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Işıl Yetişkin
Işıl Yetişkin Liv Hospital Content Team
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Profound 6 Months After Open Heart Surgery: Sleep Guide
Profound 6 Months After Open Heart Surgery: Sleep Guide 4

Recovering from open heart surgery is a complex process. It needs careful planning and attention to detail. Getting quality sleep is key for healing and recovery. Guide on safe sleeping positions and lifestyle tips up to 6 months after open heart surgery recovery.

Every year, about two million people worldwide have open heart surgery. This marks the start of a big recovery journey. Most side effects go away in about 6 months.

During this time, patients face physical healing and emotional changes. They also learn to get their lives back. We’ll look at the challenges of sleeping after open heart surgery. We’ll also share tips to improve sleep quality.

Key Takeaways

  • Understanding the importance of sleep in the healing process
  • Managing pain and discomfort at night
  • Strategies for improving sleep quality
  • Navigating emotional changes during recovery
  • Gradual activity progression for a successful recovery

Understanding Open Heart Surgery Recovery

Profound 6 Months After Open Heart Surgery: Sleep Guide

Open heart surgery starts a journey with many phases. Each phase has its own challenges and milestones. Knowing the recovery process helps patients manage their expectations and recover smoothly.

Types of Open Heart Procedures

Open heart surgery includes many procedures. These include coronary artery bypass grafting (CABG), heart transplant, and fixing or replacing heart valves. Each procedure has its own recovery needs and goals.

Procedure

Typical Hospital Stay

Recovery Time

CABG

5-7 days

3-6 months

Heart Transplant

7-14 days

6-12 months

Valve Repair/Replacement

5-10 days

3-6 months

Initial Hospital Recovery Phase

The first few days in the hospital are critical. They usually last between 5 to 7 days. During this time, doctors watch for complications and manage pain well.

A leading cardiologist says, “The first hospital stay is key for a good recovery. It’s a time of close monitoring and care that sets the stage for healing.”

“The care in the first hospital stay is key to how well a patient recovers.” Medical Expert, Cardiologist

Patients often start in the ICU and then move to a regular ward. This phase focuses on improving, managing pain, wound care, and getting patients moving.

Setting Realistic Recovery Expectations

It’s important for patients to have realistic recovery hopes after open heart surgery. Most side effects go away in about 6 months. But, it can take 3 months or more to fully recover.

Knowing about the different surgeries, the first hospital stay, and what to expect helps patients. They should follow their doctor’s advice and go to follow-up appointments. This ensures a smooth and successful recovery.

The Importance of Quality Sleep for Cardiac Recovery

Profound 6 Months After Open Heart Surgery: Sleep Guide

Quality sleep is key for those recovering from open heart surgery. It’s not just about feeling tired or not. It’s vital for healing.

How Sleep Affects Healing

Sleep is essential for healing after heart surgery. It helps the body fix damaged cells and build new ones. Quality sleep is essential for cardiac recovery as it reduces inflammation and improves heart function.

Studies show many cardiac patients struggle with sleep after surgery. Getting good sleep can help avoid complications and improve recovery.

Common Sleep Challenges After Surgery

Many face sleep issues after heart surgery. These include:

  • Discomfort or pain at the surgical site
  • Difficulty finding a comfortable sleeping position
  • Shortness of breath or difficulty breathing
  • Anxiety or stress related to the surgery and recovery

It’s important to tackle these challenges to improve sleep. Patients and caregivers can work together to find better sleep solutions.

Sleep Deprivation Risks During Recovery

Sleep deprivation can harm recovery. It can cause:

  1. Increased fatigue, even 6 months after surgery
  2. Weak immune function, making infections more likely
  3. Longer recovery times because the body heals slower
  4. Higher risk of heart problems

One study found fatigue is a big issue for patients after heart surgery. This shows why fighting sleep deprivation is so important.

“Sleep is the golden chain that ties health and our bodies together.” – Thomas Dekker

By focusing on quality sleep, patients can improve their heart recovery. Healthcare providers should teach patients about sleep’s role and help them overcome sleep challenges.

Optimal Sleeping Positions: Weeks 1-6

Getting the right sleep is key in the first six weeks after open heart surgery. It helps reduce pain and aids in healing.

Back Sleeping with Proper Support

Back sleeping is best in the early recovery days. Use a pillow under your knees to ease spine pressure. Also, a pillow or wedge under your back keeps you comfy.

