Labioplasty is a surgical procedure to reduce the size of the inner labia. It is recommended for women who are aesthetically uncomfortable with their inner labia, have difficulty wearing tights or bikinis due to their size, experience self-confidence issues, or suffer from recurrent yeast infections. The procedure takes approximately one hour, and discharge is typically planned on the same day. Dissolvable sutures are used, and patients can return to their daily activities within a week.

Vaginoplasty is an aesthetic surgical procedure performed to correct vaginal widening and sagging caused by factors such as childbirth and aging. After the operation, sagging is corrected, sexual dysfunction is resolved, concerns about passing gas during sexual intercourse are alleviated, and sexual harmony between partners improves. The procedure takes approximately one hour, and an overnight hospital stay is recommended. After discharge, patients are advised to avoid heavy lifting, intense exercise, constipation, and sexual intercourse for one month.

Clitoroplasty is a surgical procedure to remove excess and folded tissues from the area above and around the clitoris. It is recommended for individuals who experience reduced sexual pleasure due to excess tissue over the clitoris or who feel aesthetically uncomfortable. This procedure is often performed in conjunction with labiaplasty.

The genital area may darken due to factors such as pregnancy, waxing, and recurrent genital infections. There are several methods available for genital whitening. Laser treatments create heat-induced tissue damage, promoting the growth of pinkish-toned tissue beneath the surface. PRP (Platelet-Rich Plasma) helps rejuvenate the tissues, providing tightening, rejuvenation, and lightening of the skin color. Chemical methods involve exfoliating the skin to reveal lighter-toned tissue underneath.

Genital laser treatments are used for vaginal tightening, genital whitening, removal of warts, and management of recurrent yeast infections. By applying high heat to tissues, the procedure stimulates rejuvenation, tightening, and revitalization of the area.

The goal of Barbie vagina surgery is to ensure that no excess tissue is visible when the legs are closed, while standing, or in a seated position. During the procedure, the inner labia are shortened as much as possible, excess folds around and above the clitoris are removed, and fillers are applied to the outer labia if needed. At the end of the procedure, the inner labia are positioned entirely within the outer labia. The line between the two outer labia is referred to as the Venus line. Patients often desire the Venus line to extend seamlessly from above the clitoris downwards, considering it a more aesthetically appealing and sexy appearance.

Uterine myomas are benign tumors of the uterus. They are observed in 20-25% of women over the age of 35. Myomas often cause symptoms such as bleeding and pain. They can also exert pressure on surrounding organs, leading to increased urination, constipation, and difficulty feeling completely relieved after bowel movements. For myomas smaller than 8 cm that do not cause symptoms, monitoring every 3-6 months may be recommended. For myomas larger than 8 cm or those causing symptoms, surgical intervention is typically advised.

A hysterectomy can be performed using either open or laparoscopic (minimally invasive) methods. The choice depends on factors such as the size of the myoma, previous abdominal surgeries, and the surgeon’s experience. At our hospital, we typically prefer laparoscopic hysterectomy. The procedure is performed through 3-4 small incisions in the abdomen. Patients benefit from fewer complications, less pain, reduced risk of infection, quicker return to daily activities, and smaller scars compared to open surgery. The operation usually takes 1-1.5 hours, with a recommended overnight hospital stay. Patients can typically return to daily activities within 2 weeks.

Genital fillers are used to address wrinkles and volume loss in the outer labia. Wrinkling and sagging in the outer labia can occur due to aging or weight fluctuations. These issues are corrected through filler applications. Hyaluronic acid fillers are easier to apply, retain water, and create a plumping effect. Their durability lasts between 6 to 9 months. Fat fillers, on the other hand, involve collecting fat through liposuction, refining it, and injecting it into the labia. This method provides greater volume and longer-lasting results.

Perineoplasty is a procedure to correct scars caused by tears or incisions in the perineal region during childbirth. These scars can be bothersome for women. The unsightly areas are removed and re-stitched to restore the appearance. Hymenoplasty is the surgical reconstruction of the hymen. The hymen, which tears during sexual intercourse, is repaired to restore it to its original state. This is a simple procedure that can be performed under local anesthesia.

Monsplasty is a surgical procedure to remove excess skin and subcutaneous fat tissue from the mons region. The mons pubis is the triangular area known as the bikini region, located above the outer labia. After weight gain and loss, this area often becomes larger, fattier, and thicker. During the procedure, the excess fat and skin are removed.

Myomas can be removed using either open or laparoscopic (minimally invasive) methods. At our hospital, we perform laparoscopic myomectomy. The benefits of this approach include less pain, reduced infection risk, quicker return to daily activities, and smaller scars compared to open surgery. In laparoscopic myomectomy, the myoma is removed from the uterus and then broken into smaller pieces (morselation) before being extracted through small incisions in the abdomen. Depending on the size of the myoma, the procedure typically takes 1-2 hours. A one-night hospital stay is recommended.

Childhood obesity, also known as pediatric obesity, is the most prevalent childhood disease worldwide in recent years. The changes in children's dietary and activity habits are among the primary factors contributing to this condition. Nutrition Is Important: Balanced nutrition is the foundation of a healthy life. Vegetables, fruits, and natural foods are essential for our children's energy and growth. Let's keep them away from fast food and junk food habits. Movement is Always Necessary: Play, sports, and physical activities should be a vital part of our children's lives. Let's encourage them to step away from screens and engage in play at parks, gardens, and sports facilities. Be an Example: Children often imitate the behavior of their parents. Let's set a good example for them to develop healthy lifestyle habits. Let's make an effort to exercise together and create meals with natural foods. Don't Neglect Check-ups: Routine doctor visits are crucial for maintaining our children's health. Let's seek information from expert doctors about issues like obesity and take necessary precautions together. Healthy children means happy children. Let's support the fight against obesity to ensure their smiles. Let's take steps from today for a healthy future! The health of our children is our greatest treasure. Contact us and let us make it happen. Whatsapp : +90 542 618 0410 E-mail : [email protected] Phone : +90 222 221 48 48/186 Facebook : /healthinanatolia LinkedIn : /privateeskisehiranadoluhospital Web Site : www.healthinanatolia.com

Obesity is not just a problem that affects our appearance; it also has serious implications for our health. Preventing or treating obesity is crucial for a healthy life.Developing healthy eating habits and engaging in regular exercise are vital for preserving your health and enhancing your quality of life. Remember, making the right choices for a healthy lifestyle and being mindful of weight management are necessary. Value yourself and strive to lead a healthy and happy life!

Ozone Therapy accelerates your weight loss process by breaking down fat cells in the body and reviving your metabolism. It targets fat cells in your body, helping you achieve a healthier physique. Improve Your Health! Ozone therapy not only aids in weight loss but also repairs damaged cells in the body and strengthens your immune system. This way, you can stay healthy while reaching your ideal weight. Get in Touch with Us! Contact us to learn more about ozone therapy and to schedule an appointment. Our expert team is here to provide you with personalized solutions and encourage you to take a step towards a healthy lifestyle. Whatsapp : +90 542 618 0410 E-mail : [email protected] Phone : +90 222 221 48 48/186 Facebook : /healthinanatolia LinkedIn : /privateeskisehiranadoluhospital Web Site : www.healthinanatolia.com

Gastric Botox is a non-surgical and effective method. This injection procedure, easily performed through gastroscopy, takes only a few minutes and usually allows you to be discharged on the same day. You can resume your normal activities immediately after the procedure. We support you on your weight loss journey with a quick and convenient solution. If you are looking for a faster and non-surgical option to lose weight, gastric Botox may be ideal for you. Our experts will provide you with a personalized plan and support you in achieving healthy weight loss. Please Contact us: Get in touch with us to get more information and schedule an appointment. Take a step towards a healthy life and bid farewell to obesity quickly! Whatsapp : +90 542 618 0410 E-mail : [email protected] Phone : +90 222 221 48 48/186 Facebook : /healthinanatolia LinkedIn : /privateeskisehiranadoluhospital Web Site : www.healthinanatolia.com

A swallowable gastric balloon is an effective and non-surgical method that provides support in your weight loss journey. A small swallowable capsule partially fills the stomach, creating a sensation of fullness and supporting your weight loss journey. Swallowable gastric balloon helps you lose weight for a healthy lifestyle. Contact us and let us make it happen. Whatsapp : +90 542 618 04 10 E-mail : [email protected] Phone : +90 222 221 48 48/186 Facebook : /healthinanatolia LinkedIn : /privateeskisehiranadoluhospital Web Site : www.healthinanatolia.com

What is Dumping Syndrome?

