgian geriatric day hospitals: a multicentric crosssectional study. Authors : Eyaloba C, De Brauwer I, Cès S, Benoit F, Gillain S, Pesch L, Rouvière H, De Breucker S.Journal : BMC Geriatr. 2021 May 17;21(1):315. doi: 10.1186/s12877-021-02255-1.  Intrinsic capacity assessment by a mobile geriatric team during the covid-19pandemic.  Authors : Angioni D, Nicolay C, Vandergheynst F, Bare R, Cesari M, De Breucker S.Journal : Front Med (Lausanne). 2021 May 25;8:664681. doi: 10.3389/fmed.2021.664681.  Nutritional rehabilitation after acute illness among older patients: A systematic review and meta-analysis. Authors : Szklarzewska S, Mottale R, Engelman E, De Breucker S, Preiser JC.Journal : Clinical Nutrition 2023 ; 42(3) : 309-336. Doi :10.1016/j.clnu.2023.01.013. 
Gériatrie - Erasme
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Internal medicine
Under construction The Erasmus hospital offers this service for the care of our patients. The page is currently being updated. However, you can make an appointment for this service by clicking on "make an appointment". Our team Image Our specialists
Médecine Interne - Erasme
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Physical medicine
Under construction The Erasmus Hospital offers this service for the care of our patients. The page is currently being updated. However, you can make an appointment for this service by clicking on "make an appointment". Our team Image Our specialists
Médecine Physique - Erasme
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Nephrology, dialysis and renal transplantation
Under construction The Erasmus hospital offers this service for the care of our patients. The page is currently being updated. However, you can make an appointment for this service by clicking on "make an appointment". Our team Image Our specialists
Néphrologie-Dialyse-Transplantation Rénale - Erasme
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Orthopaedics
Our role Orthopaedics is the medico-surgical discipline concerned with pathologies of the musculoskeletal system (skeleton, muscles, tendons, etc.). These pathologies or injuries can be of traumatic, infectious, constitutional (malformation, sequelae, etc.) or degenerative (ageing) origin. Most of our therapeutic activity is surgical.   Image Our specialities The Erasmus Hospital's Orthopaedics-Traumatology Department covers a number of structures: The Hip, Pelvis and Infectious Diseases Clinic has a number of subspecialities and recognised areas of expertise, notably: Hip replacement that can be on an outpatient basis, the patient leaving the hospital on the same day as the operation. The department is also reputed for revision surgery and complex hip replacement.  The Orthopaedic Infectious Disease Clinic proposes multidisciplinary consultations to treat infections of the bones and joints (e.g. infected prostheses). The Upper Limb Clinic is concerned with pathologies of the shoulder, wrist or hand, with the emphasis on minimally invasive procedures (e.g. percutaneous surgery of the carpal tunnel). The Foot and Knee Clinic also includes the Sports Clinic that is dedicated to injuries suffered when engaging in physical acidity or playing a sport.  The Orthogeriatric Unit, co-managed with the Geriatrics Department, treats persons aged 75 and over who, in addition to an orthopaedic injury (fractured hop, for example) suffer from other pathologies. The Pathologies of the Plexus and Peripheral Nerves Unit (see Focus).The Paediatric Surgery and Scoliosis Clinic straddles the Erasmus Hospital and the HUDERF.   The Erasmus Hospital is accredited as a Level 1 Trauma Center for the multidisciplinary care of severe traumas (accidents in the home, road accidents, etc.). The department is specialised in treating diverse traumas   (pelvis, acetabulum, complex fractures).The Musculoskeletal Tumours Clinic, in cooperation with the Bordet Institute.Medical appraisal – necessary to obtain compensation or recognition of a disability – concerns the assessment of the physical sequelae of traumas (accidents in private or professional life) or degenerative pathologies.   Our team Image Our specialist doctors Focus The Pathologies of the Plexus and Peripheral Nerves Unit treats pathologies of the brachial and lumbosacral plexus and peripheral nerves, in cooperation with doctors-physiotherapists, neurologists and neuropaediatricians. Surgical intervention and appropriate re-education can correct or compensate for these injuries – of traumatic, inflammatory or obstetrical origin – and their sequels that can induce paralysis, contractures and malposition of the limbs.    Research The Erasmus Hospital Orthopaedics Department cooperates in particular with the ULB's  Anatomy Laboratory on fundamental research projects in the field of biomechanics and biokinetics and with spin-offs for cell therapy experimentation (for consolidating bones and cartilage in particular. 
