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General Surgery

The Department of General Surgery at Central Hospital is comprised of highly skilled physicians, cheerful nurses, and staff members who are devoted to providing the best possible healthcare to our patients in a lenient surrounding. General surgery covers thyroid treatment, breast surgeries; esophagus, gut, small and large intestines, anus diseases; liver, spleen, pancreas, gallbladder and biliary tract surgeries.

Our hospital is ready at your service for all your emergency surgical needs with a on-call team of expert doctors working on 24/7 principle. State-of-art technology Full HD Laparoscopic Camera System is available at operation room of our hospital for ensuring better treatment of laparoscopic surgical cases. Operation Room's sterilization unit offers services with the state-of-art technology as required by updated quality service standards regulation of Ministry of Health.

  • Endocrine Surgery
  • Gastrointestinal System Surgery
  • Hepatopancreatobiliary Surgery: Surgical treatment of gallbladder and tract, liver, pancreas diseases.
  • Mammoplasty: In the light of modern surgical approaches; breast-conserving surgical techniques, if appropriate and sentinel lymph node examinations contributing to limitation of axillary cavity operations.
  • Laparoscopic Surgery and Hernia Surgery: Laparoscopic (closed) surgeries with full HD Camera System that require specific training and expertise are used for treating especially gallbladder and diseases such as stomach hernia and associated reflux, appendicitis and inguinal hernia, adrenal masses, gastric cancer and colon cancer.

Umbilical Hernia

What is an umbilical hernia?
An umbilical hernia occurs when part of the intestine protrudes through the umbilical opening in the abdominal muscles. Umbilical hernias are common and typically harmless. They are most common in infants, but they can affect adults as well. In an infant, an umbilical hernia may be especially evident when the infant cries, causing the baby's bellybutton to protrude. This is a classic sign of an umbilical hernia.
What are the signs of an Umbilical hernia?
An umbilical hernia creates a soft swelling or bulge near the navel (umbilicus). If you have an umbilical hernia you may experience sharp pain from time to time.  Lower back pain and cramps are a sign as well. 

-  Umbilical hernias in infants
Umbilical hernias can occur in infants as well as pregnant women.  Surgery to fix herrnias are rarely necessary as long as the hernia does not grow with the child and or interfere with the childs daily activities. 
What are the treatments of umbilical hernia?
Your surgeon will find your hernia and separate it from the tissues around it. Strong stitches will be used to repair the hole or weak spot caused by the umbilical hernia. Umbilical hernia can also be repaired using a laparoscope. This is a thin, lighted tube that lets the doctor see inside your belly. The scope will be inserted through one of the cuts. The instruments will be inserted through the other cuts.



Laparoscopic Minimally Invasive Surgery

Used for General Surgical Procedures such as;

- Appendicitis ,
- Gallstones and polyps,
- Abdominal wall hernias,
- Reflux Surgery,
Like Obesity operations, general surgeries are performed the same was laporascopically.



Endocrine Surgery

Thyroid diseases

What is Goiter?

Goiter  is an abnormal enlargement of your thyroid gland. Your thyroid is a butterfly-shaped gland located at the base of your neck just below your Adam's apple. Your thyroid gland produces two main hormones — thyroxine (T-4) and triiodothyronine (T-3).
What are the symtoms of Goiter?
Visible signs when you view yourself in the mirror of swelling in the front portion of the neck. 
-Pressure in the throat
Rare Symtoms;
- Hoarsness in the voice
- Trouble swollowing
- Shortness of breath
While there was little aesthetic and physical problems  in the smaller goiters the larger goiters often lead to these problems. 

A number of factors may also cause the growth of the thyroid gland. These are:
- Iodine deficiency
- Graves disease
- Hashimotos disease
- Multinodular goiters
- Solitertiroid Nodules
- Thyroid Cancer
- Pregnancy
- Infections

Goiter disease, can be seen at all ages.  As it may occur at the time of birth it is more common later in life after the age of 40.  Risk factors include;

- Iodine dificiency
-- Gender ( Females are more prone)
- Age
- Family History
- Preganacy and Menopause
- Certain Medications
Exposure to Radiation

While smaller goiters will not affect a person physically, larger goiters will make breathing and swallowing more difficult.  It may also cause patient to lose their voice and develop a cough. 

Some diagnostic tests are done by examining the neck with hands to feel the enlarged thyroid gland.  Some other tests used to determine goiter are;
- Hormone Tests
- Antibodies Tests
- Ultrasound
- Thyroid Scan
- Biopsy

The treatment of goitre, goiter size, the signs and symptoms vary according to the underlying cause. The following treatment options may be recommended by your doctor:

Observation: If the goiter is small and does not cause any problems no medications are prescribed, instead your doctors will want to follow up regularly.