Dumping syndrome, which is almost never seen after gastric sleeve surgery, is the most important complication seen after gastric bypass surgery.

About Dumping Syndrome

The most common type of weight loss surgery associated with dumping syndrome is gastric bypass however some sleeve gastrectomy patients report symptoms that appear to be dumping syndrome as well.Common gastrointestinal symptoms include abdominal cramps, vomiting, nausea, a feeling of fullness, and diarrhea. Some people experience cardiovascular symptoms such as flushing, dizziness, lightheadedness, heart palpitations and rapid heart rate. Most people with dumping syndrome experience symptoms soon after eating, usually within 15-30 minutes. A late dumping phase may happen about 1 to 3 hours after eating.

Symptoms of early dumping syndrome;

Symptoms are quick to come on after eating, especially if the meal was high in sugar. People with early dumping syndrome may experience: • diarrhea
• dizziness
• feeling bloated
• increased heart rate
• nausea
• skin flushing
• stomach pain and cramping
• vomiting

Symptoms of late dumping syndrome;

Occurring within 3 hours of meals, late dumping syndrome can cause low blood sugar, which may lead to the following symptoms: • dizziness • fatigue • hunger • increased heart rate • skin flushing • sweating • weakness Some people may experience symptoms of both early and late dumping syndrome.

Dumping Syndrome Treatment

There’s a good chance that changing your diet will resolve your symptoms.Many people find that taking steps like these greatly reduces symptoms of dumping syndrome. • Eat smaller meals
• Avoid fluids with meals
• Change your eating plan
• Chew well
• Increase fiber intake
• Stay away from acidic foods
• Avoid alcohol
• Use low-fat cooking methods
• Lie down after eating
Dumping syndrome is a common condition in the first months after surgery and gradually improves with the adaptation of the bowels to the new condition.

Why Protein is Important after Bariatric Surgery?

Protein is an important component of every cell in the body.Hair and nails are mostly made of protein. Your body uses protein to build and repair tissues. You also use protein to make enzymes, hormones, and other body chemicals. Protein is an important building block of bones, muscles, cartilage,skin, and blood. If your diet doesn't include enough protein, you might notice thinning hair about 6 months to a year after weight loss surgery. That’s because the human body can’t make protein without food and also has no way to store protein making it important to consume enough daily. When a you lose weight, it isn’t just fat, but muscle, as well. The goal of eating 60 to 80 grams of protein every day is to help minimize muscle loss. Holding onto more muscle can also help minimize sagging skin that is common after surgery. You should incorporate more protein into your diet.We can see the maximum benefit from the shrinking stomach by starting the first protein foods in the meals.Then we can consume seasonal vegetables and salads.Keep a food diary. This way you can ensure you are getting your daily recommended amount of protein.

Best sources of protein;

• Egg
• Fish and seafood
• Milk,yogurt
• Meat
• Nuts and seeds
• Soya
Animal proteins, protein content and as well as the amount of calories is high in low-fat or fat-free must be preferred.

Gastric Ballon

Gastric Balloon is placed into the stomach in a simple, non-surgical outpatient procedure. First, a diagnostic endoscopy is done to ensure that there are no contraindications and that it is safe to perform the procedure. Once you are mildly sedated and comfortable, the procedure can begin. The deflated gastric balloon is inserted through the esophagus and into your stomach. A syringe is then used to fill the balloon with a sterile saline solution. Once the weight loss balloon has been filled with saline it is about the size of a grapefruit. The entire procedure takes about 20 minutes. After roughly two hours of recovery, most patients head home to begin the rest of their new life.

8 Reasons Why Turkey is the Best Destination for Medical Tourism

For decades, Turkey has always been a well-known tourist destination in the world especially for its historical places, amazing cuisine, wonderful beaches, its art and craft and the most modern resorts. Every year, nearly thirty million tourists visit the country to explore its natural and architectural beauty. And medical tourism in Turkey has also become one of the most popular choice for patients who seek medical treatment abroad.

Turkey’s growth as a medical tourism destination

Turkey is considered as one of the world’s best destinations for medical tourism. According to the Turkey Healthcare Travel Council, in the year 2018, Turkey welcomed more than around 850,000 medical tourists from 149 different countries. Plastic surgery, hair transplantation, dental surgery and other treatments that require attentive care such as bariatric surgery, emergency services, eye diseases and gynecological/obstetrics branches, followed by pediatric diseases and internal diseases are among the most popular treatments. On the other hand, waiting times and prices for surgeries in Turkey is also very low compared to some countries like USA or UK.

Popularity of medical tourism around the world

Globalization has led to a booming in medical tourism industry. In the development of sustainable tourism, medical tourism plays a significant role by minimizing, diversifying and seasonal tourism services. The healthcare industry is considered to be among the world’s most vital sectors. People who face health issues consider traveling to certain destinations in order to avail desired medical services. Medical tourism has gotten so famous that more and more countries have opened its doors international patients. Patients from various developed countries are known to travel to developing countries to get quality health-related services at affordable prices. This is why medical tourism in Turkey, India and Thailand has become popular. Medical tourism Turkey is of particular interest to visitors from developed countries. The following are some reasons why medical tourism in Turkey is considered to be among the best:

Improved healthcare infrastructure:

Over the past couple of decades, people from private and public sectors have made considerable investments towards making the medical facilities in Turkey more advanced. Turkish Tourism Ministry has a department just for medical tourism and encourage the hospitals around the country to invest more in it.

Competitive prices:

Compared to the US and the UK, Turkey has about 50-60% lower surgical fees; this is one of the biggest reasons that people travel to Turkey for health-related issues. The average fee for an angioplasty procedure in the U.S. is $47,000, while it is only $5,000 in Turkey, whereas it costs $10,000 in Thailand, $11,000 in India and $13,000 in Singapore - all countries which are said to have very low health treatment fees.

Accredited hospitals:

In Turkey, there are more than 50 accredited hospitals, out of which most are located in Istanbul, Izmir, Ankara, Eskisehir, Antalya, Kocaeli and Adana. Some hospitals in Turkey also have affiliations with institutions like Harvard Medical Center and John Hopkins Institute. There are more than 10 first class private hospitals in Turkey. These hospitals are in top-notch condition with highly qualified doctors.

Easy access:

Discounted and affordable flight fares from other European and neighboring countries along with being able to get an e-visa online makes travelling easier compared to some other medical tourism destinations.

A geothermal country:

After the US, the Philippines and Indonesia, Turkey stands at fourth place as a “geothermal country.” Thermal water and therapy tourism are a popular one when it comes to Turkey. If you visit Eskisehir or Bursa for medical tourism, you’ll have a chance to explore and enjoy this healing and natural source.

Language support:

Hospitals in Turkey with medical tourism teams offer language support to patients. These units provide translation services in languages like English, Arabic, Russian, Farsi, French, German to make sure patients feel comfortable and supported during their visit .

Well-trained and experienced doctors:

The reason for a large number of medical tourists visiting the Turkey is the excellent quality of surgeries and medical care. At least over 35% of physicians trained in the Western countries and graduated from top universities. Also, the doctors in Turkey are more experienced in most their European colleagues due to high volume of patients they treat and the diversity of cases they are exposed to.

Natural and historical beauty:

Turkey is situated at the crossroads of the Balkans, Caucasus, Middle East, and eastern Mediterranean. So, it offers a mix of different climates and natural beauties. While you can enjoy a nice beach holiday in the west and south, you can go for skiing in the east or enjoy beautiful, green mountains in the black sea region. Turkey was at the same time home of Mesopotamian civilizations, Byzantium Empire and then Ottoman Empire. The history goes back to thousands of years in the land and it has a lot to offers when it comes to human history.
It can easily be seen that medical tourism in Turkey has quickly become a major destination for patients who are looking for high-quality medical tourism facilities with well-trained doctors. Turkey offers a safe and secure environment as compared to many other competing destinations. Skilled doctors, low treatment prices, well established hospitals and suitable climatic conditions are some of the reasons due to which people Turkey is a top choice for medical tourism.

Thyroid Cancer Awareness

Thyroid cancers, differentiated thyroid cancers, medullary thyroid cancer and anaplastic thyroid cancer are divided into three main groups. It is the most common group of differentiated thyroid cancers and accounts for about 95% of all thyroid cancers. (including papillary, follicular and Hürthle cell) Treatment: surgical treatment or of radioactive iodine ablation therapy and lifelong thyroid hormone drug therapy for people who is in the low risk group.

What is Thyroid Gland?

