Here is a list of some of the conditions the General Laparoscopic Surgeon Feza Yabug Karakayali treats:
The General Laparoscopic Surgeon uses minimally invasive surgery to treat various digestive conditions. Most intestinal surgeries are performed using the laparoscopic technique. They include surgery for ulcerative colitis, cancer, Crohns disease, diverticulitis, rectal prolapse, and constipation.
The below symptoms should be discussed with a General Laparoscopic Surgeon who will advise required diagnostic tests and start appropriate treatment:
When the abdomen or pelvis is damaged, it affects different things, including digestion and metabolism. Conditions of the abdomen can lead to different symptoms.
Doctor Feza Yabug Karakayali is available from 11 am to 5 pm (Monday to Saturday). The doctor is not available on Sunday.
Some of the popular procedures that Dr Feza Yabug Karakayali perform are given below:
Laparoscopic gallbladder removal may the best option to get rid of gallbladder complications. There are many advantages of laparoscopic gallbladder surgery, such as smaller incision, less pain than after open surgery, and quicker recovery compared to open surgery.
Appendectomy is a surgical procedure in which the inflamed appendix causing abdominal pain is removed. An appendix is a pouch-like structure attached to the large intestine and is located on the lower right side of the abdomen.
An appendectomy can be done laparoscopically as well as an open procedure. Complications may arise if an appendix has burst due to inflammation, which may increase the recovery time as a drain is put in the incision for a few days after the surgery.
Cervical cancer is an abnormal growth of cancer cells that starts in the cervix. The cervix is the narrow part of the lower uterus. It is the entrance of the uterus, often referred to as the neck of the womb. Cervical cancer is the fourth most common type of cancer in women around the world. It is the fourth leading cause of death caused by cancer in women. However, the important thing to note is that cervical cancer is also one of the most preventable types of cancer and early diagnosis of the disease can improve the mortality rate amongst patients.
A dramatic reduction in cervical cancer occurrence is primarily due to the widespread use of advanced screening tests such as pap tests to detect cervical abnormalities and allow for early treatment.
Under normal circumstances, the ectocervix is covered with flat, thin cells called squamous cells and the endocervix is made up of another kind of cells called columnar cells. The area where these cells meet is called the transformation (T) zone. The T zone is the most likely location for cervical cancer cells to develop.
A majority of cervical cancer cases occur because of a virus called human papillomavirus (HPV). HPV is a sexually transmitted virus. It can transfer through
There are many types of the HPV virus and not all types of HPV cause cervical cancer. Some of the HPV may cause genital warts. Some other cervical cancer risk factors include smoking, weak immune system, oral contraceptives, and multiple pregnancies.
More than 90 percent of the cervical cancers are squamous cell carcinoma. The second most common type of cervical cancer is adenocarcinoma. Adenosquamous carcinomas or mixed carcinomas are some of the rare types of cervical cancer.
Usually, there are no early signs of cervical cancer, but several cervical cancer symptoms may appear as the tumor grows in size. Some of the common cervical cancer symptoms include the following:
Colorectal cancer is the second most common cancer in the world. It can metastasize and spread to other body parts. Colorectal cancer is dangerous and can be life-threatening. But death rate from colorectal cancer has dropped in the recent years, thanks to advance screening techniques and better colorectal treatment options.
Colorectal cancer is also known as bowel cancer, colon cancer, or rectal cancer. Colorectal cancer begins as an abnormal growth of cells in the inner lining of the colon or rectum. This abnormal growth is called a polyp.
Some types of polyps can change into cancer over the course of several years. But it does not mean that all polyps have the tendency to become cancerous. The chance of changing a polyp into colorectal cancer depends on the type of polyp that grows.
Colorectal cancer can affect men and women equally. However, studies have proven that men might develop it at a younger age.
There is no definite cause of colorectal cancer, but old age and certain lifestyle factors can increase colorectal cancer risk. Some of these colorectal cancer risk factors include the following:
A majority of colorectal cancers are adenocarcinoma. If you have been diagnosed with colorectal cancer, there are 95 percent chances that it is an adenocarcinoma. But there are some other types of colorectal cancer such as carcinoid, gastrointestinal stromal, lymphomas, and sarcomas.
