CDERMA is a specialized dermatology center in Santo Domingo, Dominican Republic. The clinic treats adults and children. It focuses on general, aesthetic, and surgical dermatology. Key services include skin cancer detection and dermatologic surgery. The team also offers advanced facial rejuvenation and non-surgical lifting.
The clinic was founded in 2019 by Dr. Leyla Guzmán Abreu. She is certified by the Dominican Society of Dermatology. Dr. Guzmán Abreu is also a member of the American Academy of Dermatology. Three specialized doctors make up the medical team. They perform procedures like Mohs microsurgery and skin biopsies.
CDERMA uses FDA-approved technology for skin tightening, including the Ultraformer III HIFU system. Other platforms include Morpheus8, Sofwave, and Fotona lasers. For aesthetic treatments, the clinic uses brands like Restylane and Juvederm. International patients get a reply to consultation requests within 24 hours.
","text_type":"short_description","reviews":[],"clinic":{"id":9762,"alias":"cderma-centro-de-dermatologia-avanzada","name":"CDERMA / Centro de Dermatología Avanzada","short_description":"CDERMA is a specialized dermatology center in Santo Domingo, Dominican Republic. The clinic treats adults and children. It focuses on general, aesthetic, and surgical dermatology. Key services include skin cancer detection and dermatologic surgery. The team also offers advanced facial rejuvenation and non-surgical lifting.
The clinic was founded in 2019 by Dr. Leyla Guzmán Abreu. She is certified by the Dominican Society of Dermatology. Dr. Guzmán Abreu is also a member of the American Academy of Dermatology. Three specialized doctors make up the medical team. They perform procedures like Mohs microsurgery and skin biopsies.
CDERMA uses FDA-approved technology for skin tightening, including the Ultraformer III HIFU system. Other platforms include Morpheus8, Sofwave, and Fotona lasers. For aesthetic treatments, the clinic uses brands like Restylane and Juvederm. International patients get a reply to consultation requests within 24 hours.
","images":[{"base_url":"clinic/6ae384f30a970","title":"منطقة انتظار حديثة في عيادة CDERMA بمقاعد مريحة وديكور أنيق"},{"base_url":"clinic/6ae384f49a1d0","title":"جدار استقبال عيادة CDERMA بتصميم خشبي حديث"}],"flags":[{"name":"is_hide","value":false},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"جمهورية الدومنيكان","id":185,"alias":"dominican-republic","iso_code":"DO"},"city":{"name":"سانتو دومينغو","id":2524,"alias":"santo-domingo"},"address":"Calle Tetelo Vargas #26, Torre profesional corazones unidos, suite 802, Naco, Distrito Nacional, Santo Domingo, Dominican Republic 10122"},"rating":{"rating":0,"google":4.6,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":3,"year_foundation":2019},"accreditations":[]}},{"text":"Centro dermatológico IDDA is a dermatology clinic in Santiago, Dominican Republic. The team treats adults and children across clinical, aesthetic, and surgical care. Specialized departments include pediatric dermatology, trichology, and skin oncology. Five doctors manage skin, hair, and nail conditions. Dr. Jessica Núñez leads the skin oncology and surgical units.
For early skin cancer detection, the clinic uses digital high-resolution dermatoscopy. Mole mapping and trichoscopy support precise diagnostic monitoring. Surgical options include biopsy, cryotherapy, and Mohs microsurgery. After lesion removal, surgeons use flaps and grafts for reconstruction. Aesthetic services include botulinum toxin, hyaluronic acid, and collagen biostimulators. International patients can book teleconsultations and follow-ups via WhatsApp.
","text_type":"short_description","reviews":[],"clinic":{"id":9846,"alias":"centro-dermatological-idda","name":"Centro dermatological IDDA","short_description":"Centro dermatológico IDDA is a dermatology clinic in Santiago, Dominican Republic. The team treats adults and children across clinical, aesthetic, and surgical care. Specialized departments include pediatric dermatology, trichology, and skin oncology. Five doctors manage skin, hair, and nail conditions. Dr. Jessica Núñez leads the skin oncology and surgical units.
For early skin cancer detection, the clinic uses digital high-resolution dermatoscopy. Mole mapping and trichoscopy support precise diagnostic monitoring. Surgical options include biopsy, cryotherapy, and Mohs microsurgery. After lesion removal, surgeons use flaps and grafts for reconstruction. Aesthetic services include botulinum toxin, hyaluronic acid, and collagen biostimulators. International patients can book teleconsultations and follow-ups via WhatsApp.
