PEDIATRIC SURGERY

It is a specialized branch in the treatment of diseases requiring surgical procedures in all infancy, childhood and early adolescents, that is, between 0 and 16 years of age. The most important point to remember is the fact that children are not small in terms of anatomy, physiology and metabolism of an adult patient, but are in a structure with completely different dynamics. Therefore, treatment and operation processes have different features than adults.
Circumcision

Although it is perceived as a technically simple intervention as the most common surgical procedure performed in children, it is an important issue that the application should be performed on a child, psychological effects and surgical technique should be considered. Circumcision should be considered as a circumcision performed in standard norms when performed by surgeons who have high communication with the child patient, have sufficient surgical experience and are dominant in psychological processes.

Hypospadias (Prophet Sunnah)

The external urinary tract (urethra) mouth of the boy is not at the tip of the penis, it is lower and behind. It is expressed as “congenitally circumcised” or “prophet circumcised” among the people. It is the most common external genital anomaly in boys after undescended testicle. Increasing frequency of hypospadias can occur in male newborns at a rate of 1/250 - 1/500. With hypospadias, undescended testicles, kidney development defects, sexual development defect (intersex) can be seen.

Inguinal Hernia

It is a type of hernia that is common in infants and children and appears with swelling in the groin area. It can occur in both groin areas, most often on the right side. It is more common in boys and premature babies are at higher risk of developing inguinal hernia. It needs to be operated as soon as possible. In the inguinal hernia, which is not noticed for a long time, the small intestine in boys and the ovary in girls can become pinched, turn around and damaged. These patients may experience restlessness, abdominal distention and vomiting.

The Intussusception

As a bowel knot, it is a bowel disease that requires serious intervention in childhood, which causes serious problems if the intestines are intertwined, such as telescopes, and the treatment is delayed.
Undescended Testicle

In boys, the testicles that should be in the bag are located in an area where they can be damaged (in the groin, in the abdomen). The right, left, or both testicles may not have descended. The testicles begin to move towards the bag from the 30th week of pregnancy, and they settle in the bag in the last weeks of pregnancy. Therefore, the incidence of undescended testicles is higher in preterm babies. In babies born on time, the absence of testicles in the bag is considered a congenital developmental defect.

Neonatal Surgery

Babies from the moment of birth to 28 days are accepted in the newborn period. Treatment of all congenital surgical diseases (many abnormalities such as absence of esophagus, breech closed birth, external bladder, birth of the intestine and internal organs) during this period are followed and treated by pediatric surgery in conjunction with the neonatal intensive care unit.

Appendicitis

It is an appendix (blind intestine) inflammation located at the junction of the small and large intestines. Appendicitis is caused by the entry of harsh nutrients into the blind intestine, the difficult to discharge, and the inflammation of the tissue by the addition of inflammation. Impairment of tissue integrity can result in perforation (puncture / burst). The main symptoms of appendicitis include abdominal pain, anorexia, nausea - vomiting, fever.

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