For many years engaged in successful operations of Turkish Plastic Reconstructive and Aesthetic Surgery Association General Secretary Prof. Dr.. Suha Ayhan , " everyone in the surgery process and operating like clockwork embroidered should be part of that process. The wheels of living of the installed system and the system works properly is supposed to be , "he said.
The most curious in hospitals , where there is a different life would continue to open the doors of the operating room. Signatories to the successful operation for many years , Gazi University Faculty of Medicine, Department of Plastic Reconstructive and Aesthetic Surgery, Professor of the faculty members. Dr.. Suha Ayhan , Esra Ozer answered the question.
Could you please give information about the surgery done ?
Plastic surgery stark anomaly and not later correction of deformity , reconstruction and shaping means. Plastic surgery , from hair to toenails concerns many structures. Congenital abnormalities of the cancerous tissue formed by taking the closure of the lack of tissue , hand surgery , burns or trauma that occurs after correction of sequelae covers so many areas.
Plastic Reconstructive and Aesthetic Surgery surgery 'm doing a lot of expertise within the field. But in the last 10 years, in the field of cosmetic plastic surgery and breast after mastectomy on repair work as much more intense. Cleft lip and palate , slightly moved away from issues such as maxillofacial surgery. Focusing more on reconstructive surgery at the University , in particular more aesthetic breast surgery, nose , eyelid , face lift surgery and body contouring and breast restoration after mastectomy would apply.
A part of my application called minimally invasive procedures , includes little touches that do not require surgical intervention. A portion of the patient is not ready for radical surgery , sometimes it may not be necessary. In these patients, minimally invasive procedures that we, the application of botulinum toxin , fillers procedures, laser skin resurfacing, PRP and fibroblast cell culture applications , such as cellular therapies would apply.
Would you tell us that you do subtlety in operation ?
Each surgery will vary. Plastic surgery is a matter of detail ; The secret of success lies in the details. You can change the outcome of surgery with a little maneuvering. How'd that needle stitching at how the cartilage is very important that you figure out how to give. Plastic surgery is very important to pay attention to the details...
I'm trying to build my surgeries System
During surgery, one of the issues I've paid particular attention has to work systematically. Which sewing when to use , at what stage in which maneuver you do , doing it light where it came from , which device , at what stage , to what degree is to be used as... surgery on my fictionalized system exceeded not to 'd desire. Also pay attention to my surroundings with my team riding in a serial manner of operation and to terminate care.
Embroidered operated like clockwork Process
Operating process embroidered like clockwork. Everyone must be part of that process. The wheels of living of the installed system and the system works properly is supposed to be. Because there your concentration , your focus when broken , is breaking out of the system when exiting the surgery. You need to focus again.
I'm trying to take preventive measures for patients
Today, the most important issue of patient safety... in the operating room the patient asleep and surgeon surgery area concentrate more on the patient any harm comes to the possibility to eliminate and take preventive measures is very important... Surely the patient's foot and head under the soft supports a bet. During surgery, the patient's blood circulation slows down. However, thanks to a pump attached to the leg movement continues , and that the formation of thromboembolic events and prevents clots.
Which will be the subject of pillows from the first surgery I'm checking
The patient entered the self and the anesthetist will be delivered to you. Will occur in the heel of a wound or numbness of the arm , will create great discomfort in the postoperative period , will prolong healing time. Therefore, ensure you sleep during surgery in an optimal position , which you need to check where to put the supports. Therefore, during the preparation of the surgeon eye surgery on the patient , the patient's safety in mind should be...
To the patient's head will be a 2 hour
In a ten-hour surgery the patient's head always remains in the same position , due to the regional press , the press, at the point where the hair is shed. When patients come three weeks later ; "Everything's fine , but in my head have hair loss " might say. In fact, the solution is very simple: the patient's head will turn two hours , the blood circulation pause at a certain point , you 're the patient's hair loss prevention.
Who surgery do not you ?
Especially in aesthetic surgery is surgery patients from healthy individuals actually... I want to be an electoral surgery surgery usually , so this is a healthy way of life although surgery may continue. Appendectomy surgery such as a tumor or not. So why is this surgery, you want to be ? Because life who are constantly , every time you looked in the mirror has a problem that bothers him.
Not the thing itself the target person , not someone else had surgery a Maksam
I'm not unrealistic expectations surgery patients. So to me, " I want to be like Angelina Jolie " When you say I put a question mark. One person targeted by the thing itself , but to be someone else... It's actually not happy with your life , not the happy place in life. Physics, who we choose to be happy when you think look like. However, this kind of people do you see that when operated , can not you happy that patient. Because ultimately not able to be like Angelina Jolie. You have done just the surgeon's ability to determine the outcome of surgery or procedure is not applied ; do the surgery the patient 's material , wound healing, general health status , lifestyle factors a lot like the result will directly affect.
I do not do the surgery for Small Steps
With some exceptions in pediatric patients , in patients who did not complete psychological maturation do not do cosmetic surgery. Psychological maturation also needs to happen. People know what they want and need to be committed. For example , a woman who admitted to being breast surgery within 1 year if you are thinking of having children , do not operate on these patients. We take a big step , I think we need to get big gains. Small steps do not do the surgery.
To surgery with psychological problems can cause dangerous consequences. Psychiatrist suspected in these patients should steer. In this sense, the highest risk group , with English initials SIMON defined as single, immature , male, are patients with obsessive and narcissistic features. ( Single- Immature - Male- Obsessive - Narcistic )
What are some suggestions to physicians that this surgery will be ?
