MEDISTATE HOSPITAL

A player in the healthcare industry 

Medistate Kavacık Hospital is dedicated to contribute to the development of medicine by offering contemporary, preventative and therapeutic healthcare services from leading physicians and healthcare workers specializing in their field through a holistic approach to quality and service without compromising ethical principals. 

Situated inside 17 thousand square meters of closed space, the 120-bed capacity Medistate Kavacık Hospital incorporates technology, experience, attention and quality. The hospital features 14 new-born, 8 adult, 4 coronary and 5 cardiovascular surgery intensive care units, VIP rooms and state of the art surgery rooms.

Located in Kavacık, one of Istanbul’s important centres, Medistate Kavacık Hospital is only 8 km to Levent (European Istanbul) and 12 km to Ataşehir (Asian Istanbul). This easy to access hospital offers top quality healthcare services to everyone.

Amongst private hospitals Medistate Kavacık Hospital has the largest emergency service. The hospital acts as a reliable healthcare centre offering quality service thanks to a rigid infrastructure based on science and technology, leading team of physicians, a scientific ethics board favouring correct diagnosis and service, and the ability to take the right decision with support of an online system that creates a link with foreign specialists to share patient reports.

Medistate Kavacık Hospital is the first “environmentally friendly” hospital in Turkey. All materials used in the hospital are degradable or recyclable. These materials do not cause pollution even if incinerated. 

Shaped by the vision of improving human health and quality of life, Medistate Kavacık Hospital gives equal importance to human health and environmental health.

Medistate Kavacık Hospital offers a different perspective to healthcare services depending on the the state-of-the-art medical devices and positive sciences in addition to the importance attached to the alternative medicine.

Everything required for a health and happy life is in the Medistate Kavacık Hospital

Organizational Priorities 

Being a Center of Excellence in Healthcare Service by adopting continuous development of quality, improvement and performing pioneering applications in patient safety in relation with Healthcare Services. Establishing and strengthening quality improvement and patient’s safety approach in combination with evidence based medical procedures pursuant to international healthcare quality standards. Offering services to our patient beyond their expectations pursuant to the principle of zero mistake by providing world class healthcare services at affordable prices and using knowledge and state-of-the-art devices throughout the treatment period and all the procedures should be based on interest, kindness and compassion, but without conceding ethical principles.

Quality Development Priorities 

Ensuring that mission, vision, our values and our quality policy are strictly followed at all location of our hospital. Ensuring that international patient safety targets are adopted and followed in/by all our departments. Ensuring that all physician treatments care, examination orders and patient’s care procedures are recorded in electronic environment in order to avoid medical errors and to improve patient’s care. Developing and implementing training programs for all employees in accordance with Healthcare.

MISSION

Contributing to the development of medicine by offering contemporary, preventative and therapeutic healthcare services from leading physicians and healthcare workers specializing in their field through a holistic approach to quality and service without compromising ethical principals.

VISION

Contributing to the development of medicine by offering contemporary, preventative and therapeutic healthcare services from leading physicians and healthcare workers specializing in their field through a holistic approach to quality and service without compromising ethical principals.

HUMAN RESOURCES POLICY

Medistate Kavacık Hospital’s personnel consist of compatible individuals who support each other, whose team motivation is superior. Human Resources Policy works with individuals and teams who are able to convert the highly motivated synergy into energy, in line with the strategies due to business processes and the goals.

In this content the basic principles are following;

• To keep up the unity and solidarity motivation of the personnel,
• To follow a transparent and clear communication management policy to their personnel,
• To make a healthy, peaceful and trustable work environment and to provide the continuance of this,
• To protect the personnel’s rights materially and spiritually,
• To review, update and develop the human resources policy constantly.
• To appreciate and reward the personnel who show high performance with the performance appraisals which will be made in certain periods.

Education and Personality Development Opportunities;

• To provide education and self-improvement opportunities to their personnel constantly,
• To enable their personnel to improve their craft knowledge and their competencies, behavioral skills and leadership properties with the educations which they provide either inside the company or outside the company.

Subject: Memorandum of Understanding (Provisions & mechanisms of Treatment at Medistate Hospital Istanbul)

OUR OFFER FOR TREATMENT PROCEDURES

First of all, we would like to thank you for your kind interest in Medistate Hospital Istanbul.

Please accept our heartfelt thanks for your cooperation and interest in Medistate Hospital Istanbul. We are deeply honored by your consideration for the treatment of your patients in our hospitals. Be assured, that utmost profes­sional medical services will be applied. We would like to take this opportunity and introduce Medistate Hospital Istanbul briefly.

Medistate Hospital Istanbul adopted the principle to make contribution to the development of medicine by offering current, protective and therapeutic healthcare service with physicians and healthcare personnel of relevant fields based on approach of holistic quality and service without conceding ethical principles.

Medistate Hospital Istanbul has been accredited By JCI.

Medistate Hospital Istanbul was founded on closed area 17 thousand square meters and it offers healthcare services in kavacık with, 120 physicians, 110 nurses, 120 patient bed capacity and Professional healthcare personnel as well as 14 neonatal intensive care units, 14 adult ICUs, 4 coronary ICUs and 5 cardiovascular ICUs. As a Medistate hospital we have 5 operation room by using international high technology.