There are no early signs of colorectal cancer, but once it grows, the patients may experience the following colon cancer symptoms:
Nowadays, weight management is the biggest problem for people from all age groups. Weight loss surgery options are preferred when alternative means of weight loss such as exercise, diet management, and so on fail to work.
Gastric bypass, also known as Roux-en-Y Gastric Bypass, is one of the most popular weight loss surgery options during which the size of the stomach is decreased. The reduced size of the stomach allows for reduced consumption of food by the patient, which in turn, results in gradual weight loss.
Other popular weight loss surgery options include:
Of all the bariatric procedures, gastric bypass is the most preferred options for weight loss because of the greater possibility of positive outcomes. Moreover, there are no major side effects of gastric bypass.
What are the criteria for gastric bypass surgery?
Not everyone is an ideal candidate for gastric bypass surgery. People with a body mass index (BMI) of 40 or more and with a history of heart disease, obesity, and obstructive sleep apnea are mostly recommended gastric bypass surgery.
The last part of the gastrointestinal system is referred as the colon and it is 5-6 cm long. It is ‘U’ shaped and it starts from the distal part of the small intestine and is connected to the rectum and anus. It absorbs the fluids, processes the metabolic waste products, and eliminates through the rectum and anus. The removal of the colon is called colectomy.
There are different types of colectomies such as complete colectomy, right hemicolectomy, left hemicolectomy, sigmoid colectomy, and proctocolectomy. The surgical removal of the left side of the colon (descending colon) is called left hemicolectomy surgery. The surgical removal of the cecum, ascending colon, and the hepatic flexure (right side of the colon) is called as the right hemicolectomy surgery.
Some of the conditions that require complete colectomy or hemicolectomy surgery include the following:
A hemicolectomy procedure can be performed as a laparoscopic or open surgery. The type of the surgery to be performed is decided by the surgeon during the evaluation and the decision depends on the age and the condition of the patient.
Sometimes the laparoscopic procedure can also be turned into open surgery, depending on the feasibility of the procedure with respect to safety and accuracy. Overall, the following parameters decide whether a laparoscopic or an open surgical procedure will be performed:
Inguinal hernia is a condition that occurs when intestinal tissues or fatty tissues push through the weaker section of the abdominal wall, through the inguinal canals. The inguinal canals are situated both sides of the anterior abdominal wall, on either side of the midline. Located just above the inguinal ligaments, the inguinal canal is larger as well as more prominent among the men compared to women. It serves an important purpose, as it is associated in the conveyance of the spermatic chords in male as well as the uterine ligament (round) in the females. When a part of the abdominal wall gets weak, the tissues in the region protrude through the abdominal wall into the canal, causing extreme pain and discomfort. This can be felt as a lump in the lower abdominal area in most people, however, may also get unnoticed in candidates dealing with obesity. In such cases, inguinal hernia repair becomes the need of the hour, which can be achieved by surgical operations.
Inguinal hernia can be very painful and may interfere with daily activities to a great extent. Though medications like painkillers may help to cope up with the pain, the best treatment to cure hernia is through surgical procedures. Inguinal hernia repair can be done via surgical methods as the opening can not be sealed with medications and therapies, and needs to be thoroughly sealed. Thus, the candidate is suggested and requested to prepare for surgery. However, pre-surgery, through evaluation of the candidate is done in order to diagnose any kind of chronic or terminal disease which shall complicates the surgery further. Inguinal hernia repair is essential as if the protruding tissues are not retracted, it will keep forcing the opening in the abdominal and worsening the condition.
There are many options when it comes to the treatment of a kidney that fails to maintain normal function in the body. Kidney transplant surgery is one of the most successful ways to restore normal functioning of the affected kidneys as it allows for an access to greater freedom and a better quality of life.
A kidney transplant patient is more likely to enjoy bouts of energy and follow the less strict diet as compared to patients who choose an alternative treatment.
The kidney performs several important functions in the human body. Even slight damage to the kidneys can, therefore, cause a lot of problems. When the kidney is rendered incapable of its main function, that is, removal of waste products from the blood, a condition called uremia develops.
Unfortunately, the symptoms of this condition do not develop unless 90 percent of the kidney is damaged. This is the time when an individual would require a kidney transplantation surgery or dialysis to restore the normal functioning.
