Ankara Etlik City Hospital Chest, Cardiovascular Diseases Hospital
Thoracic Surgery Specialist
Prof. Dr. Serdar HAN
Prof. Dr. About Serdar Han
Working with great devotion and love for his profession and people for over thirty years, Dr. Han is a Physician who has worked in many hospitals and universities in the fields of Thoracic Surgery and Diseases in Ankara. Main areas of specialization; Lung Cancer , Esophageal Cancer, together with specifically Thoracic Outlet Syndrome (Shoulder Trap Disease) , Chest Wall Deformities and Excessive Sweating Treatment;
Clip-on ETS , Closed Surgical Procedures He has helped his patients in many issues such as and continues to be. He also made a name for himself in Ankara and within the scope of Thoracic Surgery and Diseases;
Lung Cancer , Lung Infections , Pleura (Lung Membrane) Diseases , Trachea (Airway) Diseases , Pectus excavatum (funnel chest) s discomfort,
Esophagus (Eesophagus) Diseases, Endoscopic Procedures , Mediastinal Diseases , Thoracic Wall Diseases like a lot He has helped countless patients regain their health.
Areas of expertise
Lung Diseases
Lung Cancers
Today, thanks to the new technology developed in surgery in the treatment of lung cancer, and in parallel with the smart drugs in the field of chemotherapy and the advances in radiation oncology, we are getting more satisfactory results. It is among the most common tumors in both men and women in the world.
What are these tumors? Benign tumor of the lung, malignant tumor of the lung, metastatic tumor of the lung, rare tumors of the lung.
According to culture results, the need for surgery for lung infections has decreased significantly due to the widespread use of advanced antibiotics today. However, there is still a group of patients who cannot recover despite medication and require surgical treatment. These are empyema, lung abscess, bronchiectasis, cyst hydatid disease, etc. The recovery rate is very high in these patients who receive surgical treatment.
Pleura is the name of the lung membrane. It is a very thin membrane. There is one inner membrane covering the lung (visceral pleura) and one outer membrane covering the inner surface of the chest outside the lung (parietal pleura). Between these two membranes is a sterile area with a thin gap and slippery fluid that allows them to move easily over each other. Fluid, air, infection and malignant tumors that accumulate in this area cause disease. Most of these diseases can be treated with surgical treatment.
Thoracic Outlet Syndrome
TOS is a disorder commonly known as shoulder trap disease. These patients may complain of numbness, pain, weakness, and tingling in the head, neck, shoulders, arms, and hands. There may be swelling in the hands and arms. However, the most important thing to know is that there are many disorders that can cause these complaints. Therefore, a careful evaluation should be made with a thoracic surgeon, brain surgeon, physical therapist, and neurologist to determine the real cause and plan treatment accordingly. (such as cervical disc herniation, cervical flattening, muscular rheumatism, nerve compression).
Esophagus Diseases
The esophagus, commonly known as the food pipe, is a muscular tube that connects the oral cavity to the stomach. There are benign and malignant diseases of the esophagus. The most common complaints are difficulty swallowing (dysphagia), painful swallowing (odynophagia) and a feeling of being stuck. Surgery is a specific operation. Thanks to advances in surgical techniques, chemotherapy and radiotherapy, the results have become more pleasing.
Mediastinal Diseases
The mediastinum or mediastinum refers to the section of the chest, located between the lungs and outside the heart. It is a region extending from the lower neck to the diaphragm. There are many lymph nodes here, along with vascular and neural networks. In addition, there is the thymus gland in the front, the esophagus in the back and the trachea in the middle. Diseases related to all of these formations can be seen. And many of them have the chance to be corrected with surgical treatment.
Airway Diseases
The main airway (trachea) is divided into two, right and left airways. Each of these is divided into three on the right and two on the left due to the anatomical features of the lungs. Obstructions and narrowing in the airways can present with serious shortness of breath, hemoptysis and copious sputum production in the patient. There are malignant and benign diseases of the trachea. Surgical treatment is successfully applied. However, surgery is a surgery that requires special care.
Thoracic Wall Diseases
The thoracic wall is a structure made up of bones and muscles that protects our heart and lungs and allows us to breathe. The bone structure is formed by the ribs and sternum (chest of the heart). Congenital anomalies of the thoracic wall (cobbler's chest, pigeon chest), benign tumors (chondroma, lipoma, osteoma), malignant tumors ( chondrosarcoma, osteosarcoma,
abdomyosarcoma etc.) may occur.
These diseases can also be treated surgically. Especially shoemaker's and pigeon chest can be treated with non-surgical methods (vacuum bell) in suitable cases recently.
Endoscopic Procedures
Endoscopic procedures are procedures performed using optical devices, light sources, cameras and monitors to examine the internal organs of the body, take samples and plan treatment if necessary. They are methods that cause less pain and discomfort to patients.
