T.C. Sağlık Bakanlığı İstanbul İl Sağlık Müdürlüğü İstanbul Medeniyet Üniversitesi
Göztepe Eğitim ve Araştırma Hastanesi

General Surgery


GENERAL SURGERY

 

The General Surgery Clinic was established simultaneously with the establishment of Göztepe Hospital in 1972. In 1982, it acquired the status "Education and Research Clinic" and became a clinic offering specialty education. After the establishment of Istanbul Medeniyet University in 2011, in 2012, Prof. Orhan ALİMOĞLU established the General Surgery Department. The General Surgery Department continues its education, scientific activites and patient care with its scholars and experienced staff.

4 lecturers consisting of 2 professors, 1 associate professor and 1 assistant professor, in addition to 15 general surgery specialists (1 associate professor and 14 attending specialists) and 12 general surgery residents (assistant) are educated in our clinic. Competent physicians offer healthcare to patients in our surgical oncology, surgical endocrinology, colon and rectal surgery, obesity surgery, liver, gall bladder, bile ducts and pancreas surgery branch outpatient clinics, in addition to 2 general surgery and 2 breast diseases and surgery outpatient clinics. Over 50,000 patients are examined, diagnosed, treated and monitored in our outpatient clinics every year.

4500 inpatients are treated in our clinic every year. Our experienced transplantation staff perform kidney transplants in our 5-bed organ transplant unit that was established in 2010.

Over 2500 elective surgeries, over 600 emergency and trauma surgeries, and over 750 local surgeries are performed in General Surgery operating theatres using modern technological devices. General Surgery operations are performed with both open and minimally invasive methods.

On average, 1500 patients undergo colonoscopy, 1100 patients undergo upper gastrointestinal system endoscopy and 70 patients undergo PEG procedures every year in the Surgical Endoscopy unit that was established in 2010.

Medical Pathology Department, Radiology Department, Nuclear Medicine Department and Oncology Department discuss the most appropiate treatment options for an average of 1000 patients in weekly multi-disciplinary council meetings. In our annual training program, we include bed-side patient visit practices, morbidity-mortality meetings, seminars, algorithm meetings, literature hours, theoretical scientific study and thesis preparation sessions in order to ensure continuous education during and after specialty education.

Student Education

In addition to theoretical and practical basic courses offered to the 2nd and 3rd term medical students of Istanbul Medeniyet University Faculty of Medicine, 4th and 6th term medical students (Intern Dr.) study and work in the General Surgery Department clinic during their clerkships.

4th term medical students receive 88 hours of theoretical and 81 hours of practical education during their 5-week General Surgery clerkship. Theoretical courses include fundamental surgical subjects and specific surgical diseases. In practical courses, students attend various practical observations and applications every day in the operating theatres, elective and emergency surgery wards, endoscopy unit, general and special branch outpatient clinics.

They attend in-clinic educational meetings including Literature Meetings held on Mondays, Seminar and Algorithm Meetings on Tuesdays, Grand Visits on Wednesdays, Scientific Study Meetings on Thursdays, and Multi-Disciplinary Surgery Councils on Fridays. Daily Interactive Case Presentation Meetings and Student Seminars are offered and all students attend all practical courses along with the faculty staff. 4th term students undergo a 3-phase, objectively structured clinical exam (OSCE) for measurement-evaluation consisting of clinical patient examination and evaluation practical exam, case slideshow practical exam and theoretical exam.

The aim for the 6th term medical students (Intern Dr.) is to reach the knowledge level of a practicing physician, to be able to diagnose and to have the knowledge of general treatment rules. Applications of small surgical interventions are taught. The aim is to increase their knowledge levels to a practicing physician's concerning Trauma and Emergency Surgery, Gastrointestinal Surgery, Hepatopancreaticobiliary Surgery, Transplantation, Breast Surgery, Endocrine Surgery and Minimally Invasive Surgery, and to teach them the necessary knowledge and skills about the practices and patient referral to the relevant centers for the diagnosis and treatment of these diseases. In the Intern Doctor Program, 6th term medical students attend all clinical practice activities (patient care, visits, surgeries, outpatient clinics and on-call shifts) and educational meetings held in the elective and emergency surgery services, clinics and operating theatres of the Department under the supervision of lecturers in order to improve their General Surgery knowledge and skills.

Our Mission

To raise qualified doctors who can correctly diagnose patients and administer the best treatment with their top level of knowledge, who practice protective medicine, who have good communication skills, who continuously refresh their knowledge and understanding through research, and who adopt ethical values.

To become a center that offers the best national and international service in diagnosing and treating General Surgery diseases by following national and international medical developments, planning future strategies according to changing circumstances, offering high-level medical service and training in light of science, technology and ethical values.

