A key for early breast cancer detection
3-dimensional digital mammography device with tomosynthesis provides three dimensional imaging with low dose of radiation, playing an important role in early diagnosis of breast cancer.
The images produced by the 3-dimensional digital mammography device with tomosynthesis increases diagnosis reliability. A series of digital images of the breast, taken in the form of thin layers, are subsequently assembled to produce a 3-dimensional image of the breast for further examination. This allows efficient scanning of the suspicious areas.
Acıbadem Breast Health Centers provide advanced diagnosis and treatment services for breast cancer, embracing a multi-disciplinary approach backed by advanced technological infrastructure and specialized physicians. Our centers have extensive experience in diagnosis and treatment of breast cancer. Breast conserving and oncoplastic surgery operations are performed at our Breath Health Centers as well.
Furthermore, Acıbadem Breast Health Centers organize training programs and seminars to raise awareness on the subject and help people maintain a healthy condition.
Diagnosis and treatment of breast cancer requires cooperation and information exchange among physicians with various specialties, and a mutual decision making process. Acıbadem Breast Health Centers embrace such a multi-disciplinary approach, which significantly increases the success rate in patients’ diagnosis and treatments. These centers provide multi-disciplinary diagnosis and treatment services for patients in the fields of breast surgery, plastic surgery, radiology, pathology, medical oncology and radiation therapy; with a team of specialist physicians and the latest technological devices.
The multi-disciplinary approach allows simultaneously providing the patient any other service that he/she may need. Our breast cancer patients are offered supportive services on subjects including nutrition, genetic counseling, psychosocial aid and physical therapy.
Advanced Technological Devices
Acıbadem Breast Health Centers implement early diagnosis, treatment and follow-up programs, by means of advanced technological devices. Acıbadem Breast Health Centers closely monitor all medical developments throughout the world, and take pride in utilizing the latest technological advances in this field. Our centers are equipped with latest technological devices to perform three dimensional mammography with tomosynthesis, four dimensional breast ultrasonography, vacuum biopsy, MR guided biopsy, intraoperative radiotherapy and single dose radiotherapy (LIAC) procedures.
Diagnosis and Treatment:
Treatment of Breast Cancer
General surgeons, radiologists, pathologists, medical oncologists and radiation oncologists work in cooperation in planning treatment for breast cancers. The patient is generally first assessed by a surgeon. Furthermore, psychologists and psychiatrists evaluate the patient during the period both before and after the treatment.
Surgical treatment, medicinal treatment (chemotherapy), hormonal therapy (treatment using hormonal medication), radiotherapy and biological therapies are used in the treatment of breast cancer. The priorities to be given to each one of these therapies within the scope of the treatment are determined bases on the clinical stage of the disease.
Initiating chemotherapy prior to the surgical procedure allows monitoring of the tumor’s response to chemotherapy. Surgical procedure is implemented upon completion of the neoadjuvant chemotherapy regimen, and establishment of a sufficient amount of decrease in the size of the tumor. In cases where no response is obtained after two cures of chemotherapy, the chemotherapy medication is changed and the patient is re-evaluated. In patients with progressive tumors and no response to chemotherapy, the tumor is surgically extracted in its entirety; or, in cases where the tumor has spread to such an extent that removing it would be impracticable, radiotherapy is applied.
b) Hormonal therapy
c) Target-oriented biological therapies
Cardiovascular Surgery department of Acıbadem Hospitals Group takes pride in delivering exceptional service to patients through specialized physicians and health care professionals, by utilizing advanced diagnosis and treatment methods together with products of advanced technology.
Our Cardiovascular Diseases departments closely monitor academic developments in this field, and organize training seminars to raise public awareness regarding cardiac health.
DIAGNOSIS AND TREATMENT SERVICES:
Cardiovascular Diseases departments of Acıbadem Hospitals Group provide services in the fields of pediatric cardiovascular surgery and adult cardiovascular surgery.
Pediatric Cardiovascular Surgery
Pediatric Cardiovascular Surgery departments of Acıbadem Hospitals Group utilize advanced diagnosis and treatment methods to provide care services for heart diseases of newborns and children.
