- Teilnahme an fortgeschrittenen Kadaverkursen für Schädelbasischirurgie
- Tätigkeit an renommierten Einrichtungen, einschließlich Bahcesehir University Medical Park
Dr. Teyyub Hesenov ist Neurochirurg am Melhem International Hospital in Baku. Er konzentriert sich auf Neuromodulation und komplexe Tumorresektionen. Dr. Hesenov war der erste, der in Aserbaidschan eine Parkinson-Operation durchführte. Er erwarb seinen medizinischen Abschluss und seine Facharztausbildung an bedeutenden türkischen Universitäten. Seine Praxis umfasst die Neurochirurgie für Erwachsene und Kinder.
- Spezialisiert auf tiefe Hirnstimulation (DBS) bei Bewegungsstörungen.
- Führt Implantationen von Baclofen-Pumpen und Vagusnerv-Stimulatoren durch.
- Behandelt Gehirn- und Wirbelsäulentumoren mit minimalinvasiven Techniken.
- Autor von über 10 wissenschaftlichen Arbeiten in internationalen Fachzeitschriften wie World Neurosurgery.
Das Melhem International Hospital ist ein privates medizinisches Zentrum mit mehreren Fachrichtungen in Baku, Aserbaidschan. Das Team ist auf Neurochirurgie, Kardiologie und pädiatrische Neurochirurgie spezialisiert. Es ist das erste Zentrum in Aserbaidschan, das Parkinson-Operationen durchführt.
Dr. Teyyub Hasanov wurde in der Türkei ausgebildet und hat erfolgreich Hirntumoroperationen bei Kindern und Erwachsenen durchgeführt. Außerdem war er der erste Parkinson-OP in Aserbaidschan. Im Melhem International Hospital führte Dr. Hasanov eine Parkinson-Operation am berühmten Schauspieler Allahverdi Yolcuyev durch.
Das Krankenhaus behandelt sowohl Erwachsene als auch Kinder. Jedes Jahr wählen 200.000 Patienten das Melhem International Hospital für eine medizinische Behandlung. Am häufigsten besuchen Patienten aus den Balkanstaaten, den Staaten der Arabischen Liga und der GUS die Klinik.
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- Behandelt jährlich 200.000 Patienten.
- Besitzt die Auszeichnungen als Exzellenzzentrum für bariatrische Chirurgie und kolorektale Chirurgie.
- Gewann mehrere Bookimed-Patientenwahl-Auszeichnungen für Check-ups, plastische Chirurgie und IVF.
- Bietet internationalen Patienten Unterstützung bei der Abrechnung, Übersetzung sowie Hilfe bei Anreise und Unterkunft.
Was ist die Entfernung von Meningiomen?
Die Entfernung von Meningeomen ist die Hauptmethode zur Behandlung von gutartigen oder bösartigen Meningeomen. Die meisten Experten verwenden eine radikale Operation oder Strahlentherapie, um Meningeome zu entfernen.
Die Meningeomresektion wird unterteilt in:
- total (ganzer Tumor wird entfernt);
- subtotal oder partiell (nur ein Teil des Tumors wird entfernt).
Hauptoptionen der Behandlung von Meningeomen
Die Art der Therapie hängt von der Größe des Tumors, seiner Lage, dem Alter des Patienten und dem Vorhandensein von Pathologien ab.
Es gibt 2 Hauptmethoden der Behandlung von Meningiomen:
- Stereotaktische Radiochirurgie bei schwierigem Zugang zum Tumor und enger Verbindung von Meningeom mit Gefäßen, Nervenstämmen, Nebenhöhlen des Gehirns;
- Chirurgische Entfernung bei großen Meningeomen (mehr als 3,5 cm Durchmesser).
Stereotaktische Radiochirurgie
Die Radiochirurgie ist ein medizinisches Verfahren, das zur Zerstörung von Tumoren oder zum Unterbrechen ihrer Funktion durch eine einmalige Bestrahlung mit einer hohen Dosis ionisierender Strahlung verwendet wird.