MEDICAL DEPARTMENTS OF MEDISTATE HOSPITAL ISTANBUL

Surgical Helath Services :

1. Cardiovascular Surgery

2. Neurosurgery

3. General Surgery (Adults & Pediatric)

4. Orthopedics and Traumatology

5. Plastic and Reconstructive Surgery

6. Oral and Dental Health Clinic

7. Gynecology and Obstetrics

8. Urology

9. Oncological Surgery

10. Ophthalmology

11. E.N.T

12. Hair Transplant Center

13. Anesthesia

Internal Health Services:

1. Cardiology

2. Neurology

3. Pediatrics

4. Gastroenterology

5. Pulmonary Diseases

6. Nuclear Medicine

7. Internal Medicine

8. Dermatology

9. Endocrine and metabolic Disease

10. Physical Medicine and Rehabilitation

11. Laboratory

12. Check up

13. Medical Aesthetics Clinic

14. Emergency Department and Ambulance Services

OUR MAJOR DEPARTMENTS AND CLINICS

Below we have presented information about some of our medical departments and clinics:

NEUROSURGERY AND NEUROLOGY CLINIC

Healthcare services are rendered by experienced medical specialists, who use state-of-the-art equipment and de­vice, in Neurosurgery Clinic of MEDISTATE Hospital.

Neurosurgery Department of the Medistate Hospital Istanbul performs cerebrovascular and endovascular neuro­surgery, neuro-oncological surgery, complex spine surgery, radiosurgery, stereotactic and functional neurosurgery, epilepsy surgery and pediatric neurosurgery.

Surgeries performed in the clinic are basically as follows:

1.  Tumors of Brain, Spine and Spinal Cord (Neurosurgical Oncology),

a. Endoscopic pituitary tumor surgery (endoscopic skull base surgery)?

b. Endoscopic cerebral ventricle surgery (neuroendoscopy)?

c. Intrinsic brain tumor surgery

d. Spinal cord tumor surgery

e. Spine tumor surgery

2.  Neurovascular surgery (surgical treatment of vascular diseases of brain)

a. Aneurysm

b. Avm (arteriovenous malformations)

c. Cavernoma

d. Hemorrhages of brain and spinal cord

3. Head and spine trauma surgery

4. Peripheral nerve surgery, brachial plexus surgery

5. Pediatric neurosurgery, congenital brain-spinal cord and spine anomaly and hydrocephaly – shunt surgery

6. Spinal surgery: Spinal prostheses, Spinal stabilization and fusion surgeries, cervical and lumbar disc prostheses, cervical, thoracic and lumbar micro disc surgery as well as stenotic spinal canal surgery

7. Functional neurosurgery. Neurostimulator (brain stimulator), spinal stimulator, baclofen pump insertion, pain surgery.

Special procedures performed in the clinic:

Endoscopic surgery

Minimally invasive surgery

Baclofen pump insertion

Spinal stimulator insertion

Neurostimulator implantation

Technical equipment of the clinic:

CT, MRI and DSA devices, Doppler Ultrasound

Intraoperative C-arm scopy

Endoscopy

Surgical microscope

Ultrasonic aspirator, for bone tissue and tumor

Craniotome

Neuronavigation

Neuromonitoring

5-suite operating theater, equipped with high-tech devices

Neuroanesthesia

Intensive Care

EEG, EMG, SSEP, VEP, Sleep laboratory

CARDIOVASCULAR SURGERY AND CARDIOLOGY CENTER

CARDIOVASCULAR SURGERY

Cardiovascular surgery clinic renders services by an experienced team using high-tech equipment, also including a five-bed intensive care unit.

Services rendered:

• Coronary Heart Diseases – Coronary By-pass Surgeries

• Heart Valve Diseases – Valve Repair Surgeries – Valve Replacement Surgeries

• Aneurysm, Perforation and Stenosis in Greater Vessels

• Cardiac Tumor Surgeries

• Non-surgical treatment of Aortic Aneurysm Diseases, such as EVAR/TEVAR, with stent and graft

• Stent Implantation for Greater Vessels

Vascular Surgery;

• Carotid Endrterectomy and Stent Implantation or By-pass

• Extra-anatomic By-pass

• Repair of Peripheral Artery/Vein Injuries

• Aorto-Iliac Femoral Bypass

• Repair of Aneurysm of Abdominal Aorta

• Y Graft in Aorto-Iliac Obstructions

• Aortorenal Bypass – Stent

• Mesenteric Arterial Reconstruction – Stent

• Surgical treatment of Coarctation of Aorta

• Stent and Atherectomy Surgeries / Interventions in Greater and Lesser Peripheral Arteries

IT IS SAFER THAN ENDOVASCULAR STENT IMPLANTATIONS AND AORTIC SURGERIES

Before endovascular aneurysm repair (EVAR) was introduced to the clinical practice, “thoracoabdominal aortic an­eurysm surgeries” have been difficult for both patients and surgeons and associated with high mortality and com­plication rates. For those aneurysms that develop in patients, who are usually at advanced age or have serious co­morbidites such as heart, lung and kidney conditions, left intercostal and/or median abdominal incisions would have been made. Those conventional surgery techniques were not only taking long hours, but they were also accompanied by very long hospital stays and conditions related with all organs.

In EVAR method, general anesthesia is induced and patient is transferred to the angiography room for interven­tion. Intervention starts with a 4- to 5-cm skin incision and preparation of artery(ies) at the inguinal locus. Surgical intervention ends with this procedure and next, a synthetic woven fabric that is wrapped around the stent is placed through guide wires that are advanced through vessels, such that aneurysm is completely covered along with a safe zone before and after the aneurysmatic segment. Stent is deployed in the aorta, while it is located between two ends of aorta with normal calibration.

Accordingly, blood circulation in the aneurysmatic, dissected or even ruptured aortic segment is bypassed. At the same time, blood supply is supplied to end organs through the lumen of the stent.

ADVANTAGES OF ENDOVASCULAR TREATMENT

EVAR procedure takes far shorter time and lesser skin incision is made. No bone is divided and patients’ recovery time is significantly shorter as they are less traumatized and less volume of blood is lost. Hospital stay is generally shorter than three days. Complication rare and mortality rate are very significantly lower relative to the conventional technique.

