We paid an auspicious visit to our Minister of Health Prof. Dr. Kemal Memişoğlu in his office, we wish him success in his new post.
Paralyzed Patient Found the Miracle in Denizli
Mezlane Muhammed, a 3-year paralyzed patient who came to Denizli for treatment from Casablanca, Morocco, started to walk and talk after brain bypass surgery.
Mezlane Muhammed, a 58-year-old paralyzed patient from Moroccan Berbers who had a stroke 3 years ago and was paralyzed on the right side of his body, came to Denizli and was operated on in a private hospital when the treatments in Morocco, France and Spain did not yield results. The patient, who underwent by pass surgery on his brain 10 days ago with the technique applied for the first time in Turkey, responded to the treatment in a short time. After the surgery, Muhammed slowly started to speak and his foot and arm started to move and he started to walk with the help of a physiotherapist.
“They recommended me from America”
Mezlane Muhammed, who stayed in the hospital in the company of his wife and whose physiotherapy process continues, stated that he started to recover rapidly after the surgery and said that he was very happy to start walking and talking again. In the statement made by the hospital, “Our patient had a major stroke 3 years ago and the vessel feeding the left brain main movement center was blocked. In the early period; He traveled to health centers in Morocco, France and Spain. He was treated with blood thinners and anti-edema treatments. No surgical operation was performed. He was in a wheelchair when he came to us. He could not walk or speak. Since he had a young stroke, he was at risk of having another stroke at a later age.
“He had a 36 percent chance”
We discussed all the pros and cons with him. We told him that the operation would protect him from the next stroke attack by 90%. We also told him that he would have a 36% chance of regaining his motor functions. The patient wanted to try this chance. 10 days ago, we performed the bypass surgery and got very good results. Surprisingly, he responded very quickly after the surgery. He slowly started to speak. He completely recovered his leg functions and started to walk with a physiotherapist. Very fine movements have also started in the hands and arms. This is very important for us. With a good and long physiotherapy, his hands and arms can be able to perform their daily functions.”
SOURCE: akishaber.com.tr
Red Crescent Blood Donation Annual Report
On Monday, 13/06/2022, a donation event was organized by KIZILAY in our hospital to raise social awareness and increase the number of donors.
A total of 23 blood donations and 1 stem cell donation were received from patients and their relatives, especially our employees.
Organ Donation Awareness Program Activity Report
Organ Donation Awareness program was held in our hospital by Denizli Pamukkale district health directorate organ donation unit.
Throughout the day, a stand was opened on the ground floor and trainings were given by going to all service main counters.
A total of 13 new donors were received by the Organ Donation Unit in the all-day program.
Prostate Surgery with HoLEP
Surgical removal of benign prostate enlargement can basically be performed in three different ways. These are resection (removal by cutting), vaporization (vaporization) and enucleation (removal of the adenoma by stripping the adenoma from the capsule).
Different energy sources can be used in resection techniques, for example unipolar and plasmokinetic-bipolar TURP or HoLPR using laser energy. Vaporization can also be performed with laser or electrical energy (PVP). Enucleation, especially in large prostates (>80 g), is classically performed with an open surgical technique, but in recent years, it has been performed in a closed way using laser or bipolar electrical energy.
Holmium yttrium-aluminum-garnet (HoYAG) is a laser with a wavelength of 2140 nm. Both cutting, cauterization and vaporization can be performed with energy that can go down to a depth of 3-4 mm. It is usually applied using 2-2.5 J and 80-120 W laser energy with 20-50 Hz. During HoLEP, the prostate adenoma is entered from the penis with the help of an endoscopic device, the prostate adenoma is scraped from the capsule with a 550-mM laser probe and thrown into the bladder in 2-3 pieces, and the adenoma is separated into small pieces and taken out of the body with a device with fragmentation and vacuum feature called morcellator in the bladder. This surgery technique is called HoLEP.
What are the Advantages of the HoLEP Method?
Compared to other surgical techniques;
HoLEP is safer regardless of the size of the prostate, blood thinning therapy and history of previous TURP;
It is safer.
It is more effective.
The catheter is withdrawn in a shorter time
Shorter hospital stay.
It has fewer complications.
Requires fewer re-interventions.
In summary, HoLEP is at least as effective as TURP, open prostatectomy and other laser treatments, with fewer complications and shorter hospital stay. In the 21st century, it is becoming the gold standard treatment.
What are the results of HoLEP?
HoLEP is an operation that takes an average of 90 to 150 minutes depending on the size of the prostate. After HoLEP surgery performed by a specialist doctor, the patient stays in the hospital with a catheter for 1-2 days on average. Usually, the catheter is withdrawn on the 2nd day and the person is sent home.
HoLEP complications:
Bleeding requiring blood transfusion during HoLEP is much less common than open prostatectomy and TURP. HoLEP can also be safely performed in patients on blood thinners.