- Bronchoscopy
- Esophagoscopy
- Mediastinoscopy
- Mediastinostomy
- Videothoracoscopic Interventions
Pectus Excavatum Disorder
Shoemaker Chest
The condition that occurs when the cartilage part of the ribs, which we call the anterior chest wall, and the sternum to which they are attached collapse inwards is called a cobbler's chest. It can appear in many ways. It usually starts in childhood and becomes apparent with the growth of height in adolescence. A child with a cobbler's chest deformity should definitely be checked for kyphosis or scoliosis (humpback, curvature) in the back. Another important issue, although less common, is that lung and heart functions should be evaluated.
Closed Surgical Procedures Applied
The most well-known and widely used method of closed surgery methods in Thoracic Surgery is Video-assisted thoracic surgery operations. video assisted thoracic surgery- VATS). With the VATS method, it can now be performed under appropriate conditions and on appropriate patients for every disease. The most important advantage of this method is to reduce pain and ensure that the patient recovers faster. It is successfully applied with the increasing experience of the surgical team in parallel with the developments in the devices every passing day. Another closed method is robotic surgery applications. The working principle is the same as the VATS method.
Lung Diseases
In Excessive Sweating
Surgical Treatment Method
In cases of excessive sweating, if the preoperative medical treatments (creams, drugs and lotions), iontophoresis and botox methods are not successful or are not sufficient, surgical methods are successfully applied. Surgery can be performed comfortably with satisfactory results today. Surgical treatment is performed with the VATS method, which we call closed surgery among the public. The most commonly used method in surgery is clip ets (endoscopic thoracal sympathectomy). However, this surgery is also performed with cauterization and cutting when necessary. In very rare cases, if it is not suitable for closed surgery, sympathectomy is also performed with open surgery.
General body sweating is the widespread sweating of the body from all over. It can be encountered with widespread sweating in the head, neck, chest, back, waist, abdomen, legs, joints and feet. General sweating can also usually be an underlying problem. Therefore, detailed examination and blood tests should be performed. If the problem can be detected, a solution to this problem can be found for general sweating. The closed surgery, clip ets method we perform is not an effective and solving method for general sweating. This method only provides successful results for sweating in the face, armpits and hands. If there is also foot sweating, we have patients who state that sweating in the patient is reduced with this surgery.
Excessive underarm sweating is a common and disturbing sweating in society. Although it is a closed area, it can reach a level that reaches our clothes. It can cause odor. It causes significant discomfort especially in our female patients. It negatively affects daily and social life. It can occur alone in the underarm or together with hand, face and foot sweating. Good results can be obtained in suitable cases with closed surgery, VATS ets, clip ets methods.
Sweaty Feet
Excessive foot sweating is also frequently seen in our society. People with excessive foot sweating may also experience accompanying sweating in other areas. Foot sweating can also cause a very uncomfortable and unhealthy environment for the person. It causes fungus and infection development, especially in the feet; this causes a bad odor. In the treatment of patients with foot sweating alone, in addition to medical, iontophoresis and botox treatments, sympathectomy surgery can be applied if these treatments are ineffective and/or inadequate.
Sweaty Hands
Sweaty hands are the most common and visible sweating. It is known that people with sweaty hands have serious problems in their social and business lives. They generally prefer to stay away from environments that require hand contact. They always have a napkin in their hands. They cannot write comfortably, cannot hold an object comfortably, cannot play a musical instrument and are hesitant to shake hands. People with sweaty hands may also experience chills and coldness in their hands. Very successful results are obtained with closed surgery, sympathectomy, clipped ets, VATS ets methods in hand sweating.
Facial Sweating
Facial sweating is a common disorder that is more distressing than it is obvious. It is possible to come across people with beads of sweat almost everywhere. This sweating can be so much that it can soak into their hair, neck, back, shoulders and even the collar of the shirt or sweater they wear. Good results are obtained in suitable cases with closed surgery, sympathectomy, clip-on ets, VATS ets methods.
Reflex Sweating
Reflex sweating is a condition that all people who will undergo sweating surgery should definitely know. It is very important for the patient to understand this issue well. If necessary, they should ask and research again. Reflex sweating, to put it simply, is the sweating of one place after the sweating stops in another place. This is a physiological response of our body. It is seen in almost every patient. What is different here is the degree of occurrence. This condition is severe, moderate or mild in some. Reflex sweating is seen anywhere on the main body (chest, back, abdomen, waist, hips or legs). Reflex sweating is not seen in the hands, armpits, face and feet. There is still no complete treatment method that can be said about reflex sweating treatment. Studies are ongoing.
Clip-on ETS
Clip ETS; It includes the expressions we call closed surgery, sympathectomy, VATS ets and means the same thing. It is the name given to the surgery method. Clip; It is the name of the material used. Its quality is titanium. It does not cause any harm to the body. It does not cause a problem when taking a tomography or MRI. The clips do not move easily after they are placed.