The thyroid is a butterfly-shaped gland that sits low on the front of the neck. Your thyroid lies below your Adam’s apple, along the front of the windpipe. The thyroid has two side lobes, connected by a bridge (isthmus) in the middle. When the thyroid is its normal size, you can’t feel it. Brownish-red in color, the thyroid is rich with blood vessels. Nerves important for voice quality also pass through the thyroid.The thyroid secretes several hormones, collectively called thyroid hormones. The main hormone is thyroxine, also called T3, T4. Thyroid hormones act throughout the body, influencing metabolism, growth and development, and body temperature. During infancy and childhood, adequate thyroid hormone is crucial for brain development.

What are the Symptoms of Thyroid Cancer?

• A lump in the front of the neck, near the Adam's apple
• Hoarseness
• Swollen glands in the neck
• Difficulty swallowing
• Difficulty breathing
• Pain in the throat or neck
• A cough that persists and is not caused by a cold

What causes thyroid cancer?

Thyroid cancer is the most common cancer among the glands with a rate of 92%.However, it accounts for less than 1 percent of all cancer cases in the body. At the same time, the most positive type of cancer that responds to treatment is thyroid cancer.Inherited genetic syndromes; Some conditions, including cancer, come from the DNA you get from your parents.Iodine deficiency; If you don’t get much of this chemical element in your diet, you could be at more risk for certain types of thyroid cancer. Radiation exposure; If your head or neck was exposed to radiation treatment as a child.Thyroid cancer is usually very treatable, even if you have a more advanced stage of it. That’s because there are effective treatments that give you a great chance for a full recovery. And surgery, when it’s needed, can sometimes cure it.

What Are Thyroid Cancer Treatment Methods?

Surgery is the most effective method of treatment of thyroid cancer.The most reliable is the completely removing of the thyroid gland. If cancer has spread to nearby lymph nodes in the neck, these will be removed at the same time surgery is done on the thyroid. This is especially important for treatment of medullary thyroid cancer and for anaplastic cancer (when surgery is an option). For papillary or follicular cancer where only 1 or 2 enlarged lymph nodes are thought to contain cancer, the enlarged nodes may be removed and any small deposits of cancer cells that may be left are then treated with radioactive iodine. More often, several lymph nodes near the thyroid are removed in an operation called a central compartment neck dissection. Removal of even more lymph nodes, including those on the side of the neck, is called a modified radical neck dissection.Treatment may remove or destroy the cancer, but it is very common to have questions about cancer coming back or treatment no longer working.Therefore, patients should be under control regularly.This type of surgery should be performed by surgeons experienced in thyroid cancer.Complications such as hoarseness and low calcium may be minimized when performed by an experienced team.

Gastric By-pass (Roux-en-Y)

In gastric bypass surgery, a large part of the stomach is bypassed and a small voluminous (approximately 30-50 cc) gastric section is prepared and stitched in the small intestines.In this operation, gastric bypass aimed to reduce the volume of the stomach as well as to disable some of the intestines and throw some of the consumed food unabsorbed as it is in other obesity surgery operations.Thus, patients are fed with less food, and a portion of the food they consume is absorbed. Recently, obesity surgery is also preferred by celebrities. Most preferred bariatric surgery is Gastric Bypass.
Some of our celebrities with Gastric Bypass are as follows;
Randy Jackson
Roseanne Barr
Star Jones

Gastric Bypass Revision

Revision weight loss surgery is a procedure to help correct problems associated with weight loss (bariatric) surgery.The most common reason for revision weight loss surgery is insufficient weight loss after the initial weight loss surgical procedure. But patients also might need corrective weight loss surgery because they have gained weight or have complications from a first time weight loss surgery. The gastric band procedure is performed less frequently and many patients desire band removal due to weight gain or other issues. Symptoms of ineffective gastric banding surgery that may require a new procedure include regaining weight, or inability to lose a desirable amount of weight within an appropriate period of time after surgery. Increased stomach pouch capacity in spite of repeated adjustments may also be a sign of an ineffective procedure. When the Lap-band or Realize Band has failed, a switch from gastric banding to a sleeve gastrectomy or gastric bypass may be beneficial. Re-sleeve is the most suitable surgical option in many cases when the stomach has stretched after a sleeve gastroplasty. However, like in sleeve gastroplasty, the stomach can re-stretch again without changes in eating and lifestyle habits accompanying the procedure.On a positive note, re-sleeve is also the least invasive procedure among the surgical options of gastric sleeve revision.Patients who underwent a previous sleeve gastroplasty and who lose weight in an inadequate manner or even re-gain weight following their initial procedure. Revisional bariatric surgery is difficult to perform due to its high complexity and complication rate. The risks associated with revisional procedures are in some cases more than 10 times greater than with primary/first-time bariatric procedures. However, the outcome of the majority of revisional operations is generally favorable when in the hands of an experienced bariatric surgeon. Furthermore, appropriate selection of patients for revisional operations by an experienced practitioner is more likely to improve the outcome. There were some celebrities who didn't get good results after the first surgery.
Some of our celebrities with revision surgery;
Diego Marradona Gastric Bypass Revision
Carnie Wilson Bypass Surgery Revison
Some of the celebrities who want to lose weight with long-term nutrition and diet instead of losing weight in a short time with obesity surgery;
Adele weight loss
Khole Kardashian weight loss
Janet Jackson weight loss
Chiristina agulera weight loss
Jessica Simpson weight loss
Hilary Duff weight loss
Pink weight loss

How Obesity Affects You and People around You

As frightening and malignant as obesity seems, is a reversible. Obesity can be defined as a condition where patients put on an excessive amount of fat. In such a condition, moving around is difficult, and patients might need help with daily personal activities. This goes to show that not just the patient, but patient’s loved ones too, are easily affected by obesity. An obesity patient’s physical movements are restricted, and the patient faces muscular stiffness, as well as increasing joint immobility. In an obese state, the patient also becomes a candidate for heart disease and will likely have high blood pressure, experience breathing difficulties, blood-sugar issues, etc.


Here’s what you achieve when you reverse obesity

When you reduce your excessive weight, you automatically:
• Lower your blood pressure
• Improve your memory
• Reduce joint pain
• Decrease muscle stiffness

Losing weight helps to lower your blood pressure

People suffering from blood pressure issues tend to create stress for all those around them, especially close relatives. Most certainly, an increase in weight leads to a rise in blood pressure. This is why you must not let your weight gain become unmanageable. However, the good news is that by losing just 10 pounds you can reduce your blood pressure significantly. You can begin with small changes to start a healthy life. Reducing obesity improves your memory While obesity can gradually damage your memory, did you ever think that weight loss could help to improve your memory? To lose weight, you need to follow a healthy diet along with exercising, and this change in diet can help you increase your brain performance, especially if you have fish 2-3 times a week.

Reduces joint pain

Joint pain and orthopedic problems is one of the most prevalent conditions resulting from obesity. Studies consistently show that overweight people have higher rates of joint pain problems than people who aren’t overweight. One study found that those who are obese (with a body mass index [BMI] between 30 and 35) are four to five times more likely to get arthritis in their knees. If you have weight-induced joint pain, losing weight and taking stress off your joints may ease your symptoms. While your body can’t reverse arthritis or regrow cartilage, losing weight can help arthritic joints feel better and prevent further damage.

What should you do to reduce stress levels caused by obesity?

Obesity and mobility issues might cause stress to you and your family. Notably, most stressed individuals commonly have high levels of cortisol. Cortisol is a hormone that is released in response to stress. High cortisol levels may cause weight gain. Making some changes in your diet might help reduce these stress levels.
• Breakfast: Most people feel that skipping breakfast will help them lose weight. You could instead miss out on essential nutrients. It may lead you to intake snacks throughout the day that comprise junk food that causes you to gain weight.
• Junk food: Replace your junk food stock with healthy snacks.
• Processed foods: This is something that you wouldn't want to get your hands on, as they contain excess sugar and unhealthy fats.

Which food should be included in your diet?

Exercise isn't going to do it all. Drinking water can help with weight loss, and it also can boost your metabolism. It can be difficult to avoid situations that are out of your control. Unhealthy snacks stored or placed on the table, are more likely to tempt you. So, keeping junk food out of your house could be a good solution. Most certainly, the intake of desserts must be limited. Going to family dinners or hanging out with your friends can lead you to some tempting sweet dishes. Try to resist these.
Fruits that you would want to take into consideration:

• Apples: According to research, three apples daily can help with you lose weight.
• Watermelon: Low in calories, high water content, and undoubtedly yummy! Less than 100 calories of watermelon and your stomach will feel as if you have eaten more.
• Grapefruit: Half a medium grapefruit has only 60 calories, and, like watermelon, it's more than 90 percent water.