PORT ACCESS VALVE REPLACEMENT SURGERY

(VALVE REPLACEMENT THROUGH VESSELS IN ARMPIT)

LESS INCISONS, FASTER RETURN TO SOCIAL LIFE

In this modality, cardiac surgeries are carried out through a small incision – intercostal approach, with no need to divide bone or muscle or open the breastbone (sternum).

- Mitral valve replacement or repair

- Aortic valve repair or replacement

- Tricuspid valve repair or replacement

- Double valve repair or replacement

- Triple valve repair or replacement

- Right coronary artery bypass

- Atrial septal defect (ASD)

- PFO repair

- Ventricular septal defect repair

- Myxoma and Fibroblastoma (removal of intracardiac tumors)

Who are eligible for underarm surgeries?

Irrespective of young or old, obese or lean or female or male patient, it can be performed for any patient who has a heart valve problem or requires repair of a cardiac hole.

Who are eligible for underarm surgeries?

Heart valve is exposed with intercostal approach, after a skin incision, measuring 6 to 8 cm, is made parallel to the breast line in the right armpit. In many cases, size of incision can be further shortened using endoscopic imaging methods and tools. Surgery can be performed in an easier, more comfortable and safer manner with video-assisted endoscopic surgery method.

What PROs of the armpit cardiac surgery?

• Postoperative recovery is faster.

• Stay in the ICU and hospital shortens.

• Postoperative need to blood transfusion decreases.

• Postoperative pain is milder and patient can lie down in bed in any position.

• Not being obliged to lie down in supine position for a long time particularly for patients, who are obese or has sleep apnea or who cannot lie down or sleep in supine position, is a great comfort.

• Patient may get out or get in the bed independently or without requiring any help, and may cough easily.

• This technique is free of risk of sternal dehiscence (separation of breastbone), which is a serious risk for osteo­porotic and obese patients, since sterna bone is not divided.

• Postoperative surgical wound healing is quicker.

• Patient is discharged early.

• Patient may resume daily routines easily and quickly right after the surgery.

• Better cosmetic outcomes are achieved. It is particularly preferred by young and female patients, since its es­thetic quality is higher.

CARDIOLOGY

Medistate Hospital’s Department of Cardiology serves patients by professional physicians who utilize all benefits of contemporarily equipped infrastructure.

In the Department of Cardiology, following conditions are diagnosed and managed; heart attack, heart failure, coro­nary failure, heart and rhythm disorders, cardiac valve diseases, peripheral vascular diseases, aortic disorders, hypertension, hypercholesterolemia and congenital heart diseases.

Diagnostic Procedures available in the Clinic

Electrocardiogram (ECG)

Rhythm Holter (ECG Monitoring)

Color Doppler Echocardiography (ECHO)

Blood Pressure Holter (Ambulatory Blood Pressure Monitoring)

Exercise ECG (Cardiovascular Stress Test, Stress Electrocardiogram)

Cardiac Catheterization and Angiography

Therapeutic Procedures Performed in the Clinic

Percutaneous Coronary Angioplasty, Coronary Stent Implantation, Fractional Flow Reserve (FFR)

Treatment of Peripheral Artery Diseases (Percutaneous Peripheral Angioplasty, Stent Implantation)

Carotid Artery, Angioplasty & Stent Implantation

Mitral Stenosis and Balloon Valvuloplasty

Pacemaker implantation

Arrhythmia (Radiofrequency Ablation)

Percutaneous Management of Adult Congenital Heart Diseases

GENERAL SURGERY

General Surgery Clinic of Medistate Hospital renders diagnostic and therapeutic services with a multidisciplinary approach. Patient comfort is maximized in the department, where high technology is combined with experience, and treatments are planned to ensure minimum hospital stay and maximum recovery rate. General Surgery Clinic is structured by experienced physicians with strict importance attached to sub-specialty. All divisions are designed to cover all common surgical conditions.

Surgeries carried out in the clinic:

1. LAPAROSCOPIC AND ENDOSCOPIC SURGERIES;

- Biliary tract surgery (cholelithiasis, acute cholecystitis).

- Hernia surgery (ventral, inguinal and hiatal hernias)

- Reflux surgery (gastroesophageal reflux disease)

- Obesity and metabolic surgery (Sleeve gastrectomy, gastric bypass, gastric plication, band)

- Colonic surgery (colon cancer, diverticulitis, appendectomy)

- Esophageal surgery (achalasia, esophageal diverticulum), Heller myotomy.

- Emergency surgeries (diagnostic and therapeutic)

- Spleen surgery

- Adrenal gland surgery

- Gastric surgery (peptic ulcer, stomach cancer, GIST)

2. COLORECTAL SURGERY

- Colon cancers

- Diverticula

- Rectal Prolapse

- Hemorrhoid

- Perianal fistula

- Fissure

- Rectocele

3. BREAST AND ENDOCRINE SURGERY (Benign and Malignant Tumors)

- Total mastectomy

- Total mastectomy + Axillary dissection

- Segmented mastectomy and sentinel lymph node marking

- Total thyroidectomy

- Subtotal thyroidectomy

- Lobectomy

- Parathyroidectomy

4. ESOPHAGUS AND STOMACH SURGERY (Benign and Malignant Pathologies)

- Esophageal cancers

- Esophageal diverticula

- Stomach cancers

- GIST

- Peptic ulcer disease

5. LIVER AND BILIARY TRACT DISEASES

- Biliary tract tumors

- Hydatid cysts of liver

- Benign and malignant tumors of liver

6. PANCREAS DISEASES (Benign and Malignant)

- Whipple

- Distal subtotal pancreatectomy

- Pancreatic cysts

7. PEDIATRIC SURGERY

- Inguinal diseases: Hernia, undescended testis, hydrocele, varicocele, circumcision

- Appendicitis

- Severe injuries and burns that require surgery (liver, spleen and intestine injuries etc.)

- Foreign bodies in body (swollen, slipped etc.)

