TurkMed

Because of the developed infrastructure, the modern technology, and years of experience, the Acibadem health clinics offer their patients a full range of diagnostic methods and treatments of oncological conditions.

When it comes to cancerous tumors, the crucial role for successful treatment is accurate diagnostics. Radiation therapy is a powerful tool used in modern medicine to accurately place a diagnose and determine the proper and most effective course of treatment. After such a diagnostic procedure, physicians with different backgrounds, including a chemotherapist, a radiologist, and a surgeon, make a unified decision on the most suitable treatment. The course of treatment is unique for each individual patient. Therefore, it is essential that the patients’ entire medical history and information are taken into consideration when an approach is chosen. Without any doubt, the availability of proper equipment and experienced medical staff can only increase the chance of full recovery.

The latest advances in medical technology allow for the surgical removal of tumors from different types and sizes that are both risk and pain-free. To date, Acibadem uses these technologies:
TrueBeam, GamaKnife, CyberKnife, da Vinci robot, Lias (intraoperative radiotherapy), Trilogy, Rapidark

Injuries and tumors of the brain or such on the spinal cord are classified as lesions located in delicate and anatomically complicated areas. Treating such injuries is challenging in and of itself, but performing successful treatment without causing any harm to the patient’s anatomy physical ability presents an even greater challenge for the doctor. Practical surgical skills and modern medical technologies are key factors for successful results in such complicated conditions. All our patients are treated in specialized clinical departments: pediatrics, neurosurgical, vascular neurosurgery, and neuro-oncological department.

This disease, commonly known as an epileptical disease, is characterized by the emergence of convulsive fainting that is not related to any factors. A sudden high fever in children under five years of age that leads to seizures is not a form of epilepsy.

After a successful diagnosis of epilepsy, a course of treatment is designed based on the classification of the condition, the types of seizures, and the EEG and MRI test results.

In patients who are not susceptible to medication, surgical intervention is a possibility.

Both surgical and medical treatments are being performed at the pediatric neurology center.

Cerebral palsy occurs in different forms depending on the damages in the brain. It can be classified thusly:
1. Spastic cerebral palsy - hypertonia and increase in muscle tone in the arms and legs which results in limited mobility
2. Dyskinetic cerebral palsy - this form of cerebral paralysis is characterized by slow and involuntary muscle movements of the arms and legs.

Physiotherapy

• Ensuring the prevention of developmental damages related to muscle tension
• Easing tension with various techniques
• Ensuring better mobility and thus allowing the child to be more independent in its daily routine
• Assistance with choosing and properly utilizing tools designed to aid the child

Treatment

• Preventing seizures
• Taking measures for overall improvement
• Reducing spasticity

Neurosurgical intervention

Surgical intervention is required in case: traditional rehabilitation is not showing results, daily care for the child is difficult due to muscle tension, or the muscle tension is causing severe pain.

Orthopedic intervention

Orthopedic surgical intervention is needed in case the child has these symptoms: a decrease in the development of muscular tissue, joint deformation.

Specialized education

The main purpose of specialized education for children with cerebral palsy is to provide the capability of operating with objects and other applicable activities. The next stage is aimed at the initial stages of social development and independence; with an individual program for psychological development.

Speech therapy

Assessing the patient’s development of speech and recognizing the best approach for proper communication. Setting goals and objectives for optimal independence in everyday life and a personalized therapeutic plan to reach said goals Assessing the patient’s capabilities for chewing and swallowing. Consulting the child’s family on using alternative communication systems that aid development and other therapeutic devices.

Walk analysis

The walk analysis is a digital assessment of the walk that aims to interpret the clues within the child’s movements. A routine check is not sufficient to determine conclusively which muscles and joints are causing a walking disability. Our brain uses a compensatory mechanism that makes up for small disorders in walking which makes it difficult to determine which muscle area is causing the disability. In order to find the best course of treatment and assess its effectiveness, a specialized digital walk assessment is necessary. The procedure itself is painless and it does not cause fatigue.

There are three different types of walk analysis:

• Lower body analysis (including the thighs and legs only)
• Upper body analysis (including the shoulders and arms only)
• Whole body analysis (including the head, back, arms, and legs)

Reasons why performing walk analysis is necessary:

• Exact diagnosis of the condition
• Estimating compensatory mechanisms
• Support in rehabilitation
• Evaluating the need and planning for surgical intervention
• Tracking the effectiveness of the treatment

In what conditions can walk analysis be used?