Orthopédie-traumatologie - Erasme
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Rheumatology
Our role Rheumatology is the branch of internal medicine concerned with problems of the joints, tendons, muscles and/or bones caused by certain diseases. These can be diseases of the locomotor system or other pathologies that result in symptoms and pain in the joints, tendons, muscles, bones or any other organ. Image Image Rheumatology is applied immunology: it deals with all disturbances to the immune system and the diseases that result from them. Ultimately, any disease could be linked in one way or another to rheumatology Pr Muhammad Soyfoo Head of Rheumatology Department Our specialities In addition to a general rheumatology clinic, the department covers a number of specialised sectors and consultations: · Early onset arthritis and rheumatoid arthritis consultationsSpondyloarthritis and psoriatic arthritis consultationsSystemic and auto-immune diseases such as lupus, scleroderma, vasculitis, Sjögren's syndrome (see Focus), etc.Consultations for bone diseases of the osteoporosis varietyFibromyalgia consultations, in cooperation with the Multidisciplinary Centre for Pain Assessment and TreatmentVideocapillaroscopy, which is an examination to detect anomalies of the capillary blood vessels. In particular, it makes it possible to detect Raynaud's disease or a scleroderma. The Erasmus Hospital is one of 5 Belgian centres to propose videocapillaroscopy.Joint ultrasoundThe Department also proposes psychosomatic consultations to help patients confront the sometimes major psychological repercussions of their illness. Our Team Image Our medical specialists Focus In consultation with the Ophthalmology and Stomatology Departments, the Erasmus Hospital Rheumatology Department proposes a multidisciplinary approach to Sjögren's syndrome. This auto-immune disease affects mainly perimenopausal women and results in dryness of the eyes, mouth, vagina, etc. The department also has the distinction of being :Scleroderma reference centreEarly arthritis clinicMultidisciplinary centre for systemic and autoimmune diseasesA pioneer in research into systemic diseases Research Rheumatologists at the Erasmus Hospital participate in a number of fundamental or clinical research programmes on the diseases in which they specialise: rheumatoid arthritis, Sjögren's syndrome, etc. The department cooperates in particular with the Metabolic Biochemistry Department and the Immunology Department at Gosselies. Publications Aquaporins: Unexpected actors in autoimmune diseases. Authors : Delporte C, Soyfoo M.Journal : Autoimmun Rev. 2022 Aug;21(8):103131. doi: 10.1016/j.autrev.2022.103131 Neuromyelitis Optica: Pathogenesis Overlap with Other Autoimmune Diseases. Authors : Taheri N, Sarrand J, Soyfoo MS.Journal : Curr Allergy Asthma Rep. 2023 Nov;23(11):647-654 Involvement of CCL2 in Salivary Gland Response to Hyperosmolar Stress Related to Sjögren's Syndrome. Authors : Chivasso C, Parisis D, Cabrol X, Datlibagi A, Delforge V, Gregoire F, Bolaky N, Soyfoo MS, Perret J, Delporte C.Journal : Int J Mol Sci. 2024 Jan 11;25(2):915 Involvement of Epithelial-Mesenchymal Transition (EMT) in Autoimmune Diseases. Authors : Sarrand J, Soyfoo MS.Journal : Int J Mol Sci. 2023 Sep 23;24(19):14481
Rhumatologie - Erasme
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Urology
Our role Image Urology is concerned with pathologies of the urinary tract (bladder, ureter, urethra, kidneys, etc.) in men and women and urogenital pathologies in men (prostate, penis, testicles). Our speciality is both medical and surgical. In addition to diagnosis and treatment, we are also concerned with any complications. Most follow up is in the medium and long term. Our specialities The Urology Department is structured according to a number of areas of expertise:The Oncological Urology Clinic straddles the Erasmus Hospital and the Jules Bordet Institute. It provides multidisciplinary treatment for cancers of the bladder, prostate, kidneys, testicles and penis (cf Focus).The Prostate Clinic is concerned with non-cancerous pathologies of the prostate (prostatic hypertrophy for example). The treatment proposed (laser, thermotherapy, etc.) aims to maintain a maximum of sexual and urinary functions. Functional urology is concerned with problems connected to functions of the urogenital system. In particular, the   Incontinence Clinic proposes urodynamic testing and assessment and a full range of treatment depending on the type of incontinence. At the Traumatology and Rehabilitation Centre (CTR), neuro-urology consultations are proposed for patients who develop a urological problem following a neurological pathology or accident.  The Sexual Problems Clinic (erection or ejaculation problems, painful penetration, vaginismus, etc.) proposes multidisciplinary treatment bringing together urologists, sexologists, physiotherapists, etc. Urinary stones or lithiasis are diagnosed, treated and prevented, in cooperation with the Nephrology Department. Our team Image Our medical specialists Image Focus The Urology Department at the Brussels University Hospital (H.U.B.) has developed particular expertise in treating cancers of the penis. These rare but serious cancers are treated by means of minimally invasive robotic surgery and using the sentinel lymph node procedure. The department proposes an approach that causes the least damage possible as well as reconstructions following partial or complete amputation of the penis.  Research In fundamental research, the Urology Department, within the Brussels University Hospital (H.U.B.) and the experimental Medicine Laboratory, studies the role of certain enzymes in prostatic pathologies.The department also participates in clinical studies. One project carried out in cooperation with the Medical Imaging Department is seeking to establish eligibility criteria to avoid unnecessary punctures in (suspected) cases of prostate cancer. 
