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General Pediatric Surgery: Vital Info
General Pediatric Surgery: Vital Info 4

Congenital defects affect about 1 in 33 babies in the U.S. General pediatric surgery is key in treating these issues. It offers surgeries made just for kids.

Pediatric surgical procedures cover many needs, like fixing birth defects and tumors. Pediatric surgery needs a deep understanding of kids’ bodies and minds.

specific general pediatric surgery covers the torso. Vital info for parents. Learn what these surgeons treat, from hernias to tumors.

Key Takeaways


  • Surgery is often needed for kids with birth defects.
  • General pediatric surgery treats many conditions, including tumors and hernias.

  • Pediatric surgeries are designed for kids’ specific needs.

  • Pediatric surgery covers a wide range, needing special care.

  • Birth defects are a big issue, affecting about 1 in 33 babies.

Overview of General Pediatric Surgery
word image 267857 2 LIV Hospital

Pediatric surgeons are key in keeping kids healthy through surgery. They focus on surgeries for infants, children, and teens.

Definition and Purpose

General pediatric surgery covers many surgeries for kids. It aims to give surgical care for children safely and effectively. This includes fixing birth defects, tumors, and more.

Pediatric surgery focuses on top-notch care for kids. Pediatric surgeons handle many surgeries. This ranges from simple issues like hernias to complex cases like birth defects and tumors.

Importance in Children’s Health

Pediatric surgery is vital for children’s health. It helps kids with surgeries live better, healthier lives.

Here’s a table showing some common surgeries for kids:

Condition

Description

Surgical Intervention

Congenital Anomalies

Birth defects that require surgical correction

Reconstructive surgery to correct anomalies

Appendicitis

Inflammation of the appendix

Appendectomy (removal of the appendix)

Hernias

Protrusion of an organ through a weakened area

Hernia repair surgery

Pediatric surgeons work with other doctors for full care. They are key in keeping kids healthy and happy.

Common Conditions Treated
word image 267857 3 LIV Hospital

Pediatric surgery deals with many conditions. These include congenital anomalies, pediatric tumors, and hernias in children. Surgery is often needed to keep children healthy.

Congenital Anomalies

Congenital anomalies happen during fetal development. In pediatric surgery, common ones are:


  • Pyloric stenosis, where the pylorus muscle gets too big, causing vomiting and dehydration in babies.

  • Intestinal malrotation, where the intestines don’t rotate right, which can cause bowel obstruction.

These need quick surgery to avoid problems and help with digestion.

Condition

Description

Surgical Intervention

Pyloric Stenosis

Enlargement of the pylorus muscle causing vomiting and dehydration.

Pyloromyotomy to relieve the obstruction.

Intestinal Malrotation

Abnormal rotation of the intestines during fetal development.

Ladd’s procedure to correct the malrotation and prevent bowel obstruction.

Tumors and Growths

Pediatric surgeons also treat pediatric tumors and growths. Some are benign, others are cancerous. Examples include:


  • Neuroblastoma, a cancer from immature nerve cells.

  • Wilms tumor, a kidney cancer in kids.

Treating these tumors often involves surgery, chemotherapy, and radiation therapy.

Hernias in Children

Hernias in children happen when an organ or tissue bulges through a weak spot. Common types are inguinal and umbilical hernias.

Some hernias don’t show symptoms but can cause serious problems like incarceration or strangulation. This might need emergency surgery. Appendectomy, removing the appendix, is also common. It’s often done quickly for appendicitis.

Knowing about these conditions and their treatment is key for parents and caregivers. It helps ensure children get the right care on time.

Surgical Procedures Involved

Surgical care for kids uses both minimally invasive and open surgery methods. The choice depends on the child’s condition, age, health, and the surgeon’s opinion.

Minimally Invasive Techniques

Minimally invasive surgery, like laparoscopic procedures, is getting more popular in kids’ surgery. It involves small cuts for tools and a camera. This way, the surgeon can work with little harm to the child.


  • It leads to less pain, faster healing, and smaller scars.

  • Laparoscopic surgery is used for issues like appendicitis or bowel blockages.