Tips for Back Sleeping:

  • Choose a medium-firm mattress for the best support.
  • Keep your knees slightly bent with a pillow under them.
  • Avoid twisting or turning, which can strain your sternum.

Elevated Sleeping Techniques

Head elevation can cut down swelling and improve breathing. Use a wedge pillow or adjust your bed to lift your upper body 30-40 degrees. This can also ease pain and discomfort.

Protecting Your Sternum While Sleeping

It’s important to protect your sternum in the first six weeks. Don’t sleep on your side or stomach, as it can stress your sternum. When you need to turn, roll like a log to keep your body straight.

Sleeping Position

Benefits

Precautions

Back Sleeping

Reduces pressure on sternum, promotes healing

Use proper support, avoid twisting

Elevated Sleeping

Reduces swelling, improves breathing

Elevate upper body 30-40 degrees

Side Sleeping

Not recommended initially

Avoid until sternum is fully healed

By following these sleep tips, you can make your recovery after open heart surgery more comfortable.

When Can I Sleep on My Side After Open Heart Surgery?

Many people wonder when they can sleep on their side after open heart surgery. The answer depends on how well you’re recovering and what your doctor says. Usually, doctors tell patients to avoid sleeping on their side at first. This helps the sternum heal properly.

Gradual Transition to Side Sleeping

As you get better, you can start sleeping on your side with your doctor’s okay. This change should match your healing and how you feel. It’s important to listen to your body and not rush this transition to avoid discomfort or complications.

Cardiac rehab programs can help with this. They give advice on how to increase your activity, including sleeping positions. These programs tailor their advice to your recovery.

Using Pillows for Support

Using pillows can help when you start sleeping on your side. A pillow between your knees keeps your hips aligned. More pillows can support your back and arms.

Pillow placement can greatly affect your comfort and sternum protection. Try different ways to find what’s best for you. Make sure you’re not putting too much stress on your chest or sternum.

Signs You’re Ready for Different Positions

So, how do you know when it’s time to sleep on your side? Look for these signs:

Signs of Readiness

Description

Reduced Chest Pain

A big drop in chest pain or discomfort means your sternum is healing well.

Increased Mobility

You can move more easily without a lot of pain.

Surgeon’s Approval

Your surgeon or doctor says it’s okay to change your sleeping position.

After triple bypass surgery, wait at least 3 months before changing your sleeping position. But, this can change based on your recovery.

By watching for these signs and following your doctor’s advice, you can safely start sleeping on your side. This will help you sleep better and recover more comfortably.

Managing Chest Pain and Discomfort at Night

After open heart surgery, many patients feel chest pain and discomfort, often at night. This can make it hard to rest and recover well. We’ll look at why this pain happens, how to tell if it’s normal or not, and ways to handle it.

Distinguishing Normal vs. Concerning Pain

Some chest pain after surgery is normal because of the incision and healing. But, it’s key to know the difference between normal and concerning pain. Normal pain is usually from the sternum and chest muscles healing. It might feel sharp or dull.

Concerning pain could mean something serious is wrong. It might feel like pressure, tightness, or a heavy feeling in your chest.

If you have severe pain, pain with shortness of breath, dizziness, or nausea, or pain that spreads to your arm, neck, or jaw, get help right away.

Chest Muscle Pain After Open Heart Surgery

Chest muscle pain is common after heart surgery. It comes from the incision and the strain on the muscles during surgery. This pain can get worse when you move or lie down, which is often at night.

To ease chest muscle pain, try sleeping in a way that keeps your chest comfortable. We’ll talk more about the best sleeping positions later.

Pain Management Strategies

Managing pain well is key to better sleep and recovery. Your doctor might give you pain medicine. There are also steps you can take to lessen chest pain at night:

  • Use pillows to support your back and raise your upper body a bit.
  • Don’t lie flat on your back. Instead, sleep with your upper body up.
  • Try relaxation techniques like deep breathing or meditation to reduce stress and relax.
  • Follow your doctor’s advice on pain medicine and recovery steps.

By using these methods, patients can manage their chest pain and discomfort better at night. This can help them sleep better and recover faster.

Breathing Techniques to Improve Sleep Quality

Breathing techniques can greatly improve sleep for those recovering from open heart surgery. Adding these to their daily routine can boost well-being. It may also lessen symptoms like shortness of breath.

