Beskonakli Neurosurg in Turkey

8/13/2019 Beskonakli Neurosurg in Turkey

1/57

Neurosurgery

in Turkey

Ankara

Atatrk Research and Education HospitalChief, Department of Neurological Surgery

Bilkent, Ankara, TURKEY

Ethem BESKONAKLI, M.D., Ph.D.,President, Turkish Neurosurgical Society


2/57

Turkey


3/57

Anatolia

Anatolia was the main theater of countless immigrations,invasions and occupations from the prehistoric ages toeven the present day

This led to a concentration of influences of a variety ofcivilizations and cultures

All civilizations in and around Anatolia influenced theformation of medicine and surgery in the premodern era

Erbengi A. , Naderi S, Elmac I.


4/57

Anatolian Civilization

Hatti civilization ( 2500-2000 BC)

Troy-II settlement ( 2500-2000 BC)

Hatti and Hittite principalitiesperiod ( 2000-1750 BC)

Great Hittite Kingdom ( 1750-1200BC)

Aegean migration and invasionfrom Balkans ( 1200 BC)

The Anatolian principalities during

the Iron Age ( 1200-700 BC) Urartu civilization (900-600 BC)

The civilization of Phrygia ( 750-300BC), Lydia, Caria, and Lyciacivilizations (700-300 bc)

Ion civilization (1050-300 BC)

Persian civilization (545-333 BC)

Hellenistic and Roman ages ( 333BC- 395AD)

The Byzantine civilization (AD 330-1453)

Short time Arabic era

Seljuks ( AD 1071-1300) and

Ottoman empires (AD 1299-1923) The Republic of Turkey was

established in 1923


5/57

Neurosurgery has a short background all over the world whencompared to other surgical fields

The process of surgical development in Turkey did not differfrom most Western Countries

But we have some information about the neurosurgery inmedieval Anatolia

There are many reports of skull trepanations in Anatolia (reasonfor?; medical reason?, bad spirits?)


6/57

Trepanation in Anatolia

Many trapanned skulls werefound in anatolianarchaeological works

The skulls were trepanned inmore than 35 cases using 4main techniques, includingcurettage, grooving, cutting,and drilling.

There was evidence of healing

in 19 of these cases, suggestingsurvival of the individuals aftertrepanation (Akurgal E.;Cultural history of Anatolia )


7/57

Medicine in and around Anatolia

Hippocrates ( 460-377 BC)

Galen

Ibn-i Sina (Avicenna)

Ebubekr Muhammed Zekeriyya Rz(865-925)

Ali bn Abbas el-Mecs (?-994)

erafeddin Sabuncuolu (1465)

Cerrah brahim (16th century)

anzde Mehmet Ataullah (19thcentury)


8/57

Medicine in and around Anatolia

Al-Qanun (Ibn-i Sina -Avicenna)

Alim-i Cerrh(Cerrah brahim)

Cerrahname (unknown)

Hulsa (EbThirMuhammed,Ed.)

Hulsa-i Tbb(Cerrah Mesud,Translation to Turkish)

Knnl-Cerrhn(anzdeMehmet Ataullah)


9/57

bn-i Sina (Avicenna)

The Canon of Medicine by Ibn-i Sinawas first translated from Arabicinto Latin in the 12th century andinto Hebrew in 1279. It served as

the main guide to medical sciencein Europe and was used in medicalschools there until the mid-17thcentury.

Picture;BIBLIOTECA UNIVERSITARIA DIBOLOGNA / NATIONAL LIBRARY OF

MEDICINE


10/57


11/57

bn-i Sina Hospital, AnkaraUniversty, Ankara
http://www.yuksel.net/www.yuksel.net/tbiten/b5ibni.htm


12/57

Medicine in Anatolia

The Gevher Nesibe Hospitalof Kayseri was one of the firstorganized hospitals in the world

During their prosperous period,the Ottomans built manyhospitals in many cities,including Bursa (1399), Istanbul(1470), Edirne (1488), and

