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With "embolization", the most feared risks in prostate treatment can be minimized; It is applied to patients who are not suitable for or do not prefer surgery with "embolization" as interventional radiology in prostate enlargement. It is carried out through a small catheter. Within a few days following this procedure, the prostate begins to shrink, relieve symptoms and improve. CLICK TO REACH OUR DOCTOR WITH WHATSAPP 0552 310 57 11 #prostat#girişimselradyoloji#ameliyatsız#ameliyatsızprostattedavisi#prostatbüyümesi

CLICK TO REACH OUR DOCTOR WITH WHATSAPP 0552 310 57 11 Atherosclerosis, called atherosclerosis, can be seen in the inner part of the jugular veins, as in the coronary arteries. The wall of a healthy artery is flexible and smooth, but due to obesity, smoking, high cholesterol and genetic factors, fatty substances, cholesterol wastes, and lime residues begin to accumulate on the carotid artery wall. As a result of the accumulation of these substances, plaques consisting of a layer of lime on the wall of the vessel are formed. This results in loss of flexibility, stenosis, or occlusion in the carotid artery. Due to the stenosis, there is a decrease in blood flow to the brain. If the blood flow drops below the critical level, the oxygenation and nutrition of the brain is affected. If the stenosis in the jugular veins is not treated in time and appropriately, it can cause a complete obstruction and lead to permanent stroke and brain damage. #şahdamarıtıkanıklığı şahdamarıdarlığı ameliyatsıztedaviler girişimselradyoloji

In Interventional Radiology, TACE is a method of providing direct chemotherapy to tumors in the liver and occlusion of the vessel feeding the tumor. Here, since chemotherapy and vaso-occlusion drugs are given directly to the vessel feeding the tumor, it is ensured that the tumor receives intensive chemotherapy and the vessels that feed it are closed. Also, since it is a tumor-focused application, the biggest advantage is that the whole body is not under the influence of heavy chemotherapy. TAKE is a non-surgical procedure performed by entering from the inguinal region. This method is applied for patients who have liver cancer or a mass due to cancer spread and have not benefited from systemic chemotherapy. Microwave and cryoablation methods are also effective non-surgical treatment methods in cancer. For detailed information and appointment, you can reach us at +90 552 310 57 11. CLICK TO REACH OUR DOCTOR WITH WHATSAPP 0552 310 57 11 #chemotherapy non-surgicalkansertedavileri TAKE interventionselradiology liver liver tumor liver cyst liver mass liver delesion microwaveablation cryoablation radioembolization

Lid Surgery Surgery related to heart valves can be divided into valve repair or valve replacement. The chance of repairing the valve is higher in patients whose heart valve disease has not progressed and who applied to the doctor at an early stage. Otherwise, replacing the cover with a new cover is the most convenient option. Your doctor will explain and guide you in detail in this regard. Robotic mitral valve repair The first option in the surgical treatment of valve diseases should be repair. In addition to the experience of the team, the hospital infrastructure is also important for valve repair. There are two types of caps that are used in case the caps need to be changed: the biological valve and the mechanical valve. The biggest advantage of biological valves is that they do not require the use of blood thinners. On the other hand, their average lifespan is limited to 7-10 years. Mechanical covers, on the other hand, have a very long life. However, since they are made of metal, it is obligatory for the patient to use blood thinners throughout his life in order to prevent the formation of clots on them. Many factors should be considered before choosing the most suitable valve for you: Your age, the type of valve disease, whether you can use blood thinners throughout your life, and your wishes such as not having children can be listed. Question: What are the differences between mitral valve repair and replacement? Reply: In mitral valve repair, if there is a stenosis that prevents blood flow in the heart valve, this stenosis can be expanded using state-of-the-art surgical techniques. In case of mitral insufficiency, heart valve repair can be applied, and a more comfortable life can be achieved with the valve repaired using the patient's own tissues. If there is a serious wear on the cover, it is replaced with a biological or mechanical cover. #heart valve repair#mitral valve repair#cardio and vascular surgery#Mustafa Emmiler#mitral valve replacement

