Pediatric Surgery
Starting from the days following birth until reaching the age of 18, it is our treatment service that deals with the diagnosis, preoperative, surgical and postoperative periods of diseases requiring surgical intervention in children. In recent years, congenital diseases that can be diagnosed early through advanced ultrasound (US) and surgeries that can be performed in the mother’s womb have been performed. Pediatric surgery is a branch that deals with the diagnostic treatment of congenital disorders in infants, as well as diseases acquired later in childhood and various traumas. Children’s metabolisms, body structures and psychology are completely different from adults. Pediatric surgical practices performed during childhood should be planned individually, completely according to the characteristics of children.
The human body, which develops from birth to adolescence, has different characteristics. Due to the need for diseases specific to different age groups and the constantly changing metabolism of children, a completely different way is followed in diagnosis and treatment than the methods we are used to seeing in adults. Antibiotic doses used in the treatment of disease in nutrition, in the format given anesthesia, a pediatric patient with the nature of the tissues of the surgical instruments used much more polite, that shows the major features of pediatric surgery treatment.
Noncardiac Thoracic Surgery, Pediatric Urology, Oncology Surgery, digestive surgery, children’s, Endocrine Surgery, Pediatric gynecology, diagnostic and interventional endoscopic applications of laparoscopic and thoracoscopic surgery, trauma surgery, pediatric surgery constitute the main areas of work.
Robotic surgery operations in pediatric urology surgeries can be performed with Vinci robotic surgery in our hospitals. Robotic surgery affects the success of the operation by providing significant comfort to the doctor performing the operation, while also providing patients with opportunities such as fewer incisions, short-term hospitalization and a comfortable recovery process.
Congenital surgical diseases of newborn babies:
Congenital esophageal atresia (congenital closure of the esophagus)
Congenital diaphragmatic hernias (congenital diaphragmatic hernia)
Congenital intestinal atresia (congenital closed/blocked intestines)
Congenital anorectal malformations and anal atresia (congenital closed breech/butt)
Omphalocele (the fact that the child’s intestines are outside the abdomen at birth)
Gastroschisis (the child is born with the intestines outside the abdomen)
Necrotizing enterocolitis (intestinal gangrene)
Abdominal area surgeries of babies and children:
Acute abdominal- All surgical diseases of the abdominal region that require urgent surgery: Acute appendicitis, invagination (intestinal knotting), incarcerated hernias (strangulated hernias), torsions (rotation of the testicles and ovaries), volvulus (intestinal entanglement),
GIS perforations( stomach and intestinal perforations)
Surgical diseases of the liver and biliary tract (K.C cysts and masses, cholelithiasis (gallstones), biliary atresia(congenital closure of the bile ducts), choledoch cysts(presence of a cyst in the bile duct)
Spleen cysts and masses, acute, traumatic and elective splenectomies (spleen removal surgeries)
Congenital hypertrophic pyloric stenosis(congenital stenosis of the stomach outlet)
Peptic ulcer perforations (stomach puncture)
GIS bleeding( stomach and intestinal bleeding- blood coming from the mouth or breech)
Intra-abdominal cysts(mesenteric and omental cysts, lymphangiomas and hemangiomas, hydatid cyst)
Intra-abdominal tumors
Abdominal injuries( fall-assault/impact-traffic accidents)
Abdominal wall hernias/ hernias (umbilical (umbilical hernia), epigastric (over-umbilical hernias) and traumatic hernias)
Inguinal hernias and hydrocele/cord cyst (inguinal hernias- water hernias)
Hirschsprung’s disease (intestinal paralysis disease)
Constipation anal fistula and fissure (crack in the breech), anal strictures
Diseases of thoracic surgery of infants and children:
Diaphragmatic hernias (diaphragmatic hernias)
Diaphragmatic evantration( diaphragmatic elevation- diaphragmatic paralysis)
Congenital lung malformations (CCAM,sequestration, emphysema) (congenital lung diseases that require surgery)
Bronchial cysts
Mediastinal masses
