Neurosurgery Clinic
08.10.2018

CLINIC OF BRAIN SURGERY

Our clinic was established in 1972 by the Ministry under the order of Op.Dr.FuatAdige with 30 beds. He started to serve as a training clinic with the appointment of Assoc.Prof. Şevket Tektaş as clinical chief on May 24, 1984 and with the delivery of 6 Assistant Physicians. He has trained more than 60 neurosurgeons in various parts of Turkey.

Currently, there are 3 Specialists, 1 Chief Assistant, 1 Doctoral Professor, 1 Associate Professor, 2 Professors and 6 Assistant Physicians in our clinic.

Our clinic is located on the 9th floor of our hospital. The main service in the A-block has a total of 48 beds in the B-block. The main service includes 7-bed Neurosurgery Intensive Care Unit.

About 250 patients receive polyclinic services per day and 24 hours emergency service in one of the polyclinic rooms of Neurosurgery which is located on the 3rd polyclinic floor.

In our central operating room, there are 3 surgical halls with 1 lead-coat covering the brain surgery. In 3 halls, daily average 10-12 surgeries are performed and the average number of annual operations is 2400. In our operating room, there are 2 operation microscopes, 1 scopy and 1 Ultrasonic Aspirator device.

In our clinic, almost all kinds of spine and spinal cord operations can be performed. Spine and spinal cord tumors, neck-back and lumbar hernia, neck-back and spinal cord narrowing of the waist, accidents caused by spinal fractures and dislocations are among the routine operations. Apart from this, we can only consider the following operations and operations that can differentiate our clinic from other clinics.

1-Spinal fractures in the spinal column by using closed method and local anesthesia strengthening operations by giving back to the body, ie vertebroplasty and kyphoplasty, almost every training hospital, although routinely done, our clinic is very intensive. In Turkey, even the most in the world "to strengthen the spine with bone cement," which include surgery clinics.

2-Computed tomography-guided biopsy of the spine lesions, which have preliminary diagnoses such as tumor, infection, is performed in many hospitals, but it is very intensive in our clinic.

3-We are one of the first two clinics in the world to perform screw stabilization with percutaneous or closed method in fractures of the odontoid projection (belongs to the second vertebra) which is the first level of the spine part under the skull

4 - Due to its difficulty and complication risks, cervicaldipular screw stabilization which is not performed in many clinics is routinely performed in our clinic successfully. Some cervical (neck) deformities, dislocations, dislocations, kyphosis can only be corrected by this technique.

5-In our clinic, spinal, ie spine-based, injection-radiofrequency treatment for pain is routinely applied in a very intensive manner.

6 - The stabilization operations of upper neck fractures and dislocations not performed in many clinics due to its difficulty and complication risks are routinely performed in our clinic.

In our clinic, cranial surgery in the area of head trauma, spontaneous brain bleedings, brain abscess, hydrocephalus and structural disorders of the brain operations are routinely performed.

1. Surgical procedures for brain tumors (good and malignant tumors of the brain) are intensively performed.

2. Surgical intervention can be performed either by cranial or endoscopic means (jointly with ENT clinic) for hypophysis tumors (hormone secreting and non-secreting adenomas, etc.). Cases with candidate and surgery for pituitary surgery are followed by the joint council of endocrinology, radiology, oncology and neurosurgery.

3. In our clinic, cerebral vascular disease surgery (aneurysm, arterio-malignant malformations, cavernomvb) are routinely performed. In our hospital, because of the presence of interventional radiology unit, it can be applied in common treatment methods with both inves- tigations (brain endoscopy) and surgical treatment as well as interventional procedures before open surgery.

4. Trigeminal neuralgia, which is one of the functional diseases of the brain, is applied in surgical procedures for hemifacial spasm. In the field of functional surgery, we started to perform adult epilepsy surgery surgeries in our clinic in 2008. Surgical procedures have been performed to obtain EEG recordings with electrodes placed on the brain surface and the base of the skull in patients with resistant epilepsy. In patients with resistant epilepsy, open brain operations and epilepsy battery placement (vagal nerve stimulator implantation) operations can be performed in patients who are decided by the epilepsy surgery council.

In the operation of the neurosurgical operation room, we are in the process of acquiring a high-level operation microscope and it is aimed to develop the technological infrastructure of our operating room (cranial-spinalnorendoscopy device, high-level scopy device, neuronavigation device etc.) and stereotactic interventions (movement disorders surgery, etc.).