Manisa (1539) The Turkish-Islamic tradition of

medicine advanced during theOttoman period


13/57

erafeddin Sabuncuolu of Amasya

One of the notable examples ofmedicine and surgery practiceduring this time is erefeddinSabuncuoglu

He was born in 1465, Amasya, oneof the ancient city of centralAnatolia

This Turkish physician wrote manymedical books, including a coloredillustrated surgery book,CerrahiyetulHaniye (ImperialSurgery), in the 15th century


14/57

erafeddin Sabuncuolu(Cerrahiyetl Haniyye)

This atlas contains many neurosurgical applications forepilepsy, hydrocephalus, headache, low back pain,sciatica, spinal dislocations and cauterization techniques


15/57

Cerrahiyetl Haniyye(Imperial Surgery)

Treatment of spinal dislocations


16/57

History of Modern Turkish Neurosurgery

1. Era: 1890 - 19092. Era: 1909 - 1933

3. Era: 1933 - 1950

4. Era: after 1950


17/57

Dr. Cemil Topuzlu (1866-1958)

He was the pioneer of modern Turkish Surgery in Turkey

He presented a case of brain abscess in a French Surgery Societymeeting in 1894

This was a report of successful neurosurgical drainage of brain abscessjust a few years after the report of McEwen


18/57

History of Modern Turkish Neurosurgery

In the beginning, neurosurgical applications wereperformed by general surgeons

Most of these applications included procedures forcraniocerebral traumas, infections and procedures for painrelief

The first neurosurgeon, Dr. Abdulkadir CahitTuner,

started working in 1923, operating in some spinal cord,brain tumor and trigeminal neuralgia cases


19/57

History of Turkish Neurosurgery

Other neurosurgeons, Dr. Hami Dilek,Dr. erif Baydur, and Dr. Cafer TayyarKankat, were trained in France and

started to work in the mid 1930s

The first neurosurgery departmentwas established in Istanbul in 1923,

and the first neurosurgery trainingprogram started in the late 1940s


20/57

Dr. Mazhar Osman Usman

The developments contributing toTurkish neurosurgery in the early20th century were not limited tothe surgical advancements

There were also someadvancements in neuroscience

Mazhar Osman,founder of modernneuroscience in those days, sentmany neuropsychiatrists for

training in experimentalpsychiatry, neurology,neuropathology, and neurosurgery

Dr Ca t Tuner


21/57

Dr. Ca t Tuner(1892-1980)

First Turkish Neurosurgeon (1923)


22/57


23/57

First Turkish Neurosurgery Journal(1936-1947) Modern Cerrahi ve Nroirrji Mecmuas


24/57

First Turkish Neurosurgery Journal(1936-1947) Modern Cerrahi ve Nroirrji Mecmuas

This interesting journal waspublished between 1936 and1947 and is one of the earliest

neurosurgery journals in theWorld


25/57

Prof. Dr. Mim Kemal ke(1884-1955)

First spinal fusion(1925)


26/57


1940-1960 s

1940-1950 s; Istanbul University

1960; Hacettepe University, Ankara

1965; Ankara University, Ankara

1967; Ege University, Izmir

1972 ; Cukurova University, Adana Other centers were established in subsequent years


27/57


1940-1960 s

Dr. Feyyaz Berkay (1915-1993)

He was the first Turkish surgeonto complete formal

neurosurgery training. Workingbetween 1946 and 1951 in theUnited States, he was certifiedto the American Board ofNeurosurgery

Dr. Blent Tarcan (1914-1991)Another neurosurgeon ofIstanbul University, He was alsoa brilliant composer in Turkey


28/57

Prof. Dr. Nurhan Avman(1928-1988) First President of our society

First Cloward operationfor cervical discherniation: 1964

Dr. V. Cloward: FirstCloward operation:1958


29/57

Professor M. Gazi Yaargil

Pioneer of aneurysm and microneurosurgery

He was born in Turkey

Primary and high school in

TurkeyMedical school in Germany

Trained manyneurosurgeons from Turkey


30/57


Today, there are 75 neurosurgery training centers and 1250neurosurgeons in Turkey

Universty Hospitals State Hospitals Foundation Hospitals

There is an increasing number of publications by Turkishneurosurgeons, contributing to the total body of literaturein neurosurgery

The current state of neurosurgery in Turkey is parallel tothat of the advanced western countries.