  • It can also be used for more complex surgeries, like removing part of the bowel.

Open Surgery Techniques

Minimally invasive surgery is preferred, but open surgery is also key in kids’ surgery. Open surgery needs a bigger cut to directly see and work on the area.


  1. It’s needed for complex or delicate surgeries that need clear sight and precise handling.

  2. It’s used for tough cases that laparoscopy can’t handle, like some birth defects or tumors.

  3. Sometimes, a laparoscopic start might turn into open surgery if problems arise.

The choice between minimally invasive and open surgery depends on the child’s needs. New surgical tech is making both safer and more effective.

Pediatric Surgery vs. Adult Surgery

Pediatric surgery is very different from adult surgery. Surgeons must adjust their methods for kids, from babies to teens. This is because kids are not fully grown and have unique body features.

Key Differences

One big difference is the anatomical and physiological differences between kids and adults. Kids’ bodies are growing, and they are smaller. This means surgeons need special tools and ways to operate.

  • Size and Scale: Tools and methods must fit the smaller size of kids.
  • Developmental Considerations: Surgeons think about how a child will grow and how surgery might affect them.
  • Congenital Conditions: Kids often have birth defects that adults don’t.

Special Considerations for Children

Pediatric surgeons also think about the emotional and psychological needs of their young patients. Kids need a caring environment. Their care goes beyond surgery, including before and after care that fits their age and growth stage.

Aspect

Pediatric Surgery

Adult Surgery

Patient Size and Anatomy

Smaller, with proportionally different anatomy

Adult size, with fully developed anatomy

Congenital Conditions

Frequently encountered

Rarely encountered

Surgical Techniques

Specialized, often minimally invasive

Varied, including both minimally invasive and open surgery

The table shows the main differences between pediatric and adult surgery. It points out the need for special care in pediatric surgery.

The Role of Pediatric Surgeons

Pediatric surgeons are experts in surgery for kids. They play a key role in giving young patients the best care for many surgical needs.

Qualifications and Training

To become a pediatric surgeon, one must go through a lot of education and training. First, they finish medical school. Then, they do a general surgery residency to learn the basics of surgery.

After that, they get specialized training in pediatric surgery. This training helps them handle complex surgeries in children.

Key aspects of a pediatric surgeon’s training include:


  • Completing a general surgery residency program

  • Pursuing a pediatric surgery fellowship

  • Gaining experience in managing complex pediatric surgical cases

The American Pediatric Surgical Association says, “Pediatric surgeons are dedicated to providing the highest quality care for children with surgical needs.” Their training shows their commitment to excellence.

Collaborating with Other Specialists

Pediatric surgeons work with a team to care for their patients. This team includes pediatricians, anesthesiologists, radiologists, and nurses. Working together helps ensure all aspects of care are well-coordinated.

Specialist

Role in Pediatric Surgical Care

Pediatrician

Provides primary care and helps manage the child’s overall health before and after surgery.

Anesthesiologist

Administers anesthesia and monitors the child’s vital signs during surgery.

Radiologist

Interprets imaging studies to help diagnose and plan treatment for surgical conditions.

Nurse

Provides hands-on care before, during, and after surgery, and helps educate the family about postoperative care.

Together, these specialists help ensure children get the best results from their surgeries.

Preoperative Care for Children

The preoperative period is key in pediatric surgery. It requires careful planning to prepare the child physically and emotionally. This ensures they are ready for surgery.

Preparing the Child and Family

It’s vital to prepare the child and their family for surgery. Explain the procedure in a way they can understand. Address their concerns and offer emotional support.

Be honest with the child about what they will go through. Reassure them they will be cared for every step of the way.

Families need support too. Inform them about preoperative preparations. This includes dietary restrictions, medications to avoid, and hospital arrival times. Clear information can help reduce anxiety.

Understanding Anesthesia for Kids

Anesthesia is essential for keeping the child comfortable and pain-free. Pediatric anesthesia is different from adult anesthesia. It requires specialized knowledge and skills.

Parents should know about the anesthesia type, how it’s given, and possible risks. Discussing the anesthesiologist’s role and how they’ll monitor the child’s vital signs is also important.

