Central Pathology Laboratory of Acıbadem Hospitals Group comprises subdivisions of macroscopy, routine histology, cytology, histochemistry, immunohistochemistry and physicians’ studies. Additionally, each hospital of our Group is equipped with a pathology unit that operated in association with the central laboratory. Our laboratories are technically equipped to process all samples received during the day, and to perform all pathological tests at the highest standards of quality.
DIAGNOSIS AND TREATMENT SERVICES:
In addition to standard procedures, tissue and cell samples to undergo pathological examination are examined by means of supplementary techniques such as histo (cyto) chemistry, immunohisto (cyto) chemistry, immunofluorescence and FISH, some of which require utilization of advanced technologies under the light of today’s scientific developments.
Our pathology department works in close collaboration with our genetics laboratory, and has access to advanced molecular pathological techniques such as PCR or cytogenetic analyses. All of these facilities allow compliance with today’s scientific developments at the highest level. A specific type of pathological laboratory procedure called the “frozen section”, or, pathology consultation during surgery, requires the pathologist to come to the operating room during the surgical operpation. This examination, which aims to provide the surgeon with the information he needs to decide on the extent of the procedure, is among several other pathology services which is available to be performed at any time in all hospitals of Acıbadem Hospitals Group.
With the aim of further enhancing the standards of our works in the field of pathology; a “telepathology system” has been established between all hospital units and the Central Pathology Laboratory. This system allows consultation with the physician at the end unit, with respect to macroscopic or microscopic examinations for the tests carried out the central laboratory, or other laboratories of Acıbadem Group’s hospitals.
By taking standard control cases as a reference depending on the nature of the examination, procedures carried out by various divisions of the laboratory are controlled by technicians or the physician in charge of each procedure, or group of procedures. In cases where conformity with a positive and/or negative standard sample cannot be obtained, the steps are repeated until conformity is achieved.
The Central Pathology laboratory is organized with a capacity of handling approximately 50,000 biopsy and approximately 60,000 cytology examinations per month. In addition to samples coming from hospitals and medical centers of Acıbadem Hospitals Group, the Central Pathology Laboratory accepts samples from other hospitals, clinics and physicians’ offices as well.
Physical Therapy and Rehabilitation departments of Acıbadem Hospitals Group intensively utilize advanced diagnosis and treatment methods, as well as state-of-the-art technological instruments to provide outstanding service.
Physical therapy and rehabilitation physicians and physiotherapists of our departments serve patients with a wide variety of complaints (such as lumbar pain, osteoarthritis, fibromyalgia, etc.) on a daily basis.
Physical Therapy and Rehabilitation departments of Hospitals Group implement all treatments included within the scope of the physical therapy and rehabilitation discipline; and are particularly specialized in evaluation and treatment of sports injuries, rehabilitation of diseases of the biodex isokinetic system and the musculoskeletal system, as well as neurological diseases.
Utilizing products of advanced technology, Physical Therapy and Rehabilitation departments of Acıbadem Hospitals Group plan and implement diagnosis and treatment methods that are specifically designed for athletes’ health care.
Despite its small size, the prostate is one of the organs that commonly cause problems in the male body. Although prostatic diseases are usually observed in mid-fifties, they may cause problems in young male adults, as well.
In our Center for Diagnosis and Treatment of Prostate Diseases, contemporary medical and surgical treatments of all prostate diseases such as Prostatitis, Benign Prostate Hyperplasia (BPH), Prostate cancer are performed.
Diagnostic and Treatment Services
The complaints that may be related to prostate diseases are as follows:
These complaints are usually specific to the problems of the prostate and lower urinary tract. However, the types of disease can only be determined by urological examination with the aid of specific diagnostic procedures.
Usual complaints might be absent in the initial stages of some prostatic diseases. Early diagnosis may be possible by digital examination of the prostate or by PSA (Prostate Specific Antigen) blood test, urine analysis, radiological imaging (ultrasonography, multiparametric prostate MRI) evaluations, or prostate biopsy (MRI/US Fusion Prostate Biopsy), if necessary.
Prostate diseases can be briefly classified into three groups:
II. Benign prostate gland enlargement (Benign Prostate Hyperplasia)
III. Prostate Cancer
What is the function of the prostate?
The prostate is a secretory gland. It is an organ located just below the urinary bladder (vesica urinaria), which the urinary channel (urethra) passes through it, and where the tubes (vas deferens) that bring the sperms from the testes are connected.
The major function of the prostate gland is to secrete a portion of the fluid that forms the semen. When it is normal in size, it is about the size of a walnut.
What is prostate enlargement?
Prostate enlargement usually occurs as a benign development. This enlargement begins in the late 40’s, and continues at varying rates until the end of life. Although benign prostatic hyperplasia (BPH) is associated with increasing age, the exact etiology is yet unclear.
When enlarged, prostate gland may block the flow of urine at the bladder outlet. It may distrupt both urine storage and emptying function of the bladder.
While prostate enlargement is frequently observed in aging men, it does not cause a problem of equal severity in all or may not necessarily require treatment.
Treatment is offered if the disease causes disturbing symptoms, severely impairs voiding function, or reaches a stage that compromises general well-being of the patient.
