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General Surgery

  All branches of the general surgery department are done with great care and expertise.
 
 
 
 BENEFITS OF OBESITY TREATMENT
 
  OBESITY SURGERY
 
 
 
       Obesity has become a serious problem all over the world, especially in developed countries. 
Today in the US united states, about 43% of women over age 15 are obese and body mass index
 is obesity in 5% of men. Women in the obese rate in Turkey is 35%, while our men is around 10%. 
The increase in childhood obesity rate is a more serious problem. Studies show that obes young 
adults have a 20% shorter life span than normal-weight young adults. Obesity can cause diabetes,
heart disease, high blood pressure, sleep apnea, severe joint disorders, and psychological problems.
In addition, the incidence of breast, large intestine and uterine cancer in obese people is higher.
 
In the definition of obesity: It can be understood from the body mass (BMI) index.
The BMI is based on the body weight divided by the weight in kilograms in length.
is calculated as follows;
 
 
 
 WKI: weight (KG) / length (m) x length (m)
 Body mass index (BMI):
 People over 25 are overweight (overweight).
 Between 30 and 35 obese (fat)
 If it is between 35-40, it can be said that it is extremely obese.
 Is over 40 and is associated with obesity associated with obesity such as insulin resistance,
 diabetes, hyperlipidemia, hypertension, sleep disturbance (morbid obesity).
 These people must be treated.
 
 
 
In addition, obesity can be diagnosed by measuring the waist circumference. 
If the waist circumference is 94 per cent for men and 80 cm for women, 
it means that they are at risk of obesity. If these values ​​are 102 cm for males and 88 cm for 
females and more, there is obesity.
Who is nominated for Obesity Surgery?
 
 
 
 A person over 35 is defined as obes. Forty and more people are morbid The most successful 
 methods of achieving weight gain in these pills are surgical methods. 
 those who are offered these surgeries;
 Patients with a BMI greater than 40 or over 35, including serious adherence problems
 (such as diabetes, hypertension, sleep apnea, joint and spinal problems).
· These people should try and fail primarily non-surgical methods (diet, sport, etc.).
· There should not be an obstacle for surgery and general anesthesia.
· The person should be willing and fully informed about this issue.
 
 
 These surgeries are very effective in reducing weight
 
 1-Permanent weight loss is the most successful way.
 
 2-Comorbidity is improving up to 90%.
 
 3-At the same time, there is a significant increase in the quality of life and in feelings such as
 self-confidence and self-esteem.
 
 · Things to know
 · Active participation in this work (change in eating habits, exercise, participation in follow-up)
  will facilitate weight loss so that weight loss after surgery is permanent.
·  It should not be forgotten that even after a long period of surgery, there may be some
 problems   and problems in rare cases.
· Some problems with nutrition
· Disorders in the body contour
  These problems can be solved with the use of vitamins, minerals, aesthetic interventions and 
 psychological supports.
 
· As with many other surgeries, the mortality rate due to these surgeries is not zero. 
  However, this rate is about 0.1% (one thousandth).
· How do these surgeries work?
 These surgeries first significantly reduce appetite and additionally affect the functioning of the
 gastro-intestinal system. They limit the amount of food the person has and /
 or reduce the absorption of food.
 There are basically two main types.
 
1-Fully restrictive systems:
 
· Sleeve gastrectomy (tube stomach surgery):
 Tube stomach surgery is performed by laparoscopic method, ie,
 without a major wound on the abdomen.
 Two-thirds of the strip are removed longitudinally. With this method,
 the inlet and middle part of the nipple are
 brought into an elongated tube shape. It both limits the amount of food and allows the food to 
 move to the twelve finger gut faster. Another advantage is that it lowers the level of ghrelin defined 
 as the appetite hormone secreted from the upper part of the stomach,
 thereby reducing the patient's appetite.
 · Expected weight loss: Approximately 45-75% of excess kilograms
 Average operation time: 2 hours on average.
· Average hospital stay time: 3-8 days.
· Risk of death due to surgery: 0.2%
 
 
2- Restrictive and non-absorbing initiatives:
 
GASTRIC BYPASS SURGERY: Both reduce gastric volume and reduce the absorption of foods. 
This technique reduces the size and volume of the stomach by about 30-50 milliliters is reduced. 
This restricts the operation. Then a new path is made between the small intestines and the stomach.
 Bile and pancreas fluids are transported further (100 - 150 cm) than the patient's weight and 
absorption of food is reduced.
 
