Description

General Surgery

Gazi Hospital General Surgery Department has been
organized to perform patient examination and treatment. Inpatient service,
polyclinic and emergency services are provided 24 hours a day, seven days a week.

The mission of the unit is to provide a patient-centered,
friendly, qualified, reliable and medical error-free service. Becoming a
center of attraction in Istanbul has been determined as the vision of the unit
in all clinical surgical practices, especially in minimally invasive
(laparoscopic – bloodless surgery) surgery and emergency surgery.

Pioneer in minimally invasive surgery, emergency surgery
and endocrine (breast, goiter and adrenal gland) surgery, gastrointestinal
system (digestive system) surgery and hepato-pancreatic biliary (liver,
pancreatic and biliary tract) surgery, thanks to the depth of staff with
different interests. applications are carried out. It is on the way to
become a reference center in hernia surgery, laparoscopic hernia surgery
(bloodless surgery), which has been on the agenda in recent years, is performed intensively.

All attempts on colon and rectum (large intestine)
diseases are carried out using the most up-to-date technologies. In
particular, a wide range of treatments are offered to our people in anal
(breech) area disorders such as hemorrhoids (piles), fistula or fissure (crack).

Radiological examinations (x-ray, ultrasonography,
computed tomography, magnetic resonance, angiography, cholangiography) in Gazi
Hospital and endoscopy and percutaneous biopsy methods are used to obtain data
for planning patient care and treatment in coordination with relevant specialists.

The disease grouping that can be examined, tested and treated by the General Surgery Department is as follows.

Thyroid gland diseases (goiter, hyperthyroidism)

Breast cancer and benign diseases of the breast

Cancer and benign diseases of the esophagus

Gastric cancer

Surgical diseases of the small intestine, intestinal obstructions

Colon – rectal tumors, inflammatory diseases

Anorectal diseases: Tumors, Hemorrhoids, anal fissure, fistula

Benign and malignant tumors and cysts of the liver

Obstructive jaundice

Gallbladder and tract stones and tumors

Pancreatic cysts and tumors

Acute and chronic pancreatitis

Surgical diseases of the spleen

Abdominal wall and inguinal hernias, postoperative hernias

Various soft tissue infections

Traumas and emergency surgery

The harmonious relationship with other units and the
operating room infrastructure equipped with up-to-date technology also play a
role in achieving the predicted clinical results. The “Surgical
Intensive Care Unit”, in which needy patients are followed, also
contributes significantly to this process. A multidisciplinary nutrition
team works for the care of chronic patients.

With all these features, Gazi Hospital General Surgery
Department continues to provide very qualified health services, far beyond a standard
private healthcare facility service.

Information to be given by the patient to the doctor before colonoscopy

Use of blood thinners / aspirin and its types (Voltaire,
Apranax, Ibufen, Naprosyn etc.)?

Are there any health problems that require antibiotic use?

Do you have a tendency to bleed? (Does nosebleeds,
bleeding after accidents take a long time?

Diabetes / Heart disease / Neurological disease? Is she pregnant?

Bowel Preparation

Bowel cleansing should be done before colonoscopy. A
good bowel cleansing is essential in order to examine the layer covering the
inner surface of the large intestine. For this reason, the doctor may
recommend a fiber food restriction a day or two before the procedure. In
addition, special solutions that are taken orally and provide cleansing in a
short time are given for bowel cleansing. During this period, there will
be excessive water loss, so it is necessary to drink plenty of water. (The
doctor explains the bowel cleansing in detail.)

Gastroscopy

It is the direct visual inspection of your esophagus
(esophagus), stomach and part of your small intestine (duodenum). This
examination is performed by swallowing a long and flexible tube with a small
diameter from your mouth, bright light at the end. Your doctor looks for
any illnesses by looking at the images reflected on the screen. If
necessary, small tissue samples (biopsy) can be taken for more detailed
laboratory analysis. Tissue samples are taken painlessly with the
endoscope with the help of forceps.

Some treatments can be done with the endoscope. For
example, expanding strictures, removing tumors and foreign bodies called
polyps, stopping bleeding vessels and ulcers by burning or injecting tissue
hardening agents.

Preparation

To get a clear image, your stomach should be
empty. Therefore, you will be asked not to eat or drink anything at least
6 hours before the test. If you are diabetic, delay your medication until
after the examination. Please do not hesitate to tell the doctor or nurse
if you have any allergies to medications or if you have any contagious disease
such as jaundice. Doctors will also want to know the results of your
previous endoscopies. If you have any concerns or questions at this stage,
do not be afraid to ask. Also, remove your glasses, contact lenses and
dentures beforehand.

Operation

You will lie on your left side on the endoscopy table in
the examination room. The nurse will be with you throughout the procedure. A
local anesthetic medication will be sprayed to numb your throat. Sometimes
an injection can be made from the hip to calm you down and keep you in a light
sleep, and if necessary, it can be done under anesthesia. A plastic
mouthpiece will be placed between your teeth to keep your mouth slightly open
and to protect your teeth.

The doctor will pass the endoscope through your mouth and
throat and guide it down into your stomach. Meanwhile, the endoscope does
not cause any pain and does not prevent you from breathing. It takes 5
minutes to examine the entire stomach. As you adapt, the examination time
will be shorter. During the procedure, air can be given to your stomach so
that the doctor can see it better. The air will be recovered at the end of
the process.

Post Processing

After the procedure, you will rest in the resting room
for at least 30 minutes. Since your throat is locally anesthetized, do not
take any solid or liquid food until your swallowing reflex returns to normal
(usually for half an hour). At the end of this period, you can eat your
normal meal. After the examination, there may be numbness and pain in your
throat. You may also feel a little bloated if there is air in your
stomach. All of these ailments are temporary and do not require treatment.

If sedatives have been administered, you will need an
assistant to take you home. When you get home, it is important that you
spend the rest of the day at rest. Sedation can take longer than you
think. In addition, you should not drive, use construction equipment, make
important decisions, or drink alcohol.