Treatment of thyroid nodular goiter with strumectomy in Medicana International Istanbul Hospital

About the department

The Department of General Surgery at the Medicana International Istanbul Hospital offers the full range of surgical treatment of diseases of the bowel, liver and other abdominal organs, as well as thyroid gland.  In addition, the department performs successful kidney transplantations. The surgeons of the department have at their command advanced medical equipment, therefore, most operations are performed using the very latest minimally invasive techniques. It should be separately noted that the department employs highly qualified specialists, who are well-known not only in Turkey, but also far beyond its borders. The department is headed by Prof. Dr. med. Muzaffer Sarıyar – a highly specialized surgeon, who has enormous clinical experience and outstanding treatment results.

The main focuses of the department’s specialization include:

• Surgical treatment of hemorrhoids (hemorrhoidectomy) implies a surgical removal of hemorrhoids and stapling of the hemorrhoidal plexus (stapled hemorrhoidectomy). In addition, the department performs minimally invasive procedures for the treatment of hemorrhoids. The most modern and effective of them are ligation with latex rings (one or two latex rings are placed on the base of the internal hemorrhoid to stop its blood supply, after which the hemorrhoid is reduced in size and eliminated), sclerotherapy (the sclerosing chemical agent is injected into the hemorrhoidal tissue, which contributes to the reduction of its size and the formation of scar tissue), ultrasound-guided ligation of the artery which supplies the hemorrhoid, infrared coagulation (the vessels supplying the hemorrhoids are coagulated with the infrared rays), laser therapy.
• Abdominal and inguinal hernia repair. Before a surgical intervention, the preparatory stage is necessarily required, namely surgical hernia reconstruction (under the general anesthesia). During such preparation, a surgeon performs a series of examinations and determines whether the current state of the patient's health allows for the surgical treatment, as well as identifies and treats the diseases, which may pose a threat during the surgery. Hernia repair is performed under general anesthesia using an open surgery. During the open surgery, the surgeon makes an incision in the abdominal wall to determine the location of the hernia sac. After the extraction of tissues pinched in the hernial sac, he restores a weak area of the abdominal wall. To prevent a relapse, there is placed a supporting material, which is called a mesh. With the appropriate indications, the laparoscopic method can be used as well. During the laparoscopic intervention, the surgeon makes four small incisions on the abdominal skin. Initially, CO2 gas will be injected through one of these incisions into the abdominal cavity. Then a camera is inserted into the abdominal cavity. Other incisions are used to place surgical instruments inside the abdominal cavity. The purpose of the hernia repair is to restore the weak area of the anterior abdominal wall and create the support for it. To consolidate the result of surgical treatment, the patient should strictly follow his physician’s recommendations.
• Laparoscopic cholecystectomy (gallbladder removal). This procedure is performed under general anesthesia. In order to develop a surgical plan, the surgeon carries out a series of examinations and determines whether the current state of the patient's health allows to perform this intervention. The laparoscopic cholecystectomy is a minimally invasive surgical procedure. During the intervention, the surgeon makes four small incisions on the abdominal skin. Initially, the CO2 gas will be injected through one of these incisions into the abdominal cavity. Then a camera is inserted into the abdominal cavity. Other incisions are used to place surgical instruments inside the abdominal cavity. When the gallbladder is carefully excised or separated from the surrounding tissues, it is placed in a bag called "extraction" and removed from the abdominal cavity through one of the small incisions. Before the procedure is completed, the surgeon checks the patient's biliary tract and examines it for any gallstones in the abdominal cavity, as well as a bile leakage.
• Thyroidectomy (thyroid removal). This operation is performed to treat increased hormone levels (hyperthyroidism), thyroid nodules, thyroid and goiter cancer – benign thyroid enlargement. Based on the surgeon's assessment, a significant part of the patient's thyroid gland will be removed, however, a small part of the gland will remain in the body (subtotal thyroidectomy), or partial thyroidectomy can be performed, or the thyroid gland can be removed totally (total thyroidectomy). In the case of total thyroid removal (total thyroidectomy), the patient will need to take medications with thyroid hormones lifelong. The operation is performed under general anesthesia. When performing thyroidectomy, preference is mostly given to traditional surgical intervention. Recently, endoscopic surgery is used as an alternative technique too. The surgeon makes an incision at the neck base and provides the access to the thyroid gland.
• Kidney transplantation in acute kidney failure. The kidney transplantation may be performed either from a living or deceased donor. When performing kidney transplantation from a living donor, surgeons use laparoscopic techniques, which helps minimize postoperative complications and pain. During the operation, the donor kidney is located in the lower part of the abdominal cavity. The vessels of the donor kidney are connected to the vessels of the recipient's kidney, while the ureter of the donor kidney will be joined to the bladder. When blood flow in the donor kidney is restored, it begins to filter blood and excrete metabolic products with urine. A kidney transplant operation lasts 3-4 hours.
• Other surgical interventions