Foods that you would want to take into consideration:

• Spicy Foods: A spicy compound known as capsaicin helps you boost your metabolism and reduce your appetite slightly.
• Whole, Single-Ingredient Foods: If you want to be healthier, then you should eat whole, single-ingredient foods. These foods can be naturally filling. A diet based on these foods will make it easier to lose weight.
• Vegetables: Many properties in vegetables can be effective for helping you lose weight. There are fewer calories contained in them and a lot of fiber. Vegetables are also high in water content. There is no short-cut fix for obesity but taking a step towards that path is important. While all the mobility and health issues affects you socially and economically, it also affects the people that are closest to you. Regularly monitoring your weight, setting realistic goals, and involving your friends and family with your attempts to lose weight would help.

Take a step for an improved life and always ask for support. Dr Cenk Sogukpinar and the team at Private Anadolu Hospital International Health Unit build a support system for the patient, including surgery, nutrition and rehabilitation.

Eating too fast can lead to health problems

Eating too fast can lead to health problems. Nutrition and Diet specialist, Dietitian Lalenur BALCI informed about eating fast habits.“Recent research has shown that, to regulate the body's energy state; body is using neurons. With this information; It is assumed that rapid food consumption can alter metabolic communication between neurons.When all studies were evaluated together; As a result of eating too fast, the active use of oxygen in the body decreases and as a result, fat burning decreases.Therefore; regulating nutritional behavior (eating too fast, not chewing too much) is the first step that every individual should do in order to protect their health.
Fat burning in the body is reduced, if a stendary life style is added on it; it is inevitable that people will progress to obesity every day. Obesity, which is linked to all diseases, is now seen in about 150 million children worldwide.This number is increasing rapidly with each passing day. Especially those who cannot get enough oxygen to their body have a higher risk of obesity. People who work indoors, those who cannot breathe enough air due to health problems, smokers cannot provide enough oxygen to their bodies during the day.If we add a fast-eating habit to the body that is deprived of oxygen due to our way of life, health and environmental conditions; The oxygen level in the body will decrease thoroughly.The predisposition to obesity will also be quite high. Therefore, chewing too much, gaining the habit of eating slowly will protect us from many diseases (obesity, stomach diseases, etc.).
It is not easy to change the habit of eating too fast. Getting help from specialist dieticians, psychologists and specialist physicians will help us.
With plenty of Oxygen and healthy days for everyone ..

Stomach Botox

After an average of 15-20 minutes of application, the appetite and the muscles of the stomach, which are effective on hunger, are ineffective for 4-6 months, reducing appetite.The theory behind botox injections to the stomach is that by paralyzing the muscles involved in moving food the stomach will feel fuller, helping the patient feel less hungry, eat less and lose weight. Normally, carbohydrate foods leave the stomach in 2-4 hours, while gastric emptying of the stomach is prolonged by up to 12 hours after botox application. Stomach botox, stomach hormone secreting parts of the stomach is also applied to reduce the appetite and increase the duration of satiety.With the application of stomach botox, it is possible to lose 40% of the excess weight and reach the ideal weight in 6-8 months.

How is non-surgical “Stomach Botox ” obesity treatment performed?

After examinations, if there are no conditions that will prevent the treatment, stomach Botox will decrease appetite, amount of consumed food, increase sense of fullness and makes weight loss easier. This treatment is applied with endoscopic methods and it takes 20-30 minutes. After spending 2 hours under observation, patients can go back home. Patients can go back to their normal lives next day. Healing period of this treatment is extremely short. When this treatment that shows affects in 3-7 days is supported with personalised diet program, patients will start to lose weight in 1 month and this process will continue 6 months.

Is stomach botox safe? Are there any side effects or risks?

The effect of stomach botox lasts 4-6 months.There is no side effect or risk of stomach botoxIt is a reliable method with high success rates in the treatment of obesity. Rarely observed side effects after administration include nausea, dyspepsia and bloating.

Who can the non-surgical “Stomach Botox ” treatment be performed on?

The stomach Botox procedure has in recent years begun to be commonly used across the world and in Turkey. It is a revolutionary type of treatment especially for those who have difficulty sticking to weight-loss diets and regular exercise and those who are continually unsuccessful when trying to lose weight with diets. It can be performed on people whose body mass index (BMI) is less than 35. Stomach Botox is not recommended for those whose BMI is over 35. When there are cases of stomach ulcers, gastritis and duodenal ulcers, stomach Botox is recommended after these complaints have been remedied.

Advantages of Stomach Botox

Botox is applied to stomach muscles and it is effective on smooth muscles of stomach. Muscles with Botox have decreased contraction capacity. For example, since contraction of stomach muscles that process food in 2-3 hours and discards this processed food in 4-4.5 hours slow down, this process can take up to 10-12 hours. With the help of injection to stomach part where hunger hormone ghrelin is segregated, level of this hormone is significantly decreased. This way, appetite of the patient can be decreased significantly and sense of fullness can be maintained for a long time.Patients who are afraid of surgical interventions and experience problems with diet program can achieve a new diet habit and lifestyle when stomach Botox is combined with diet program. It is possible to weight 4-20 kilo in 6 months when stomach Botox is combined with regular exercise and diet program.

When will you feel the effects of stomach botox application?

3 days after the application of stomach botox, appetite and hunger sensation begins to decrease. After 1 week, these effects reach their maximum level and continue for 4-6 months.

HAIR LOSS AFTER BARIATRIC SURGERY

Hair loss after bariatric surgery is very common and very stressful. In general hair loss is start suddenly and rarely lasts longer than 6 months . 3 to 5 months after weight loss surgery, hair loss is a relatively common condition due to rapid weight loss, insufficient protein intake, and the general stress your body. Another less common reasons for post-surgery hair loss might be a lack of nutrients such as vitamin B6,zinc, potassium, biotin.
Hair loss prevention tips;

Best sources of protein;

• Protein ! Make sure you consume 60g/day minimum per day. This includes skinless chicken, lean red meat, grilled/baked fish, low-fat string cheese and cottage cheese, yogurt, beans.
• Vitamins ! Take vitamins. Many nutrient deficiencies can lead to hair loss. They are essential for avoiding nutrient deficiencies and provide the B-vitamins needed to keep your hair healthy.
• Relax and don’t worry. It is natural hair loss of 5-15% of your hair due to the stress of surgery and weight loss. It rarely lasts more than 6 months. It grows back.
• Avoid excessive vitamin A and high dose zinc supplements they are both potentially harmful.
• Follow our dietary prescription which calls for limited calories and exceptional diverse protein intake on a daily basis.DO NOT add a lot of protein and increase your calories so much that you sabotage your weight loss.We suggest a protein supplement that is low in sugar.

In summary, this type of hair loss is a diffuse shedding of hair as it relates to the normal hair growth cycle. It is common in men and women and all races. It occurs a little more frequently in women typically after childbirth and can also happen to infants after the first month or so of life.

Back Pain, Causes And Surgical Treatment

Nowadays, 85 out of 100 people complain of low back pain. 80 percent of patients with low back pain recover spontaneously within 1 month.Lower back pain is very common. It usually develops due to overuse or a minor injury, but sometimes there may be no obvious cause. Lower back pain can also be a symptom of an underlying medical condition.It usually results from a problem with one or more parts of the lower back, such as:ligaments,muscles,nerves,the bony structures that make up the spine, called vertebral bodies or vertebrae.It can also be due to a problem with nearby organs, such as the kidneys.Only 50 percent of low back pain is a hernia. In 90 percent of all cases, the pain gets better without surgery.

Causes of Low Back Pain

Back pain that comes on suddenly and lasts no more than six weeks (acute) can be caused by a fall or heavy lifting. Back pain that lasts more than three months (chronic) is less common than acute pain. Back pain often develops without a cause that your doctor can identify with a test or an imaging study.Conditions commonly linked to back pain include: Muscle or ligament strain,bulging or rupture disks, srthritis, skeletal irregularities,osteoporosis.

Preventing Lower Back Pain

You can reduce the chances that you experience lower back pain by making these positive lifestyle changes.
1.Eat healthfully so you keep your body weight within a healthy range.
2.Get regular exercise to keep your back muscles fit and flexible.
3.Avoid prolonged sitting.
4.When you do sit, maintain good posture.
5.Use proper techniques for lifting (lift with your legs rather than your back).
6.Avoid frequent bending and twisting. Especially avoid bending, twisting and lifting at the same time (like shoveling snow).
7.Avoid situations where your spine is vibrated for long periods of time.
8.Get enough sleep each day.
9.Stop smoking.
10.If you have depression and/or anxiety, visit with your health care clinician about ways to manage it.