Our Pediatric Cardiovascular Surgery departments address heart diseases encountered in children; in particular, congenital heart diseases, rheumatic heart diseases, and disorders of cardiac rhythm and conduction.
Adult Cardiovascular Surgery
As in all our units, our Adult Cardiovascular Surgery departments utilize advanced diagnosis and treatment methods backed by academic expertise to provide their services through specialized physicians.
Developed by NASA to enable surgeons on earth to operate on astronauts in space, the ‘da VINCI’ robot, operates through micro incisions and enables 3 dimensional imaging. Thus, even the most difficult operations are performed with ease. The robot only requires a physician who guides it through a console located outside of the operational zone.
It is used in several areas; primarily urology, cardiovascular surgery, general surgery, ear-nose and throat and gynecology.
The Cell Therapy Center provides services in the stem cell field which has been named as the “state of the art medical treatment products”.
Gene therapy and tissue engineering applications are performed in the center. Treatments are applied through patient-specific protocols and with a multi-disciplinary approach thanks to the cooperation with hematology, immunology, oncology, radiation oncology, plastic surgery, dermatology, orthopedy, physical therapy, neurology, neurosurgery, cardiology, cardiovascular surgery and genetics departments.
Clinical studies which are conducted and managed with the support of the academicians of Acıbadem Mehmet Ali Aydınlar University are also performed in our center.
This procedure reshapes the cornea to correct vision problems including short sightedness, far sightedness and astigmatism.
Which diseases does it treat?
It is used to treat short sightedness, far sightedness and astigmatism.
How is it implemented?
A thin flap is created on the cornea after which the excimer laser reshapes the cornea to correct the error. The surface of the cornea is corrected using the laser.
What are its features?
It is quick and the treatment gives permanent results. Patients no longer require glasses or contact lenses following treatment.
The Acibadem Healthcare Group Foot and Ankle Surgery sections handle treatments for degenerative diseases of the foot and ankle, sports injuries, fractures, torn ligaments and cartilage injuries.
Various methods are used in the treatment of foot and ankle problems at the Foot and Ankle Surgery Clinic:
Torn ligaments and cartilage injuries, common problems in the ankle joint, can be treated with closed – arthroscopic methods.
Achilles tendon injuries can also be treated at the clinic using closed methods. Arthroscopic repair methods (microfracture, mosaicplasty, cartilage patches and cartilage transplant) are applied to cartilage problems in the ankle joint.
Dislocation in the big toe (hallux valgus) and other toe deformities can be treated with corrective surgery.
The ankle prostheses that are used in advanced ankle deformities and flatfoot operations are performed in the clinic.
Other non-surgical methods like medication, injections and platelet rich plasma (PRP) applications are also used in the clinic
Hospital Labgen is one of the leading establishments in the field of genetics in Turkey. Hospital Labgen provides diagnoses of genetic diseases and preventive services including genetic consulting, pre-natal and post-natal genetic diagnosis, embryo selection, cytogenetics and molecular genetics. Hospital Labgen embraces a standard based approach to service. Broad spectrum and varying parameters are examined simultaneously through test panels. Projects aimed at developing new laboratory services in the field of genetics are also ongoing.
With physicians and health care personnel who are specialists in their respective fields, Acıbadem Heart Health Centers are committed to providing advanced diagnosis and treatment services. The Heart Health Centers embrace a multi-disciplinary approach, where, several medical specialties are gathered under a single roof to assess patients’ complaints and to offer appropriate treatment methods.
Academic Support Behind Our Heart Health Centers: Acıbadem University
Our Heart Health Centers provide services with a team of reputable physicians who have a proven track record in academic leadership in several fields, both on a national and international basis. Our Heart Health Centers benefit from award winning studies of nationally and internationally renowned academic staff of Acıbadem University.
Accredited to World Standards
Our database results for cardiovascular surgery are reported in the European Association of Cardiothoracic Surgery (EACTS) database, which is acknowledged as a scientific reference in Europe. Acıbadem Hospitals Group’s patient-oriented approach, its efforts towards ensuring patient safety, and the quality of the services it offers are accredited by international quality institutions. Acıbadem provides its services at Joint Commission International (JCI) accreditation standards, and complies with requirements of the ISO 9001 Quality Management System in all services it offers.