 
 
 
 
At what age the surgery is performed
Obesity has an age limit for surgical treatment. Generally accepted between 18-60 years of age It is
operated on morbid obese individuals who completed development and completed 13 years of age,
completed the development and completed 15 years old boys and did not exceed 70 years old who
had no serious risk to surgery.
Preparation
This stage is important and requires your participation. An important part of preoperative
 preparation is the decision making stage. The participation of the family is of the utmost
 importance inthis black adult Pre-operative preparation includes some blood, x-ray
 examinations. Breathing and heart evaluation canbe performed in necessary patients.
 Preoperative anesthesia evaluation will be done. The purpose of these evaluations is:
 · Assess your health (including diabetes, hypertension, cholesterol levels, heart problems,
  sleep apnea syndrome, and other respiratory problems)
· Psychiatric examination when necessary
· Investigating your physical activity and eating habits
· Pregnancy doubt
 Changing pre-operative habits is an important indicator for post-operative success.
 
 · Surgery and hospitalization
 
   The operation is performed under general anesthesia, open or laparoscopically (closed).
 The advantages of laparoscopic techniques are less pain, earlier outpatient, earlier work. 
 However, in some cases, open surgery can be performed for reasons such
 as poor operation and patient safety.
 
      The length of hospitalization for surgery is 3 to 10 days. 
 The overall condition of the patient during this period can be prolonged due to some
 complications.  Occasionally, emergencies or complications may require emergency surgery.
 
 
 As with all surgeries, this surgery will also be painful. 
 A sufficient amount of pain reliever will be given after the operation.

· After the operation Your post-operative eating habits will be different than before.
 It is usually first started with liquid foods and continued with soft foods. 
Gradually the normal food will turn. It is extremely important that you follow 
diet recommendations to avoid unpleasant situations (vomiting, pain, etc.).
· Basic principles of diet · Eat each meal in small quantities and chew plenty. ·
 Do not consume liquids during meals (but take enough liquids from meals). 
· Eat your meals, calm and slow. · Choose foods that are balanced, 
rich in vitamins and minerals but low in calories.
· Make sure you get enough protein (meat, fish, eggs ....).
· Stay away from cold, sugary, sauces and fried foods. 
 You will get used to this new diet in time. This style can sometimes limit you, 
 but it will not hinder your social life. · First 1-2 weeks after surgery Many patients in 
 this period weight loss is fast, but then slows down. The maximum quantities usually 
 range from 12-18. It happens in months. Associated diseases that are associated with 
 obesity disappear in this period. · Surgery is an important decision.
 1. Follow your new eating habits strictly and exercise regularly. 
 2. Go to regular checks. These controls are made for the following purposes;
 · Regular control of weight loss · Health status, identification of surgical complications and 
   treatment, follow-up of nutrition-related parameters · Change in eating habits and control
   of physical activity
  · Psychological condition check · Assessing the need for cosmetic surgery
 3. Vitamin and mineral supplements will be needed daily in a substantial proportion of patients. 
  - Can I get pregnant after surgery? Yes, pregnancy is possible after these operations. 
   In this case, regular nutritional support and follow-up are necessary. However, 
  as a precaution, it is advisable to wait for the pregnancy until the weight is stabilized.

 

 

   Dr. ahmet PAMUKÇU

EDUCATION
1991- BAĞDAT UNIVERSITY MEDICAL FACULTY (DOCTOR OF MEDICINE)
2007- SELÇUK UNIVERSITY (GENERAL SURGERY EXPERTISE)
 
EXPERIENCE
2009- PRIVATE GÜKSÜHEŞİR HOSPITAL KONYA
2007-2009 ÇAL STATE HOSPITAL DENIZLI
2002-2007 SELÇUK UNIVERSITY FACULTY OF MEDICINE KONYA
VOCATIONAL TRAINING COURSES ATTENDED
EUROPEAN SURGICAL RESEARCH CONGRESS
NATIONAL SURGICAL ANNUAL CONGRESS
REGIONAL SURGERY CONGRESS-KONYA 2007
REGIONAL MONTHLY SURGICAL MEETINGS-KONYA
GASTROSCOPY-COLLECTION COURSE 2007
PROFESSIONAL MEMBERSHIP
TURKISH STRATEGY

Dr. Cenap ŞİRİN

 

 

EXPERIENCE

 

 

 

2008- PRIVATE GÜKSÜŞEHİR HOSPITAL- KONYA

 

1991-2006 KONYA SAMPLE HOSPITAL - KONYA

 

1988-1991 ÇUMRA STATE HOSPITAL - KONYA

 

1986-1988 KÖYCEĞIZ STATE HOSPITAL- MUĞLA

 

VOCATIONAL TRAINING COURSES ATTENDED

 

NATIONAL SURGICAL ASSOCIATION ANNUAL CONGRESS

 

PROFESSIONAL MEMBERSHIP

 

TABLER ODASI

 

NATIONAL SURGICAL ASSOCIATION
SURGICAL OPERATIONS AND APPLIED PROCEDURES
Hemorrhoid Surgery (Hemorrhoid Surgery)

 

Fissure Surgery (Crack Surgery)

 

Fistula surgery

 

Abscess surgery