Die Radiochirurgie hat zwei Hauptvorteile :
- Bestrahlung wirkt aus verschiedenen Richtungen auf das Meningiom (Tumor erhält die maximal mögliche Strahlendosis)
- Die Radiochirurgie ist nicht-invasiv (die Behandlung eines Tumors erfordert kein Aufbrechen der Integrität des Kopfgewebes und Öffnen des Schädels).
Die Kontraindikation für die Radiochirurgie ist die Unfähigkeit, Hirntumoren mit einem Durchmesser von mehr als 3,5 cm zu operieren. Die Wirksamkeit der stereotaktischen Radiochirurgie ist sehr hoch: Etwa 95 % der Meningeome stoppen ihr Wachstum nach einem einzigen Eingriff oder einer kleinen Behandlungsserie.
Die wichtigsten radiotherapeutischen / radiochirurgischen Einheiten sind:
- GammaKnife;
- CyberKnife;
- TrueBeam.
Vor- und Nachteile der Meningeomentfernung mit Hilfe des GammaKnife
- entwickelt für die nicht-invasive Gehirnchirurgie (ohne Verwendung eines Skalpells);
- verfügt über ein rahmenbasiertes System zur Immobilisierung mit Strahlungsquellen, die Nebenwirkungen der Gamma-Knife-Operation bei Meningeomen wie Kopfschmerzen, Übelkeit und ein Infektionsrisiko verursachen können;
- Im Gegensatz zu Systemen, die keinen Rahmen zur Befestigung des Kopfes verwenden und währenddessen eine konstante Bildgebung mit CT erfordern, wird ein Bild der Magnetresonanztomographie verwendet Behandlung, die einen zusätzlichen Beitrag zu übermäßigen Strahlendosen leistet;
- Kleine Kollimatoren schützen das Körpergewebe vor den Auswirkungen der Strahlung und schließen die Möglichkeit der Behandlung von Metastasen und Tumoren über 3 cm aus.
Merkmale der Meningiom-Resektion mit CyberKnife
- universelle Methode nicht nur zur Behandlung des Gehirns, sondern auch zur Entfernung des Tumors und der Metastasen im ganzen Körper;
- Megavolt-Röntgenstrahlung des CyberKnife ist viermal stärker als die Energie aus Kobalt, die im GammaKnife verwendet wird;
- CyberKnife ist ein flexibles, rahmenloses System, das es einem Patienten ermöglicht, die Behandlung in einer oder mehreren Sitzungen durchzuführen. Dies ermöglicht Onkologen, den sichersten und effektivsten Behandlungsverlauf zu wählen;
- benötigt keinen in den Schädel eingeschraubten Rahmen zur Ruhigstellung, wodurch Kopfschmerzen, Übelkeit und das Infektionsrisiko vermieden werden.
Besonderheiten der stereotaktischen Radiochirurgie mit dem TrueBeam-System
- Fokussierte Strahlen des Systems zerstören Tumorzellen, ohne das umgebende gesunde Gewebe zu beeinträchtigen;
- die Verwendung eines Metallrahmens, der mit den Schädelknochen eines Patienten verschraubt wird, ist unnötig ;
- Möglichkeit einer fraktionierten Bestrahlung (die Behandlung ist in 2-5 kleine Sitzungen unterteilt, wodurch große Meningeome in der Nähe wichtiger Strukturen, z. B. des Sehnervs, sicher behandelt werden können);
- Das TrueBeam-System ist mit modernen medizinischen Bildgebungsgeräten ausgestattet, die es einem Radiologen ermöglichen, das Tumorverhalten in Echtzeit zu überwachen;
- Bei der Visualisierung pathologischer Formationen wird die Technologie der Kegelstrahl-Computertomographie (CT) verwendet. Diese Visualisierungsmethode ermöglicht es, die Strahlenbelastung des Körpers des Patienten um 25 % zu reduzieren.
Chirurgische Behandlung von Meningiom
Es gibt 2 Indikationen für die chirurgische Entfernung von Meningiomen :
![\"Endoskopische](\"/images/editor/5991586246464.jpg\")
- Wenn sich der Tumor in einem Bereich des Gehirns befindet, der für eine Operation verfügbar ist
- Wenn der Tumor einen Durchmesser von über 3,5 cm hat.
