TIME OF SURGERY: IS AS IMPORTANT AS CORRECT DIAGNOSIS

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THE TIME OF SURGERY IS AS IMPORTANT AS THE CORRECT DIAGNOSIS

A Turkish Associate Doctor drew attention to the “time” factor in the surgical planning of surgical diseases such as inguinal hernia, water hernia, undescended testicle and half circumcision (hypospadias), which are common in childhood. In some of these diseases, surgery is required immediately, in others, it is necessary to wait, Assoc. Dr. “The timing of surgery is as important as the diagnosis is correct in these diseases,” was said.

Turkey Medicals member and Acibadem hospital department head Pediatric Surgery Specialist Assoc. Dr. gave information about some diseases that can be treated with surgery in childhood and the right surgery times. Assoc., who noted that parents are seriously worried as soon as they hear the word “surgery”, and this worry is endured because they do not know what the best time for surgery is. Doctor stated that among the most of common surgical diseases of childhood, inguinal hernia, water hernia, undescended testicle and hypospadias can be counted. Doctor continued as follows:

“Among these diseases, inguinal hernia is the most common. Decontamination of the inguinal canal. Unlike adults, it is an innate disease. Therefore, it is often noticed in early infancy. On average, 3-5 percent of babies born on time have an inguinal hernia. It has higher rate in prematurity. Inguinal hernia is a condition that needs to be operated on in a hurry, even if it is not urgent. Surgery should be planned as soon as the diagnosis is made. Because inguinal hernia has a risk of suffocation. Hernia strangulation is a significant risk that can lead to intestinal perforation in boys and ovarian loss in girls. A water hernia is a condition in which water collects around the testicle from birth. Usually it appears in the form of swelling in the bag. After it is determined by a pediatric surgeon that there is no inguinal hernia, it is a water hernia, it is expected to pass by itself by the age of 1.5-2 years. If it does not pass, it must be operated on.”

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IT IS SEEN IN 30 PERCENT OF PREMATURITY

The undescended testicle condition is seen in 3 percent of babies born on time, Assoc. Dr. said, “This situation occurs in 30 percent of prematurities. the incidence rate drops to 1 percent around 6 months. Therefore, babies are not operated on for 6 months after birth, as there is a possibility of spontaneous stroke of the testicle. if the testicle has not landed on the bag at the age of 6 months, it should be lowered by surgery. An undescended testicle that has not been operated on leads to problems such as the development of testicular cancer in future, the testicle deteriorates and loses its function, a predisposition to trauma, infertility if it is bilateral,” he said.

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HIPSPADIAS ISSUE

Assoc. Dr. said that one of the common surgical diseases in childhood is hypospadias problem (half circumcision). Assoc. stating that this is a penile disorder seen in about 1/300 male children. Dr. continued his words as follows:”There are heavy and light forms. Sometimes it is also accompanied by curvature of the penis. Hypospadias can sometimes be corrected in one session, while sometimes several operations may be required. The most favorable period for hypospadias surgery is infancy. Usually it is convenient to perform the first operation when the baby is 6-12 months old. Although a second operation is required, it is aimed to complete the surgical treatment before the ‘phallic period’, which begins around the age of 3, when children gain their sexual identity, which is again performed before the age of 2, and begins before the age of 3. These operations are also performed on a daily basis, the operated child goes home a few hours later.”

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President of Organ Transplant Center at MedicalPark Hospital Antalya

Turkey's world-renowned organ transplant specialist. Dr. Demirbaş has 104 international publications and 102 national publications.

Physician's Resume:

Born on August 7, 1963 in Çorum, Prof. Dr. Alper Demirbaş has been continuing his work as the President of MedicalPark Antalya Hospital Organ Transplantation Center since 2008.

Prof. who performed the first tissue incompatible kidney transplant in Turkey, the first blood type incompatible kidney transplant, the first kidney-pancreas transplant program and the first cadaveric donor and live donor liver transplant in Antalya. Dr. As of August 2016, Alper Demirbaş has performed 4900 kidney transplants, 500 liver transplants and 95 pancreas transplants.

In addition to being the chairman of 6 national congresses, he has also been an invited speaker at 12 international and 65 national scientific congresses. Dr. Alper Demirbaş was married and the father of 1 girl and 1 boy.

Awards:

Eczacibasi Medical Award of 2002, Akdeniz University Service Award of 2005, Izder Medical Man of the Year Award of 2006, BÖHAK Medical Man of the Year Award of 2007, Sabah Mediterranean Newspaper Scientist of the Year Award of 2007, ANTIKAD Scientist of the Year Award of 2009, Social Ethics Association Award of 2010, Işık University Medical Man of the Year Award of 2015, VTV Antalya's Brand Value Award of 2015.

Certificates:

Doctor of Medicine Degree Hacettepe University Faculty of Medicine Ankara, General Surgeon Ministry of Health Turkey EKFMG (0-477-343-8), University of Miami School of Medicine Member of Multiple Organ Transplant, ASTS Multiorgan Transplant Scholarship. Lecturer at Kyoto University. Lecturer at University of Essen, Research assistant at the University of Cambridge .

Professional Members:

American Society of Transplant Surgeons, American Transplantation Society Nominated, Middle East and Southern Africa Council Transplantation Society 2007, International Liver Transplantation Association, Turkish Transplantation Association, Turkish Society of Surgery, Turkish Hepatobiliary Surgery Association.

Disclaimer:

Our website contents consist of articles approved by our Web and Medical Editorial Board with the contributions of our physicians. Our contents are prepared only for informational purposes for public benefit. Be sure to consult your doctor for diagnosis and treatment.
Medically Reviewed by Professor Doctor Alper Demirbaş
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