Urologie - Erasme
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Gynaecology - Obstetrics
Our role Obstetrics is the medical speciality concerned with (high) risk pregnancies and complex deliveries. Gynaecology is the medico-surgical speciality that is concerned with all matters relating to the health of women, throughout their lives.  Image Image Image Image Certain pre-existing illnesses in the mother or that arise during pregnancy can have repercussions for the delivery or the health of the mother and/or her baby. These pregnancies therefore require increased medical surveillance. Obstetrics is also the art of dealing with potentially more troublesome deliveries: large babies, multiple births (twins, triplets, etc.), breech presentation, etc. Dr Clotilde Lamy Head of the Erasmus Hospital Obstetrics Clinic Our specialities The Erasmus Hospital Obstetrics Clinic is structured as follows:  Prenatal consultations for low or high risk pregnancies take place at the  Erasmus Medical Center (EMC). Follow up is by a gynaecologist and/or midwife.The Cocoon is a project to prepare for delivery for a low risk pregnancy attended by a midwife with no medical or epidural intervention. Consultations take place at the Cocoon.The Early Pregnancy Unit (EPU) is dedicated to urgent consultations for pathologies and bleeding arising during the first three months of the pregnancy.    The Breech Clinic seeks to encourage and secure vaginal deliveries for babies in the breech position.  Two technical platforms for labour and deliveries are available at the Erasmus Hospital:the "traditional" delivery room,the Cocoon, an intrahospital "birth gîte" managed by midwives and for low risk births only.  The Maternity is the postnatal hospitalisation unit. To ensure maximum rest for the newborn and his or her parents, we recommend that visits take place as soon as the baby returns home.Nevertheless, we authorize visits as follows, with a maximum of 4 people in the room at any one time:- Co-parent of the newborn (or resource person in the absence of the co-parent): H27j/7- Newborn's family (siblings, grandparents, uncles/aunts): 5 p.m. to 7 p.m. 7 days a weekPlease note that additional charges will apply to co-parents staying overnight in shared rooms.The Maternal Intensive Care unit is reserved for high risk pregnancies (antenatal and/or postnatal hospitalisation).  Specific and multidisciplinary care pathways are provided for pregnant women with:    gestational diabetes,sickle cell disease,cardiac disease,obesity and/or having undergone bariatric surgery,cancer.Obstetrician gynaecologists at the Erasmus Hospital participate in the  NATUS programme. Multidisciplinary in its approach, this seeks to screen for and support vulnerable parenthoods, from the pregnancy project through to birth and beyond.Ultrasounds are performed during pregnancy at the Gynaecology, Obstetrics and Foetal Medicine Ultrasound Clinic. This multidisciplinary and transversal technical platform also serves the Gynaecology Department and Fertility Clinic. The Gynaecology Clinic of the H.U.B. Interhospital Department of Gynaecology and Obstetrics is organised around several sectors of activity: General gynaecology proposes medical treatment (contraception, hormone replacement therapy, etc.) and surgical treatment (polyps, fibroma, etc.) from adolescence to the menopause. This sector of activity also includes the  Early Pregnancy Unit that is dedicated to urgent consultations for pathologies of 1st quarter pregnancies.   The Endometriosis Clinic proposes a specific and multidisciplinary care pathway, including specialist gynaecologists, the Medical Imaging Department,   the Pain Centre, dedicated consultations in sexology and psychology and complementary medicine (shiatsu).  The Bleeding Clinic is a pathway of multidisciplinary care for patients showing abnormal bleeding (heavy periods, for example). In addition to a front line gynaecologist, patients can also be seen by a haematologist if necessary. The H.U.B Department of Gynaecology and Obstetrics includes a Gynaecological Cancer Functional Unit that is concerned specifically with breast and pelvic cancers (cervix, uterus, ovaries), at the Jules Bordet Institute. The unit is also concerned with preserving fertility in the case of certain cancers, the gynaecological consequences of certain cancer treatment (e.g. vaginal dryness), pregnancies before, during and after cancer and medically assisted fertility treatment after cancer. The Gynaecology Clinic and the Gynaecological Cancer Functional Unit also work closely together with the Fertility Clinic and the Gynaecological, Obstetrical and Foetal Medicine Ultrasound Clinic. It is within this transverse technical platform