Surgical procedures for back pain
Laminectomy

A laminectomy is a surgical procedure to remove parts of the vertebral bone known as the lamina, bone spurs or ligaments in the back to relieve pressure on the spinal nerves. It is minimally invasive requiring only small incisions to push aside the back muscles instead of cutting into them. Portions of the vertebra adjacent to the lamina are left undamaged. A laminectomy may cause the spine to become somewhat unstable and require a spinal fusion to be performed.

Foraminotomy

A foraminotomy is performed by the surgeon to cut away bone at the sides of the vertebrae to make space for the nerve roots exiting the spine. The distended space can relieve pressure on the nerves, helping to relieve any agonizing pain. A foraminotomy too can sometimes result in reducing the stability of the spine, and a spinal fusion may be performed at the same time to correct the problem with the spine.

Discectomy

The spinal disc that acts as a cushion to separate the vertebrae may be inflamed from a bulging or slipped disc, causing it to press on a spinal nerve and cause back pain. In a discectomy procedure, the surgeon removes all or part of the herniated lumbar disc material pressing on the nerve root or the spinal cord. A discectomy can be performed either through a large incision or even with a smaller incision using micro tools from outside, known as microdiscectomy. Microdiscectomy uses a special microscope to get a larger view of the disc and nerves and therefore requires only a smaller cut, which causes less tissue damage. A discectomy can often form part of a larger surgery involving laminectomy, foraminotomy, or spinal fusion.
Disc Replacement
In artificial disc replacement surgery, the surgeon removes a damaged spinal disc to insert an artificial disc between the vertebrae, which enables continued motion of the spine. This procedure is seen is seen as an alternative to spinal fusion because the recovery time for a disc replacement may be shorter in many people. Though there may be a small risk associated for artificial disc replacement surgery of the foreign artificial disc failing or dislodging.
Spinal fusion
Spinal fusion is one of the most common surgical options for back pain, where mechanical back pain cannot be treated with aggressive conservative treatment, exercise and strengthening physiotherapy for the spinal muscles and ligaments. In this procedure the surgeon joins spinal bones, known as vertebrae, together to restrict movement between the bones of the spine at a painful vertebral motion segment. This should reduce the pain from the affected joint. Lumbar spinal fusion surgery involves adding bone graft to a section of the spine to allow a biological response in the body causing the bone graft to grow between the vertebral sections to create a bone fusion. This fixed bone created through the fusion procedure replaces the mobile joint to prevent any motion between the painful joints and also limit the stretching of the spinal nerves. Spinal fusions can be anterior or posterior in location, and sometimes cages or screws are used to further support the fusion. Spinal fusion surgery may not just be limited to one motion disc but across several motion segments.

Packing List For Hospital

Packing List For Hospital

The list of suggested things to bring during your recovery in the hospital after surgery can be as large or small according to what you want to carry. We suggest you carry with the essential, especially if you are traveling from afar. The overall patient experience is that they pack a lot more things than what they actually need for a short stay of 3 or 4 nights in the hospital.
*The most important are medical documents and medications. The latter with clear instructions for quantity and dosage attached.
*Some baby or wet wipes and/or facial cleansers for keeping yourself fresh and clean.

Comfy Clothing

The operative word here is “comfy.” Post-surgery, you’ll want clothes that don’t require a lot of bending to put on, buttons or zippers – a night gown, open front sweater that you can easily slip into or pull-on sweatpants that aren’t tight at the waist are good to pack. Slip on shoes or slippers with tread that grip the floor and aren’t too smooth and slippery are also essentials.

Entertainment

Your iPad, laptop or phone are good companions when you’re in your hospital room. You can watch short videos, keep in touch with friends on your favorite social media platform or read a book. Just make sure your charger is also on your packing list. If you’d rather unplug, bring along a couple of your favorite magazines, your current paperback or a journal to write down your thoughts.

Lotions and Chapstick

Dry skin and chapped lips are no fun, especially when you’re in a hospital bed. Bring along your favorite body lotion and lip balm to help ward off dryness that’s typical following any kind of surgery.
*Just in case you haven’t thought about it – a couple of basic bariatric cookery books and bariatric portion plate – with advice and recipes for all the stages you will encounter after surgery and the months ahead.

What to do at home before surgery

The concept on how to prepare for surgery can basically make us think about the implications of the surgery itself, however, the recommendation is that at home you should leave everything ready and in order with nothing pending to do upon your return home from hospital this will avoid you from worrying about issues that may interfere with your first days of rest and recovery. Simple things like having clean clothes and whites, leaving the house clean, and have your pantry full of groceries with only things to be used as a source of hydration and nourishment in the first weeks after surgery, make sure you have ready a comfortable wardrobe at home, including, in the case of women, try having no wired bras available, a good choice would be the sports bras.

Revisional Bariatric Surgery

What is Revision Surgery?

10% of all obesity operations performed in the world there are possibilities like“fail to get the desired result or have a reverse situation” If a patient who has undergone obesity surgery has lost less than 50% of his overweight in 18 months, it can be said that obesity surgery has failed.In addition, long-term or late-term complications and weight gain after losing weight are also indicative of failure.For this reason, bariatric surgeons may choose to convert failed restrictive surgery to malabsorptive or combined (disrupting and restricting absorption) procedures.

Revisional Bariatric Surgery Procedure

Before deciding on revision surgery, the patient is assessed for availability. In addition, it is necessary to evaluate the patient whose result has failed. Because, the answer to the question whether the operation has made the patient unsuccessful or if the patient is making the operation unsuccessful, will ensure that the correct surgical method is selected. Determining whether there is an important factor such as stress will seriously affect the success of revision surgery. For this reason, the general evaluation of the patient before the revision surgery is of course important for the success of the new surgery. Upper Gastrointestinal Endoscopy and passage graphies may be requested to determine the factors that may cause obesity surgery failure. Before all these evaluations, all the patients who have been decided to undergo revision surgery are required for the necessary tests such as blood tests, endoscopy, pulmonary function tests, and anesthesia examination.

Which patients can not be revisional bariatric surgery?

Revisional bariatric surgery is performed to repair or change a previous weight loss surgery. But; a patient who has undergone obesity surgery may not be available for a new operation in the examination.
In general, the following patients are not suitable for revision surgery.
People who use drugs
Patients with maladaptive eating disorder
Patients who refuse to get vitamin and nutritional support.
Patients, who have reflux problem and not get medical treatment are not suitable for revision surgery
Patients with severe complications such as the occurrence of leakage in the previous operation

What are the methods of revision surgery?

?Patients whose previous bariatric surgery produced undesirable or disappointing outcomes are possible candidates for revisional surgery.In the revision surgery procedure, 90% success can be achieved in the operations performed with the right method.It is an inevitable fact that people who do not follow strict rules such as nutrition rules after obesity surgery will be “unsuccessful“. In this case, instead of repeating the surgery, planning another revision surgery by trying another method can ensure success. For example: it may be possible to tell a patient who is considered to be unsuccessful after gastric sleeve surgery with a success rate of 90% when gastric bypass is performed.

What are the revisional bariatric surgeries:

Gastric Band
If you have an intolerance and/or complication to the gastric band, such as nausea, vomiting, dysphagia, slippage, or erosion, removal of your band offers immediate symptom relief. However, without converting to another bariatric procedure, many patients regain weight after Lap Band removal. We offer minimally invasive gastric bypass or sleeve gastrectomy surgery, after Lap Band removal surgery.

Gastric Bypass
This minimally invasive procedure is designed to treat weight regain after gastric bypass surgery. This procedure can help you to lose more weight after weight regain by reducing your ability to absorb food and calories.

Gastric Sleeve
If the patient who has gastric sleeve surgery cannot lose enough weight or the weight has decreased due to the enlargement of the stomach again, sleve gastrectomy can be performed for revision surgery. The Roux-en-Y proximal technique can also be performed during sleeve gastrectomy. Duodenal Switch
Duodenal Switch, which is based on the contact of food with less intestinal surface, is made by separating the duodenum and reconnecting it from the distal part of the small intestine.

Transit Bipartition
Loop Transit Bipartitization is a relatively low-risk operation that is as effective as other operations in the treatment of Type 2 diabetes. The operation is technically safer. The biggest plus is that it causes much less vitamin-mineral deficiencies than other absorption disrupting surgeries. The duodenum, ie the duodenum, is significantly improved in diabetes and other concomitant diseases without disabling the intestine. However, as it is a relatively new operation, our knowledge about the long-term effect on diabetes is not yet clear.