Key Considerations for Pediatric Anesthesia:


  • The type of anesthesia is chosen based on the child’s age, health, and surgery type.

  • Pediatric anesthesiologists are trained to handle the unique challenges of anesthetizing children.

  • Monitoring equipment and techniques are adapted for pediatric patients to ensure their safety.

Aspect of Preoperative Care

Description

Benefits

Child and Family Education

Explaining the surgical process and addressing concerns.

Reduces anxiety, improves cooperation.

Pediatric Anesthesia

Tailored anesthesia plans for children.

Ensures comfort and safety during surgery.

Preoperative Preparations

Dietary restrictions, medication management, arrival times.

Minimizes risks, ensures smooth surgical process.

Postoperative Care and Recovery

The time after a child’s surgery is very important. Good care can help a lot with their recovery. This care includes watching for problems, managing pain, and making sure they get the right follow-up care.

Common Recovery Challenges

Children might face pain, discomfort, and possible complications like infection or bleeding after surgery. Effective pain management is key. Pediatric surgeons use different methods to help reduce pain.

Another big challenge is wound management. It’s important to take good care of the surgical area to avoid infection and help it heal. Parents get clear instructions on how to keep the wound clean and when to change the dressing.

Importance of Follow-Up Care

Follow-up care is very important after surgery. Regular visits to the pediatric surgeon help track how well the child is doing. Follow-up appointments also give parents a chance to ask questions and get help with caring for their child.

Follow-up care also helps with any concerns or problems that might come up after surgery. Keeping in touch with the surgical team ensures the child gets the best care and support during recovery.

Innovations in Pediatric Surgery

Pediatric surgery is changing fast, thanks to new technologies and techniques. These advancements are making care better for kids with complex health issues. The field keeps growing, with new tech, surgical methods, and research leading to better results for young patients.

Emerging Technologies

New tech is a big part of the change in pediatric surgery. Minimally invasive surgery is a big leap forward. It uses small cuts and a camera to do operations with less harm to kids.

Robot-assisted surgery is also becoming more common. It lets surgeons do precise work with the help of robots. This is great for tricky surgeries that need a lot of care.

Research and Advancements

Research is key to making pediatric surgery better. Studies help us understand and treat kids’ health issues. For example, fetal surgery is now possible, treating some birth defects before a baby is born.

Tissue engineering and regenerative medicine are also promising. They aim to fix or replace damaged tissues with new ones. This could change how we treat some conditions.

These new ideas are being used in real surgeries, improving kids’ health. As tech and research keep getting better, pediatric surgery will see even more progress.

Preparing for a Pediatric Surgery Consultation

Getting ready for a pediatric surgery consultation can feel overwhelming. But, with the right help, families can feel more confident. Being prepared helps families understand their child’s health, the surgery, and care before and after.

Questions to Ask the Surgeon

It’s important to ask the right questions during the consultation. This helps families understand the surgery and what to expect. Here are some key questions to consider:


  • What is my child’s condition, and how does it affect their health?

  • What are the risks and benefits of the surgery?

  • Are there other treatment options?

  • How will my child be prepared for surgery, and what anesthesia will be used?

  • What is the recovery time, and what care will be needed after surgery?

Having a list of questions ready ensures you cover all important topics during the consultation.

What to Expect During the Visit

During the consultation, the surgeon will thoroughly check your child’s condition. This may include a physical exam, reviewing medical history, and discussing the surgery.

The surgeon will also talk about the surgery’s risks and benefits, and other treatment options. It’s important to share your child’s medical history, including any allergies or past surgeries.

Consultation Stage

Description

Initial Assessment

The surgeon will assess your child’s condition, reviewing their medical history and performing a physical examination.

Discussion of Surgical Procedure

The surgeon will explain the proposed surgical procedure, including the risks and benefits, and answer any questions you may have.

Postoperative Care

The surgeon will discuss the necessary postoperative care, including pain management, follow-up appointments, and any necessary lifestyle adjustments.

Understanding what to expect and being prepared with questions helps families make the most of their visit. This ensures they get the information they need to make informed decisions about their child’s care.