- Constipation and anorectal disorders (cracks, bleeding, polyp, hemorrhoid etc.)

- Umbilical hernia and congenital anomalies of abdominal wall

- Recurrent urinary tract infections

- Recurrent abdominal pain

- Neonatal anomalies

- Hemangiomas and other skin lesions

- Diagnosis and surgical treatment of abdominal and thoracic space occupying tumors of childhood, port and catheter insertion

- Endoscopic procedures (bronchoscopy, esophagogastroduodenoscopy, rectoscopy, cystoscopy etc.)

- Separation of Siamese twins, albeit rare

8. ONCOLOGIC SURGERY CENTER

- Endocrine cancers

- Gynecologic cancers

- Uro-oncologic cancers

- Pediatric Oncology

- Brain tumors

- Head and neck tumors

- Lung cancer

- Dermatologic cancers

9. OBESITY SURGERY CENTER

Efficient outcomes are obtained in surgeries carried out with laparoscopic method in the Obesity Center of Medistate Hospital Obesity. Most appropriate surgical method is applied using cutting-edge technology and multi-disciplinary approach in conjunction with experience and specialization in the field of obesity (bariatric) surgery.

Methods used in obesity surgery:

Gastric Band

Sleeve Gastrectomy

Gastric By-pass (Roux-Y)

Mini-gastric By-pass

Gastric Plication

OBESITY CENTER

Efficient outcomes are obtained in surgeries carried out with laparoscopic method in the Obesity Center of Medistate Hospital Obesity. Most appropriate surgical method is applied using cutting-edge technology and multi-disciplinary approach in conjunction with experience and specialization in the field of obesity (bariatric) surgery.

Since laparoscopic method is used for obesity surgeries performed under supervision of Prof. Emin Ersoy, M.D., President of the Turkish Association of Endoscopic and Laparoscopic Surgery, smaller incision and quicker return to social life are ensured.

WHICH METHODS ARE USED IN OBESITY SURGERY?

Gastric banding, sleeve gastrectomy, gastric by-pass and gastric plication surgeries are used in obesity surgery. A diet program is prepared in pre-operative period in order to reduce body fat percentage, conserve muscle tissue and make patient ready for post-operative treatment.

√ Gastric Band

Gastric banding surgeries are done with laparoscopic method. A small gastric pouch is created with a band placed 3 to 4 cm caudal to the cardia. Since the band is adjustable, tension can be increased or decreased in response to patient’s condition. A subcutaneous port is placed to make adjustments. Band migration, band erosion, difficulty swallowing, damage to band and port insertion problems are among possible postoperative conditions.

√ Sleeve Gastrectomy

Sleeve gastrectomy is the most preferred modality among obesity surgeries. Surgery can be successfully carried out with laparoscopic method. A large portion of the stomach is surgically removed and about 25-30 percent of total vol­ume of stomach is left. Gastric fundus, the superior part of the stomach, is also surgically removed. Therefore, level of ghrelin hormone, also known as “hunger hormone” that is secreted from gastric fundus decreases and appetite is more easily regulated. Although gastric capacity is decreased in this surgery, gastric functions are not impaired. In addition, risk of gastric ulcer reduces. When it is compared to long-term outcomes of gastric by-pass surgeries, weight loss rates are same. This is the surgical modality that causes the least impairment in our physiology.

√ Gastric By-pass (Roux-Y)

In gastric by-pass surgery, a pouch, measuring approximately 25-30 cc in volume, is formed at cardia and it is con­nected to a segment of small intestine at 100- to 150-cm distance to the stomach. Surgery restricts food intake, while it also decreases absorption of nutrients. Long-term outcomes are similar to that of sleeve gastrectomy; therefore, sleeve gastrectomy is, recently, somewhat more preferable. Possible postoperative complications are dumping syndromes and ulcer formation at the new passageway. Probability of vitamin deficiencies is higher in comparison to other surgeries.

√ Mini-gastric By-pass

This is another type of gastric by-pass surgeries; since this surgery is performed under the name of gastric-bypass, it does not, in fact, draw attention. Unlike usual gastric by-pass surgeries, 1- A longer and larger gastric volume is created. 2- Small intestinal bypass allows biliary and pancreatic enzymes pass through the stomach to intestines. (loop small intestine). In the long run, reflux disease and conditions caused by bile in the gastric lumen are probable.

√ Gastric Plication

Stomach wall is folded inwards on the greater curvature, starting from the dome to the gastric outlet. It reduces volume of the stomach. There is no risk of leakage or bleeding, since no incision is made. It has gradually been popu­lar. It is usually preferred as secondary surgery for patients, who has already undergone gastric banding surgery. Outcomes are similar to that of sleeve gastrectomy in experienced centers.

Laparoscopic technique is used for all surgeries in the Obesity Center of Medistate Hospital and open surgeries are avoided, unless it is absolutely indicated.  The most suitable method is determined for each patient by the surgeon in the light of preoperative laboratory and radiologic examinations.

ORTHOPEDICS AND TRAUMATOLOGY

Orthopedics and Traumatology Department of the Medistate Hospital Istanbul, performs modern diagnosis and treatment of all diseases related with musculo skeletal system, spinal diseases and traumas based on a multidisci­plinary approach under supervision of highly qualified specialists.

Orthopedics and Traumatology Department specilized in the areas of arthroscopy and knee surgery, shoulder and elbow surgery, wrist and hand microsurgery, traumatology and foot and ankle surgery, hip and knee surgery, joint replacement, musculoskeletal oncology and transplantation, pediatric orthopedics, spine surgery, general orthope­dics, sports traumatology and orthopedics rehabilitation.

Offering services in sub branches, Orthopedics and Traumatology department has all necessary operating theatre conditions and technological facilities.