- Medication: Hypothyroidism can be used as hormone replacement, Levotiroksinletiroid. Your doctor may recommend aspirin fort he  inflammation of the thyroid gland or corticosteroid drugs. Hyperthyroidism may be required in case of drugs that allows the hormone levels return to normal.


Surgery: Thyroid nodules may need surgical removal or radioactive iodine based on their size and whether they are causing hyperthyroidism.  In addition, thyroid nodules that are found to be suspicious for malignancy must be removed along with the remainder of the thyroid gland to prevent the spread of thyroid cancer. 


-Radioactive iodine-  Mainly used for treated of a goiter or nodule when it is the cause of an overactive thyroid gland.  Radioactive iodine is also sometimes used to shrink a goiter that is not overactive.



What is Thyroid
As most people may think, Thyroid is not the name of a disease yet is an organ.  The thyroid produces hormones and releases them into the bloodstream.  These hormones are vital to our bodies for as long as we live.
What are Thyroid Nodules?
A thyroid nodule is a swelling in one section of the thyroid gland. The nodule may be solid or filled with fluid or blood. You may have just one thyroid nodule or many.Thyroid nodules are common and affect four times as many women as men.7 Researchers do not know why nodules form in otherwise normal thyroids.
-Treatment of nodules vary depending on the type and size.
Belirtiler:
-Nodules often do not cause symtoms
-  Can be seen or felt
-Eating and difficulting swallowin, feeling pressure on the windpipe and shortness of breath
Nodules can release large amaounts of the thyroxine hormone which can be toxic;
- Weight loss despite of an increase in appetite
-Sensitivity to heat
- Shaking of the hands
- Excessive irritability
-Symptoms may occur such as heart palpitations.

Thyroid cancer  is similar to the presence of thyroid nodules. To distinguish cancerous nodules special tests may be required. 
Reasons
– Lack of Iodine in diet
- Thyroid tissue degeneration
- Chronic Thyroid inflammation–(Thyroiditis)
-Thyroid Cancer

Thyroid Cancers
  What is Thyroiditis?
Thyroiditis is a general term that refers to inflammation of the thyroid gland. Thyroiditis includes a group of individual disorders that cause thyroidal inflammation but present it in different ways.  Hashimoto’s thyroiditis is the most common cause of hypothyroidism. Postpartum thyroiditis, which causes temporary thyrotoxicosis (high thyroid hormone levels in the blood) followed by temporary hypothyroidism, is a common cause of thyroid problems after the delivery of a baby for women. Subacute thyroiditis is what causes pain in the thyroid.
Acute infectious (suppurative) thyroiditis causes pain  and is charecterized by a rash with a high fever.  Treatmet requires antibiotics. 
De Quervain's (subacute) and Riedel (chronic) thyroiditis are rare inflammatory conditions which cause pain and stiffness in the. 

b- Parathyroid Diseases
- Parathyroid Adenoma
Parathyroid hyperplasia
- Parathyroid Cancer

c) Adrenal Gland
- Functional (hormone active) adenoma
- Cushing disease
- Pheochromocytoma
- Hiperaldesterolizm
- Non-functional adenoma
–Adrenal Cancer
d -The Pancreatic Endocrine Diseases
- Insulinoma
- Glucagonoma
- Gastrinoma
- Pancreatic vasoactive intestinal peptide producing tumor
- Somatostatinoma




Laparoscopic Hernia Surgery

What type of hernias can be repaired laparoscopically?

- Ingunial Hernia
- Umbilical Hernia
- Incisional Hernia
- Epigastric Hernia
- Spiegel Hernia
What are the treatment methods for hernias?

The only effective treatment to repair hernia is surgery. Over the years, many different techniques have been used.  Today hernia surgeries are performed by two methods. First one being  performed through an incision made in the groin area outside where the hernia is. This method is usually referred to as the open method or the classic method.  The second method is  through the use of the the latest technological innovations developed in parallel laparoscopic which is the closed hernia repair method.

What are the advantages of Laparoscopic Surgery?

- Less pain after surgery. 
- The healing process is faster.
- Returning to work is quicker.  Patients generally return to work within 2-3 days and may begin their activities within 5-7 days. 
- Less chance of infection.
- Less loss of feeling in the incision location.
- Fewer operative site footprint and better cosmetic results.
- Better cosmetic results. Very minimal scarring.
- Much less loss of performance in athletes.
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Contact Us +90 216 444 77 99

Kocayol Cd. Kozyatagi Sk. No.5
Kozyatagi 34742 ISTANBUL/TURKEY

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