Addressing Shortness of Breath 6 Months After Open Heart Surgery

Many people feel short of breath after heart surgery, often with fatigue. This usually gets better as the heart gets stronger. But, some may keep feeling short of breath 6 months later. Breathing exercises can help ease this symptom by boosting lung and heart health.

It’s good to do deep breathing exercises often. Take slow, deep breaths in through your nose and out through your mouth. Try to fill your lungs fully.

Relaxation Exercises Before Bed

Doing relaxation exercises before bed can make sleep better. Techniques like progressive muscle relaxation, guided imagery, and mindfulness meditation calm the mind and body. This makes it easier to fall asleep.

The “4-7-8” breathing method is also helpful. Breathe in through your nose for 4 counts, hold for 7 counts, and breathe out through your mouth for 8 counts. It can slow your heart rate and relax you.

Using Breathing Aids When Necessary

Some patients might need breathing aids to sleep better. Devices like CPAP machines or supplemental oxygen can help those with severe shortness of breath or sleep apnea.

Breathing Aid

Description

Benefit

CPAP Machine

Delivers continuous airflow to keep airways open

Reduces sleep apnea episodes

Supplemental Oxygen

Increases oxygen levels in the blood

Eases shortness of breath

Incentive Spirometer

Helps improve lung function through deep breathing exercises

Enhances lung capacity

By using these breathing techniques and aids, patients can improve their sleep and health after heart surgery.

Creating an Optimal Sleep Environment

A well-designed sleep environment can greatly improve sleep quality for those who have had open heart surgery. We know that good sleep is key for recovery. So, making a sleep-friendly space is very important.

Bedroom Setup for Recovery

Creating a recovery-friendly bedroom involves several steps. First, make sure it’s quiet, dark, and at a comfy temperature. A comfortable mattress and supportive pillows are vital for keeping your spine right and easing pain while you sleep.

  • Use blackout curtains or blinds to block out light.
  • Get a white noise machine or earplugs to cut down on noise.
  • Make sure your bed is both comfy and supportive.

Temperature and Comfort Considerations

Keeping the bedroom at a comfortable temperature is key for good sleep. We recommend a cool room, between 60-67 degrees Fahrenheit, as the best sleep range. Also, patients might feel cold hands and feet after open heart surgery. Adding extra blankets or a heated mattress pad can help with this.

Assistive Devices for Better Sleep

There are many devices that can help improve sleep. For example, elevated sleeping techniques can be helped with wedge pillows or adjustable beds. These can reduce congestion and help breathing. Also, humidifiers can keep the air moist, preventing dryness that can disrupt sleep.

  1. Think about using a wedge pillow to lift the upper body.
  2. Get a humidifier to keep the air at a good humidity level.
  3. Look into smart mattresses or sleep trackers to better your sleep.

By using these tips, patients can make a sleep space that helps with recovery and improves sleep quality.

Fatigue Management 6 Months After Open Heart Surgery

Fatigue is a big problem for people recovering from open heart surgery, even six months later. Studies show that 41% of patients are tired even at 5 months after surgery. It’s important to manage fatigue to improve life quality during recovery.

Why Fatigue Persists Long-Term

Fatigue after open heart surgery comes from many sources. These include the body’s reaction to surgery, changes in activity, and conditions like anemia or sleep issues. Fatigue affects not just the body but also the mind and emotions. Recovery means healing the body and dealing with the emotional effects of surgery.

Energy Conservation Techniques

Using energy-saving techniques can help manage fatigue. These include:

  • Pacing activities to avoid overexertion
  • Taking regular breaks to rest
  • Prioritizing tasks based on importance and energy levels
  • Engaging in gentle exercises as recommended by healthcare providers

By using these methods, patients can manage their energy better and lessen fatigue’s impact on daily life.

Gradual Activity Progression

Increasing activity levels slowly is key to getting stronger and less tired. Start with easy activities and gradually do harder ones. It’s important to follow healthcare advice to ensure safe and effective progress. Pay attention to how your body reacts to more activity and adjust as needed to avoid setbacks.

Addressing Common Symptoms Affecting Sleep

Recovering from open heart surgery is tough. Symptoms like acid reflux and dizziness can make it hard to sleep. It’s key to tackle these symptoms to get better sleep and aid in recovery.