There are several other kidney diseases that warrant the need for a kidney transplantation. Some of these conditions include the following:
Some of the common symptoms observed in the case of kidney diseases include the following:
Obesity has become a growing concern for individuals in the present generation. Surgical intervention is one of the options for weight loss that obese individuals can opt for.
People prefer to choose surgical options for weight loss mostly when they fail to achieve satisfactory results through other methods such as exercise and diet control. There are different types of surgeries for weight loss, demand for which has steadily risen since last few years. One such type of surgery is the gastric banding procedure.
Gastric banding procedure is a minimally invasive surgery conducted with the help of a laparoscope. This surgery involves the placement of a weight loss band that restricts the passage of the food from the stomach to the intestine. It is commonly called as a lap-band or laparoscopic adjustable gastric band (LAGB).
The weight loss band used during the gastric banding procedure is actually an inflatable silicone device with a tendency to expand and contract. Your doctor can adjust the weight loss band from the outside such that only small amounts of food can pass through the stomach.
Laparoscopic gallbladder removal is a minimally invasive surgery in which small incisions and specialized tools are used to remove a diseased or inflamed gallbladder. The gallbladder is a small organ located in the right upper abdomen below the liver. It helps in the storage of bile which is used to breakdown food during digestion. Laparoscopic gallbladder removal is a minimally invasive surgery in which small incisions and specialized tools are used to remove a diseased or inflamed gallbladder. The main reason for having a gallbladder removed is the presence of gallstones and the complications it might cause. Other reason for the surgery might include biliary dyskinesia, cholecystitis, pancreatitis. It is called as laparoscopic cholecystectomy and it carries only a small risk of complications.
A liver transplant surgery is conducted to remove the diseased liver and replace it with a healthy liver donated by either a living or a deceased donor. There are a huge number of people who are listed on the waiting list for a liver transplant because the availability of donated liver is limited. This is the reason why a liver transplant is an expensive procedure and is conducted only in rare cases.
A healthy liver plays an important role in the human body. It plays a key role in the absorption and storage of key nutrients and medications and also helps eliminate bacteria and toxins from the blood.
However, a healthy liver may get diseased over a period of time due to many reasons. Patients with the following liver-related conditions are considered for the liver transplant procedure:
The patients with liver disease may experience the following symptoms:
Pancreatic cancer starts from the cells and tissues of the pancreas – a crucial organ that releases enzymes for digestion. It is also responsible for the production of insulin, the crucial hormone that regulates blood sugar in humans.
The pancreas can be affected by both non-cancerous as well as cancerous tumors. The most common type of pancreatic cancer is pancreatic ductal adenocarcinoma, which starts in the cells that line the ducts responsible for the transport of enzymes from the pancreas to the outside.
Pancreatic cancer is often diagnosed at an advanced stage – when it has spread to other nearby organs and therefore, the treatment is challenging in such situations. The diagnosis mostly takes place when certain symptoms are observed.
Gastric sleeve procedure, also known as sleeve gastrectomy, involves surgical removal of part of a stomach. This procedure is a permanent one and intends to result in drastic weight loss in individuals suffering from morbid obesity.
During the gastric sleeve procedure, the left side of the stomach is cut and the size is reduced to just 25 percent of its original size. The resulting stomach looks like a banana-like “sleeve.”
The resulting vertical gastric sleeve limits the intake of food due to reduced production of gastric enzymes and digestive juices. You may feel full after eating small amounts of food. This is also known as a “restrictive procedure” as it restricts the amount of food that you can consume at a time. This procedure is performed laparoscopically and is irreversible in nature.
Gastric sleeve procedure is recommended to individuals whose body mass index (BMI) is 40 or greater than 40. It is a completely safe procedure and is minimally invasive in nature.
When performed correctly, laparoscopic sleeve gastrectomy improves a number of obesity-related medical conditions, including low back pain, arthritis, hypertension, cardiac disorders, obstructive sleep apnea, dermatitis due to skin folds, urinary incontinence, and metabolic syndrome.
Stomach cancer, also known as gastric cancer, is the fifth most common cancer worldwide. This disease is a result of the growth of cancerous and malignant cells in the inner lining of the stomach.
