Pediatric Neurosurgery

Liv Hospital Pediatric Neurosurgery (Pediatric Brain and Nerve Surgery) Clinic is a specialized branch that deals with brain, nerve and spinal cord diseases that require surgical intervention in childhood. Liv Hospital Pediatric Neurosurgery Clinic is reorganized with a different approach inside the Department of Neurosurgery. The clinic provides uninterrupted service to pediatric patients, and works in collaboration with other clinics. With its experienced team, special pediatric service, neonatal and pediatric intensive care units, state-of-the-art operating theaters, it provides effective solutions for all kinds of simple or complex diseases in a short time.

Multidisciplinary approach

At Liv Hospital Pediatric Neurosurgery (Pediatric Brain and Nerve Surgery) Clinic, all surgical problems involving brain and nerve surgery of all children, from infants in the womb to 18-year olds are evaluated as a team. Due to its structure, our department works in close cooperation with  Pediatric Diseases, Newborn (Perinatology) Unit, Obstetrics and Gynecology, Pediatric Surgery, Pediatric Neurology, Pediatric Oncology, Pediatric Psychiatry, Pediatric Urology, Plastic and Reconstructive Surgery Department, Physical Therapy and Rehabilitation Department, Anesthesiology and Reanimation Department, Orthopedics and Traumatology Department, Neuroradiology Department and other related disciplines. Patients are quickly evaluated and their problems resolved on shared platforms using current and proven scientific methods.

 

The Pediatric Neurosurgery Clinic's areas of interest and the diseases that it frequently deals with are: 

• Congenital nervous system anomalies
• Hydrocephalus-edema due to problems in the brain water circulation
• Tumors of the brain and spinal cord
• Spina bifida-spine and spinal cord closure defects
• Childhood brain and spinal cord vascular diseases-aneurysms, arteriovenous malformations and moya moya disease
• Skull deformations-craniosynostoses
• Epilepsy
• Childhood movement disorders, dystonia and spasticity
• Newborn congenital brain hemorrhage
• Head trauma and spinal trauma
• Spine deformations

 

Characteristics of the Pediatric Neurosurgery Team

Liv Hospital Department of Neurosurgery is in clinical, academic and scientific collaboration with the staff of Istinye University School of Medicine. With cutting-edge technological devices and cooperation with all the units of the hospital, many patients who cannot be operated in many centers in Turkey and abroad or who are rejected due to high-risk, are operated successfully in our center.
 

Live surgery courses

Many neurosurgeons attend or participate via webcast through the internet in live surgery courses, which are organized every year under the leadership of the department. Studies in these surgical courses are later published in reputable journals of international brain surgery literature and are presented in congresses and symposiums.
 

Expert surgeons

The specialized Pediatric Neurosurgery team at Liv Hospital Neurosurgery Clinic, endeavors to find the right surgical solutions for all kinds of neurosurgical problems in pediatric patients. Surgeons and other department physicians, each one specialized in their respective fields, have completely redesigned the system with a different approach for the Pediatric Neurosurgery unit. The aim of the Pediatric Neurosurgery team is to ensure that no babies and children is born with a disease or gets sick. The goal is to provide the best health service to every child who gets a medical condition in the clinic.
 

Technical infrastructure

Liv Hospital Pediatric Neurosurgery Clinic performs inpatient treatment of pediatric patients at the pediatrics service and pediatrics/neonatal service. In this unit, the most modern and technological infrastructure suitable for pediatric patients is provided.
 

A special surgical microscope is used

The operating theater, which is the headquarters of the Pediatric Neurosurgery Clinic, has a special structure used only for brain and spinal cord surgeries. All operations are performed under a special surgical microscope (ZeissPentero 900) used in the world's leading centers. This microscope enlarges and illuminates the surgery area, as well as staining tumors and vessels with special filters to perform more delicate operations. In this context, following the introduction of sodium fluorescein in tumor surgery, a special Yellow 560 filter is used to allow the tumor to be more easily separated from normal brain and spinal cord tissue.
 

Fluorescence-guided tumor surgery

Liv Hospital is one of the world's first practitioners of this method, also referred to as “fluorescence-guided tumor surgery." The special microscope system also has an IR800 camera that makes blood vessels instantly visible through angiography during surgery using a material called ICG. The latest wonder microscopy, the ZeissKinevo 900 microscope has been sent by Zeiss company to our clinic, along with some of the leading clinics of the world, for pre-evaluation before it is introduced to the market. The system can record in 2D-3D.
 

Neuromonitoring methods

The navigation system (Medtronicstealth Station) and special neuroultrasound (HitachiAloka Alpha) systems, which significantly increase accuracy in brain surgeries, are used in almost every surgery. Computed tomography (CT) and/or magnetic resonance imaging (MRI) can be performed in each case where they are necessary. During surgery, brain and spinal cord functions can be monitored continuously using neuromonitoring methods. The most modern endoscopic systems, ultrasonic aspirators and all kinds of surgical/microsurgical sets that make tumor surgery easier can be used. The operating room has conditions that exceed standards with its hardware and infrastructure.
 

Experienced anesthesia team

Intensive care infrastructure and equipment are specially designed for pediatric patients. Anesthesia practices that provide safe and effective operations are performed by an experienced team using the latest devices and materials.