Dizziness Months After Heart Surgery

Dizziness is a big problem for many after heart surgery. It can happen suddenly and make it hard to balance. To avoid falls, get up slowly from lying or sitting. Drinking water and eating well can also help.

Tips to manage dizziness:

  • Stand up slowly from lying or sitting positions
  • Stay hydrated by drinking plenty of water
  • Maintain a balanced diet rich in essential nutrients
  • Avoid standing for long periods without rest

Upper Back Pain After Open Heart Surgery

Upper back pain can really mess with your sleep after surgery. It might come from the surgery or how you sit during recovery. Try using a supportive pillow or changing how you sleep to ease the pain.

As one patient noted,

“Using a supportive pillow under my knees and back really helped reduce the strain on my upper back and improved my sleep.”

Managing Acid Reflux After Heart Bypass Surgery

Acid reflux is common after heart bypass surgery. It can get worse with certain foods or lying down too soon after eating. Eat smaller meals more often and skip foods that make it worse. Also, keep your bed head higher to stop acid from flowing back up.

Recommended adjustments for managing acid reflux include:

  1. Raising the head of the bed by 6-8 inches
  2. Avoiding heavy meals close to bedtime
  3. Identifying and avoiding trigger foods

By tackling symptoms like dizziness, upper back pain, and acid reflux, patients can sleep better. It’s important to work with doctors to find the best ways to manage these issues.

Recovery Milestones: 3 Months After Open Heart Surgery

Reaching three months after open heart surgery is a big deal. At this point, most people see big physical gains and their health starts to get back to normal. We’ll look at the key milestones, like physical gains, better sleep, and what to expect after triple bypass surgery.

Physical Improvements to Expect

By three months, patients see big physical improvements. Cardiac rehab is key, with exercise and education. They feel more energetic, can do more, and slowly get back to normal life.

As they get better, they can do more strenuous things. But, it’s important to listen to your body and not push too hard. This can slow down your recovery.

Sleep Pattern Normalization

By three months, sleep gets better too. At first, it’s hard because of pain or anxiety. But, as you heal, sleep gets more regular and deep.

It’s normal for sleep to be a bit off sometimes. But, most people feel more rested. Keep up good sleep habits to help your recovery.

3 Months After Triple Bypass Surgery: What’s Normal

For those who had triple bypass surgery, three months is a big check-in. You might feel a lot of emotions and physical changes. You’ll likely see better endurance and less pain.

Emotionally, you might be adjusting to new ways of living and feeling. It’s key to keep in touch with your doctors. They can help with any worries or questions. Regular check-ins are important for your recovery.

Emotional and Physical Changes in the Recovery Journey

After open heart surgery, patients face emotional and physical changes. These changes can be tough, but knowing about them helps patients and their families cope better.

Personality Changes After Heart Surgery

Some patients notice personality changes after heart surgery. These changes can be due to the surgery or the emotional response to it. Family members might say their loved one has changed, like “my husband changed after open heart surgery.”

These changes can include mood swings, irritability, or feeling more emotional. It’s important to be patient and remember these changes are usually temporary.

Weight Fluctuations After Surgery

Weight fluctuations are common after open heart surgery. Some patients might lose weight quickly due to changes in appetite or more activity. Others might gain weight because of medication side effects or less mobility.

Keeping an eye on weight and adjusting diet and exercise can help manage these changes.

Change Type

Possible Causes

Management Tips

Weight Loss

Reduced appetite, increased activity

Ensure adequate nutrition, consult a dietitian

Weight Gain

Medication side effects, reduced mobility

Adjust diet, gradually increase physical activity

Emotional Changes

Surgery stress, medication effects

Practice relaxation techniques, seek support

Scar Healing and Body Image

The healing of the surgical scar is a big part of physical recovery. Proper wound care can help reduce scarring. The scar can also affect a patient’s emotional well-being.

Support from healthcare providers and loved ones is key. It helps patients adjust to these changes.

Support from family and healthcare providers is vital for managing emotional and physical changes during recovery. By understanding these changes, patients can prepare for the challenges and victories ahead.

Conclusion

Recovering from open heart surgery is tough. It needs patience, understanding, and support. This 6-month guide helps improve sleep and well-being after surgery.

