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General Surgery

Subject Headings
GENERAL SURGERY

• Non-Surgical Laser Hemorrhoid Treatment is performed.

• Non-surgical Hair Rotation Treatment is performed.

Thyroid Diseases
Nodular thyroid diseases, thyroid cancers

Breast Diseases
Benign breast diseases, Fibrocystic diseases, breast discharge, benign breast masses, malignant breast diseases

Gastrointestinal Diseases
Achalasia, stomach ulcers, surgeries of tumoral masses, Intestinal tumors, Intestinal Polyps

Anal Area Diseases
Hemorrhoids, Cr. Anal fissure, Anal fistula.



TREATMENT WITH HEMOROID AND MODERN TECHNIQUES
Hemorrhoids, which we can summarize as varicose veins in the breech region, are quite common in our society. Its occurrence is affected by factors such as familial factors, eating habits, and frequency of urination. Constipation, prolonged diarrhea, sitting continuously, high blood pressure, infections of this region, liver enlargement, cirrhosis and pregnancy in women can be counted among the preliminary reasons.

The early symptom of this disease is bleeding with and after defecation.

Hemorrhoids bleed more in constipation, so constipation should be avoided. For treatment, a diet to prevent constipation (bran bread, foods that leave pulp) is recommended in mild cases.

As the disease progresses, breasts that swell outward begin to form. After a while, these breasts can only enter by pushing. In very advanced cases, it's always out there. Therefore, the disease called hemorrhoids has four stages;

Stage 1

Stage 2

Stage 3

We can divide it as stage 4.


 The treatment of this disease was previously only surgical.

 However, in the last 10-15 years, the permanent treatment of hemorrhoids, which have been increasingly spread in Europe and used in our country for 3-4 years, can be easily performed with the techniques that we can define as modern methods. These Techniques

       1) INFRARED (popularly known as laser)

       2) RUBBER BAND (binding)

       3) SCLERO THERAPY (sticking)

       4) CLOSED CYFINCTEROTOMY (Pressure reduction) This procedure is a minor surgical procedure.

Hemorrhoid treatment is performed under local anesthesia with a 15-minute intervention by applying all or some of the methods mentioned above, it is recommended to apply a sedative drug during the procedure so that the patient does not remain under the psilological effect of the event.

The method provides permanent success for the patient like surgery. After the procedure, the patient is 30 minutes. He is rested until he is sent home on foot. The patient can return to work the next day. However, in 5% of patients, pain complaints may last up to 3-5 days.

This method has been preferred by patients and physicians all over the world compared to classical hemorrhoid surgeries due to its high long-term success rate, ease of application, ability to start work the next day and economical.
Gallbladder, spleen, pancreas surgeries

Varicose veins

Laparoscopic Surgeries
This method is especially applied in gallbladder surgeries, and allows the patient to be discharged in one day and to act as if there was no surgery a week later.

Endoscopic: It is the indirect visual inspection of the stomach, duodenum, large intestine, bile duct, pancreas, lungs and bronchi with an endovision camera system. These procedures provide great convenience in the diagnosis and treatment of many diseases that cannot be diagnosed with other examination methods.

Gastroscopy: It is the thinning of the stomach and duodenum starting from the esophagus with a gastroscope.

Colonoscopy: It is the examination of the large intestines by going through the colonoscope. The piece is removed by a method called polypectomy.

Rectosigmoidoscopy: It is the examination performed starting from the rectum (anus) by going 40-50 cm along the large intestine.

Bronchoscopy: It is the examination of the lungs and bronchi with a bronchoscope.

Endoscopic Biopsy: It is the removal of a diagnostic piece with a biopsy wire from the suspicious area in any pathological condition.

 

E.V.L.T (endvenous laser therapy)

EVLT is a minimally invasive surgical method that can be applied instead of ligation and stripping, which is the classical treatment method, in the treatment of surgical treatment in cases where the main venous vessels such as Safeno magna and V.

In the classical surgery, the ligation and stripping method, the patient is prepared for the operation under general or spinal anesthesia and the lower part is ligatured from the anterior part of the foot inner malleolus, the lower part is ligatured and the upper part is found by opening the fossa ovale where the v sapheno magna joins the femoral vein. The lateral branch is found and ligatured and the upper part of the vein is tied, then the vein is removed from the upper part of the v safeno magna by inserting a steel varicose wire from the pre-malleolar region, and the vein is tied to the steel wire and the steel wire is pulled back along the entire leg and the vein is detached from the lateral branches and excised.This procedure is approximately 2-2 for one leg It is a classical surgical technique in which the patients are hospitalized for about 2 days after the 5-hour procedure and the post-OP recovery period is 2 months.

If EVTL, the patient is doped on the day of surgery and the varicose parts are marked along the entire line, then the patient is prepared for the operation under general or spinal anesthesia, and the bottom part is ligatured from the anterior part of the inner malleolus and the lower part is ligated and a venous catheter is passed through the vein. The foramen is sent to the oval, the catheter is withdrawn, the laser fiber remains in the foramen oval, which is the end of the vena saphenous magna.During the operation, the radiologist helps to fix the location of the catheter with the doppler. It is ensured that the vein is fibrous. The laser fiber optic is gradually pulled distally along the entire vein.In the meantime, the process is checked by the perop radiologist with dopes to determine that the vein is fibroused along the entire line with its side branches and the fiberoptic end is removed from the premalleolar area. The op is terminated by sewing the leoler area.

The superiority of EVTL over the classical surgical ligation and strippinh method

1- The process takes about 20 minutes.

2- Because of the fibrosis of all side branches in the foramen ovale region, the possibility of recurrence is much lower when there is no side branch in classical treatment.

3- Dozens of side branches connected to the main vein along the line are not broken off, but fibrosis is much less postoperative swelling and bleeding.

4- Accordingly, the recovery period of about 7-10 days is sufficient.

5- No need to use compression stockings for 2-3 months.

6- The patient can start wandering on the same day

7- When the procedure is applied to the V.Safeno parva, there is almost no possibility of damage to N.Suralis, which is a big risk in open surgery.

8- Having a minimally invasive surgical method.