Pulmonary cysthidatics (lung cysts)
Pneumothorax (accumulation of air in the lungs)
Pleural effusion (accumulation of water-blood in the lung)
Empyema (accumulation of inflammation in the lung-abscess)
Chest injuries (falls-assault/impact-traffic accidents)
Surgical urological diseases of infants and children:
Congenital hydronephrosis (kidney swelling detected in the womb or after birth)
UPJ and UVJ stenosis (stenosis of the kidney outlet or bladder entrance)
Cysts and tumors of the kidney
Diseases of the ureter (mega ureter- enlargement of the ureter), ureterocele (ballooning in the bladder), double collector system)
VUR- Vesicoureteral reflux (bladder reflux-urinary leakage)
Neurogenic bladder and surgical problems,(bladder paralysis)
PUV-Posterior urethral valve (stenosis of the bladder outlet-membrane presence)
Follow-up and treatment of incontinence (follow-up and treatment of urinary incontinence)
Surgical diseases of the urogenital system of infants and children:
Undescended testicle (remaining above the eggs)
Non-palpable testicle (the eggs cannot be detected or are in the abdomen)
Hydrocele-Cord cyst (water hernia)
Hypospadias (circumcision of the prophet)
Circumcision (circumcision with local and sedation)
Reconstructive surgeries of penile cord and rotations (Treatment of curvatures in the penis)
Acute scrotum (testicular torsion (rotation of the testicle) / epididymorchitis (inflammation of the testicle))
Ovarian torsion (egg rotation in girls)
Ovarian cysts and tumors (ovarian cysts and tumors)
Vaginal atresia, Imperforate hymen (closed hymen)
Cloacal atresia
Tumors of infants and children:
Wilm’s tumor (kidney tumor)
Neuroblastoma (tumor originating from the adrenal gland)
Teratoma (in the coccyx- in the ovaries or elsewhere in the body)
Rhabdomyosarcoma
Hemangioma (vascular tumor)
Lymphangioma (tumors caused by lymph vessels)
Soft tissue tumors ( lipoma-sebaceous gland), (swellings under the skin-cysts)
Endocrine surgery in infants and children:
Surgical breast diseases (cyst-masses, inflammation and abscesses of the breast)
Surgical thyroid diseases (cysts and masses of the thyroid gland)
Pediatric surgical diseases of the adrenal gland (adrenal hematoma-bleeding),neuroblastoma-tumor)
Surgical diseases of the pancreatic gland (nesidioblastosis, pancreatic adenomas, necrotizing pancreatitis, pseudocysts)
Other endocrine tumors
Endoscopic procedures performed on infants and children:
Rigid Esophagoscopy: removal of a foreign body from the esophagus, widening of esophageal strictures
Flexible Esophagoscopy and Endoscopy: Diagnostic esophagoscopy, Corrosive substance ingestion (esophagitis), foreign body removal, balloon dilatation, diagnosis of stomach diseases, biopsy and foreign body removal. Opening a PEG to the abdomen for feeding patients who cannot feed by mouth.
Flexible Bronchoscopy: diagnosis of windpipe and lung diseases and biopsy
Cystoscopy and Ureteroscopy: Examination of the urinary tract with a camera and diagnosis of diseases, Subureteric injection in vesicoureteral reflux (closed surgery for bladder reflux), Ureterocele resection (closed ureterocele surgery), Posterior urethral valve ablution (closed surgery for bladder outlet stenosis)
Laparoscopic (closed) surgeries performed on infants and children:
Diagnostic laparoscopy (diagnosis of patients by examining the abdominal organs with a camera)
Closed acute appendicitis surgery
Closed inguinal hernia (inguinal hernia) surgery
Closed non-palpable testicular surgery (Finding the testicles stuck in the abdomen and lowering them into place)
Cholecystectomy (Closed gallbladder surgery)
Closed operations of ovarian cysts and torsions
Closed diaphragm hernia operations
Closed stomach surgeries,
Closed gastroesophageal reflux surgery
Closed kidney surgeries
Closed spleen surgeries
Diagnosis of cysts and masses in the abdomen and closed surgery
Correction of intestinal knotting with closed surgery(invagination)
Laparoscopic assisted surgeries in anal atresia and Hirschsprung’s disease
Thoracoscopic (closed chest surgeries) surgeries in infants and children:
Closed diaphragm hernia surgery
Closed diaphragm evantation (elevation) surgery
Decortication in empyema (VATS)
Closed bullal resection in spontaneous pneumothorax
Thoracoscopic biopsies (closed lung-pleural biopsies)
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