Parental Involvement in Decisions

Parents must be involved in making decisions about their child’s surgery. This is key to ensuring the child gets the best care.

Parents are vital in the decision-making process. Their input can greatly affect the surgery’s outcome. By learning about treatment options, parents can choose what’s best for their child.

Understanding Treatment Options

There are many treatment options for surgery. Parents should talk to the pediatric surgeon to learn about each one. This includes the benefits and risks.

  • Surgical Techniques: Knowing about different surgical methods, like minimally invasive or open surgery, helps parents make informed choices.
  • Potential Risks and Complications: Parents need to know the possible risks and complications of each option.
  • Recovery Time: Understanding how long it takes to recover and what care is needed helps parents prepare their child and family.

A study in the Journal of Pediatric Surgery found that parents’ understanding and involvement greatly impact their child’s surgery outcome.

“Parental involvement in the decision-making process is critical for ensuring the child gets the best care.”

– Journal of Pediatric Surgery

Navigating Consent and Ethics

Understanding consent and ethics in pediatric surgery can be tough for parents. It’s important to grasp the ethical aspects of making decisions about a child’s surgery.

  1. Informed Consent: Parents must give informed consent by knowing the treatment options, risks, and benefits.
  2. Ethical Considerations: Parents should be aware of the ethical aspects of pediatric surgery, like the child’s autonomy and best interests.

By being involved in decision-making, parents can ensure their child gets the best care. The American Academy of Pediatrics says parents play a key role in their child’s surgical care. Their involvement is essential for the best outcomes.

Insurance and Pediatric Surgery

It’s important for families to understand insurance coverage before pediatric surgery. Insurance affects how much families pay, so knowing what’s covered is key.

Coverage for Surgical Procedures

Most insurance plans cover surgeries for kids, like fixing birth defects or hernias. But, how much they cover can differ a lot.

Key aspects to consider:


  • Pre-approval needs for some surgeries

  • What’s covered for doctor fees, hospital stays, and aftercare

  • Any parts of the policy that don’t cover things

Understanding Costs and Payments

Families might have to pay extra, even with insurance. This includes deductibles, copays, and coinsurance. Knowing these costs helps with budgeting.

Cost Component

Description

Example Cost

Deductible

First amount paid before insurance starts

$1,000

Copay

Fixed cost for certain services

$20 per visit

Coinsurance

Percentage of costs after deductible

20% of total costs

Families should check their insurance policy or talk to their provider. This helps understand what’s covered and what costs are involved.

Resources for Families

Families going through pediatric surgery can find lots of help. These resources offer emotional support, information, and guidance. They help families make smart choices during the surgery journey.

Support Organizations

Many organizations support families with pediatric surgery. These groups connect families who have gone through similar things. They offer a place to talk and get advice.

Online and Community Resources

Online and community resources also help a lot. Websites, forums, and local groups share important info. They help families understand the surgery, manage recovery, and find more support.

FAQ

AUG-19376


References

National Center for Biotechnology Information. Evidence-Based Medical Insight. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK568347/

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Medical Disclaimer

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MD. Şekibe Zehra Doğan Pediatric Health and Diseases Spec. MD. Gülsenem Sarı Aracı Liv Hospital Samsun Spec. MD. Gülsenem Sarı Aracı Pediatric Health and Diseases Spec. MD. Nazlı Karakullukcu Çebi Liv Hospital Samsun Spec. MD. Nazlı Karakullukcu Çebi Pediatrics Spec. MD. Nezih Akgün Liv Hospital Samsun Spec. MD. Nezih Akgün Pediatric Health and Diseases Spec. MD. Pelin Aytaç Uras Liv Hospital Samsun Spec. MD. Pelin Aytaç Uras Pediatrics MD. VEFA İSAYEVA Liv Bona Dea Hospital Bakü MD. VEFA İSAYEVA Pediatric Health and Diseases Spec. MD.  Elnur Hüseynov Liv Bona Dea Hospital Bakü Spec. MD. Elnur Hüseynov Pediatrics Spec. MD. INARE ELDAROVA Liv Bona Dea Hospital Bakü Spec. MD. INARE ELDAROVA Pediatrics Spec. MD. SADİQ İSMAYILOV Liv Bona Dea Hospital Bakü Spec. MD. SADİQ İSMAYILOV Pediatric Health and Diseases MD. Dr. Elnur Hüseynov MD. Dr. Elnur Hüseynov Pediatrics Spec. MD. Doğa Sevinçok Spec. MD. Doğa Sevinçok Pediatric and Adolescent Psychiatry Spec. MD. Sadık İsmayılov Pediatrics Assoc. Prof. MD. Muhammet Ali Varkal Liv Hospital Ulus + Liv Hospital Topkapı Assoc. Prof. MD. Muhammet Ali Varkal Pediatrics Spec. MD. Melike Akar Liv Hospital Bahçeşehir + Liv Hospital Topkapı Spec. MD. Melike Akar Pediatrics
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Assoc. Prof. MD. Muhammet Ali Varkal Pediatrics