Main services offered in the clinic are as follows

• Arthroscopic Surgeries (Hip, Knee, Ankle and Wrist)

• Scoliosis and Vertebra Surgeries

• Shoulder Surgery

• Spine Surgeries (Scoliosis, Kyphosis)

• Orthopedic Trauma Surgery

• Sports Traumatology

• Prosthesis Surgery

• Orthopedic Oncology

• Pediatric Orthopedics and Traumatology

• Hand Surgery and Microsurgery

• Bone Lengthening Surgeries

• Foot and Ankle Surgery

Our department of orthopedics and traumatology consists of qualified, well known physicians in all around Turkey and Europe especially in arthroscopic surgery, scoliosis and vertebra surgeries trauma and spinal surgery.

Arthroscopic Surgeries and Arthoplasty:

• Total Hip Arthoplasty

• Hip Arthoplasty Revision

• Total Knee Arthoplasty

• Knee Arthoplasty Revision

• Gonarthrosis and coxarthrosis

• Periacetabular and high tibial osteotomy operations

• Unicondiylar knee arthoplasty

• Ankle Arthoplasty

• Shoulder Arthoplasty

• Resurfacing Arthoplasty

Spinal Surgeries (Scoliosis and Vertebra Surgeries):

• Scoliosis and kyphosis surgery

• Disc herniation surgery

• Kyphoplasty and Vertebra Plasty

• Osteoporotic vertebra fracture

• Spinal Tumors

• Spinal Infections ( Spinal Tuberculosis, Nonspesific infections)

• Spondylolisthesis ( Dislocation of vertebra)

• Spinal Traumas (cervical, thoracal, Lumbar, Sacral)

Orthopedic Trauma Surgery

Traumas of all Muscular and Skeletal System Fractures:

• Joint Dislocation

• Muscle-tendon tears and break offs

• All kind of fractures and dislocation (pelvis fracture, complex fracture)

• Minimal invasive procedures

• Soft tissue trauma

Bone Lengthening Surgeries

• External Fixation applications in bone deformities

• Non-union fractures and bone infections

Pediatric Orthopedics:

• Congenital Hip dislocation, pesequinovanus, hemimelia

• Perthes disease, bone and soft tissue problems, bone infection, limplenght discreaparances

• Trauma and sport injuries, fractures, tendon and ligament reptures

• Neuromuscular problems; Cerebal palsy, obstetrical palsy, charcot-Marie myelodysplasia, Foot disease,

• Botox injection

• Reconstruction of congenital hand deformities

Hand and Microsurgeries

• Upper extremity surgery

• Hand, wrist, arm surgery

• Microsurgery

• Free tissue transfers

• Replantation

• Reconstruction of congenital hand deformities

• Acute and reconstruction of all upper extremity traumas, artplanties and arthroscopy of small joints.

Orthopedic Oncology

• Spinal tumors

• Benign soft tissue tumor

• Benign bone tumor

• Malign soft tissue tumor

• Malign bone tumor

• Metastatic bone and soft tissue tumors

PHYSIOTHERAPY AND REHABILITATION CENTER

The Physiotherapy and Rehabilitation Center of the Medistate Hospital Istanbul Offers world class services using state of the art physical therapy and rehabilitation devices in disgnosis and therapy and rehabilitation devices in di­agnosis and therapy of musculoskeletal diseases, orthopedic, neurologic, cardiac and respiratory system diseases and their rehabilitation therapy.

Therapy fields are as follows;

• Osteoarthritis ( calcification of bones and joints)

• Osteoporosis (bone loss)

• Cervical and lumbar disc hernia, back pains

• Inflammatory Joint diseases ( Rheumatoid Arthritis, Ankylosing Spondylitis)

• Soft tissue diseases (Fibromyalgia, Myofacial pain syndrome)

• Joint stiffness and circulatory disorders due to operation or plaster due to fracture / dislocation

• Meniscus, ligament injuries and other sports injuries

• Scoliosis and spinal column curvatures

• Pes Palnus, heel spur and foot problems

• Rehabilitation before and after orthopedic operation (such as prosthesis)

• Rehabilitation following stroke, cerebral damage and spinal injury

• Spastic children

• Facial paralysis, nervous injury

• Muscular Diseases ( MS, ALS)

• Rehabilitation of Parkinson’s Disease

• Cardiac Rehabilitation

• Stress incontinence program for urinary incontinence

• Pregnancy exercises

• Rehabilitation following aesthetic operation

• Rehabilitation in patients undergoing dialysis

AESTHETIC, PLASTIC AND RECONSTRUCTIVE SURGERY CENTER

Plastic, Reconstructive and Aesthetic Surgery Procedures:

I. Interventions for Congenital Abnormalities:

• Surgical Treatment of Head & Neck Abnormalities

• Ear Abnormalities

• Cleft Lip and Cleft Palate – Orofacial Clefts

• Surgical Treatment of Skull, Face and Facial Bone Anomalies

• Trunkal anomalies (Breast Hypoplasia, Chest Wall Deformities)

• Correction of Hand and Finger Anomalies

• Female and Male Urogenital System Anomalies (Epispadias, Hypospadias – Sex Reassignment Surgery – Sexual Organ-Penis/Vagina Reconstruction)

• Nevus-Mole, Hemangiomas and Vascular-Lymphatic Anomalies (Conventional Surgery or Laser Surgery)

• Dysmorphic Syndromes

II. Interventions for Acquired Problems Secondary to Traumas, Infections, Tumors and Other Causes:

• Treatment of Burns, Frostbites, Secondary Late Sequels and Chemical (Acid-Base, Phosphorus etc.) burns

• Acute Wounds (laceration, abrasions, tissue loss) and Chronic Wounds (pressure sores, diabetic foot ulcers, venous ulcers, radiation wounds) and Wound Care and Treatment