As in all diseases, early diagnosis of heart diseases plays a crucial role in a successful treatment. Acıbadem Heart Health Centers offer diagnosis and treatment services for a broad range of adult and pediatric heart and vascular diseases.
Cardiac valve diseases
Aortic vascular diseases
Peripheral vascular congestion
Obesity, which may be experienced due to a number of reasons, poses a threat for several organs of the body. Therefore, treatment for obesity must be planned and implemented within the scope of a multi-disciplinary approach, where multiple medical branches work in collaboration.
Obesity Center is one of the selected centers in Turkey that has state-of-the-art equipment for applications in this field. The center is committed to providing patients the most suitable treatment options, under such a multi-disciplinary care.
All patients who apply to our Obesity Center are first evaluated by an endocrinology specialist, a nutritionist, a psychiatrist, a physical therapist and an exercise specialist. Subsequently, the reasons underlying obesity are examined from a physical and psychological point of view. Our center offers diet therapy, exercise therapy, behavioral therapy, medicinal therapy and surgical treatment methods.
Radiological equipment specifically designed for patients suffering from obesity offer comfortable radiological examination for patients.
Obesity Center utilizes the following methods in treatment of obesity:
What is the procedure followed at Acıbadem Obesity Center?
Obesity Center’s specialized physicians start with investigating why you cannot lose weight; they then evaluate appropriate treatment methods and present you the options.
An ideal approach to treatment of individuals who are unable to lose weight through medical nutritional, exercise, behavioral or medicinal therapy is obesity surgery. If this option is found to be the right choice for you, Obesity Center’s thoroughly experienced general surgeons will determine the obesity surgery option that is best for you, and give you detailed information on how the procedure will be performed, and what you should be expecting during and after the operation.
The fundamental aim of the multi-disciplinary diagnosis and treatment methods implemented by our Obesity Center is to ensure regular and problem-free weight loss; and most importantly, to make sure that the patients are able to maintain their weight throughout the future.
Diagnosis and treatment services offered by Obesity Center include:
We are committed to ensuring that patients who apply to Obesity Center lose weight under the supervision of nutrition and dietetics specialists with broad experience in the field of obesity. A personalized, calorie-controlled diet is prepared for each patient based on their nutritional habits and health conditions. The patients are followed up by nutritional specialists, during the course of the program.
Patients suffering from obesity are likely to experience health problems -such as problems with the knee joint due to excessive loading- while exercising, due to excessive weight. In most cases these problems cause the patient to give up exercise and gain more weight.
In order to ensure that such patients can re-start exercising, specialists of Acıbadem Obesity Center offer programs comprising exercises that suit individuals’ health condition -such as swimming, water gymnastics, etc.- In most cases, a 45-minute physical activity program implemented minimum 3 days a week yields excellent results for weight loss.
Although nutritional and exercising programs are efficient methods for weight loss, patients tend to consider these programs as cures that are implemented for a certain period of time, and return to their sedentary (inactive) lifestyle upon completion of the programs; which leads to weight regain. These patients are advised to change their lifestyle, for instance, to take the subway instead of driving everywhere, or to include sports activities such as trekking in their plans for the weekend.
In case of existence of any underlying metabolic problems which cause the patient to gain weight, medicinal therapy is implemented by physicians who specialize in their fields in order to eliminate such problems (reactive hypoglycemia, insulin resistance, etc.) However, medicinal therapy should not be seen as a direct treatment for obesity by itself, as an FDA approved reliable and effective drug that may be prescribed for the treatment of obesity is not available as of today.
Obesity surgery is based on two fundamental principles; reducing the stomach size and/or ‘malabsorption’, or limiting the absorption of foods at certain stages in the intestinal tract. These surgical procedures can save patients’ lives when implemented on the correct patient, at the correct time.
Who Can Benefit from Obesity Surgery?
Obesity surgery is recommended for patients who have a body mass index of over 35, and who are unable to lose weight through methods such as medical nutritional programs, exercise or medicinal therapies implemented under the supervision of a specialist. Obesity surgery is also recommended for patients with a body mass index of over 30, and obesity-related conditions such as hypertension, diabetes or sleep apnea that can influence the quality and length of life. The surgical procedure that is right for you is determined through a number of examinations and tests carried out by our physicians.