","images":[{"base_url":"clinic/6ae3d76b33210","title":"منطقة الاستقبال في مركز IDDA للأمراض الجلدية بديكور حديث ومقاعد للمرضى"}],"flags":[{"name":"is_hide","value":false},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"جمهورية الدومنيكان","id":185,"alias":"dominican-republic","iso_code":"DO"},"city":{"name":"سانتياغو دي لوس كاباليروس","id":2525,"alias":"santiago-de-caballeros"},"address":"C. E. León Jimenez, C5-11 Los Girasoles, Santiago, Dominican Republic, 51000"},"rating":{"rating":0,"google":5,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":5},"accreditations":[]}}],"meta":{"total_count":2,"total_pages":1}},"clinicsMeta":{"total_count":2,"total_pages":1},"clinicsCount":2,"clinicsCountByEntity":{"clinic_count":78},"doctors":{"doctors":[],"meta":{"total_count":0,"total_pages":1}},"reviews":{"reviews":[],"meta":{"total_count":0,"total_pages":1}},"offers":{"cards":[],"metadata":{"total_count":0}},"listingTexts":{"entity_texts":{},"texts":{"txt_procedure_3_clinics":{"text":"الاستئصال الجراحي للورم الميلانيني هو العلاج الرئيسي لسرطان الجلد في مراحله المبكرة. .
في المرحلة 0 والمرحلة الأولى من الورم الميلانيني ، قد تكون إزالة الورم الأولي هي الإجراء الوحيد الضروري للشفاء التام.الأنواع الرئيسية للعمليات التي يتم إجراؤها لعلاج سرطان الجلد:
الاستئصال الواسع (الاستئصال) يتضمن إزالة التكوين مع بعض الأنسجة السليمة حول الحواف. يتم استئصال الورم بمشرط تحت التخدير الموضعي ، مما يجعل المسافة البادئة 0.5-2 سم. يعتمد حجم الهامش الجراحي على سمك (إنبات) الورم الميلانيني في عمق الجلد.
بعد إزالة التكوين ، يتم وضع خياطة.
سمك التكوين | الحافة الجراحية |
0.5 سم | |
أقل من 1 مم | 1 سم |
من 2 إلى 4 مم | 2 سم |
أكثر من 4 مم | 2 سم |
إذا تم العثور على خلايا خبيثة في العقدة الليمفاوية الحارسة ، يتم إجراء تشريح العقدة الليمفاوية (استئصال العقد الليمفاوية ) - إزالة العقد الليمفاوية المصابة.
عملية موس هي إزالة التكوين على مراحل ، في طبقات. يتم فحص كل طبقة يتم إزالتها أثناء العملية تحت المجهر للكشف عن الخلايا السرطانية. تتم إزالة الطبقة التالية طالما توجد خلايا سرطانية بداخلها. هذا النهج لطيف ويسمح لك بإزالة الورم والحفاظ على صحة الجلد قدر الإمكان.
يمكن استخدام جراحة موس لآفات الوجه ، حيث يمكن أن يترك الاستئصال الواسع عيبًا تجميليًا غير مرغوب فيه. يوصي العديد من الأطباء بإجراء جراحة موس فقط لسرطانات الجلد غير الميلانينية .مع تلف الأطراف والإنبات العميق للورم ، يمكن إجراء البتر. في محاولة للحفاظ على أكبر قدر ممكن من الأنسجة ، يقدم الأطباء أيضًا العلاج الإشعاعي والعلاج الكيميائي الموضعي (نضح الأطراف المعزولة) كبدائل.
في المراحل 0 و 1 ، تكون الطريقة الرئيسية للعلاج هي الاستئصال الواسع.
في المرحلة الثانية ، يتم استئصال الورم أيضًا ، ومع ذلك ، تكون خزعة العقدة الليمفاوية الحارسة إلزامية ، وفي حالة تلفها ، يتم إجراء استئصال العقد اللمفية.
في المرحلة الثالثة من الورم الميلانيني ، يتم إجراء استئصال واسع وإزالة العقد الليمفاوية التي وجدت فيها الخلايا الخبيثة والعلاج الدوائي.
في المرحلة الرابعة (الأخيرة) ، تتم إزالة الورم الرئيسي كلما أمكن ذلك. لعلاج النقائل ، العلاج الدوائي و / أو الإشعاع إلزامي.
لتسريع التئام جرح ما بعد الجراحة ، من الضروري اتباع توصيات أخصائي بدقة:
الوذمة اللمفية هي تورم وتورم في الأطراف ناتج عن ركود اللمف أثناء الاستئصال الجراحي للغدد الليمفاوية.
أعراض الوذمة اللمفية هي:
يمكن أن تتطور الوذمة اللمفية مباشرة بعد تشريح العقدة الليمفاوية ، وبعد فترة طويلة. راقب بعناية حالة الجسم وأبلغ الطبيب بأي تغيرات!
اليوم الأول - الوصول
اليوم 2 - ما قبل العملية
اليوم الثالث - الجراحة
اليوم 4-7 - بعد العملية
الأسبوع 1-2 - إعادة التأهيل
الأسبوع 3-6 - إعادة التأهيل
يرجى ملاحظة أن هذه الجداول الزمنية قد تختلف تبعًا لمعدلات التعافي الفردية ومدى تعقيد الجراحة.
