Face transplant surgery in Turkey with the signing of the third major operations Prof. Dr. Selahattin Ozmen, "a detailed and attentive got to work, or can not be different. All of Plastic and Reconstructive Surgery, intelligent and resourceful difference can reveal important that you give your details, "he said.
IDEOLOGY vital operating room doors; What does the surgeon, what to be careful and successful surgeons are continuing to investigate the secrets. Turkey's third face transplant operations carried out successfully Gazi University Faculty of Medicine, Department of Plastic, Reconstructive and Aesthetic Surgery, recently resigned from the American Hospital Plastic and Reconstructive Surgery, Professor at the office will begin Dr. Selahattin Ozmen, Med-Index Editor Esra Ozer answered the question.
Could you please give information about the operation done?
Branches that need we have received a very large operation, from scalp to toenails can say. Many Plastic Surgeons in microsurgery as I'm doing my colleague. This method of repair and regeneration of areas of tumor removal, closure of non-healing wounds, making new breast after breast cancer and severed limbs instead we use for suturing.
Basically both head and neck surgery and microsurgery can say that I can apply together. In this way, nose, teeth and bones, together with the face transplant able to perform without the need for another branch.
Can you tell us the subtleties that make the operation?
Nose surgery for example in detail, is too much. Very fine work is required. In the early postoperative period is not enough to know what happens, after 6 months-1 year must predict the result will be. Made of a nozzle, six months or three years later you should be able to predict what will become. It is a teacher, 'the fourth dimension surgery' he says, of course, wants to experience them all.
Just not enough to do the surgery, if you want to go one step further, you have to work more carefully, or you can not be different. You can only be a surgeon, you can not be a virtuoso. All of the intelligent and resourceful people working in our industry, you can put your differences to detail that strongly.
Who surgery, do not you?
I think that sex reassignment surgery yapmıyorum.psikolojik balanced, I do not know what you want than to try to avoid surgery patients. What you do in a group of patients because patients are not able to be happy. These patients in psychiatry "body image disturbance" is called patients and psychiatric support basic treatment is not surgery.
What advice to physicians who have this surgery will be?
I do not presume to give advice, I have chosen this path or choose just thinking of myself I can share my experience with my younger brother. Patients appear to be close to you, then you will be more attentive happening.
This is actually the most important detail we have learned from our teacher. Record everything you do with the photos, giving presentations or scientific publications will need to do to prepare. If you get a very large archive containing them. Do not underestimate any case, do save.
Well you better get what you need to know to become a surgeon?
I take care of myself to be a good subject I'm talking about. I'm careful, his assistant dressing while my teacher was even observed very carefully, how they talk with patients would follow. Today assistants telling my friends to do the same. In the first year of residency in theory I learned how to do nose surgery.
I had a very good observe what is done step by step and with this experience I came to without fear level will make every surgery. When I started as an assistant to head operations much I respect my teachers "like you're comfortable doing this surgery for many years to say," was the greatest compliment for me.
I read a lot and write an article in the medical profession is very important. For example, to write an article 100 of the articles you should read. Thus becomes an incredible knowledge. 20 If you are writing one article two thousand articles you've read.
The information available in the literature need to know very well, if you do not know who in the past can not develop new techniques. Do you think everything you do, but new research techniques when you think of the new good and bad aspects that defined many years ago, and even painfully aware that this technique can be abandoned. 4 new techniques in nose surgery for myself I can say that I was describing. They mature slowly with the international literature I offer.
Summarize existing knowledge you learn very well, while surgery "Another method is needed," he says, and you can develop a new technique.
Need to be humble. Praising yourself you can not improve in any way, anyone that you produce, you evaluate what you are doing by looking. I personally "from an assistant, even when a student can learn from," he makes an effort, I respected his views. Everyone has a different intelligence and perspective, you can see you're not seeing someone else. Everyone can learn something from, patients, the öğrecid career.