Risks After Revision Surgery & Return to Normal Life
It would not be wrong to say that there is a little risk in revision operations compared to the first one. The risk of leakage or bleeding between 1% and 2% in a person who has undergone first obesity surgery, while these risks are 3 to 4% in revision surgery. But; to know that risks can not lead to worse outcomes than obesity and not to ignore 90% chance of success are the issues that should be considered before revision surgery After revision surgery, it is similar to the first operation in return to normal life. If there isn't any problem in the patient,we can discharge him after 3 or 4 days. On average, the patient can return to normal life within 7 to 10 days.

The parts of the ear include :

1) Outer ear,
2) Middle ear,
3) Inner ear.

• The outer ear forms the pinna and ear canal. Deep in the ear canal is the eardrum that separates the outer ear and the middle ear. The eardrum is a thin structure that vibrates when sound waves come on it.
• The middle ear is located between the external and inner ear. It is separated from the ear canal of the outer ear by the tympanic membrane (the eardrum). The middle ear functions to transfer the vibrations of the eardrum to the inner ear fluid. This transfer of sound vibrations is possible through a chain of movable small bones, called ossicles, which extend across the middle ear, and their corresponding small muscles.
• The inner ear is the deepest part of the whole ear, and is located in a place known as the bony labyrinth, which is a maze of bone passageways lined by a network of fleshy tubes known as the membranous labyrinth. A cushion of fluid, called perilymph, lies between the bony and membranous labyrinth, while a fluid called endolymph is found within the membranous labyrinth itself. Within the inner ear is a chamber called the vestibule, which plays a major role in the sense of balance.

WHAT IS MIDDLE EAR INFECTIONS ?

• We call the microbial inflammations in the eardrum, middle ear section and ossicles in middle ear inflammation. • The middle ear can become infected as a result of an allergy, cold, sore throat, or respiratory tract infection. When the tube that connects the middle ear to the pharynx (eustachian tube) is blocked, fluid will collect behind the eardrum. Bacteria will often grow in the fluid, causing pain and infection. Middle ear infections, also known as otitis media, are more common in children, although they are also seen in adults.

WHAT ARE THE SYMPTOMS OF A MIDDLE EAR INFECTION ?

• Middle ear inflammation is mostly common in children. The symptoms of middle ear infection in adults may differ from children.

• Symptoms of middle ear inflammation in children are usually in the form of sudden ear pain and fever that starts after a cold. Symptoms in babies are mostly restlessness, fever, rubbing their ear against the pillow or touching their ear. Generally, the symptoms of middle ear inflammation in children are as follows;
• Ear pain, trouble sleeping
• Weakness
• Restlessness and crying
• Hearing problems
• Loss of balance
• High fever
• Discharge from the ear
• Loss of appetite
• Itching and irritation in and around the ear
Middle Ear Inflammation Symptoms in Adults are as follows ;
• Earache
• A feeling of stuffy ears
• Discharge from the ear
• Hearing problems
• Tinnitus
• Fever

Middle ear infection

WHAT ARE THE CAUSES OF MIDDLE EAR INFECTIONS ?

• Eustachian tube welded: Middle ear inflammation, otitis media, is mostly seen in children. Although otitis media is less common in adults, it can lead to more serious problems. The most important reason why middle ear inflammation is more common in children is due to the eustachian tube. The eustachian canal, which helps regulate air pressure in the middle ear, renew the air in the ear, and evacuate normal secretions from the middle ear, is shorter, more horizontal and wider in children. This makes it difficult to remove the accumulated fluid and increases the possibility of clogging.
• Because of adenoid : The adenoid, in other words the nasal flesh, is in an area close to the opening of the eustachian duct. Swelling of the adenoid, which is larger in children than adults, due to various reasons increases the risk of ear infections.
• Age:Middle ear infection is more common between the ages of 6 months and 2 years.
• Personal risk factors such as cleft palate, head and face abnormalities, or Down syndrome
• Often having upper respiratory tract infections in autumn and winter
• Nurseries
• Children exposed to cigarette smoke
• Environmental factors such as inadequate breast milk intake or bottle feeding are also among the causes of middle ear inflammation.

HOW IS MIDDLE EAR INFECTION DIAGNOSED?

The Otorhinolaryngology Specialist will easily diagnose middle ear infection with the symptoms and examination of the disease. In acute otitis media, the eardrum is usually red and bulging. In chronic middle ear infections, perforation, collapse or sticking to the middle ear is observed in the eardrum. In cases of perforation of the eardrum and discharge, it can be understood which bacteria caused the middle ear inflammation by taking a culture sample from the discharge.

WHAT SHOULD YOU DO WHEN SUSPECTED OF MEDIUM EAR HEALTH?


• In acute middle ear infections, if the person has an upper respiratory tract infection for a while, the first symptom is always earache. In case of disturbing ear pain, a physician should be consulted as soon as possible.
• In the infant age group, since ear pain cannot be expressed by babies, fever, restlessness, crying spells, inflammatory ear discharge from the external auditory canal are symptoms of otitis media, and the doctor should be consulted without rupturing the eardrum due to the pressure caused by the inflammation .

WHAT ARE THE TYPES OF MIDDLE EAR INFLAMMATION ?


• Acute otitis inflammation
• Effusion (fluid) otitis media( seröz otitis media)
• Chronic Middle Ear Inflammation:
a)Chronic suppurative otitis inflammation
b)Chronic nonsuppurative otitis media

ACUTE MIDDLE EAR INFLAMMATION

It occurs suddenly. The first symptom is usually throbbing earache and a feeling of fullness in the ears.

Treatment of acute otitis media;

• Approximately 1 week to 10 days of antibiotic treatment is applied to the patient. In addition, painkillers can be used to help absorb the fluid in the middle ear cavity and sprays that relieve the nose and eustachian canal.
• After the medical treatment, the patient is followed up closely, surgical treatment can be applied if the fluid is still not lost during this period. Perforation in the eardrum and related permanent hearing loss can occur in middle ear infections.
• Acute middle ear infections that are not treated in time cause permanent damage to the eardrum and ossicles, hearing loss, and chronic middle ear infections. Otitis Media with Effusion ;
Otitis media with effusion (OME) is thick or sticky fluid behind the eardrum in the middle ear. It is usually seen after previous acute middle ear infections.This situation is mostly seen in pre-school age children.Since the symptoms are extremely insidious, the disease may unnoticed, so it is known as the most common cause of hearing loss. Children with fluid in their middle ears may not be able to hear the sound because their hearing will usually be poor. These children may turn on the TV voice or watch closer, repeat conversations, exhibit behavioral disorders, be self-enclosed , or fail at school. In patients, it is important to correct underlying risk factors and to normalize eustachian tube function. Thus, the fluid in the middle ear cavity gradually decreases and the ear can return to normal. In these patients, spontaneous recovery occurs in the three-month period.Surgical options are considered in patients with hearing loss and no improvement after three months. In this case, the adenoid is evaluated and a tube can be placed in the ear if necessary. Surgical treatments can be considered without waiting in cases such as cleft palate, autism, language and speech retardation, and intellectual retardation. As a surgical treatment, patients can have a ventilation tube to the eardrum, adenoid surgery or tonsil surgery.
 

Treatment-resistant fluid (glue) accumulation in the middle ear.

Chronic Middle Ear Inflammation

• The pathological course of chronic otitis media in the ear is different.It is a condition characterized by a permanent hole in the eardrum. Chronic otitis media; Middle ear cavity is a chronic inflammation of the mucosa in the mastoid cell spaces associated with the middle ear.
• Symptoms of chronic otitis media; ear discharge, perforated eardrum and usually conductive hearing loss. Ear discharge sometimes clears up. Then it starts again. If these symptoms persist for more than three months, the disease is considered chronic.
• The disease may progress beyond the mucosa lining the middle ear and cause damage to adjacent tissues, bone structure and to cause more serious problems.
• The most common symptom of this disease is ear discharge, which is usually present for many years and can sometimes smell very bad. This discharge from time to time decreases, cuts off, becomes again when the body resistance decreases or water gets into the middle ear.
• The discharge may be clear, or it may be pink-red or yellow-green mixed with blood. As we mentioned above, it can sometimes smell quite bad.
• The second most common symptom is hearing loss, which tends to increase over the years in the diseased ear.
• The cause of hearing loss is the hole in the eardrum, the ossicles in the middle ear are damaged by melting over time, and the inflammatory process in the middle ear is the damage to the inner ear.
 