Every day we learn something new. Plastic surgery is a field particularly open to creativity , no standard surgical techniques. If you find that how creative you can apply new techniques.
If you see how many people from your technique refined Much Happening
Everyone will learn something from each other. Even become the new specialists from a friend , you might learn something my assistant. If you see how much your technique she refined to be used. I'm in my residency in surgery from the hands of many experts saw , and I've refined this information. How many people in how many centers operated by the hand if you see you are so good plastic surgeon. Otherwise, you 're stuck in a certain area.
" Fellowship" system has not yet fully seated in Turkey
" Fellowship" system in Turkey and abroad there but not yet fully fit. Need to be implemented as a system to do this. Unfortunately, the same standards of education can not be offered at each institution. The areas in which each institution , while there 's going to be lagging behind the subject. When experts think that the backward areas, which institution is good , he should be tried by navigating to the center for a certain period. For example, one year I microsurgical Cleveland Clinic in the United States as a fellow in experimental research I've found ; University of Gent in Belgium and then I worked on repairing breast after mastectomy.
To be a good surgeon in your area need to know what is good ?
First of all I need to know anatomy. Anatomy of a good surgeon knows , is a good surgeon. Second, psychology is very important in our area. Patients need to understand the psychology. From time to time we have to make our patients psychological counseling. In the conversation we had before and after surgery the results obtained with the patient's psychology is changing.
Not any time of surgery, a patient does not come
If you think that the patient is ready for surgery , time together to do it. At no time do the surgery in a patient does not come. Never operated on a patient must work to convince ; and sometimes even surgery may be necessary to ensure renounce.
Do not Let Your Patient Is The Greatest Nightmare
Patients do need to explain the pros and cons of the surgery. Sample photos from my previous surgery to the patient to do and I'm showing the surgery scars left at the end ; I will be telling complications. The patient 's perception of them and I know for a while to digest. This is very important , if they perceive surgery the next day and if you have a problem , these patients would be your biggest nightmare.
Traces of the patients was acceptable one , the other one ' Disgusting ' Can Die
There are many different patients and will get the results you need to tell us in advance. Sometimes a patient is likely to find acceptable traces , traces of another patient in the same ' disgusting ' Can you say. If you accept that it should not operate on patients.
Best Dentists Should Use the Internet
Each to operate on the patient , the patient can refuse. The patient's maturity, need , process and acceptability need to pay attention to if you are ready. At this point, communication, anatomy and psychology is very important. Patients must be able to communicate with. "The doctor knows everything " era is over. Patients are investigating more , we live in the internet age. Patients coming to you and the subject you are researching. They ask very detailed information on the subject. Physicians internet to good use. In addition, doctors recommend their patients is the best communication tool.
Removable operating rooms Maximum Efficiency How ?
My experience abroad was showing the following ; In another room, anesthetized patients entering the operating room , then enter the meantime shortens the operating room. Paying attention to the physician work hours , increasing the number of staff is important. Satisfactory not charge a fee , state and improves performance in university hospitals.
How do you prefer to perform surgery in an environment ?
In a quiet environment , I love working with music. I can not operate without music. Non- high-paced , light music, jazz , classics, musicals, I prefer pieces. Of course, in our own songs... One of doping during surgery is going to hear the voice of my wife. I know I would prefer to work with the operating room and anesthesiologist. Quiet, clean and spacious venue is very important , because I saw different operating rooms are spacious and well-equipped operating theaters would prefer.
For surgery, how long is the average ?
Surgery depends , nose surgery, while 1-1.5 hours , breast surgery takes 2-3 hours. The creation of a new breast in patients with breast receipt can take 4-6 hours. Double-sided 10-12 hours in surgery can take up this time. I.e. according to the type of surgery varies up to 12 hours.
Do you use prophylactic antibiotics ?
To do before surgery and after surgery in the hospital during the period that I also use.
It gives information about patients' demographics Are you ? Largetoo tight?
Plastic surgery , especially if you are dealing with cleft lip and palate anomalies çocuksal , are you more concerned with pediatric patients. My last more than 3-4 years in my group of patients 18-50 years of age are women. In terms of socio- cultural level, there are more educated groups. Very large demographic group is going.
Who is going to help you a lot in your surgery ?
The last 3 years , I'm going to surgery with a nurse. Both prior to surgery , as well as the provision of materials to be used in surgery , surgical instruments, storage and preservation, maintaining , also in touch with patients before and after surgery to ensure the continuity of his work....
The most anticipated and most feared complications is?
In plastic surgery have different complications seen in the early and late. Ie surgery in early postoperative hematoma blood collection, disruptions in wound healing , tissue loss and infection can not too often we come across.
Microsurgery Don'ts patient 's Happening
Some patients much more than we expected, we see that the tendency to thromboembolism. Patients , but there are some cases where you can learn if you ask. For example, patients with abnormal pregnancies that existed in the past , ie, recurrent miscarriages or stillbirths the cause of thrombophilia also considering the tendency to clot, indicating that genetic diseases can occur. They do not ask do not tell the patient. These are the patients that it is very risky to conduct microsurgery. Excessive clotting disorders, it is around 10 per cent of the population. For me, the most feared complications associated with clotting condition.
What do you use your help in making materials in surgery ?
Supplies that we use in plastic surgery often does not harm tissue , elegant and sensitive equipment. Magnifying glasses and microscopes in microsurgical operations ; Get some in surgery 'm using cold light source attached to.
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