• Cerebral palsy
• Tethered spine
• Spinal cord injury
• Partial palsy
• Leg amputation
• Muscle dystrophy
• Parkinsons
• Inflammatory and degenerative joint conditions
• Consequences of traumatic brain injuries
• Multiple sclerosis
• Joint replacement
• Sports injuries

The orthopedics and traumatology branches of the Acibadem health centers provide high-quality treatments for multiple genetic and common conditions related to the locomotor system for patients of all ages. The orthopedic surgeons have experience in treating all types of joint deformities and other injuries in joints, bones, and ligaments. The sports medicine department Acibadem Fulya is branched in two main departments -- treatment of injuries and traumas received by practicing sports and prevention medicine. The world-renowned orthopedic surgeons are capable of delivering excellent results in arthroscopy, hand and arm surgery, spinal surgery, and prosthetic surgery. The skilled doctors, physical therapists, and sports coaches provide excellent services in all aspects of sports rehabilitation. In 2012, according to the FIFA clinic, Acibadem Fulya is recognized as the best center for sports medicine.

The first center for kidney transplantation Acibadem was established in October 2010, as an addition to the Acibadem International clinic in Istanbul. The center is equipped with contemporary computer technologies and intensive care facilities. There are more than 2000 kidney transplantations and 250 liver transplantations performed in this center by world-renowned specialists. Organ transplantation is a life-saving and life-enhancing procedure which needs to be performed in accordance with the legislation of Turkey and the human rights principles declared by the international community. The equipment of the health centers and the communication between the different departments are key features for performing successful kidney transplantations. The world-renowned specialists in this hospital perform transplantations with the donor and the recipient simultaneously.

The use of laparoscopy equipment is surgery allows for both the donors and recipients to spend far little time in hospitalization. Surgical interventions are performed with the assistance of a camera which is inserted into the abdominal area: this allows much more visibility during the interventions. Operations performed with this equipment need smaller incisions; which in turn leads to faster recovery time. The risk of a hernia, numbness, surgical infections, and pulmonary embolism. The donor will be able to dring liquids on the night of the surgery and eat food the next day.

It is recommended for all patients to be examined by a nephrology specialist and that they are able to provide the test results showing that they suffer from chronic renal insufficiency. If a patient has not been diagnosed with chronic renal insufficiency, the Acibadem hospital can perform all the preliminary analysis, including a nephrology exam, in order to evaluate the need and possibility for a kidney transplantation.

1. The blood types of the donor and recipient must match according to the table below:
Recipient donor
А 0 or
B B 0, or
AB А, В, АВ, 0 (all blood types)
0 0 (only one blood type)

Rh factor is irrelevant.

Patients who haven’t got a matching donor can refer to the list of cross-match transplantation.

2. The donor candidate should be a level four relative to the recipient or the recipient’s spouse. The levels are formed as follows:
First level relatives: mother, father, child.
Second level relatives: brother, sister, grandparent, grandchild.
Third level relatives: uncle, aunt, child of a brother or sister.
Fourth level relatives: Children of the third level relatives.
Relatives of the recipient’s spouse are characterized the same way.
According to the legislation of Turkey, the donor and the recipient are obligated to provide official documentation that proves their relationship to each other, such as:
- A photocopy of a birth certificate (for both the donor and recipient)
- A certificate of citizenship that proofs the donor and recipient are related
- A notary authenticated letter of agreement from the donor’s spouse if the donor is married
All documents must be presented in Turkish. The original documents must be translated by a certified translator, and they must be legalized by an apostille or certified by the Turkish government.

3. The donor candidate must be in good health and above eighteen years of age.
4. If the potential donor has a health condition or is overweight, he or she must contact us on the telephone before visiting the center.

The liver is considered to be the most complicated metabolically active organ in the human body. The liver has the ability to regenerate itself, even after losing 70& of its entire mass. In fact, even if 70% of a healthy liver is removed, it can still function to support the entire body. A liver transplantation is performed by placing the donor’s organ to fully replace the recipient’s organ. With a high intensity of effort and pure technical complexity, liver transplantations are rightfully considered to be the most sophisticated surgical intervention in the abdominal area. Therefore, such interventions require specialized equipment and a lot of skill to be successful. A foreign patient can receive a donor organ (a portion of a living donor’s liver) only from a related donor. The donor and the recipient must have matching blood types and tissue. After e successful transplantation, the liver regenerates itself to its full size in the next several months. After the surgical intervention is performed, the donor is discharged after 6-7 days, and the patient in 15-20 days.

1. Before a liver transplantation, both the donor and the recipient must go through various diagnostic tests. In case the transplantation will be from a live donor, half of the donor’s liver will be removed and donated to the recipient. After the procedure, the donor can leave the hospital in 6-7 days, and the recipient must remain for 15-20 days.
2. In case the patient is diagnosed with a terminal liver condition, the patient is evaluated for a transplantation. This evaluation is performed in the clinic within 2-3 days. Risk factors and the overall approach are decided on based on the evaluation. Data from the patient's physical exams and psychological state are recorded in the medical records.
3. Before the manipulation, the patient is tested for these conditions: heart ischemia, chronic disease, and malignant neoplasms.
4. The donor and receiver must have a similar body shape so that the liver can be appropriate for the receiver’s body mass.
5. It is vitally important that a healthy donor is chosen. The recipients are at risk of receiving an infectious disease, such as hepatitis B and C or HIV; malignant tumors can also be formed.
6. The donor is evaluated for liver and kidney function, roentgenography of the thorax and EEG, blood tests, and tests for possible diseases. The donor is evaluated by specialists in cardiology pulmonology, psychiatry, and gynecology (for women).
7. The donor is provided with a CT scan so that the size of the liver can be determined.

Be of the age of 18 to 60,
Consent for organ delivery,
  Must be a relative to the recipient up to level four,
Must be of matching blood type,
Must have a fully-functioning liver without abnormalities and must be of good general health,
The donor’s anatomy must be similar to that of the recipient.
1. The blood types of the donor and recipient must match according to the table below:
Recipient of Donor
A A or 0
B B or 0
AB A, B, AB, 0 (all blood types)
0 0 (only one blood type)
Rh factor is irrelevant.

2. The donor candidate should be a level four relative to the recipient or the recipient’s spouse. The levels are formed as follows:
First level relatives: mother, father, child.
Second level relatives: brother, sister, grandparent, grandchild.
Third level relatives: uncle, aunt, child of a brother or sister.
Fourth level relatives: Children of the third level relatives.
Relatives of the recipient’s spouse are characterized the same way.
According to the legislation of Turkey, the donor and the recipient are obligated to provide official documentation that proves their relationship to each other, such as:
- A photocopy of a birth certificate (for both the donor and recipient)
- A certificate of citizenships that proofs the donor and recipient are related
- A notary authenticated letter of agreement from the donor’s spouse if the donor is married
All documents must be presented in Turkish. The original documents must be translated by a certified translator, and they must be legalized by an apostille or certified by the Turkish government.

Bone marrow transplant s a procedure performed by transplanting stem cells which subsequently produce new blood cells. This procedure is used to treat certain blood disorders and types of cancer. Such conditions can appear at any stage of life, and they are all considered to be among the group of disease with a high mortality.

Stem cells are cells that are non-differentiated, and they can generate all types of tissue within the body. Stem cells have the capacity to differentiate and form organs and tissue.

From 1989 stem cells from the umbilical cord are used more frequently. The placenta is also a rich source of stem cells. Immediately after birth, qualified specialists gather blood from the placenta and place the placenta in a specialized container. Stem cells are distracted from the material in the laboratory. If a sufficient amount of quality stem cells are distracted and the child’s parents give their permission, the stem cells are then stored in the repository.

Prevention of gynecological complications, accurate diagnosis, and timely treatment are essential for every woman. Thanks to the skillful doctors and the efficient diagnostic methods, the Acibadem hospitals can handle even the most complex gynecological conditions:

All operations are performed with endoscopic methods or with minimally invasive (laparoscopic) techniques.

The statistic shows that endometrial cancer is among the most common oncological conditions in women. This is due to the increase in risk factors associated with the development of tumors in the uterus, the ovaries, the vulva, and the vagina. Early and exact diagnosis is key to successfully fighting cancer.

Breast cancer is the most common oncological condition in women. With age, the risks associated with the condition increase. A timely examination will help you maintain beautiful and healthy breasts.

The worldwide statistic shows one in seven couples suffers from infertility. This condition has high psychological and social influence in both men and women. Today medicine can help you achieve your dream and have a baby. There are nine Acibadem reproductive centers dedicated to providing a holistic approach to diagnose and treat infertility. A supporting and responsive team of specialists is ready to take you along this path!

Clinical services:

• Ovulation induction
• Controlled ovarian hyperstimulation and intrauterine insemination (IUI)
• Hysterosalpingography
• Saline infusion sonography
• Diagnostic laparoscopy
• Methods for laparoscopic surgery (endometriosis, myomectomy, salpingectomy, cystectomy)
• Hysteroscopy (polypectomy, myomectomy, intrauterine adhesion - Asherman syndrome)
• ECO and ICSI (IVF and ICSI)
• Ovarian biopsy - Microsystems (Micro-TESE)

Laboratory services:

• Microinjection
• Methods for micromanipulation (observing embryos through fragments)
• Genetic testing
• Endometrium culture
• Cryopreservation of embryos (including methods for vitrification)
• Seminogram (sperm analysis)
• Morphological sperm analysis (based on Kruger’s criteria)
• Sperm DNA fragmentation analysis

A cochlear implant is a unique medical device which allows patients with severe loss of hearing to hear normally again. The device captures electromagnetic signals through a sound processor, turns them into electrical impulses, and through stimulation of the cochlear hearing nerve, allows the brain to recognize sounds. Cochlear implants are a solution to deafness when hearing implants are not efficient. There are more than 400 000 people in the world, both children and adults, who have benefited from the implant, and are now capable of leading a normal life.

The procedure can be performed on children aged 12 months and older, who are not using aids. Installing a cochlear implant early and timely treatment ensures full recovery and rehabilitation. Early implementation and proper education from an audiology teaches children how to hear, speak, and eventually become fully functioning members of society.

The cochlear implant is activated in the period of 2 to 4 weeks after the surgery. After a year of usage, slight adjustments for the device may be necessary. All adjustments for the implant are performed by an employee of the device manufactures. There is no need for additional corrections for a growing child.

There are no documented cases of complications.

Cosmetic (aesthetic) and plastic surgery require efficient and responsible decisions. The specialists from the Acibadem plastic surgery centers are prepared to offer effective and personalized procedure plans that correspond to the patient’s needs. The modern infrastructure, use of science-backed techniques, and experienced surgeons of the Acibadem plastic surgery centers ensure high results and optimal convenience and safety for the patients.

A check-up is a full body examination aimed at determining the overall health condition of the patient, identifying the disease in its early stages of development when there are no visible symptoms, and recognizing susceptibility to conditions that may develop in the future. After full diagnostic tests, the doctors evaluate the results and reach a establish diagnosis. The doctors also give valuable advice on leading a healthy way of life, following an exercise routine, and eating properly.

If you are feeling healthy, you might not need to visit the doctor. However, you should keep in mind that not all disease carry symptoms. In addition, there are many factors that can lead to the development of a medical condition, among which are bad habits and genetic predisposition (heart disease, diabetes, or cancer running in the family). The Acibadem clinics offer different research methods depending on age and gender. Es[ecially important is oncological diagnostics. This procedure includes several important tests that can determine the presence of tumors in the organism. Which, in turn, will allow a timely reaction to reach the right method to approach the condition. Most types of cancer are curable in the early stage, therefore, this particular test is vitally important.

Obesity is a condition that is characterized by an increase in body weight and it affects numerous organs in the human body. All of the patients that are being treated at the Acibadem center for weight correction are immediately advised by an endocrinologist, nutritionist, psychiatrist, and physiotherapist. Depending on the condition, additional consultations with a cardiologist and a pulmonologist may be advised. The patient may be examined by an obesity expert. Basically, every patient is prompted to reveal the factors related to their obesity, such as eating habits, psychological issues, and overall health.

Surgical interventions are considered individually for each patient in regard to his or her current health condition.

Surgical treatment for obesity is offered to patients with a high body mass index and that are of age 35 and above who are not able to lose weight with programs such as dietary restrictions, physical exercise, and medication. Surgical intervention is also offered to patients above 30 who suffer from high blood pressure, diabetes, and sun apnea; all of which have an adverse influence on the quality of life. The method for surgical treatment is selected based on the observation of specialists and the results of various examinations. He surgeries related to obesity disorders are performed with the assistance of laparoscopic or robotized equipment with minimal incisions. Patients are able to return to their usual routines in no time, and their subsequent diets are monitored by expert nutritionists at the Acibadem center.

A special silicon band is applied to the upper portion of the stomach. The band divides the stomach into two sections -- an hourglass shape. The procedure reduces the upper portion of the stomach (small chamber) into a mere 15-20ml capacity. The food that enters the small portion is digested slower which tricks the brain to send a signal for satiation. In result, the overall amount of calories consumed by the patient is drastically reduced, and the weight loss process is initiated. This method allows the patient to feel satiated while consuming less food. After the procedure, the patient loses up to 60-80% percent of the excessive weight in the first 18-24 months.

This method is also called gastric sleeve resection. In this procedure, the stomach is surrounded by a shell which leaves the patient feeling full with less amount of food. The patient does not feel hungry because the segment of the stomach where the hormone responsible for hunger is produced is removed. This procedure only reduces the amount of food, and there is no need for additional vitamins and minerals.

Resulting from this operation, the stomach is divided into two parts; the upper portion of the stomach has a capacity of 20-30ml. The small intestine is connected with this upper portion. Thus, most of the food passes through the duodenum and the initial part of the small intestine. The stomach is no longer a reservoir for large amounts of food, and the appetite is also reduced.