Blog


22Dec

Cervical disc herniations — spondyloses

6 months ago, Gulay entered the clinic with the symtoms of a severe neck pain, loss of strength and imbalance in the both arms, and inability to walk comfortably. Due to cervical spondylosis and extruded disc hernias (cervical calcification and cervical herniated disc), she was operated. After surgery, an improvement was achieved in terms of her pain and loss of strength. Today, she came to visit with her mother Ummuhan.

I was demoralized and upset because the day before I performed a very difficult and troublesome surgical operation. If there is a problem in our patients, we can hardly sleep at night...

Aunt Ummuhan arrived just in time. Within 10 minutes, she said her all prayers that I need for the next 100 years, and then went out. Her smiling face turned my bad day into a good one :)))

I wish everyone a happy and healthy day...

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23Nov

Low back pain and its Treatment — Algology — Epiduroscopy

Nonsurgical procedures that can be administered to patients with cronic low back pain, such as epiduroscopy, RF (radiofrequency), transforaminal injections or facet cauterization/injection, constitute the main subjects of today’s pain science, i.e. algology. Such treatment procedures intended for low back pain are carried out by neurosurgeons, anesthesiologist, and orthopedists.

We can usually administer epiduroscopy to patients who have severe pain due to adhesions that occurred after a previous surgical operation (herniated lumbar disc surgery), which could not be cured despite a long-term drug use, and could not be relieved with physical therapy and other conservative procedures.

The procedure is performed locally, and initially the anesthesiologist gives the patient a mild sedation through anesthesia, with intent to ensure a pain-free operation. The active process of the procedure takes 15 minutes; however, the overall procedure is completed within a period of 30 minutes, with the processes of positioning, cleaning, and sterilization of the patient.

The patient is discharged on the same day or the next morning if he/she wants. In the literature, it has been reported that 80 in every 100 patients can get rid of their pain within 1 year, by means of this procedure. The patient discharged from the hospital can immediately take a bath because the procedure does not involve medical dressing. A 1-week rest is recommended.

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19Nov

Craniosynocytosis (Trigonosephaly)

The gap called the metopic suture at the front of the head, divides the forehead region in two sections at birth and then fuses in the early period. If the metopic suture fuses prematurely due to any cause, the infant's forehead becomes prominent (triangular shaped), and the resultant condition is referred to as trigonocephaly.

Ipek is my 11-months-old triginosephaly patient, and she is very sweet :) Even if you're a neurosurgeon, infant patients make your blood run cold. You cannot hurt them, and their pain becomes your own pain... You become 100 times more alarmed, and you see them in your dream :)

Ipek went home on the third day after surgery. She came to be checked 1 week after surgery. Everything is OK :)))))

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18Nov

Failed Back (Failed Back Surgery)

Fatma has undegone 2 back surgeries, and her last oparation was done 2 months ago but after then her severe pains have not passes off. She could not lift her left leg and could not walk before surery. Despite constantly using medicine due the pain felt in her left hip, she continued to suffer from that severe pain.

After a long time, she took her first walk in the evening of the day of surgery. The next day, we walked together in the hallway before her discharge from the hospital.

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8Nov

CHRONIC SUBDURAL HEMATOMA

Ahmet is 82 years old and uses potent blood thinners. He has undergone a heart surgery. When he came to the polyclinic, he had broad hemorrhageas at different ages, on both sides of her brain, according to the report of his MRI scan performed by the neurology department. He came with a wheelchair. His words could not be understood, and he could not walk without support.

We cleared his hemorrhagea within 1 hour, by opening 4 holes on both sides of the head in the surgery. He begin to speak clearly in the 2nd day. He could also walk alone in the hallway.

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3Nov

Return to Life

I operated Enver 6 month ago but he met me today for the first time. Enver is a angle tumor patient. He had a mass pressuring the brain stem and even extending up to the temporal lobe. He has been operated 3 times and has been given gamma knife.

He was staying consciousness at the intensive care unit of Acibadem Hospital. Since it was late, we decided to operate him. I followed-up him for a period of 33 days while he was staying consciousness at the intensive care unit. When he began to regain consciousness and speak gadually, he went back home; and as a result of her wive's proper care, today he came to visit me by walking.

Sometimes I say "miracles can be in our lives" to patient relatives waiting anxiously about the condition of their patients at the door of the intensive care unit. It is possible as long as we don’t give up and we think positively. I understand this well when I see patients like Enver. His family never gave up, as well, and they still keep fighting the disease.