We talked about how sleep is key in recovery. We also covered the best sleeping positions and how to handle chest pain. Understanding these points helps patients recover better.

As patients get better over 6 months and more, they’ll see big health gains. It’s important to keep an eye on their health, including managing low blood pressure. With the right care, patients can live better lives a year after surgery.

By following the sleep advice after surgery, patients can have a smoother recovery. This guide offers useful tips and advice for the whole recovery journey.

FAQ

Can I sleep on my side after open heart surgery?

Sleeping on your side right after open heart surgery is not advised. Wait until your sternum heals, which is usually 6-8 weeks. Use pillows for support and transition slowly.

How can I manage chest pain and discomfort at night after open heart surgery?

To handle chest pain, know the difference between normal and serious pain. Use pain meds, relax, and change your sleep position to ease discomfort.

What are the optimal sleeping positions after open heart surgery?

For the first six weeks, sleep on your back with support and use elevated techniques. These help protect your sternum and reduce pain.

How can I address shortness of breath 6 months after open heart surgery?

For shortness of breath six months post-surgery, try relaxation exercises before bed. Use breathing aids if needed. Talk to your doctor to check for any issues.

What can I do to manage fatigue after open heart surgery?

To fight fatigue, conserve energy and gradually increase activities. Remember, fatigue can last a long time, so set realistic recovery goals.

How can I manage dizziness months after heart surgery?

Dizziness can be due to meds or blood pressure changes. Talk to your doctor to find out why and how to manage it.

What are the common sleep challenges after open heart surgery?

Sleep issues include finding a comfy position, managing pain, and breathing problems. Improve your sleep space and try relaxation methods to better your sleep.

How can I manage upper back pain after open heart surgery?

For upper back pain, maintain good posture, relax, and adjust your sleep position. If pain persists, see your doctor.

What is normal blood pressure after open heart surgery?

Normal blood pressure varies based on your health before surgery and the surgery type. Your doctor can tell you what’s healthy for you.

How can I manage acid reflux after heart bypass surgery?

Avoid foods that trigger acid reflux, eat small meals, and elevate your bed. Your doctor can offer more advice on managing symptoms.

What are the signs that I’m ready to transition to different sleeping positions after open heart surgery?

You’re ready to change positions when your sternum pain lessens, you’re more comfortable, and it’s fully healed, usually 6-8 weeks post-surgery.

How can I create an optimal sleep environment after open heart surgery?

Make your bedroom recovery-friendly by keeping it cool, using sleep aids, and reducing distractions.


References

National Health Service (NHS). Evidence-Based Medical Guidance. Retrieved from https://www.nhs.uk/conditions/heart-surgery/recovering/

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Assoc. Prof. MD. Gökhan Kürşat Kara