Assoc. Prof. MD. Muhammet Ali Varkal

Liv Hospital Ulus
Liv Hospital Topkapı
Spec. MD. Gizem Güvener Pediatrics

Spec. MD. Gizem Güvener

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Spec. MD. Osman Karlı Pediatrics

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Spec. MD. Tamer Ünver Neonatal Intensive Care Unit (NICU)

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Assoc. Prof. MD. Adem Dursun Pediatrics

Assoc. Prof. MD. Adem Dursun

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Spec. MD.  Fatih Aydın Pediatrics

Spec. MD. Fatih Aydın

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Spec. MD. Dicle Çelik Pediatrics

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Spec. MD. Elif Erdem Özcan Pediatrics

Spec. MD. Elif Erdem Özcan

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Spec. MD. Hilal Kızıldağ Pediatrics

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Spec. MD. Mehmet Kılıç Pediatrics

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Spec. MD. Ozan Uzunhan Neonatology

Spec. MD. Ozan Uzunhan

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Spec. MD. Selami Bayrakdar Pediatrics

Spec. MD. Selami Bayrakdar

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Spec. MD. Semra Akkuş Akman

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Asst. Prof. MD. Doruk Gül Pediatric Health and Diseases

Asst. Prof. MD. Doruk Gül

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Prof. MD. Murat Sütçü Pediatric Health and Diseases

Prof. MD. Murat Sütçü

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Prof. MD. Nihat Demir Pediatrics

Prof. MD. Nihat Demir

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Psyc. (Psychologist) Buse Yağmur

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Spec. MD. Cansu Muluk Pediatrics

Spec. MD. Cansu Muluk

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Spec. MD. Dilek Hatipoğlu Pediatric Health and Diseases

Spec. MD. Dilek Hatipoğlu

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Spec. MD. Duygu Amine Garavi Pediatrics

Spec. MD. Duygu Amine Garavi

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Spec. MD. Fatih Kaya Pediatric Health and Diseases

Spec. MD. Fatih Kaya

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Spec. MD. Günel Nüsretzade Elmar Pediatrics

Spec. MD. Günel Nüsretzade Elmar

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Spec. MD. Melike Akar Pediatrics

Spec. MD. Melike Akar

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Spec. MD. Mey Talip Pediatric Intensive Care

Spec. MD. Mey Talip

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Spec. MD. Negın Nahanmoghaddam Pediatrics

Spec. MD. Negın Nahanmoghaddam

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Spec. MD. Nushaba Abdullayeva Pediatric Health and Diseases

Spec. MD. Nushaba Abdullayeva

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Spec. MD. Refika İlbakan Hanımeli Pediatrics

Spec. MD. Refika İlbakan Hanımeli

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Spec. MD. Selman Alazab Pediatrics

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Spec. Md. Öznur Ceylan Pediatric Health and Diseases

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Assoc. Prof. MD. Aslan Yılmaz Neonatology

Assoc. Prof. MD. Aslan Yılmaz

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Prof. MD. Alpay Çakmak Pediatrics

Prof. MD. Alpay Çakmak

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Spec. MD. Demet Deniz Bilgin Pediatrics

Spec. MD. Demet Deniz Bilgin

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Spec. MD. Nesrin Köseoğlu Pediatric and Adolescent Psychiatry