How to Maximum Efficiency in operating theaters removable?
In fact, the private sector is the best example of it. They use private hospitals operating very effectively. In Turkey, especially in the public sector have difficulties related to the operating room. For example, working in shifts 24 hours a day can be operating in Taiwan. After 17 hours, the operating room for surgery, we routinely shuts down.
So this is a place that comes to a private institution, but extremely difficult in the public sector to provide income and even some surgeries do not come to your department can be reflected as a loss. However, increasing the number of beds at clinics can use the operating room 24 hours a day. This is actually very important to our patients as intense months after surgery clinics are able to offer an appointment.
However, several months after patients sometimes can not be operated due to special reasons or illness, intensive appointments to give the program a new appointment to the patient are the major issues for us. In order to increase efficiency regulations needs to be done very well. Just before the applicable laws, Gazi University Faculty of Medicine in the Department of Plastic, Reconstructive and Aesthetic Surgery surgery were doing around 600 per month. No. clinics worldwide, but so do the surgery. However, these numbers were reduced by new regulations.
How do you prefer to operate in an environment?
Every surgery is different from each other, and sometimes surgery are making very high stress levels, adrenaline is through the roof, so we do not need bungeejumping.
First of all, a good anesthesia team is very important, they have the most important part. Anesthesia is very good if you get good results may be difficult. Unnecessary anesthesia unsuitable patients may bleed, blood in the operative field if the process can not attentive enough. If the patient comfortable, we're happy, everything is good. From the first moment of the patients in the postoperative period pain, nausea that comes complaints of these patients, surgery should not expect to be satisfied with the outcome.
Some surgeons in the operating room art music, some classical music, and some are able to listen to mobile music. I'm not too picky about music, already a major focus on the surgery and I'm doing surgery around me, I'm interested in events that are not associated with the patient.
How long is the average of the surgery?
Plastic surgery is very different operation times, have in 5 minutes over several hours (10-15 hours) at the time.
Do you use prophylactic antibiotics?
Surgery varies. We use when we need to use according to scientific evidence, any surgery is not useful to use could be harmful.
It gives information about patients' demographics Are you? Large too tight?
I'm interested in the sociocultural field is very wide at the lowest level of the person I'm operative, a senior person in the protocol as well. When a patient from a high socioeconomic level in public hospitals May Fail to appreciate the comfort of the hospital.
Hotel services in public hospitals to perform very well in a way much more difficult. Because the patient cycle too much. I do not make a distinction between patients, and all the people close to me, all I can think as I'm trying to do the best. Unfortunately, time is short, I want to be operated every patient I do not surgery.
Who helps you with your surgery most?
Generally, senior assistant chief resident or helping. It becomes very difficult to perform major surgery without an assistant. I need a good surgical nurse.
Good surgical nurse, especially in private hospitals can sometimes eliminate the need for an assistant. In summary a good anesthesiologist, nurses and assistants required.
The most anticipated and what are the most feared complications?
Very variable, which is on the face I or vascular anomalies remain a risky trail to the patient's own terms may seem normal to ask. However, a very risky surgery when planning, "without complications surgery How do I view that" the patients' severity of the case of the ever unwittingly -data I ten of information despite "leaves a scar Do?" Asked for, makes me nervous.
The patient died during surgery can not ever think of that. They forget that the surgery performed, our name "plastic surgeon" because they think we're doing it up. However, what we do surgery and are doing a really big surgery.
Plastic Surgery is on the trail foreground. However, pursuant to the laws of nature everywhere you cut leaves a scar. We minimize these traces and store know, but the signs of a method in the world do not completely eliminated. On the trail, we'll do our best, the rest is up to the patient's skin.
What do you use as material help when the surgery?
My camera is a must. Before and after each transaction must withdraw. Computer and internet is very important. If you are going to do a different process should investigate. I need a good set of surgeries. You may whistling virtuoso on, but in some cases hand tool works praise.