Liv Hospital Ulus
Assoc. Prof. MD. Gürkan Gümüşsuyu Orthopedic Surgery

Assoc. Prof. MD. Gürkan Gümüşsuyu

Liv Hospital Ulus
Assoc. Prof. MD. Kadir Abul Orthopedic Surgery

Assoc. Prof. MD. Kadir Abul

Liv Hospital Ulus
Op. MD. İsmail Tugay Yağcı Orthopedic Surgery

Op. MD. İsmail Tugay Yağcı

Liv Hospital Ulus
Prof. MD. Ramazan Erden Ertürer Orthopedic Surgery

Prof. MD. Ramazan Erden Ertürer

Liv Hospital Ulus
Prof. MD. Uğur Haklar Orthopedic Surgery

Prof. MD. Uğur Haklar

Liv Hospital Ulus
Prof. MD. Süleyman Semih Dedeoğlu Orthopedic Surgery

Prof. MD. Süleyman Semih Dedeoğlu

Liv Hospital Vadistanbul
Prof. MD. Yunus İmren Orthopedic Surgery

Prof. MD. Yunus İmren

Liv Hospital Vadistanbul
Prof. MD. İsmail Demirkale Orthopedic Surgery

Prof. MD. İsmail Demirkale

Liv Hospital Vadistanbul
Spec. MD. Gail Gasimov Orthopedic Surgery

Spec. MD. Gail Gasimov

Liv Hospital Vadistanbul
Assoc. Prof. MD.  Birhan Oktaş Orthopedic Surgery

Assoc. Prof. MD. Birhan Oktaş

Liv Hospital Bahçeşehir
Assoc. Prof. MD. Kaya Turan Orthopedic Surgery

Assoc. Prof. MD. Kaya Turan

Liv Hospital Bahçeşehir
Op. MD. Hüsrev Purisa Hand and Microsurgery

Op. MD. Hüsrev Purisa

Liv Hospital Bahçeşehir
Op. MD. İlker Sezer Hand and Microsurgery

Op. MD. İlker Sezer

Liv Hospital Bahçeşehir
Prof. MD. Ersin Kuyucu Orthopedic Surgery

Prof. MD. Ersin Kuyucu

Liv Hospital Bahçeşehir
Spec. MD. Ahmet Şadi Kılınç Orthopedic Surgery

Spec. MD. Ahmet Şadi Kılınç

Liv Hospital Bahçeşehir
Spec. MD. Mustafa Özçamdallı Orthopedic Surgery

Spec. MD. Mustafa Özçamdallı

Liv Hospital Bahçeşehir
Spec. MD. Yavuz Şahbat Orthopedic Surgery

Spec. MD. Yavuz Şahbat

Liv Hospital Bahçeşehir
Assoc. Prof. MD. Alper Köksal Orthopedic Surgery

Assoc. Prof. MD. Alper Köksal

Liv Hospital Topkapı
Assoc. Prof. MD. Kadir İlker Yıldız Orthopedic Surgery

Assoc. Prof. MD. Kadir İlker Yıldız

Liv Hospital Topkapı
Assoc. Prof. MD. Samet Erinç Orthopedic Surgery

Assoc. Prof. MD. Samet Erinç

Liv Hospital Topkapı
Op. MD. Nikola Azar Orthopedic Surgery

Op. MD. Nikola Azar

Liv Hospital Topkapı
Assoc. Prof. MD.  Tuğrul Yıldırım Orthopedic Surgery

Assoc. Prof. MD. Tuğrul Yıldırım

Liv Hospital Ankara
Assoc. Prof. MD. Ali Erhan Özdemirel Rheumatology (Physical Therapy)

Assoc. Prof. MD. Ali Erhan Özdemirel

Liv Hospital Ankara
Assoc. Prof. MD. Özgür Kaya Orthopedic Surgery

Assoc. Prof. MD. Özgür Kaya

Liv Hospital Ankara
Asst. Prof. MD. Yunus Demirtaş Orthopedic Surgery

Asst. Prof. MD. Yunus Demirtaş

Liv Hospital Ankara
Op. MD. Murat Bozbek Orthopedic Surgery

Op. MD. Murat Bozbek

Liv Hospital Ankara
Prof. MD. Ali Biçimoğlu Orthopedic Surgery

Prof. MD. Ali Biçimoğlu

Liv Hospital Ankara
Prof. MD. Levent Çelebi Orthopedic Surgery

Prof. MD. Levent Çelebi

Liv Hospital Ankara
MD. Mehmet Emre Hanay Orthopedics and Traumatology

MD. Mehmet Emre Hanay

Liv Hospital Gaziantep
Op. MD. Ferit Yücel Orthopedics and Traumatology

Op. MD. Ferit Yücel

Liv Hospital Gaziantep
Op. MD. Barış Özgürol Orthopedic Surgery

Op. MD. Barış Özgürol

Liv Hospital Samsun
Op. MD. Metehan Saraçoğlu Orthopedics and Traumatology

Op. MD. Metehan Saraçoğlu

Liv Hospital Samsun
Spec. MD. İsmayıl Meherremli Orthopedics and Traumatology

Spec. MD. İsmayıl Meherremli

Liv Bona Dea Hospital Bakü
Spec. MD. Şehriyar Fetullayev Orthopedics and Traumatology

Spec. MD. Şehriyar Fetullayev

Liv Bona Dea Hospital Bakü
Assoc. Prof. MD. Bülent Karslıoğlu Orthopedic Surgery

Assoc. Prof. MD. Bülent Karslıoğlu

Assoc. Prof. MD. Engin Çetin Orthopedic Surgery

Assoc. Prof. MD. Engin Çetin

Assoc. Prof. MD. Turan Bilge Kızkapan Orthopedic Surgery

Assoc. Prof. MD. Turan Bilge Kızkapan

Prof. MD. Oğuz Cebesoy Orthopedic Surgery

Prof. MD. Oğuz Cebesoy

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