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22Oct

Atypical Meningioma

Any and all brain tumor surgeries are difficult for a surgeon. Even if everything goes well, the surgeon dies a thousand deaths until the patient comes out of anesthesia after the surgery. When the patient moves his/her arm and leg and also starts speaking, the surgeon sits on top of the world :)

Gülay is a recently married 24-years-old woman. When came to me with her husband first time, and heard that she would be operated, her first question was whether she would be able have a baby... The surgery was performed on Thursday. Today, after a 2-day hospital stay, she is going to go back home. She promised to visit me with her child :)

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19Oct

DEFORMITY (SPINAL CURVATURE—KYPHOSIS) SURGERY (KYPHOSCOLIOSIS)

Scoliosis and kyphosis surgery are special surgical procedures performed in accordance with certain principles. The patient's postural disorder alone does not constitute a surgical indication. Values which increase during the follow up and which are within the surgical margins require a surgical decision.

Gulten came from Batman to visit us. She experienced 2 lumbar vertebral fractures in the past; and then began to collapse forward and become hunchbacked. Her operation was highly successful. A total of 8 titanium screws were placed in the fractured L1 and L2 vertebrae as well as their upper and lower levels. The L1-2 joint space was completely emptied by microdiscectomy under the microscope, and then an implant was placed between the two vertebrae, with intent to eliminated the collapse. With screw and implant, both a kyphosis correction (correction of the hump) was provided and the possible recurrence of the collapse was prevented with fusion.

The patient who walked in the evening of the day of surgery also walked with me in the hallway the next morning, and was discharged from the hospital on the 3rd postoperative day.

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14Oct

Spinal Cord Tumors

Since masses in the meninges, which are especially adherent to the nerves or originated from the nerves, may cause neurological damage (loss of strength, urinary incontinence, fecal incontinence, loss of sensation) in the patient, they should be surgically removed using appropriate instruments. Surgical operations are made safer by means of special devices called NEUROMONITOR, which are attached to the patient after he/she is put to sleep with anesthesia with intent to measure the nerve conduction during surgery. Nerve conduction measurements are made during the surgery of the patient for ensuring the removal of the tumor without harming the patient.

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13Jun
Doc. Dr. Bülent Önal - Perkutan Faset

Percutaneous Facet

When a surgial intervention is needed in cases of lumbar spondylolisthesis, stabilization surgery is recommended to patients. Surgical procedures popularly known as “platinum placement in the lower back” are replaced by procedures called closed techniques that can be performed with small incisions under X-rays (scopy) in operating rooms, by using small screws that fix the facet joints.

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31May
Doc. Dr. Bülent Önal - Bel Kırıkları Tedavi

Lumbar Fractures

My patient, who could not walk and became hunchbacked due to her lumbar fractures before the surgery, walked with me in the hallway on the first postoperative morning.

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28Apr
Doç. Dr. Bülent Önal - Arzu Başaran Başkıran

Arzu Basaran Baskiran

Life leads people to come across with each other at different times and in different places.

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23Apr
Doç. Dr. Bülent Önal - Serdin Amca

Uncle Serdin

Last year, travel of a patient from Ankara to Batman was considered to be a story.

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11Apr
Doç. Dr. Bülent Önal Cerrahi Komplikasyonlar

Surgical Complications

Many procedures have been tried for lumbar herniated disc surgery, and today microdiscectomy is the most effective procedure. The word 'microsurgery' represents surgical operations performed under microscope. A microscope allows for performing the same surgical operation through a smaller scar, by magnifying the view of the surgical site. Microdiscectomy is today mentioned as a closed surgery procedure in some medical advertisements; but in fact, it is not a closed surgery. Is an effective procedure that significantly shortens the recovery period by allowing for just a small surgical incision, and causing minimal damage to the patient’s surrounding tissues and muscles during surgery; and that significantly reduces the risk of possible complications by magnifying the view of the surgical site.

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13Jun
Perkutan Faset - Torakal Korpektomi

Corpectomy

Anterior (from the front) corpectomy (removal of vertebra) to thoracic upper distances is a difficult surgical procedure requiring experience that can be performed after opening the thoracic cage (chest cage).

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13Jun
Doc. Dr. Bülent Önal - Cerrahi Komplikasyon

Surgical Complication

Sometimes complications can be encountered in surgical procedures. In the literature, certain risks and complication rates are reported for each procedure.

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Assoc. Prof. Dr. M. Bulent Onal Hoşnudiye Mah. Acıbadem Sk. No:19 Eskibağlar - Tepebaşı / Eskişehir +90 222 214 44 44 %62%75%6c%65%6e%74%6f%6e%61%6c%40%68%6f%74%6d%61%69%6c%2e%63%6f%6d