that the ultrasounds requested for the various indications are carried out.Cancer and Fertility: A Dedicated Oncofertility Team at the H.U.BSome cancer treatments, known as gonadotoxic therapies, can damage the ovaries or testicles, leading to a reduction or even complete loss of fertility.In girls or young women, this may result in premature ovarian insufficiency.In boys or young men, it can significantly impair sperm production.This is why it is essential to address fertility preservation as early as the time of diagnosis, even when urgent cancer treatment is needed. A prompt consultation can often help preserve a patient’s chance to have children later in life.Are you about to begin a potentially gonadotoxic treatment?Unsure whether your treatment might impact your fertility?Contact our oncofertility specialists without delay! For any additional and non-urgent questions: Oncofertilite [dot] FIV [at] hubruxelles [dot] be Preparing for the birth Before any great adventure, you have to prepare! So to be ready to welcome your baby and for your new life as parents, we propose a series of sessions to prepare you specifically for the new arrival and parenthood. The sessions can be individual or in small groups.  They aim to provide you with practical advice, a sense of well-being and also to listen to what you have to say. All in a calm and friendly atmosphere.  The sessions are given by midwives and are held several times a week. That leaves you free to choose the moment that is most convenient for you. We propose a cycle of general preparations for the birth as well as more specific preparation sessions, details of which you will find in our "à la carte” brochure. The “9 months” brochure will guide you step by step through your pregnancy.    File brochure_a_la_carte.pdf File brochure_9_mois.pdf Our team Image Our specialist doctors Focus: Obstetrics The Erasmus Hospital advocates an obstetrics that is the least invasive possible. Testimony to this are the 2022 rates for episiotomies (2.5%), caesareans (15%) and instrument-assisted births (10%), the lowest figures found in the Wallonia-Brussels Federation.  Half of all deliveries are without any medical intervention. Respect for the mother-child bond is the central concern, also for caesarean births. Since 2008 the Obstetrics Clinic has been accredited with the  "Baby-Friendly Hospital" label.   Focus: Gynaecology The H.U.B. Gynaecology Clinic and Gynaecological Cancer Functional Unit are centres of expertise  for minimally invasive surgery and robotic surgery. The Da Vinci® robot is the favoured solution for operating on gynaecological cancers and deep endometriotic lesions.    Research The two main lines of research pursued at the Gynaecological Clinic and the Gynaecological Cancer Functional Unit relate to endometriosis and gynaecological cancers (essentially breast and ovaries). A number of clinical  studies are being carried out to find new treatments, in an academic context or in cooperation with pharmaceutical companies. Teaching Doctors following a gynaecology-obstetrics specialisation have to attend sessions at the ULB simulation laboratory, the SIMLabS. Working on a model connected to a software program, they train in clinical procedures (know-how) bust also in communicating with the patient, the partner and other service providers (know-how).   Publications Late miscarriage and stillbirth in asymptomatic and symptomatic hospitalised pregnant women in Belgium during the first and second waves of COVID-19: a prospective nationwide population-based study Authors: An Vercoutere, Mbiton Joel Zina, Karolien Benoit, Elena Costa, Sara Derisbourg, Michel Boulvain, Kristien Roelens, Griet Vandenberghe, Caroline DaelemansJournal: National Library of Medicine, Published online 2023 May 16 Référence d’une publication sur le CMV Audit Cocon Audit Clinique du siège
Gynécologie - Obstétrique - Erasme
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Neuropaediatrics
Role of the department  The Neuropaediatrics Department treats all diseases of the nervous system in children – brain, spinal cord, bone marrow, peripheral nerves and muscles – from diagnosis to treatment. The care is psychosocial as well as medical and surgical.    Image "The department's mission is to provide children with the best possible care through a multidisciplinary and humanist approach. It also seeks to offer the complete medical and paramedical team stimulating working conditions rooted in respect, for which clinical, scientific and teaching excellence are the motor. Finally, as a tertiary centre, special attention is paid to communication with the paediatricians and generalists who place their trust in us in referring their patients for specialised opinions."    