Chronic middle ear infections

A- Nonsuppurative, without cholesteatoma chronic middle ear infections without inflammatory discharge
B- Suppurative, chronic middle ear infections with cholesteatoma (inflammatory and sometimes foul-smelling)

Chronic suppurative and nonsuppurative middle ear infections

Chronic middle ear infections occur in several ways.

• Simple chronic middle ear infections: In this type of chronic middle ear infections, the eardrum is usually perforated and the inflammation in the middle ear comes out of this hole and gives a symptom as ear discharge. Along with the discharge, there is also hearing loss, depending on the extent of the problem caused by the inflammation.
• Dangerous chronic middle ear infections: In some chronic middle ear infections and the presence of cholesteatoma, destruction of bone tissue also occurs. If such middle ear infections reach the brain membrane, meningitis, if it reaches the brain tissue, there is a brain abscess, if it reaches the inner ear, it may cause permanent deafness and balance disorder and if it reaches the facial nerve that passes through the ear bone and it may cause facial paralysis and similar dangerous health problems.
• Sequelae of otitis media: Chronic middle ear infections may also have healed and left sequelae. In this case, ear discharge is not seen, but hearing loss is seen due to permanent hole in the eardrum, deformities such as collapse in the eardrum, destruction of the middle ear ossicles or movement disorders. Treatment of chronic middle ear infections
• It is usually surgical. Different surgeries are performed depending on the condition of the middle ear infection, the damage it causes in the middle ear cavity, whether it is with or without cholesteatoma.
• In patients who have a hole in the eardrum and do not have any other pathology; Surgery for the closure of the perforated eardrum (myringoplasty), repair of the eardrum, and operations to ensure the movement of the middle ear ossicles, which we call the ossicular chain, are performed (Tympanoplasty).

Treatment of chronic middle ear infections

• In more advanced chronic middle ear infections; Radical mastoidectomy or tympanomastoidectomy, which are the most serious and sensitive microsurgical operations of ear surgery, are performed because infection also destroys bone tissues, infected bone tissues and all cell spaces in the mastoid bone are affected.
• Cholesteatoma is an important condition among ear diseases and its treatment should be done without delay. Cholesteatoma is a condition in which our skin, which should not normally exist, is in the middle ear. In this case, the cholesteatoma grows and damages all surrounding tissues. Thus, it causes complications ranging from facial paralysis to brain damage.
• In the treatment of chronic otitis media with cholesteatoma, surgery should be performed without delay, the diseased tissues in the bone should be removed and necessary rehabilitation should be performed. ( Tympanomastoidectomy or Radical mastoidectomy surgeries)
 

Normal eardrum - Permanent eardrum tear - Eardrum Collaps

Chronic middle ear infections with cholesteatoma

What Happens If Middle Ear Inflammation Is Not Treated?

Frequently recurring and untreated middle ear infections can lead to serious problems;

• Rupture of the eardrum
• Hearing impairment or permanent hearing loss
• Facial paralysis due to the inflammation of the facial nerve, meningitis and brain abscesses may occur as a result of the melting of the bone tissue that separates the brain and middle ear due to inflammation
 

 

Brain abscess after chronic otitis media

What is the chance of success in surgeries for chronic otitis media and where should it be done?
• Ear surgery is a very serious, experienced and very sensitive microsurgery procedure. For this reason, very high success rates are achieved when performed by experienced physicians. In the absence of sufficient professional experience in this area, the most serious complication encountered after surgery is permanent facial paralysis.
• All kinds of surgical interventions and operations for chronic middle ear infections should be performed in hospitals equipped in the field of ear surgery.
What should be considered in order to prevent Middle Ear Inflammation?

• Middle ear infections are usually experienced after upper respiratory tract infections. It is important to take precautions for upper respiratory tract infections to avoid middle ear infections.
• Avoid exposure to cigarette smoke.
• Babies should be breastfed as much as possible with breast milk. Breast milk contains antibodies that protect against infections.
• If the baby is bottle feeding, it should be head up.

Is There a Herbal Treatment for Middle Ear Inflammation?

• There is no herbal treatment for otitis media.
• Under the name of herbal treatment of otitis media; We see that many different plants such as Garlic, Onion, Olive oil, Apple cider vinegar, Basil, Hedgehog grass, Yellow daisy are used in rural areas. Unfortunately, these methods do not work except for the chronicity of middle ear infections.
• Such methods, which come to the fore under the name of herbal or natural treatment of otitis media, have no place in the treatment of otitis media.

Medical tourism is not a complicated process. All you need is professionals that are ready to assist you prior and during your medical journey. For your convenience, you can contact us anytime at any step of your medical travel.

Upon your arrival in Istanbul, we will greet you and your companions at the airport. After that, we will transfer you to our hospital with a private shuttle or car.

We are here to meet your needs for accommodation and ensure meeting your expectations as well. Our priority is your satisfaction. Therefore, we provide different accomodation options. You can stay at 4 or 5 star hotels, suites or residences of your preference. Our accommodation options are located in the city center of Eski?ehir and close to our hospital.

We are aware that language can be barrier during your medical travel. In order to keep you informed during your treatment process and meet your demands and needs; we provide translation services in different languages. Therefore these barriers will no longer be an issue during your medical travel.

5 Myths and Facts about Bariatric Surgery

With obesity at epidemic levels, many people consider bariatric surgery. Yet, myths about bariatric surgery keep many people from pursuing this procedure which is an effective way to treat this disease. The long-term success of Bariatric surgery can only be determined if you manage to bring permanent reforms in your lifestyle.

Although obesity is often considered to be just a weight-related condition, it is a disease that affects many other organs in the body and can be a threat to overall health and wellness. There are several myths about bariatric surgery that are floating on the field and these myths are confusing a good number of obesity patients when it comes to make a decision whether to take the surgery or not.

That’s why we are clearing up some of these myths about bariatric surgery in this article and giving you more facts that will help you make a healthier decision.

5 myths about bariatric surgery you shouldn’t believe

Following are the myths about bariatric surgery which are spreading around the world.

1. Myth: Bariatric surgery is undoubtedly for the badly overweight patient

It's not that the only patients who are badly overweight can undergo this surgery. Obesity is one of the reason due to which people consider getting bariatric surgery. People who are overweight also consider getting this surgery if they face symptoms or health problems like sleep apnea, diabetes, arthritis, hypertension and high cholesterol which might get solved or reduced by weight loss.

2. Myth: Liposuction and Bariatric Surgery are similar.

Bariatric surgery is a metabolic surgery which works with your metabolic process and makes you feel full by eating a small portion. Whereas liposuction is a body contouring cosmetic surgery which gives a slim shape to your body, and helps you to look smarter.

3. Myth: Bariatric surgery gives you vitamin and mineral deficiencies.
It is not true that bariatric surgery gives you any form of deficiencies. Nutritionists give you a proper diet plan which should be followed as prescribed. Following the advice properly will remove any risk of deficiency.

4. Myth: After undergoing bariatric surgery, devouring tasty food will strictly be a no.

It is a common myth that patients who recover from bariatric surgery are not allowed to eat their favourite food certainly after they recover from their surgery. The surgery just makes you eat less. Patients who go through bariatric surgery are suggested to avoid sweet foods by their nutritionists because they may result in aftermaths like nausea and dizziness. However, even if you are not allowed to eat what you used to like, your nutritionist or surgeon will suggest some alternatives that you will enjoy after the surgery.

5. Myth: Getting bariatric surgery is a waste as you will gain weight after some time.

It has been proven that the patients who get bariatric surgery are intended to lose more weight than those who exercise and diet. Going back to the same lifestyle and habits such as eating junk food or not exercising at all would be the main reason for gaining weight again since bariatric surgery itself is not the only solution to obesity. Along with the surgery, a significant change towards healthier lifestyle is necessary.

Understanding more about the facts and myths about bariatric surgery or remedial and surgical techniques for improved health can help you make a more informed and educated decision. This is especially important concerning serious health issues, and bariatric surgery for losing weight is certainly an important one.

Facts about bariatric surgery you don’t want to miss

Below are 5 facts mentioned related to bariatric surgery that you should know.

1. Bariatric surgery deals with your metabolic changes.

Bariatric surgery changes your metabolic system due to which you feel full even after eating a small amount of meal that directly help you to lose weight. A change in your metabolic system is made due to which you feel less hungry and eat less amount of food.

2. Obesity is not only a weight problem.

People consider obesity as just a weight problem and most do not even take it seriously. Obesity is not only a problem which makes you gain weight, but it is a severe metabolic disease. Particularly in obesity, your metabolic system slows down, so even if you eat a modest amount of food, still you gain weight overnight.