• Hand Surgery and Replantation-Microsurgery

• Emergency Lacerations and Injuries of Face, Eyelid, Nose and Mouth

• Fractures and Surgical Treatment of Facial Bones (Open-Closed Reduction and Minimally Invasive Endoscopic Fracture Surgery)

• Diseases and Treatment of Temporomandibular Joint (TMJ)

• Orthognathic Surgert to Correct Facial Asymmetries and Developmental Disorders of Lower (Mandible) and Up­per (Maxilla) Jaws

• Three Dimensional (3D) Reconstruction of Facial Deformities Secondary to Trauma or Cancer Surgery

• Facial Paralysis and Surgical Treatment

• Osseointegrated Prosthesis and Epithesis Applications for the Lost Body Parts (Ear, Nose, Eye, Eyelid, Fingers)

• Reconstructive Surgery of Upper and Lower Limbs

• Reconstructive Microsurgical Transfers and Transplantations (Microneurovascular Surgical Interventions, Au­tologous Tissue and Limb (Digit(s) From Foot to Hand and Allogenic Composite Tissue/Organ Transplantations/Face Transplantation from Living/Cadaver Donor)

III. Tumor Surgery

• Surgical Treatment and Three Dimensional (3D) Reconstruction of Cancers of Head & Neck (Salivary Glands), Torso and Limbs

• Breast Reconstruction Following Breast Cancer (with Implant or Autologous Tissue Transplantation)

• Treatment of Skin Cancers

IV. Laser Surgery

• Laser Ablation for Superficial Lesions

• Facial Rejuvenation with Fractional Laser

• Laser Hair Removal (Face, Neck, Torso, Limbs, Armpit and Genital Regions)

• Long Pulse Vascular Laser for treatment of Hemangioma, Port-wine Stain, Enlarged Capillary Vessels (telen­giectasis) of Face, Leg and Ankle

V. Aesthetic Surgery Procedures

• Correction of Wrinkles and Sagging of Eyelids, Forehead, Face, Perioral area and Neck (Facial Dermabrasion, Chemical Peeling, Blepharoplasty, Forehead Lift, Face Lift, Platysmaplasty, Liposuction)

• Combined Skin Rejuvenation, Correction of Wrinkles and Skin Cracks (Striae) (Dermabrasion, Chemical Peeling, RF, Laser Resurfacing, Fillers, Topical Skin Care)

• Botulinum Toxin A (Botox) combined with Fillers

• Fillers/Implants for eliminating Atrophies or Deformations Secondary to Facial Aging (Autologous Fat, Tempo­rary and Permanent Fillers, Autologous Cartilage-Bone Grafts, Biomaterial and Implants)

• Endoscopic Face Lift and Browlift

• Rhinoplasty (Aesthetic and Functional Corrections of Nasal Deformities Using Open or Closed Methods)

• Correction of Deformities of Tip of Lower Jaw (Genioplasty)

• Correction of Deformities of Facial Bones - Profiloplasty

• Autologous Fat Injections and Stem Cell-derived Treatment Methods: Rejuvenation of Full Face, Lips, Breasts, Gluteal Area, Dorsum of Hand, Ankle, Vulva, Vagina and Pubic Area; Treatment of Scar)

• Body recontouring using autologous (taken from the patient) tissues and implants (Chest Wall, Hip, Buttock and Leg Implants)

• Correction of Prominent Ear and Other Deformities of Ear

• Treatment of Wound Scars and Burn Scars on Face and Other Body Parts

• Elimination of Sagging in Arms and Armpits (Brachioplasty)

• Treatment of Hyperhydrosis (excessive sweating in armpit)

• Correction of Breast Deformities: Breast Augmentation and Reduction and Breast Lift

• Hip and Buttock Lift and Augmentation (Gluteoplasty, Gluteal Lifting)

• Treatment of Male Breast Enlargement (Gynecomastia)

• Removal of Deformities Secondary to Abnormal Regional Fat Accumulation (Lipectomy/Liposuction/Lipofilling/Liposhaping/Lipo-redistribution)

• Tummy Tuck Surgery (abdominoplasty)

• Combined Modalities Following Bariatric Surgery and Treatment of Morbid Obesity (Brachioplasty, Mammo­plasty, Mastopexy, Spiral Bodylift, Abdominoplasty, Gluteoplasty and Gluteal Lift, Medial Thigh Lift)

• Genital Aesthetic Surgical Interventions (Hymenoplasty, Labioplasty, Vulvar Rejuvenation, Vaginoplasty, Clitero­plasty)

• FUE/FUT Hair Transplant: Treatment of Alopecia and Eyebrow and Eyelash Losses

MEDISTATE HAIR TRANSPLANTATION CENTER_DR.T HAİR TRANSPLANT CENTER

Dr. Tayfun Oguzoglu has been performing hair transplants in Turkey since 1996. He is a member of both the Inter­national Society of Hair Restoration Surgery

Dr. Tayfun also regularly participates in international conferences both as a speaker and as a guest, in addition to providing advanced training sessions in hair restoration to doctors the world over.

Hair loss in men is often seen at the end of 20s. In addition, the problem of hair loss can be seen in women. Our Team returns you to your old self in 1 day who had thousands of successful hair transplantation operation for over 20 years. In summary hair transplantation is the re-planting process that healthy hair follicles are spread to the area where the holes is opened. After the completely painless hair transplant procedures It is possible to get your old hair. In our hospital, hair transplantation procedures are performed by the Fue Hair Extraction method which is accepted by many authorities.

In this method, the hair follicles taken from the back of the head are planted in the area of hair loss by being kept in certain solutions.The new transplanted hair will start growing after 3-4 months and continue to grow for up to 12 months after the surgery.The final result may be observed after 1 year.

After hair transplantation, you need to preserve the transplanted area for a certain period of time to stabilize your hair follicles. This topic is more detailed at the bottom of the page.

Scientific Follicle Holding Solution (Hypotermosol+ATP).