The department's specialities The refractory epilepsy unit provides personalised care with a special focus on ensuring that the patient and family are involved in the care plan. Thanks to a highly specialised multidisciplinary team, the child is at the centre of care when:   treating epileptic episodes with innovative treatment (medicinal, dietary, surgical in cooperation with the Erasmus Hospital)   dealing with learning difficulties and the psychological and social impact of the illness.  The neuromuscular reference centre proposes consultations for diagnosing neuromuscular diseases and multidisciplinary care involving physiotherapists, orthopaedists, ergotherapists, psychologists, etc. in cooperation with the centre dedicated to adults at the Erasmus Hospital. For some diseases gene therapies can be proposed.   Specialised consultation for neuro-inflammatory pathologies permits an adapted and multidisciplinary treatment of these rare and complex diseases involving intensive care, physical medicine and pain management.   Prenatal diagnosis proposes the treatment of neurological diseases at the earliest possible stage with pre- and post-natal teams from the HUB and IRIS networks. This makes it possible to determine the neurological prognosis, to participate in therapeutic decisions and to provide pre- and post-natal follow up best suited to the specific and ethical needs of the child and family.   The multidisciplinary centre for neurodevelopmental pathologies proposes multidisciplinary consultations for the optimal care of these pathologies. Consultations with all the specialists are scheduled on the same day to avoid unnecessary travel. (Very) premature babies are monitored by the department after their stay in the neonatal unit, possibly in collaboration with a private paediatrician. The CRFNI, a centre where children are tested (multidisciplinary assessments: occupational therapy, physiotherapy, speech therapy, neuropsychology) and monitored (rehabilitation). The centre also monitors children with cerebral palsy.   Our team Image Our specialists Focus The Neuropaediatrics Department cooperates with other national and international university centres within the European Research Network (ERN) EpiCare via the BRACE (Brussels Rare and Complex Epilepsies) centre.   Research The department is actively involved in a number of research projects, in particular on the link between epilepsy  and cognition in centrotemporal epilepsy thanks to the support of the Belgian Kids Fund and IRIS Fund in cooperation with the UR2NF.  It actively participates in developing innovative treatments for neuromuscular diseases.    It is actively seeking to improve the treatment of dyspraxia in children.  Teaching Teaching is at the heart of the department's practice: As an internship department approved by the Federal Department of Public Health for paediatric neurology, we organise weekly multidisciplinary tours with trainee doctors in particular.  We participate actively in a number of interuniversity certificates (epilepsy, neuromuscular diseases, paediatric neurology).   Several doctors and paramedics teach and supervise doctoral theses in several faculties.  Scientific publications Lien vers https://pubmed.ncbi.nlm.nih.gov/37054522/ Frontoparietal 18F-FDG-PET hypo-metabolism in Lennox-Gastaut syndrome: Further evidence highlighting the key network. Balfroid T, Warren AEL, Dalic LJ, Aeby A, Berlangieri SU, Archer JS.Epilepsy Res. 2023 May;192:107131. doi: 10.1016/j.eplepsyres.2023.107131. Epub 2023 Mar 30.PMID: 37054522 Lien vers https://pubmed.ncbi.nlm.nih.gov/35992485/ Cognitive, perceptual, and motor profiles of school-aged children with developmental coordination disorder. Van Dyck D, Baijot S, Aeby A, De Tiège X, Deconinck N.Front Psychol. 2022 Aug 3;13:860766. doi: 10.3389/fpsyg.2022.860766. eCollection 2022.PMID: 35992485  Lien vers https://pubmed.ncbi.nlm.nih.gov/33626251/ Risdiplam in Type 1 Spinal Muscular Atrophy. Baranello G, Darras BT, Day JW, Deconinck N, Klein A, Masson R, Mercuri E, Rose K, El-Khairi M, Gerber M, Gorni K, Khwaja O, Kletzl H, Scalco RS, Seabrook T, Fontoura P, Servais L; FIREFISH Working Group.N Engl J Med. 2021 Mar 11;384(10):915-923. doi: 10.1056/NEJMoa2009965. Epub 2021 Feb 24.PMID: 33626251 Clinical Trial. Lien vers https://pubmed.ncbi.nlm.nih.gov/33276197/  A qualitative awake EEG score for the diagnosis of continuous spike and waves during sleep (CSWS) syndrome in self-limited focal epilepsy (SFE): A case-control study. Aeby A, Santalucia R, Van Hecke A, Nebbioso A, Vermeiren J, Deconinck N, De Tiège X, Van Bogaert P.Seizure. 2021 Jan;84:34-39. doi: 10.1016/j.seizure.2020.11.008. Epub 2020 Nov 17.PMID: 33276197 
Neuropédiatrie - Erasme