HOW IS BREAST CANCER DIAGNOSED? CAN IT BE TREATED WITHOUT SURGERY? Before the biopsy, the breast is locally anesthetized and different needles are injected painlessly from the suspicious area. A sufficient amount of tissue sample is taken with the help of Needle biopsies can be performed under ultrasound, mammography (stereotaxic method) or MRI guidance. For both patient and physician, it does not contain radiation, the needle can be followed continuously on the screen. Ultrasonography is preferred. CLICK TO REACH OUR DOCTOR WITH WHATSAPP 0552 310 57 11 Breast biopsy is done in three ways. 1- Fine-needle aspiration biopsy (FNAB): In fine-needle biopsy, first of all, the area to be biopsied Local anesthesia is performed with a needle and then a thin needle is inserted into the suspicious area. Then your needle A syringe is attached to the tip and some liquid is drawn from it. This fluid is poured onto a glass by the pathologist. spread and examined under the microscope for suspicious cells. 2- Tru-cut biopsy: This procedure is done with thicker (3-4 mm.) needles and a biopsy gun. is performed. For application, the needle is first placed on the edge of the mass; button of the gun pressure, the needle pops into the mass, breaks off a small piece and comes back. The needle is removed from the breast, The piece of tissue inside is placed in a solution and the needle is inserted back into the breast. In this way Several tissue samples should be taken from different parts of the mass. These parts are pathology in a solution It is sent to the laboratory and a diagnosis is obtained a few days later. Tru-cut biopsy is a frequently preferred biopsy method in the diagnosis of breast masses. However, only It can be applied for the diagnosis of masses that can be seen on ultrasonography. 3-Vacuum biopsy: Vacuum biopsy, breast cancer that can usually be seen on mammography and MRI It is used for the diagnosis of suspicious findings in terms of Vacuum biopsy, as well as microcalcifications, biopsy of all suspicious findings that can only be seen on mammography and only on MRI; or It can be used for the complete removal of benign masses without surgery. CLICK TO REACH OUR DOCTOR WITH WHATSAPP 0552 310 57 11 How long is the processing time? FNAB (fine needle biopsy) and Tru-cut (cutting needle biopsy) biopsies take 10-20 minutes and the patient Then he can continue his daily activities. Vacuum biopsy with sedation anesthesia on average It takes 30-40 minutes. Post-procedural findings are reported as benign, suspicious (atypical), or malignant. benign mass When the mass in the breast is fibroadenoma or benign cystic structure, three procedures can be applied. 1- It can be treated with some medical drugs. 2- Minor surgery can be intervened. 3- If surgery is not desired, ablation methods can be used. Ablation methods: *Laser RF Microwave Ablations: It is a method of destroying the mass by heating *Cryoablation: It is a method of destroying the masses by freezing. *Vacuum biopsy: The mass can be completely removed from the needle hole. Suspicious (Atypical) mass If the mass biopsied in the breast has a suspicious (atypical) appearance, the mass should be completely removed by vacuum biopsy. removable. In this way, both diagnosis and treatment are made. malignant mass Treatment of breast cancer depends on the stage of breast cancer and the state of health of the patient. varies accordingly. Although it usually resorts to conservative surgical methods, interventional The success of radiological methods has also been proven. If the size and stage of the mass are suitable, non-surgical treatment and ablations may be preferred. CLICK TO REACH OUR DOCTOR WITH WHATSAPP 0552 310 57 11 #biopsy breast biopsy breast cancer Interventional radiology Aykut Recep Aktaş Ablation Microwave ablation Cryoablation cancer

Heart valve diseases occur in two ways: 1- Calcification due to rheumatic diseases in childhood, narrowing of the heart valves due to calcification increasing with age 2- The formation of leaks in the valves due to the deterioration of the vessels of the heart The treatment method for each is different. In cases of stenosis and calcification, heart valve replacement is often performed, while in cases of failure, repair of the heart valve is very important for both the patient and the future of the patient. In the case of a heart valve change, we have 2 choices. 1- Replacing the heart valve with metallic valves 2- It is the replacement of the heart valve with tissue valves. Heart valves are of two types. Mechanical covers: With the development of technology, they have made serious contributions to human life and extended human life span. In addition, biological valves have become susceptible to long-term calcification due to very good developments in production techniques. Tissue covers:(Bioprosthesis) The important thing here is to decide which valve to choose for each patient and what kind of life expectancy they have. Tissue valves called bioprosthesis should be the first choice in patients older than 70 years of age, and mechanical valves should be preferred in patients younger than 60 years of age. The most important factor in heart valve treatment is the age of the patient. #heart valve#aneurysm#vascular diseases#heart#Mustafa Emmiler

Mehmet Yiğit, a heart patient living in Germany, had previously undergone various heart surgeries in Germany, stent was inserted many times, but the solution could not be found completely. They reported that patient Mehmet Yiğit needed surgery, but they could not do this surgery because his veins were too thin. Our 57-year-old patient, Mehmet İpek, came to Turkey from Germany to have an operation. We performed a successful bypass operation on our patient. He is in good health now. The basic principle in bypass (bridge) surgeries is to bridge the clogged or narrowed coronary artery with a vessel taken from the leg (saphen), arm (radial artery), stomach (gastroepiploic artery) or chest (mamarya interna). In the veins taken from the chest, the blood comes from the vein going to the arm, and in the vein taken from the stomach, it comes from the stomach vein. The upper ends of the other free vessels are sutured to the aorta and blood is carried to the front of the stenosis. Our patient is very healthy and happy. We will continue to follow our patient. If our patients are happy, we are happier. #bypass#köprüameliyatları#kalpvedamarcerrahisi#MustafaEmmiler#doktor#kalpameliyatı