Stomach cancer does not grow overnight as this disease usually grows slowly over many years. Some pre-cancerous changes take place before true cancer actually develops. But these early changes rarely result in any symptoms and therefore, often go undetected in the early stage when it is most easy to treat it.
Gastric cancer can grow through the wall of the stomach and invade nearby organs. It can easily spread to the lymph vessels and lymph nodes. In an advanced stage, it can travel through the bloodstream and spread or metastasize to organs such as the liver, lungs, and bones. Usually, people diagnosed with stomach cancer have either experienced metastasis already or eventually develop it.
Stomach cancer should not be confused with other cancers in the abdomen or esophageal cancer. Some other cancer can also occur in the abdomen, including cancer of the large and small intestine, liver or pancreas. These cancers may have different symptoms, outlook, and options for treatment.
Some other types of stomach cancers include squamous and small cell carcinoma and leiomyosarcoma. These cancers are very rare.
There is no single, definite cause behind stomach cancer. However, several stomach cancer risk factors have been identified that could potentially lead to the formation to a tumor in the stomach. Some of these stomach cancer causes or risk factors include:
There can be several early stomach cancer symptoms. However, the signs of stomach cancer could be present because of some other underlying condition as well. Unfortunately, this is the main reason why it is difficult to make stomach cancer diagnosis at an early stage.
Some of the early stomach cancer symptoms may include:
But just experiencing indigestion or heartburn after a meal does not really mean that you have cancer. Although, if you experience these symptoms a lot, talk to your doctor, who can decide whether to conduct further tests or not.
As advanced gastric cancer grow, you may experience more serious signs of stomach cancer, including the following:
Among all the forms of common cancers, it has been found that pancreatic cancer has the poorest prognoses. This reason can be attributed to the cancer growing and spreading long before it starts showing any visible symptoms. A survey revealed that only 6 percent patients survive for more than five years after its diagnosis. For some patients, a very complicated surgery known as the Whipple's procedure will be able to extend life and can be counted as a potential cure. After undergoing Whipple's surgery the five-year rate of survival can be increased to 25 percent.
People who are suffering from pancreatic cancer are eligible for the Whipple’s operation. People who have tumors confined to the pancreatic head and the blood vessels, lungs, and livers or the abdominal cavities are still not affected and are recommended to undergo this procedure after intensive testing and evaluation.
People with benign tumors are also recommended to undergo the procedure. For patients who are suffering metastasis, this procedure is not recommended. Cancer in the ampulla, region where the pancreatic duct and bile duct enter, can also be treated.
Whipple's operation is conducted in the head of the pancreas. During the surgery, a segment of the duodenum, bile duct, and the gallbladder is removed. In some cases, a portion of the stomach may also be removed. After these segments are removed, the remaining pancreas, bile duct, and even portion of the intestine will be sutured back to the main intestine to direct the secretion of the gastrointestinal segment into the gut. The Whipple& procedure for pancreatic cancer is long and has several complications associated with it.
A doctor may recommend you to undergo Whipple operation for the treatment of the following conditions:
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Dr. Feza Yabug Karakayali
A General Laparoscopic Surgeon is a doctor who is trained in laparoscopy technique which involves making small incisions in the abdomen to insert instruments and a camera so that the surgeon can see the organs. The surgeons used this technique to operate on several diseases related to the gallbladder, hernias, etc. A general surgeon has knowledge of the entire surgical process, from the evaluation to preparation, procedures, and post-operative care. The surgeon understands all the basic areas of surgery, including the abdomen and its content, surgical treatment of cancer. The surgeons have expertise in minimally invasive techniques.
There are various diagnostic tests that help a General Laparoscopic Surgeon diagnose conditions related to the abdomen and pelvis. The tests are:
There are various types of conditions related to the abdomen and pelvis. Every condition has different symptoms and signs. A person may not have the same set of signs for a condition and the severity of symptoms might also differ. You need to see a gynecologist if you have persistent symptoms. The doctor will perform some tests to detect the condition and plan the treatment as per the test report.
Patients see a general surgeon in a variety of circumstances. If your doctor thinks that non-surgical treatments will not be enough, they may refer to a general laparoscopic surgeon. Some of the symptoms which require a consultation with a General Laparoscopic Surgeon are: