Pediatric Surgery

About Unit

In Maltepe University Faculty of Medicine Hospitals Department of Pediatric Surgery, all surgical procedures for children aged 0-18 are performed in accordance with modern technology and child psychology. Necessary interventions are made with experienced specialists for all diseases that require surgical operation, known before birth or occurring after birth.

Pediatric Surgery

In the pediatric surgery department, the treatment process of congenital disorders in infants, diseases acquired during childhood and various traumas is carried out. Pediatric surgery practices of children with completely different metabolism, body structure and psychology than adults should be planned individually.

In Maltepe University Faculty of Medicine Hospitals Department of Pediatric Surgery, children are treated in many fields from digestive system surgery to pediatric urology, from non-cardiac thoracic surgery to pediatric gynecology, from pediatric endocrine surgery to diagnostic and interventional endoscopic applications, from laparoscopic and thoracoscopic surgical interventions to trauma and oncological surgery.

Treatment and Surgical Services Offered at Maltepe University Faculty of Medicine Hospitals Department of Pediatric Surgery

Congenital surgical diseases seen in newborn babies:

  • Congenital esophageal atresia (Congenital closed esophagus)
  • Congenital diaphragmatic hernias (Congenital diaphragmatic hernia)
  • Congenital intestinal atresia (Congenital closed/occlusion of the intestines)
  • Congenital anorectal malformations and anal atresia (Congenital closure of the breech/buttock)
  • Omphalocele (Congenital condition of intestines outside the abdomen)
  • Gastroschisis (The situation where the child's intestines are born outside the abdomen)
  • Necrotizing enterocolitis (gangrene of the intestines)

Surgeries performed on the abdomen in infants and children:

Acute abdomen – Surgical conditions requiring urgent intervention in the abdominal region:

  • Acute appendicitis, intussusception (intestinal knot), incarcerated hernias (strangulated hernias), torsions (rotation of testicles and ovaries), volvulus (intestinal entanglement)
  • Surgical diseases of the liver and bile ducts (K.C cysts and masses, cholelithiasis (gallbladder stones), biliary atresia (congenital closure of the bile ducts), choledochal cysts (cyst in the bile duct)
  • GIS perforations (stomach and intestinal perforation)
  • Peptic ulcer perforations (gastric perforation)
  • Spleen cysts and masses, acute, traumatic and elective splenectomies (splenic removal surgeries)
  • Intra-abdominal cysts (mesenteric and omental cysts, lymphangioma and hemangiomas, hydatid cyst)
  • Congenital hypertrophic pyloric stenosis (congenital narrowing of the gastric outlet)
  • GI bleeding (stomach and intestinal bleeding – bleeding from the mouth or anus)
  • Intra-abdominal tumors
  • Abdominal traumas (fall-battery/impact-traffic accidents)
  • Hirschsprung's disease (intestinal paralysis disease)
  • Abdominal wall hernias/hernias (umbilical (umbilical hernia), epigastric (above-umbilical hernias and traumatic hernias)
  • Constipation, anal fistula and fissure (anal fissure), anal strictures
  • Inguinal hernias and hydrocele/cord cyst (inguinal hernias – water hernias)

Thoracic surgery in infants and children:

  • Congenital lung malformations (CCAM, sequestration, emphysema), (congenital lung diseases requiring surgery)
  • Mediastinal masses
  • Pneumothorax (accumulation of air in the lung)
  • Bronchial cysts
  • Diaphragmatic hernias (diaphragmatic hernias)
  • Diaphragmatic eventration (diaphragmatic elevation - diaphragmatic paralysis)
  • Lung cysthidatic (lung cysts)
  • Foreign body aspirations and bronchoscopy (diagnosis of foreign bodies entering the windpipe and removal with closed method)
  • Empyema (accumulation of inflammation in the lung-abscess)
  • Surgical diseases of the esophagus (closed esophagus, detection and closed removal of foreign objects escaping into the esophagus, diagnosis and treatment of esophageal burns (after drinking bleach-oil-lime solvent-salt spirit and dishwashing detergent)
  • Pleural effusion (water-blood accumulation in the lung)
  • Chest traumas (fall-battery/impact-traffic accidents)

Urological diseases requiring surgical intervention in infants and children:

  • Ureteral diseases (megaureter- enlargement of the ureter), ureterocele (ballooning in the bladder), double collecting system
  • UPJ and UVJ stenosis (stenosis at the kidney outlet or bladder entrance)
  • Congenital hydronephrosis (kidney swelling detected in the womb or after birth)
  • Kidney cyst and tumors
  • Neurogenic bladder and surgical problems (bladder paralysis)
  • VUR- Vesicoureteral reflux (bladder reflux-urine leakage)
  • Incontinence follow-up and treatment (incontinence follow-up and treatment)
  • PUV-Posterior urethral valve (stenosis-membrane at the bladder outlet)

Urogenital system surgical diseases in infants and children:

  • Hydrocele-Cord cyst (water hernia)
  • Hypospadias (prophet circumcision)
  • Undescended testis (eggs remaining above)
  • Non palpable testis (eggs not detectable or in the abdomen)
  • Circumcision (circumcision with local and sedation)
  • Acute scrotum (testicular torsion (rotation of the testis) / epididymorchitis (inflammation of the testis)
  • Reconstructive surgeries of penile cord and rotations (Treatment of curvatures in the penis)
  • Ovarian cysts and tumors (ovarian cysts and tumors)
  • Ovarian torsion (rotation of the egg in girls)
  • Cloacal atresia
  • Vaginal atresia, imperforate hymen (closed hymen)

Tumors in infants and children:

  • Wilm's tumor (tumor in the kidneys)
  • Teratoma (tumors in the coccyx, ovaries, or elsewhere in the body)
  • Neuroblastoma (tumor originating from the adrenal gland)
  • Hemangioma (vascular tumor)
  • Rhabdomyosarcoma
  • Soft tissue tumors (lipoma - sebaceous gland), (swelling under the skin - cysts)
  • Lymphangioma (tumors arising from the lymphatic vessel)

Endocrine surgery in infants and children:

  • Surgical breast diseases (cyst-masses, inflammation and abscesses of the breast)
  • Adrenal gland pediatric surgical diseases (adrenal hematoma-bleeding, neuroblastoma-tumor)
  • Pancreatic gland surgical diseases (pancreatic adenomas, nesidioblastosis, necrotizing pancreatitis, pseudocysts)
  • Surgical thyroid diseases (cysts and masses in the thyroid gland)
  • Other endocrine tumors

Traumas in infants and children:

  • Multiple system traumas (common body traumas)
  • Genitourinary system injuries (genital area and bladder-kidney injuries)
  • Thorax (chest) traumas (pneumothorax, hemothorax, diaphragmatic injuries, lung contusions,)
  • Abdominal (abdominal) traumas (stomach and intestinal perforations, liver-spleen-kidney injuries)

Burns in infants and children:

Pediatric burn dressings and pediatric surgical interventions (skin graft application, burn debridement)
Conservative approaches, fluid and electrolyte treatments (intervention and drug treatments for burns) in pediatric burns

Endoscopic procedures in infants and children:

  • Rigid Esophagoscopy: Expanding strictures in the esophagus and removing foreign bodies from the esophagus.
  • Rigid Bronchoscopy: The process of removing foreign bodies that have escaped into the trachea.
  • Flexible Esophagoscopy and Endoscopy: Diagnostic esophagoscopy, corrosive substance ingestion (esophagitis), diagnosis of stomach diseases, balloon dilatation, biopsy and foreign body removal procedures. Providing nutrition by opening PEG in the abdomen in patients who cannot be fed orally.
  • Cystoscopy and Ureteroscopy: Diagnosis of diseases by examining the urinary tract with a camera, posterior urethral valve ablation (closed surgery of bladder outlet stricture), ureterocele resection (closed ureterocele surgery), subureteric injection in vesicourethral reflux (closed surgery performed in bladder reflux).
  • Flexible Bronchoscopy: Diagnosis and biopsy procedures of trachea and lung diseases.

Laparoscopic (closed) surgeries performed in infants and children:

  • Closed acute appendicitis surgery
  • Closed inguinal hernia (inguinal hernia) surgery
  • Diagnostic laparoscopy (examination of intra-abdominal organs with a camera and diagnosis of diseases)
  • Cholecystectomy (closed gallbladder surgery)
  • Closed non-palpeble testis surgery (removal of testicles remaining in the abdomen)
  • Closed diaphragm hernia surgeries
  • Closed surgeries of ovarian cysts and torsion
  • Closed gastroesophageal reflux surgery
  • Closed stomach surgeries
  • Closed spleen surgeries
  • Closed kidney surgeries
  • Diagnosing cysts and masses in the abdomen and performing closed surgery
  • Laparoscopy-assisted surgeries in anal atresia and Hirschsprung's disease
  • Correction of intestinal knotting with closed surgery (invagination)

Thoracoscopic (closed chest) surgeries performed in infants and children:

  • Closed diaphragm eventration (elevation) surgery
  • Closed diaphragm hernia surgery
  • Closed bulla resection in spontaneous pneumothorax
  • Thoracoscopic biopsies (closed lung-pleural biopsies)
  • Decortication in empyema (VATS)
  • Mediastinal cysts and masses

Unit Doctors

David. T. Thomas

Assoc. Prof. Dr. David. T. Thomas

Pediatric Surgery

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