Can cancer be prevented? There are several measures we can take to protect ourselves and our loved ones from cancers. Protection from cervical cancer HPV (human papillomavirus) is known to be the cause of 99% of cervical cancers. It is possible to say that this cancer is almost completely preventable, thanks to the HPV vaccine found as a result of long studies for this purpose. Women can also be screened for cervical cancer with a regular Pap-smear test from the age of 21, so that precancerous cellular changes can be found and intervened. You can reduce the risk of 7 types of cancer by protecting yourself from the HPV virus. These; -Mouth -nasal-larynx - Cervix (cervix) -Vagina -Vulva -Anus -Penis #hpv#virus#cancer prevention#oncology#mouthcancer#larynxcancer#cervixcancer#vaginacancer#vulvacancer#anuscancer#peniscancer#mustafaozdogan

Many patients diagnosed with early-stage breast cancer undergo lumpectomy followed by radiotherapy. The study's lead author, Dr. “Post-operative (post-operative) radiation still represents the mainstay of adjuvant therapy for breast cancer, which can significantly reduce regional breast cancer incidence,” explained Icro Meattini. In recent years, researchers have tried to determine whether partial breast irradiation is as effective as whole breast irradiation in preventing cancer recurrence. A 10-year follow-up study of breast cancer patients treated with adjuvant partial-breast irradiation (APBI) after breast cancer surgery found that cancer recurrence (re) breast irradiation, WBI). This study was presented by Meattini et al at the 2019 San Antonio Breast Cancer Symposium (Abstract GS4-06). Study results show that partial breast radiotherapy, which is easier to administer and tolerated by the patient, may be an acceptable option for patients with early-stage breast cancer. Made works Meattini's study examined 10-year follow-up data for women participating in the APBI IMRT study, a randomized phase III clinical trial. The 5-year follow-up results of this study showed no significant difference in tumor recurrence or survival rates. The APBI IMRT study included 520 women over 40 years of age with stage I or II breast cancer. Between 2005 and 2013, patients were randomly assigned to two groups in a 1:1 ratio to receive either APBI or WBI. Patients in the APBI arm received a total of 30 Gy of radiation to the tumor bed in 5-day fractions; Those in the WBI arm received an additional 5 days of 10 Gy irradiation to the entire breast for a total of 25 days, plus 50 Gy to the tumor bed. Both treatment arms were comparable in age, tumor size, tumor type, and adjuvant endocrine therapy, and both provided a mean follow-up of 10 years. Most patients had hormone receptor positive, HER2 negative breast cancer, and most were over 50 years of age. Research Findings • After 10 years, 3.3% of patients in the APBI group and 2.6% of the WBI group experienced a breast cancer recurrence. • Overall 10-year survival was similar between the two groups: 92.7% in women taking APBI and 93.3% in women taking WBI. Both differences were not statistically significant. These findings reinforce the promising results of the 5-year study and show that partial breast irradiation provides very good disease control. In well-selected cases, there is no difference in the outcome of patients whether they are treated with partial or whole breast irradiation. Partial breast irradiation is less likely to cause cosmetic changes, but is a more costly treatment. The partial breast irradiation regimen can also provide an increased quality of life with fewer side effects and significantly reduce overall treatment time. Partial breast irradiation is one of the most basic examples of effective de-escalation of treatment in breast oncology. For many patients, partial breast irradiation may be an optimal option that is relatively cost-effective, safe, and effective. Stay healthy and happy... #breastcancer#cancer#early diagnosis#treatment#mustafaözdogan