Recurrent urinary infections, recurrent bloody urine, formation of bladder stones, and the emergence of kidney insufficiency are significant conditions that prompt definitive treatment.
Depending of the stages of disease, there are several options of treatment which include:
1. An observation period with regular follow-up examinations and tests
2. Medication (medical therapy)
3. Surgical treatment methods (Bipolar TUR prostatectomy, Laser Greenlight prostatectomy)
What is prostatitis?
Prostatitis indicates an inflammation of the prostate gland. In this disease, the prostate gland becomes swollen and tender. Prostatitis often causes painful or difficult urination. Other symptoms include pain in the groin, pelvic area or genitals and sometimes high fever.
Prostatitis affects men of all ages but tends to be more common in men 50 or younger. The condition has a number of causes. Sometimes the cause can not be identified.
Depending on the cause, prostatitis can come on gradually or suddenly. It might improve quickly, either on its own or with treatment.
If prostatitis is caused by a bacterial infection, it can be treated with antibiotics.
Treatment for chronic prostatitis (where symptoms may come and go over several months) usually aims to control the symptoms. Pain-killers (anti-inflammatory drugs), alpha-blockers, or occasionally antibiotics may be used in the treatment of chronic prostatitis.
What is prostate cancer?
When cells in the prostate start to grow in an uncontrolled way, this is called “prostate cancer”. It is one of the most common types of cancer in western countries. Prostate cancer often grows slowly to start with and may never cause any problems.
While it is generally detected in men over the age of 65 years, it can be suggested that the risk increases from 50 years of age. A family history of prostate cancer is considered as a higher risk of developing prostate cancer.
Especially, the treatment outcome of “localised” or early-stage prostate cancer is quite satisfactory.
Prostate cancer shows variable behavior. Some men have prostate cancer that is more likely to spread. This needs treatment to stop it spreading outside the prostate.
Treatment approaches may vary according to the stage of the disease. The treatment methods may be administered alone, in combination, sequential or alternatively depending on the condition of the patient or the level of the disease.
Patients are treated with one of the following methods in our Center for Diagnosis and Treatment of Prostate Diseases:
At the Acibadem Hospitals Group Shoulder and Elbow Surgery Center should and elbow arthrosis, rotator cuff disorders, recurring dislocations and disorders caused by overuse and trauma are treated through arthroscopic and open surgery methods
In the Shoulder and Elbow Surgery department, diagnosis and treatment services are provided with the most current knowledge and a multidisciplinary approach.
Tears in the shoulder region, impingement syndromes and recurring dislocations can be treated with entirely arthroscopic surgical methods. In addition to bone protection methods, prosthesis applications are also used in these areas.
Due to its nature, the elbow joint is susceptible to movement loss. Fractures in this area and complex injuries like dislocations with fractures can be treated at the clinic with the least loss of mobility. Current methods and arthroscopic surgery is applied to treat tendonitis and epicondylitis in the elbow area.
At the Acıbadem Healthcare Group Vascular Surgery Department; all diagnosis and treatment applications (medical, surgical and endovascular – balloon angioplasty/stent) are available for blockage and narrowing of arteries, veins and lymph circulation systems in the cranium, chest cavity and other circulation systems that are not responsible for the circulation to the heart itself.
The Acıbadem Healthcare Group Vascular Surgery Department provides diagnosis and treatment services for the following disorders:
Blockage and narrowing connected with hardening of arteries
For the treatment of this condition therapy and exercise, regular walking exercises, interventional treatment (balloon expansion with surgery or angiography and/or stent installation), expanding with balloon and implanting stent, bypass surgery and endarterectomy procedures are utilized.
Buerger Disease (thromboangeitis obliterans)
Diagnosis is made by examination and MR/ BT angiography. Treatment includes banning smoking, protecting hands and feet from trauma, (vein expanding) medications, surgical or chemical sympathetic blockage.
Sudden vein blockages (emboli, thrombosis)
Treatment can include removing the clot and restoring circulation by surgery or aggressive clot dissolving medication. If there is underlying previous stenosis and these treatments do not achieve the desired results, surgery like bypass can be resorted to.
Diabetes patient can have difficulty healing and infection problems connected with diabetes. A diabetes patient with vein blockage based on hardening arteries, accompanied by other diseases like diabetes, who have wounds or gangrene on their foot are not diabetic foot patients; they are peripheral artery patients with diabetes and their treatment needs to be planned accordingly.
Carotid artery patients (narrowing or blockage of carotid artery)
Various methods like Doppler sonography, MR Angiography, CT Angiography and conventional angiography are used in the clinical examination. The treatments are medical, surgical and interventional radiological.
Aneurisms (Expanding, ballooning of veins)
Small scale aneurisms are monitored by ultrasound at 6 month or 1 year intervals. When there is a sudden increase in diameter, additional tests or invention may be needed. Open operations or the closed “endovascular” method is used.
Chronic vein failure and varicosis
Color Doppler ultrasound is used for diagnosis; radiofrequency, laser, sclerotherapy and if necessary surgery methods are used for treatment.
Deep vein thrombosis and lung embolism
Diagnosis can be made with a venous Doppler ultrasound in the leg, a contrast tomography of the lungs and MR. Treatment can include methods like the use of varicose stockings to immediately dissolve the clot when caught within the first month and blood thinning medical treatments are also available.