31/57

Turkish Neurosurgical Society

First NeurosurgicalSociety in Turkey wasfounded in 1968 inIstanbul (NroirrjiCemiyeti)

This society was closed in1982 during military rule

In 1985, the TurkishNeurosurgical Society wasfounded again, with Dr.

Nurhan Avman serving asits first chair

Nowadays the societyhave 1050 members


32/57

Past Presidents(on duty for maximum two years)

Nurhan Avman

Aykut Erbengi

zdemir Gray Tunalp zgen

Ycel Kanpolat Osman Ekin zcan Ertekin Arasl Yama Takn M. Nur Altnrs

M. Kemali Baykaner Kaya Aksoy

M. Necmettin Pamir

Nurcan zdamar . Seluk Palaolu Mehmet Zileli


33/57


OURMAIN ORGANIZATIONS!

Scientific (meetings, education, training)

Professional works (working principles, chargesfor neurosurgical procedures, base and extrasalaries)

Social responsibility projects (civil initiativeworks)


34/57

Neurosurgery Training in Turkey

Duration of neurosurgery training is 6 years

-20 months are in other departments

Board certification Started at 2006 (writtenand oral examination)

7 centers already have accreditation fromEuropean Board


35/57


36/57


Journals;

Turkish Neurosurgerywww.turkishneurosurgery.org.tr

Since 1994, 4 issues a year

Indexed in Pubmed (2007)

Indexed in SCI-E (2008)

Trk Nroirrji Dergisi(n Turkish)

Since 1989 4 issues a year
http://www.turkishneurosurgery.org.tr/http://norosirurji.dergisi.org/content.php3?id=48http://www.turkishneurosurgery.org.tr/


37/57


News-Bulletins;

Main;

Groups News;


38/57

Turkish Neurosurgical Society; Books;


39/57


Booklets;


40/57


http://www.turknorosirurji.org.tr


41/57

Meetings & Symposia


42/57


43/57


Courses;

Basic Courses;in March, 3 days, completed in 4 years

Pediatric Neurosurgery Course; in April, 3 days, completed

in 3 years

Summer Spine School; in June, 4 days, completed in 2 years

Advanced Spine Course; in November, 3 days

Research Symposia; in May, 3 days

Training for TraineesCourse; in April, 1 day


44/57


We also have;

Scientific Paper Awards

Non-refundable Scholarships

project supporting works

exchange resident programs

give counseling to other society


45/57


Last year in our 23nd annual congress;

Number Session

Oral Presentations 130Poster Discussions 90Electronic Poster 400workshop 11Total Papers 620 84

TotalParticipants; 1350


46/57


24th Annual Meetingwill be held on May2010 together with

* 6th NeurosurgeryNurses Meeting

* 2nd Korean-Turkish

NeurosurgeonsFriendship jointMeetings

Social Responsibility Projects


47/57

Social Responsibility Projects(civil initiative works)

Memorial Forest


48/57


49/57


www.oncedusun.org.tr


50/57


nceDn!( ThinkFirst like anorganization)

Yearly painting contest forprimary school students

(Theme;how to protect our

body from trauma)


51/57


52/57

Social Responsibility Projects(Painting contest;Second)


53/57

Social Responsibility Projects(Painting contest;Third)


54/57

Exhibition


55/57


nceDn!(ThinkFirst)

Billboard warnings on the

roads (theme;protect of yourbody; sleepless, alcohol,

seatbelt, speedy)


56/57

Thank you for coming. . .

This is the first

Middle East

Neurosurgicalsymposia, and

hope to organize

future meetings

every year indifferent countries


57/57

Thank you for coming. . .

We are looking

forward to yoursupport for ourbidding for 2017WFNS Congress!

www.wfns2017.info

Beskonakli Neurosurg in Turkey

Documents

Transcript of Beskonakli Neurosurg in Turkey