Die endoskopische Intervention ist die minimal-invasive Methode der Meningiomentfernung, bei der der Tumor entfernt wird, ohne den Schädel mit endoskopischen Instrumenten zu öffnen. Die Entfernung von Meningeomen durch transnasalen Zugang wird am häufigsten verwendet. Am effektivsten ist die Methode in Kombination mit intraoperativem MRT und Nervennavigationssystemen.
Eine Kraniotomie oder Trepanation des Schädels wird nur durchgeführt, wenn der Tumor nahe an der Oberfläche liegt. Diese Methode bietet eine gute Sicht auf das Operationsfeld und ermöglicht die Entfernung großer Tumore.
Vorbereitung auf die Operation
Zur genauen Bestimmung des Meningeomtyps und zur Verschreibung der schnellsten und wirksamsten Behandlung sollte ein Patient die folgenden Verfahren durchlaufen:
Rehabilitation nach Meningiomentfernung
Die Rehabilitationszeit kann von wenigen Wochen bis zu einem Jahr reichen. Dies hängt von der Behandlungsmethode und der Art der Operation ab. Der physische und psychische Zustand eines Patienten vor der Operation wirkt sich auch auf die postoperative Phase aus. Die Genesung erfolgt schnell, wenn ein Patient dem vom Arzt verordneten Rehabilitationsprogramm folgt und die erforderlichen Medikamente einnimmt.
Folgen nach Entfernung des Meningeoms
Die Folgen nach der Entfernung des Meningeoms hängen von der Lokalisation des Tumors, der Prävalenz des pathologischen Prozesses und dem histologischen Typ ab. Junge Menschen haben nach einer Meningeomresektion keine Folgen im Gegensatz zu älteren Patienten, die viel häufiger mit negativen Auswirkungen konfrontiert sind.
Die Folgen nach der Resektion des Meningeoms können vielfältig sein:
Rezidiv des Meningeoms nach Entfernung
Meningeom-Rezidivrate nach der Operation: ![\"\"](\"/ckfiles/images/meningioma-recur.jpg\" "\\"Rezidiv")
- 3 % für gutartige Tumore;
- 38 % für atypische Tumoren;
- 78 % für bösartige Tumore.
Auch die Möglichkeit eines Wiederauftretens eines Meningeoms hängt von der Lokalisation eines Tumors ab.
- am Schädelgewölbe 3 % ;
- im Bereich des türkischen Sattels 19 % ;
- im Bereich des Keilbeinkörpers 34 % innerhalb von fünf Jahren;
- im Sinus cavernosus beträgt 60-100% .
Tag 1 – Ankunft
- Abholung vom Flughafen und Transfer zum Hotel.
Tag 2 – Voroperation
- Überführung in die Klinik.
- Konsultation mit Neurochirurg und Anästhesist.
- Präoperative Tests einschließlich Blutuntersuchungen und Biopsie.
- Vorbereitung auf die Operation.
Tag 3 – Operation
- Überführung in den Operationssaal.
- Verabreichung einer Vollnarkose.
- Operation zur Entfernung eines Meningeoms (Dauer variiert zwischen 2 und 6 Stunden).
- Überwachung nach der Operation im Aufwachraum.
- Transfer zurück ins Krankenzimmer.
Tag 4–6 – Nach der Operation
- Fortsetzung des Krankenhausaufenthalts zur Überwachung und Genesung.
- Postoperative Betreuung einschließlich Schmerzbehandlung und Wundversorgung.
Woche 1-2 – Rehabilitation
- Transfer zurück zum Hotel zur weiteren Genesung.
- Folgetermine beim Neurochirurgen.
- Bei Bedarf Physiotherapie.
Woche 3–6 – Fortsetzung der Rehabilitation
- Allmähliche Rückkehr zu leichten Aktivitäten.
- Weitere Nachsorgetermine und Physiotherapie.
Ab Woche 7
- Kehren Sie nach ärztlicher Anweisung zur Arbeit und zu normalen Aktivitäten zurück.
- Die endgültigen Ergebnisse sind mehrere Monate nach der Operation sichtbar.
Bitte beachten Sie, dass die Genesung jedes Patienten einzigartig ist und die Zeitpläne variieren können.
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