Our Vision

To have the qualities of a national leader in terms of medical education, research and healthcare services,

Becoming one of the best General Surgery Clinics internationally,

To raise doctors and specialists who can communicate correctly with their patients, who have a teamwork, coordination and patient oriented approach, who closely monitor technology and modern advances, and who have domestic and international experience,

Offering our patients the privilege of being treated in a leading, exemplary, reputable health institution in universal standards,

To allow our staff to experience the trust, honor and happiness of this vision.

Medical Specialty Resident (Assistant Doctor) Education

Ensuring that residents pass their professional competency exams is the primary goal of General Surgery specialty education. Education programs are organized in order to ensure that a specialist gains the knowledge, skills and attitude necessary to practice his/her profession. Moreover, the program also has to ensure that they acquire the skills necessary for lifelong learning, sustaining competency, and reaching and using information.

In addition to clinical evaluation, being "scientific" is also important in General Surgery. Residents have to acquire the skills to think, interpret and practice based on scientific evidence during their surgery specialty education. Whether it's medical or surgical, any form of treatment that is not based on scientific evidence is incomplete treatment. Residents improve their scientific skills by reading and understanding the necessary core knowledge from reference sources in the first step, and then reinforcing this knowledge with the help of the faculty staff during the clinical applications of that knowledge.

Research

Residents and specialist surgeons carry out scientific research, make publications that contribute to medical literature, and thus, can acquire the title "scientist."

A good doctor, and a good surgeon, also has to be a good scientist. To this purpose, residents will be equipped with the necessary knowledge through the courses in our curriculum, read on appropriate subjects, and then encouraged to collect scientific information, analyzing data, carrying out scientific studies and to prepare publications that contribute to the surgical literature. Every resident has to participate a national or international congress with at least one congress paper, and will publish at least one article in an international peer-reviewed journal. Residents who strive to academically improve themselves will be assisted to carry out and publish more scientific studies.

Gains

Practicing physicians and surgeons who are equipped with these skills, who know how to act ethically in any situation, who are fair and respectful towards others, who always strive to renew themselves, who consider obeying professional and scientific rules essential will be able to treat their patients in the most appropriate way, and enjoy the happiness and honor of serving humanity.

Surgical Procedures Performed in the Clinic

In the Department of General Surgery, surgeons with a wide spectrum of experience and skills use the latest technological and scientific advances in surgery to offer the following treatment services.

Advanced laparoscopic and endoscopic surgical procedures

  • Laparoscopic colectomies, anterior and low-anterior resections
  • Laparoscopic gastrectomies, gastroesophageal reflux and achalasia operations
  • Laparoscopic adrenalectomy
  • Laparoscopic splenectomy
  • Laparoscopic appendectomy
  • Laparoscopic inguinal hernia and incisional hernia operations
  • Laparoscopic cholecystectomy
  • Single incision laparoscopic splenectomy
  • Single incision laparoscopic appendectomy
  • Single incision laparoscopic cholecystectomy
  • Diagnostic and therapeutic endoscopic procedures
  • Percutaneous endoscopic gastrostomy
  • Endoscopic stent placement procedures

Kidney transplantation (cadaveric or from living donors)

  • Laparoscopic and open nephrectomy
  • Cadaveric organ harvesting
  • Kidney transplantation

Breast diseases

  • Sentinel lymph node biopsy and breast protective surgery for breast cancer
  • Stereotactic-guided segmental mastectomy in suspected breast masses
  • Modified radical mastectomy in breast cancer

Endocrine system diseases

  • Total or near-total thyroidectomies accompanied by nerve monitoring with central and lateral cervical lymph node dissections in thyroid cancers
  • Surgical procedures for nodular or multinodular goiter
  • Surgical treatment of parathyroid adenoma, hyperplasia and cancers
  • Surgical procedures for adrenal masses
  • Surgical treatment of pancreatic islet cell tumors

Gastrointestinal tract diseases

  • Surgical procedures for malignant and benign diseases of the esophagus
  • Surgical procedures for malignant and benign diseases of the stomach
  • Surgical procedures for diaphragmatic hernia and gastroesophageal reflux disease
  • Interventions for surgical diseases of the small intestine
  • Laparoscopic and conventional procedures for colon and rectal cancers
  • Surgical procedures for inflammatory bowel diseases such as Crohn's disease and ulcerative colitis
  • Benign anorectal diseases; surgical treatment of hemorrhoids, anal fissures, fistula-in-ano and pilonidal sinus

Liver, biliary tract and pancreas surgery

  • Surgical procedures for solid and cystic tumors of the pancreas
  • Surgical procedures for acute and chronic pancreatitis and its complications
  • Anatomic or non-anatomic resections of primary and metastatic liver tumors
  • Surgical procedures for cystic diseases of the liver
  • Surgical treatment of stones and tumors of the gallbladder and biliary tract

Surgical treatment of the hematologic, cystic and tumoral diseases of the spleen

Surgical and conservative treatment of trauma and emergency surgical diseases