3. Bariatric surgery is an emotional revel in.
Bariatric surgery itself can be an emotional revel in since going through such an important phase in your life that affects your mindset, personality and relationships with people around you. That is why giving our patients emotional support before and after the surgery is very important for us.

4. Its health advantages precede afar weight loss.

The benefits of the surgery include improving high blood pressure, joint pain, sleep apnea and type 2 diabetes. The health benefits of bariatric surgery are not limited to weight loss, it helps in a healthier heart, it minimizes joint and lower back pain, it also helps you get better sleep, and elevates your mood.

5. Don't fear of getting a huge scar.

Most people take surgeries as getting a massive scar on their body, but this is not the case with bariatric procedures. Getting bariatric surgery will not result in you getting huge scars, the scars caused by this surgery is about 1 to 2 inches long and eventually fades after some time.

Most patients who consider bariatric surgery have already tried diet, exercise and medications to control their weight for years, even decades. Bariatric surgery helps make extreme weight loss more achievable by eliminating the food cravings that can derail your diet. Following a good diet and an exercise plan that are recommended after the surgery will not only help you maintain your weight and also will impact your health in longer term.

Bariatric surgery doesn’t just help you live longer but also live a better life. Dr Cenk Sogukpinar and the team at Health in Anatolia International Health Unit build a support system for the patient, including surgery, nutrition and rehabilitation.

INFORMATION ABOUT GASTRIC BYPASS
In gastric bypass surgery, a large part of the stomach is bypassed and a small voluminous (approximately 30-50 cc) gastric section is prepared and stitched in the small intestines.In this operation, gastric bypass aimed to reduce the volume of the stomach as well as to disable some of the intestines and throw some of the consumed food unabsorbed as it is in other obesity surgery operations.Thus, patients are fed with less food, and a portion of the food they consume is absorbed.

How does gastric bypass performed?

Gastric bypass surgery, is like to the other obesity operations, is usually do by laparoscopic method.Gastric bypass operation is performed by entering from the small incisions in the abdominal region.

Period after gastric bypass surgery

After the gastric bypass surgery, patients can easily feel saturation with food intake in small quantities and after a while this toughness becomes loss of appetite.Total food intake is significantly reduced.Depending on the reduced size of the newly formed of fundus and reduced food absorption, the instructions of the surgeon and dietitian should be followed for the use of the necessary vitamins and mineral supplements.In this way, patients can lose weight without vitamins and mineral loss.

SLEEVE GASTRECTOMY


1. What kind of operation is laparoscopic sleeve gastrectomy surgery?

Sleeve gastrectomy is also called “longitudinal gastrectomy” or “tube stomach” at the same time.By cutting out the large side of the stomach a volume of 80-85% reduced stomach tube is created. Laparoscopic sleeve gastrectomy surgery, There are 2 mechanisms to lose weight:Mechanical restriction with reduction of gastric volume and weight loss due to reduction of stomach movements, When a stomach tissue that produces a substance known as ghrelin is removed, a hormonal change causes weight loss.In the laparoscopic sleeve gastrectomy, the ghrelin-produced stomach’s fundus region is removed and the appetite is reduced and weight loss occurs.

2. What are the Advantages of Sleeve Gastrectomy?

Sleeve gastrectomy can be done laparoscopically, so wound healing is faster, pain is less, and the length of stay in the hospital is shorter.The capacity of the stomach is reduced, but since the functions are not changed, many foods allow the group to be consumed less.The appetite is reduced as the fundus region of the stomach produced by the ghrelin (hunger hormone) is removed and weight loss occurs.For protecting the stomach door, avoid dumpsyndrome.the feeling of satiety takes a long time because the foods stay in the stomach longer.The risk of ulcer formation is reduced the most.Avoiding bowel bypass; intestinal obstruction, marginal ulcer, anemia, osteoporosis(bone erosion), the risk of protein and vitamin deficiency is eliminated.Sleeve gastrectomy is an ideal choice for patients who have a history of previous complications of intestinal bypass or who have a history of cirrhosis or high risk for intestinal bypass.Sleeve gastrectomy offers fewer injuries, fewer lung problems, less pain, and faster recuperation than a laproscopically operation in overweight patients.The stomach surgery can then be converted to bypassa and doudenalswitche with a second operation.

3. What are the risks of sleeve gastrectomy?

As with any surgical procedure, there are potential risks and potential complications in sleeve gastrectomy operation.You will be met by a team of experts to minimize these risks in Obesity Clinic a Specialist team will be at your service before, during and after the surgery.

4. How much weight can I lose after sleeve gastrectomy?

It is possible that overweight can be given by 40-100% in 1-2 years period after sleeve gastrectomy. The success in weighting is directly related to the patient’s compliance with the post-operative diet and exercise program. After a tube stomach operation, a patient who has undergone surgery with 120 kg may lose weight between 45-55 kg.

5. Do I have to wait too long to have sleeve gastrectomy?

No, our hospital is doing obesity surgery every day and this has reduced the waiting period to a minimum.

6. How many days before sleeve gastrectomy should I go to the hospital?

We generally recommend that you stay in the hospital 24 hours before or the same day of obesity surgery.

7. How long should I stop eating or drinking before sleeve gastrectomy?

One day before the sleeve gastrectomy surgery, liquid diet should be done, solid foods should not be defeated.After 12 pm, the food must be left completely. 8 hours before the surgery hour, the water should be completely left for ingestion. Sleeve Gastrectomy Operation and Hospital Process;

8. How long does sleeve gastrectomy takes?

Tube stomach operations usually last up to 60-80 minutes. Sleeve gastrectomy takes about 20-25 minutes for the patient to prepare for surgery and to be awakened for 20-25 minutes and the patient to be adapted after the operation.

9. Do I have pain after sleeve gastrectomy operation?

Generally, pain relievers are made immediately after surgery in the operating room. During the course of the painkiller’s influence on the patient; there may be some pain in the pain threshold dose that will change from the patient to the patient.

10. How long do I need to stay in intensive care unit after sleeve gastrectomy operation?

The expected duration of intensive care after this operation is between 6 hours and one day, depending on the condition of the patient.

11. Is nasogastric probe inserted during sleeve gastrectomy?

The nasogastric probe is absolutely incompatible with every patient. During your surgery, your surgeon decides whe

12. How long will I be in the hospital after the gastric sleeve operation?

Most patients go home maximum 4 nights after surgery. Those who are recovering from this operationa are encouraged to should be able to drink plenty of water to stay hydrated. Pain from the small incisions can usually be alleviated with oral pain medications at home. Almost all the patients are expected to walk a few hours after gastric sleeve surgery and can start their clear liquid diet the morning after their surgery.

13. How long does it takes to get back into normal life after sleeve gastrectomy surgery?

We usually offer 10 days of home rest to our patients.The patient can return to work if he or she is working at the desk after 10 days.It is advisable to wait at least 30 days for the work that requires physical activity and to start the spore.

14. After sleeve gastrectomy surgery do I have to use Vitamin – Mineral, Calcium or Protein ?

Vitamin-mineral, calcium or protein deficiencies can occur due to rapid weight loss after obesity operations. These are understood during routine checks.

15. After sleeve gastrectomy operation how long do I continue to losing weight?

Weight loss after sleeve gastrectomy surgery lasts about 1.5-2 years. In some cases, patients may be able to give their excess weight before completing this process and lose weight earlier.

What is Gastric Band Procedure?

The Gatric Banding System, otherwise known as Lap Band or Lapband, is a device that can be placed around the first part of the stomach during “key-hole” (laparoscopic) surgery for weight loss. The device is actually an adjustable band made of flexible, silicone material. A thin tube connects the band to a port placed under the abdominal skin at the time of surgery. The port allows a surgeon to inflate or deflate the band around the stomach without further surgery, and hence maximise a person’s weight loss following the procedure.

What are the potential side effects of the Gastric Banding Procedure?

Every type of surgery carries risk.Laparoscopic gastric banding surgery for the placement of the LAP-BAND System is a complex procedure.There are some specific problems that may occur following gastric banding surgery. In 5 – 10% of patients the band may slip downwards or the pouch of the stomach may dilate. In these situations, another operation is required to adjust the band position. In less than 2% of patients the band may erode into the lining of the stomach. This is a serious complication but is uncommon.

Diet after surgery

At first, the intake of food must be restricted. For the first few days, diet is restricted to water and fluids, such as thin soups. Until the end of 4 weeks, liquids and blended foods, such as yogurt and puréed vegetables can be eaten. From 4 to 6 weeks, soft foods are introduced. After 6 weeks, the person can resume a normal diet.