Scientific essays report that this solution enables 99% graft liveliness in transplantations lasting more than 4 hours as compared with Saline solution or solutions such as Ringer Lactate

FUE TECNIQUE HAIR TRANSPLANT

FUE Hair Transplant or Follicular Unit Extraction is a method of harvesting hair follicles from the donor area (the back and side of scalp where hairs won’t fall out during the patient’s lifetime).In FUE hair transplant, the surgeon extracts each follicular unit one by one using a micro punch that varies in diameter from 0,7mm to 1,1mm. There are many types of punches and ways to use them (manual punches, motorized punches, sharp, blunt, among others) and all of them can offer good hair transplant results in experienced hands. What makes a big difference is the surgeon’s ability and experience. There is even a robot which helps the surgeon in the extraction process of the FUE.

For our patients who do not want to cut their hair, Unshaven Fue Hair Transplant is done successfully by our doctors.There is no difference between shaved and non-shaved operations.The difference is that only a small part of the head area is shaved and the necessary hair follicles are removed from this area. There won’t be any changes in your hair because your long hair will close the shaved area

COSMETIC DERMATOLOGY

Medistate Hospital’s Cosmetic Dermatology, Aesthetic, Plastic and Reconstructive Surgery Center render services using cutting edge equipment to create a perfect beauty.

Cosmetic Dermatology Procedures

• Laser Applications. Rejuvenation of the face using lasers and other light therapies

• Dermal Spot and Scar Treatment

• Rejuvenation of the face with Botox and injectable fillers

• Cosmetic and functional eyelid surgery

• Cosmetic and functional surgery of the nose

• Cosmetic Ear Surgery

• Facelift surgery

• Liposuction, lifting and shaping procedures of the body and extremities

• Cosmetic Breast Surgery

• Fillers

• Stem Cell Applications

• PRP therapy

• Hair and Skin Mesotherapy

Ophtalmology

• Cataract Surgery (Phacoemulsification)

• Retinal Diseases and Vitrectomy

• Glaucoma (Ocular Hypertension)

• Pediatric Ophthalmology and Strabismus

• Oculoplastic Surgery (Ophthalmic Plastic Surgery)

• Pediatric Ophthalmology and Strabismus

• Oculoplastic Surgery (Ophthalmic Plastic Surgery)

MEDISTATE CANCER CENTER

Treatment and follow-up plans of the patients, who are diagnosed with cancer, are made in multidisciplinary ap­proach or based on cooperation of Medical Oncology, relevant surgery department, radiology, pathology, nuclear medicine, internal medicine and radiation oncology departments in the Cancer Center of Medistate Hospital.

Cancer treatment at Medistate Cancer Center has an advantage of offering a combination of multi-disciplinary stud­ies such as;

Medical Oncology

Radiation Oncology

Surgical Oncology

Nuclear Medicine

Algology

Pediatric & Hematology Oncology

Medical Oncology

Medical Oncology is a medical branch that deals with all anti-cancer medication therapies. Chemotherapy is an umbrella term for “medication therapies”. Recently, chemotherapy is an important treatment modality which in­creases the chance of success in almost all types of cancer, especially breast, lung, colon, ovarian cancer, as well as lymphoma and leukemia.

While chemotherapy alone is used for some cancer types, it is applied in combination with other treatment methods, such as surgery and radiotherapy, for some other types. Chemotherapy aims to increase chance of cure in some types of cancers by destructing the tumor and preventing the spread and to kill rest cancerous cells in postoperative period in some other and to maximize curative effect of radiotherapy in others. In our hospital, professional oncolo­gists not only determine the most accurate personalized treatment, but they also take necessary measures to mini­mize the damage on the healthy organs secondary to this therapy and to protect the quality of life.

Radiation Oncology

In Department of Radiation Oncology, ionizing radiation is used to take malignant tumors under control as a part of cancer treatment. Basic principle of radiation therapy is to kill cells or to prevent their proliferation. Radiotherapy aims primarily to give the highest dose planned for the tumor, while peri-tumoral healthy tissues are exposed to the smallest dose possible.

Devices, such as TrueBeam that are developed to deliver the radiation to the diseased organ in the most accurate and appropriate way, also known as Linear Accelerator, are required for this purpose. “Radiotherapy” or “radiation therapy” implies using those devices to deliver high-dose radiation in order to destruct cancerous tissue or to ensure palliation.

Modalities used in treatment processes in the Department of Radiation Oncology are as follows:

With our TrueBeam STX device;

• IMRT, VMAT, SRS, SBRT

• Total Body Irradiation- TBI

• Total Skin Electron Irradiation - TSEI

SURGICAL ONCOLOGY

Conventional surgeries and minimally invasive procedure, which play an important role in the treatment of cancer, are performed in the field of cancer surgery.

In our Department of General Surgery, surgeries are carried out for breast cancer and benign breast disorders, esophagus cancer and its benign diseases, stomach cancer, colorectal tumors, anorectal tumors, benign and ma­lignant tumors and cysts of liver, tumors of gall bladder and biliary ducts and cysts and cancers of pancreas and thyroid cancer.

In the Gynecologic Oncology Unit of the Department of Gynecology and Obstetrics, laparoscopic procedures are car­ried out for the treatment of cervical cancers, ovarian cancers, vulvar-vaginal cancers and trophoblastic tumors.

In the Department of Neurosurgical Oncology; head and neck cancers and tumors of brain stem are managed us­ing surgical modalities. Metastatic brain tumors, glial tumors, meningiomas, pituitary adenomas and spinal cord tumors are the most common conditions that are managed with surgical modalities in the Department of Neurosur­gical Oncology.

Multidisciplinary approach has a great importance also for treatment of urological cancers. Experienced Urologists perform surgeries for kidney cancer, testicular cancer, urinary bladder cancer and other urologic oncology condi­tions.