Female patients with short-term pregnancy plans should discuss this with their physician, as patients are advised to refrain from pregnancy for a period of 24 months following obesity surgery.
Treatment Methods in Obesity Surgery
Using the gastric banding method, also known as the lap band, the surgeon places an adjustable silicone band around the upper part of the stomach. In most cases, gastric banding procedure is implemented by means of laparoscopic methods. As the surgery involves only small incisions, the patients are able to return to their daily lives in a short amount of time.
Also known as “sleeve gastrectomy”, this surgical procedure aims to reduce the capacity of the stomach (to approximately 60-100cc), so patients feel themselves full by consuming lesser amounts of food. With gastric sleeve surgery, the stomach is partially removed, leaving a sleeve shaped stomach of about the size of a banana. During the surgery, the portion of the stomach which produces ghrelin, a hormone that stimulates hunger, is cut away. Gastric sleeve surgery does not interfere with food absorption and only limits the patient’s food intake. For this reason, vitamin or mineral supplementation is rarely required after the operation.
With gastric bypass surgery, a small part of the stomach is used to create a new stomach pouch (roughly 30-50cc). The smaller stomach is connected directly to the small intestine, bypassing the rest of the stomach. As in other obesity surgeries, this procedure aims to decrease stomach capacity as well. Additionally, the intestines are partially bypassed, reducing absorption of food and nutrients. This allows patients to feel full quickly and eat less.
Robotic Surgery Method in Obesity Surgery
If your surgeon recommends surgery for weight control, this may mean that you may be a candidate for obesity surgery performed by the da Vinci robot. Such surgical operations, which are aimed to decrease stomach capacity and thus, cause patients to feel full quickly and eat less; are among the most efficient methods used today to obtain definite results in the treatment of obesity.
Depending on the patients’ physical condition, surgical intervention on obese patients may sometimes lead to certain weight-related problems. These problems may prevent efficient treatment of the required area.
Robotic surgery system is used widely in many medical specialties including urology, cardiology, gynecology and general surgery. Using robotic surgery allows us to conveniently perform various types of surgical operations, even on morbid obese patients.
The visual and technical capabilities of robotic surgery offer better outcomes for obese patients through reductions in blood loss, risk of infection, post-operative scarring and a quicker return to normal life.
Gastric Balloon Procedure
Using this procedure, an inflatable balloon is inserted through the mouth, into the stomach, by means of endoscopic tools. The balloon is then inflated, to provide a feeling of fullness. Unlike the other three methods, the gastric balloon procedure is non-surgical. However, another significant difference it presents compared to other methods is that, the balloon is needed to be removed after 6 months, and the results may not be permanent.
Nuclear Medicine departments of Acıbadem Hospitals Group use small amounts of radioactive tracers to diagnose and treat various conditions and diseases, and provide accurate images of distribution these materials within the body.
Unlike other types of radiologic examinations which focus on anatomical details of organs, nuclear medicine diagnostic procedures provide imaging based on the function of human organs.
Nuclear Medicine departments of Acıbadem Hospitals Group provide imaging of the cardiovascular system, skeletal system, thyroid, parathyroid and genitourinary systems, infection and inflammations; as well as C-14 urea breath test and intraoperative sentinel-node biopsy.
Acıbadem Hospitals Group is one of the few medical centers in the region with capabilities to implement procedures such as C-14 urea breath test, intraoperative sentinel-node biopsy and leukocyte labelling.
Acıbadem Hospitals Group is also capable of performing leukocyte labeled whole-body scintigraphy. This procedure can only be implemented at a few university hospitals in Turkey.
PET (Positron Emission Tomography) is an advanced imaging technique which can be implemented at only a few medical centers in Turkey. This method is generally used for diagnosis, treatment and follow-up of cancers as well as diseases of the central nervous system and the cardiovascular system. PET uses a radiotracer called FDG to detect metabolic changes in cancerous cells. This procedure provides information on the level and recurrence status of the disease, for appropriate follow-up.