It is very difficult for cancer patients and their relatives to distinguish which is right and which is wrong among the many information heard about chemotherapy among cancer treatments, circulating on the internet and social media, or on television channels. Unfortunately, most of this information is incorrect. -I will have to spend a lot of time in the hospital and it will make my life very difficult. Chemotherapy drugs are administered in many different ways today, depending on the patient's condition and needs. Most chemo is given intravenously (into a vein) with a needle or catheter. Sometimes chemo drugs can be given in pill or liquid form that you can very simply take at home. -My doctor said I should start chemotherapy, I'm probably in my last period. Thirty years ago, getting a chemotherapy session generally meant you were in very poor health. It is not the same today, because chemotherapy is often used as adjuvant treatment; that is, it is given after primary treatment, such as surgery and/or radiation therapy, to prevent the cancer from coming back. -I will be sick for a long time and I will have nausea. Nausea and vomiting are common side effects, but not everyone experiences the same symptoms. Talk to your doctors about any nausea, vomiting, or pain you are experiencing. Considering these complaints, they can adjust your regimens and alleviate these complaints. There is only one type of chemotherapy and it can cure any type of cancer. Many people think that every type of cancer can be treated with the same chemotherapy drug, but this is not the case. Different types of drugs; They target different types of cancer and work in different ways. Some of these goals are; destroying cancer cells, shrinking tumors and relieving cancer-related complaints. These medicines may be given before, after, or in combination with other treatments. - If I'm not experiencing any side effects, chemotherapy is probably not working. Because cancer treatments can be quite difficult for some, patients may feel that they cannot recover without pain. It is not known exactly why some patients who received the same treatment experienced less side effects. Just because you don't experience side effects doesn't mean your treatment isn't working. All my hair will fall out. Not all chemo drugs cause hair loss. However, for patients who experience hair loss, the hair is largely recovered approximately 3 months after chemotherapy is completed. In some cases, regrowth begins even before treatment ends. Getting cancer is destiny, no one can change that. It's a belief, but getting medical cancer treatment may be the most important thing to save your life. Applied treatment methods can change the course of the disease, save life or prolong life. Chemotherapy treatment will feel much worse than coping with cancer. When comparing the pros and cons of chemotherapy with untreated cancer, chemotherapy should definitely be supported. In many studies in which chemotherapy is tried, it is generally seen that the survival time is prolonged or the symptoms related to the disease are reduced and the quality of life is improved. Chemotherapy can cause a serious life-threatening infection. Serious infections are no longer common in patients receiving chemotherapy because chemotherapy treatments are now much more controlled and sparing injections can be applied if leukopenia is anticipated. I will not be able to have children after chemotherapy. It is very normal for people undergoing chemotherapy to have concerns about having children. There are ways to deal with this issue. For example, women can store their eggs and men their sperm for later use as doctors see fit. If having children is important to you after treatment, you may want to talk to a specialist about your reproductive options before starting chemotherapy. If I keep my positive attitude and my normal routine, I will feel good. Having a positive attitude is important, but the factors that count you experiencing physical side effects depend on your genetic makeup and how your body processes drugs. For this reason, the power of thought may not have much effect. In the future, it is predicted that more successful treatments can be performed with fewer complaints, as the treatments are personalized.

What is coronary artery by-pass surgery? Coronary artery bypass surgery is an open heart surgery, in which veins (veins or arteries) taken from another part of the body are used to provide blood flow to the coronary arteries that do not receive enough blood. Arteries or veins used in surgery are vessels that can be easily released from the areas where they are located and do not disturb the blood flow in the body area where they are removed. Arteries used; Typical examples of grafts are the thoracic vein (mammaria interna) running down the inside of the chest wall; An example of a vein is the saphenous vein, which runs just under the skin from the ankle to the groin on the inside of the leg. Sometimes venous grafts can be prepared from the back of the leg or the arm when necessary. Again, as arterial graft, the radial artery from the forearm and the stomach artery from the abdomen can be used for grafting. During surgery, arterial and venous grafts are attached directly to the coronary vessels running on the surface of the heart. Thus, the grafts act as a bridge and provide blood flow beyond the stenosis. Coronary artery by-pass surgeries are generally performed using a heart-lung machine. This machine oxygenates the blood and provides blood flow to the body at a certain pressure, making it possible to stop the heart. Thus, by-pass surgery to the coronary vessels is performed. No significant superiority was found in coronary bypass surgeries performed on a beating heart. What does coronary artery bypass surgery provide? Coronary artery bypass surgery increases the decreased blood flow to the heart muscle. This large incoming blood flow relieves chest pain (angina). It also reduces fatigue and the use of multiple drugs, making patients feel better. Thus, the quality of life of the patients increases. By-pass surgery in people with severe coronary artery disease prolongs the life of the patient. *BY PASS surgery is not the same for every patient. It should be planned individually with the physician for each patient!

One of the most frequently asked questions in ByPass Surgery is "where are the veins used in the surgery taken from and whether these veins taken after the surgery cause problems" @drsistem @doc.dr.mustafaemmiler The basic principle in bypass (bridge) surgeries is to bridge the blocked or narrowed coronary artery with a healthy vessel taken from the leg, arm, stomach or chest. The veins used by the surgeon during the operation are the veins in the patient's own body, and they are the veins that do not leave a shortage when they are taken. The upper ends of the free vessels are sutured to the aorta and blood is carried to the front of the stenosis. Thus, with a new vessel, it is aimed to ensure the flow of blood that carries energy and oxygen to the heart muscle in the region of stenosis or obstruction. The number of bypass vessels made during the operation can vary between 1 and 6. Generally, 2 or 4 vessels are bypassed. For questions and detailed information, you can reach Associate Professor Mustafa Emmiler and ask your questions by clicking the link. We wish you healthy days.