NUCLEAR MEDICINE

Nuclear medicine is a branch of medical imaging that uses small amounts of radioactive material to diagnose and determine the severity of or treat a variety of diseases, including many types of cancers, heart disease, gastrointesti­nal, endocrine, neurological disorders and other abnormalities within the body. Highly simplified, a typical procedure would involve discussing the procedure with the patient, injecting the radiopharmaceutical which localizes in the area of interest, then is imaged using a special camera. It is like taking an X-ray from the inside-out.

As Medistate Hospital Istanbul we are proud to have the top of the line nuclear medicine equipment such as PET / CT, CARDIAC SPECT / CT, SPECT/ CT with updated versions.

ALGOLOGY (PAIN TREATMENT)

The majority of people with cancer will experience pain at some time or another. The pain can result from the cancer itself, or from the cancer’s treatment. In addition, some people who have been cured of their cancer can continue to suffer from pain. Although cancer pain is usually treated with medicine, surgery to remove a tumor or radiation therapy to shrink a tumor can be used along with medicine to provide additional pain relief. In most cases, doctors treat cancer pain with pain-relief medicines called analgesics or with non-drug treatments such as physical therapy and rehabilitation, imagery, biofeedback and relaxation techniques. Other treatment options for cancer patients in­clude nerve blocks, which involve the injection of pain medicine into or around a nerve or the spine.

PEDIATRIC & HEMATOLOGY ONCOLOGY

The Pediatric Oncology Branch is dedicated to improving outcomes for children and young adults with cancer and genetic tumor predisposition syndromes. It is thought to be one of the most challenging of specialties. There are many medical professionals who devote themselves to some aspect of this specialty. These could include the many medical technicians that may perform or aid in treatment as prescribed by a pediatric oncologist.

Pediatric oncology, while it may concern itself most with eradication of cancerous illness, may also need reflect on how best to preserve a mentally healthy atmosphere for the child through providing parental support as possible. Our pediatric oncology service and staff are ready to take care the patients medically and emotionally also all our architecture structure has designed by the patients emotionally needs.

OUR TECHNOLOGIES

TrueBeam STX

TrueBeam STx is a cutting-edge and new-generation radiation therapy device. TrueBeam STx system utilizes many new techniques with its completely restructured control system for imaging, patient positioning, movement man­agement and dynamical synchronization of treatment. It can be used in all advanced radiotherapy modalities in­cluding conventional and 3D conformal radiotherapy as well as image-guided radiotherapy and radiosurgery (IGRT and IGRD), intensity modulated arc therapy (RapidArc) and stereotactic body radiotherapy (SBRT). Intracranial and extracranial radiosurgery methods are carried out with a precision of lower than 1 mm with this system.

Trilogy

Benefits of Trilogy system;

• Shorter treatment period- more intensive dose distribution

• Shorter treatment periods

• Complete isocentric adjustment in three axes in the smallest lesion targeting

• Accurate and safe positioning of patients with rapid imaging, even during the therapy

• Cone-Beam CT for patient set-up with sensitive CT scans

Brachytherapy

Brachytherapy is an irradiation technique,where radioactive sources are placed in body spaces or between tissues (temporarily).

Risk of complication in healthy tissues decreases since it is applied at high doses before or after external therapy to a more local region to ensure a better tumor control, while lower doses are delivered to the vulnerable tissue around the tumor. Brachytherapy alone can also be used to ensure cure in appropriate situations.

Brachytherapy is an effective treatment method, which is commonly used for cervical, prostate, breast and skin cancers. Brachytherapy can be used for tumors in other body part or in other words, it is not limited with the above mentioned regions. Examples of those body parts include tongue base, floor of mouth, lip, bronchus, nasopharynx, esophagus and rectum.

PET/CT

PET/CT is an imaging method that combines PET (Positron Emission Tomography) and CT (Computed Tomography) devices to get metabolic and anatomic data of organs concomitantly.

Advantages of PET/CT

PET/CT helps differentiation of benign or malignant lesions.

It prevents unnecessary biopsy and surgical procedures.

It helps to determine spread of cancer in body or in other words, to stage the tumor with a single examination.

It is the most accurate method to identify recurrence of cancer.

It enables to evaluate response of some types of cancers to chemotherapy agents. Therefore, it makes possible to switch the ineffective therapy to the efficient one.

It helps to evaluate response to treatment following radiotherapy and chemotherapy.

Gamma Camera

Gamma camera converts photons spreading from radionuclide, which is placed in the patient, into a pulse and then a tension signal. This signal is used to form an image of radionuclide’s distribution. Gamma cameras are like a kind of camera. They do not radiate beams. Gamma cameras convert photons of gamma beams that are radiated by human body just like conversion of natural light into photons by cameras.

Radiology / Imaging Center

The Radiplogy Department of the Medistate Hospital Istanbul is equipped with the state of the art technology de­vices which perform radiological examinations such as magnetic resonance imaging, general radiology, fluoroscopy, mammography, computrized tomography, color doppler ultrasonography, portable x-ray , gamma camera and bone densitometer and the departments offers 7 /24 service.

Esil Halit, MSc. / Director

International Relations and

Marketing Department

Medistate Hospital Istanbul, Turkey

M: +90 533 507 44 81 | + 90 549 748 0002

P: +90 (216) 331 40 40

E-mail: esil.halit@medistate.com.tr

www.medistate.com.tr

Wage and fringe benefits;

WAGE: Monthly payment is made according to the determined wage scale.

TRANSPORTATION: There are free service nets to certain routes in Asian and European sides of Istanbul.

FOOD: Free lunch service is offered to all the personnel, including ones who work in shift system of Medistate Kavacık Hospital

PUBLIC HOUSING: Free public housing is enabled at a close location to Hospital
to the nurses and healthcare staff who have no location to stay.