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Longer on trunk, back, joints, or after reconstruction."},"final_result_months":{"min":6,"max":12,"unit":"months","qualifier":"Time for scar maturation after wide local excision; oncologic outcome is determined by pathology and surveillance, not by this timeframe."},"fly_home_after_days":{"min":7,"max":14,"unit":"days","qualifier":"After simple closure once suture removal and wound check are done; later after graft or flap."},"follow_up_visits":[{"purpose":"suture_removal","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"Typically 7-14 days; longer over joints or on the lower limb."}},{"purpose":"result_review","requirement":"routine","after":{"min":7,"max":21,"unit":"days","qualifier":"Review of excision margin pathology and discussion of staging and further management."}},{"purpose":"assessment","requirement":"routine","after":{"min":90,"max":180,"unit":"days","qualifier":"First surveillance skin and lymph node examination; subsequent schedule depends on stage."}}],"indications":["Biopsy-proven primary melanoma needing wide excision with Breslow-based margins","Re-excision after diagnostic excisional biopsy with positive or inadequate margins"],"main_risks":["Bleeding or hematoma","Wound infection","Wound dehiscence or delayed healing, especially on the lower limb","Visible, widened or hypertrophic scar","Numbness or sensory nerve injury","Incomplete excision requiring re-excision"],"pain":"Local anesthetic injection causes brief stinging; afterwards mild to moderate soreness for a few days, usually managed with simple analgesics.","preparation":["Review of biopsy pathology and clinical staging as indicated","Marking of the biopsy scar and planned excision margins","Medical history review including bleeding tendency and allergies","Perioperative medication instructions given by the surgical team","Arrange wound care; companion if walking or driving affected"],"recovery_timeline":[{"phase":"Day 0-3","description":"Dressing in place; mild pain and swelling. Rest and elevate the area if on a limb.","restrictions":["Keep dressing dry","Avoid strenuous activity and stretching the wound"]},{"phase":"Days 7-14","description":"Suture removal or wound check; pathology review of margins.","restrictions":["Avoid heavy lifting or strain on the wound until cleared"]},{"phase":"Weeks 2-4","description":"Wound healing; gradual return to normal activity and exercise.","restrictions":["Avoid vigorous activity involving the area until healed"]},{"phase":"Months 3-12","description":"Scar maturation with sun protection and ongoing skin surveillance.","restrictions":["Protect scar from sun exposure"]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Functional recovery after simple-closure excision; longer after graft, flap or lower-limb surgery. Nodal surgery excluded."},"result_longevity":"The excision scar is permanent once matured. Cure depends on tumor stage, not time; lifelong skin surveillance is advised because of recurrence and new melanoma risk.","revision_rate_pct":{"min":2,"max":8,"unit":"percent","qualifier":"Re-excision for positive margins or later scar revision, or return to theatre for wound complications."},"scars":"Linear scar from elliptical excision, about three times as long as wide; size depends on tumor thickness and margin. Grafts or flaps leave larger scars. Scars mature over 6-12 months.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single excision visit; follow-up not counted. Sentinel node biopsy is additional, outside base scope."},"stages":[{"code":"wide_local_excision","label":"Wide local excision of the primary melanoma site with closure","after":{"min":14,"max":56,"unit":"days","qualifier":"Usually 2-8 weeks after diagnostic biopsy."}}],"qualifier":"Excision-only base protocol; reconstruction and nodal surgery are not included."},"success":{"metric":"Local recurrence-free after wide local excision","value":97,"unit":"percent","horizon":"5 years","population":"Adults with primary localized cutaneous melanoma (in situ or thin to intermediate thickness)","evidence_status":"limited"},"techniques":[{"name":"Wide local excision with primary closure","suits_whom":"Most primary melanomas, with margins set by Breslow thickness (generally 0.5-2 cm).","recovery":"Sutures removed in about 1-2 weeks; return to light activity in days."},{"name":"Wide local excision with skin graft or local flap reconstruction","suits_whom":"Larger defects or sites (face, acral, lower limb) where direct closure is not feasible.","recovery":"Longer healing and activity restriction; may require a longer stay."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.5,"max":1.5,"unit":"hours","qualifier":"Primary closure under local anesthesia. Sentinel biopsy, reconstruction and nodal surgery excluded and take longer."},"initial_assessment_documents":["Biopsy histopathology report with Breslow thickness","Dermoscopy or clinical photos of the lesion site","Pathology slides or digital slide scan (if available)","Ultrasound or CT reports (if available)","Previous skin cancer or melanoma treatment records"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"Single excision; stay 10-14 days covers suture removal and margin pathology review. Second trip only for surveillance or further staging."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=dominikanskaya-respublika/procedure=hirurgiya-melanomu/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"illnessesByOperation":[{"id":53,"alias":"melanoma","name":"سرطان الجلد"}],"rendersOffersList":false}