Spec. MD. Nesrin Köseoğlu

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Spec. MD. Seçil Sözen Pediatrics

Spec. MD. Seçil Sözen

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Spec. MD. Özge Akça Pediatrics

Spec. MD. Özge Akça

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Spec. MD. Şeyma Öz Pediatrics

Spec. MD. Şeyma Öz

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Asst. Prof. MD. Pakize Elif Alkış Pediatrics

Asst. Prof. MD. Pakize Elif Alkış

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Prof. MD. Musa Kazım Çağlar Pediatrics

Prof. MD. Musa Kazım Çağlar

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Prof. MD. İbrahim Hakan Bucak Pediatrics

Prof. MD. İbrahim Hakan Bucak

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Prof.MD. Sevgi Başkan Pediatrics

Prof.MD. Sevgi Başkan

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Spec. MD. Büşra Süzen Celbek Pediatrics

Spec. MD. Büşra Süzen Celbek

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Spec. MD. Galip Erdem Pediatrics

Spec. MD. Galip Erdem

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Spec. MD. Hafsa Uçur Pediatric Health and Diseases

Spec. MD. Hafsa Uçur

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Spec. MD. Hidayet Katipoğlu Pediatric Health and Diseases

Spec. MD. Hidayet Katipoğlu

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Spec. MD. Hüsniye Altan Pediatrics

Spec. MD. Hüsniye Altan

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Spec. MD. Mehmet Turfanda Pediatric Health and Diseases

Spec. MD. Mehmet Turfanda

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Spec. MD. Mustafa Yücel Kızıltan Pediatrics

Spec. MD. Mustafa Yücel Kızıltan

Liv Hospital Ankara
Spec. MD.  Seral Navdar Pediatric Health and Diseases

Spec. MD. Seral Navdar

Liv Hospital Gaziantep
Spec. MD. Gül Balyemez Pediatric Health and Diseases

Spec. MD. Gül Balyemez

Liv Hospital Gaziantep
Spec. MD. Hasan Avşar Neonatology

Spec. MD. Hasan Avşar

Liv Hospital Gaziantep
Spec. MD. Mert Çakır Pediatrics

Spec. MD. Mert Çakır

Liv Hospital Gaziantep
Spec. MD. Saltuk Buğra Böke Pediatric Health and Diseases

Spec. MD. Saltuk Buğra Böke

Liv Hospital Gaziantep
Spec. MD. Özlem Karaoğlu Pediatric Health and Diseases

Spec. MD. Özlem Karaoğlu

Liv Hospital Gaziantep
Spec. MD. İsmail Ersan Can Pediatric Health and Diseases

Spec. MD. İsmail Ersan Can

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Spec. MD. Şekibe Zehra Doğan Pediatric Health and Diseases

Spec. MD. Şekibe Zehra Doğan

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Spec. MD. Gülsenem Sarı Aracı Pediatric Health and Diseases

Spec. MD. Gülsenem Sarı Aracı

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Spec. MD. Nazlı Karakullukcu Çebi Pediatrics

Spec. MD. Nazlı Karakullukcu Çebi

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Spec. MD. Nezih Akgün Pediatric Health and Diseases

Spec. MD. Nezih Akgün

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Spec. MD. Pelin Aytaç Uras Pediatrics

Spec. MD. Pelin Aytaç Uras

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MD. VEFA İSAYEVA

Liv Bona Dea Hospital Bakü
Spec. MD.  Elnur Hüseynov Pediatrics

Spec. MD. Elnur Hüseynov

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Spec. MD. INARE ELDAROVA Pediatrics

Spec. MD. INARE ELDAROVA

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Spec. MD. SADİQ İSMAYILOV Pediatric Health and Diseases

Spec. MD. SADİQ İSMAYILOV

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MD. Dr. Elnur Hüseynov Pediatrics

MD. Dr. Elnur Hüseynov

Spec. MD. Doğa Sevinçok Pediatric and Adolescent Psychiatry

Spec. MD. Doğa Sevinçok

Pediatrics

Spec. MD. Sadık İsmayılov

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