There is no inability to urinate after HoLEP (if bladder function is normal).
Since the prostate is completely removed, people may experience dripping or inability to control urine, especially in the first weeks. This situation varies from person to person. It is more common in people who are catheterized for a long time, do not move, have neurological diseases or diabetes. Pelvic floor exercises are especially recommended to prevent these complaints. In some patients, drug treatments can be started if the complaints do not go away.
Urinary tract infection, urethral stricture and bladder neck contracture were found to be 0.7%, 2% and 1.1%, respectively, compared to TURP. Urethral or bladder neck stricture is more common in < 50 g prostates, in patients with long preoperative catheterization and in patients with long operation time.
The most feared complication is the risk of bladder perforation during the morcellation procedure. It has become quite rare with the improved technique.
Regardless of the size of the prostate, the urination rate increases, less residual urine remains after voiding and the urination quality score improves. For 6 to 12 weeks, mild urinary burning and frequent urination may be observed. Results remain similar after 5-10 years.
In the HoLEP method, holmium laser energy penetrates the prostate capsule to a depth of 0.4 mm. In other words, the energy used to separate the prostate tissue does not damage the nerves that provide hardening.
The person can return to normal life approximately 1-2 weeks after the procedure. If they have a physically heavy work tempo, they should return to work life after at least 2 weeks. In addition, they can do physical exercises that are not heavy. They should also consume plenty of fiber foods as a diet. Especially for the first 1 month, they should avoid acidic drinks, hot or spicy foods.
How is Rhinoplasty Performed?
Rhinoplasty, also known as rhinoplasty, is an operation performed in order to achieve the ideal breathing function of the person or in line with the desire for a nose suitable for the face. Since the nose is located in the center of the face, even small changes can cause serious improvements in the appearance of the face. It is one of the most popular plastic surgeries practiced since ancient times.
The nose, which constitutes 1 third of the person’s face, is one of the most important organs both aesthetically and in terms of its functions. A person with a misshapen or poorly shaped nose may experience problems such as self-dislike and lack of self-confidence. In addition, the nose, which has a vital task such as breathing and exhaling, is one of the foundations of a healthy life.
A misshapen nose brings with it a lack of oxygen. This causes more blood and oxygen to be sent from the heart to the body, which after a while puts strain on the heart and can lead to an enlarged heart. In addition, a person with a lack of oxygen will experience fatigue and weakness. The quality of sleep is also reduced because the person is not getting enough oxygen and this can lead to snoring.
One of the most common reasons why a person has difficulty in breathing and exhaling is nasal flesh and it is a problem that can be corrected at the same time with rhinoplasty.
In Which Situations Is Rhinoplasty Applied?
Rhinoplasty surgery can be performed in cases where the person’s nose is large or small according to the facial structure, the tip of the nose is low or deformed, the nose has an arched structure, there is meat in the nose and other conditions that cause problems in breathing and exhalation.
In addition to these, the musculoskeletal system of the person who will undergo rhinoplasty surgery must complete adequate development. The development of bone and cartilage structure is not based on age limit.
How is Nose Aesthetics Performed?
Since it is an organ located in the center of the person’s face, even the smallest intervention should be done very carefully.
The most common anesthesia method in rhinoplasty surgeries is general anesthesia. However, for example, if only the tip of the nose is to be intervened, local anesthesia may be preferred instead of general anesthesia.
Two methods are applied in rhinoplasty: open technique and closed technique.
Open Rhinoplasty: A small incision is made in the tissue between the two nostrils and thanks to this incision, the surgeon observes the internal structures of the nose better and intervenes more easily. This method is preferred especially in noses where high rate changes will be made. The most important advantage of open rhinoplasty is the high degree of control. The surgeon performs the surgery by seeing every part. The disadvantages are that open rhinoplasty takes longer than closed rhinoplasty, but open rhinoplasty is the most preferred technique.
Closed Rhinoplasty: The recovery time is much shorter and is preferred for procedures that require minor interventions. In this method, there is less chance of any suture scar or infection. The disadvantage is that the cartilage, vascular or muscle structure is felt and therefore less control is needed. In this case, the surgeon is very important because risky results and complications can occur.
Recovery Process After Rhinoplasty
Pain is felt after rhinoplasty surgery and therefore painkillers are usually given while the person is under anesthesia. Bleeding or swelling after surgery can be considered normal to a certain extent. To reduce nasal pain and facilitate breathing, it is recommended to lie in a position that allows the nose to remain higher than the lower part of the face and body.
Pressing the nose area with an ice pack at the intervals determined by the doctor, not using facial expressions excessively, stopping heavy sports or exercise for a while, not consuming foods containing sodium are the situations that people with rhinoplasty should pay attention to.
You can make an appointment at Denizli Odak Hospital Ear Nose Throat (ENT) Diseases unit and have the necessary controls.