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Aşırı terlemelerde ameliyat günümüzde rahat bir şekilde yüz güldürücü sonuçlarla yapılabilmektedir. Cerrahi tedavi halk arasında kapalı ameliyat dediğimiz yöntemle yapılmaktadır. Aşırı terlemerede cerrahi çözüm, ameliyathane şartlarında ve genel anestezi altında yapılmaktadır. Hastanın tamamen uyutulması hem hasta hem cerrah için gerekli bir şeydir. Aşırı Terlemek Akciğere bağlı hastalıklara işaret edebilir. Bir Hekime görünülmesi erken teşhis için faydalı olabilir. Surgical Treatment of Excessive Sweating Surgery for excessive sweating can be performed comfortably today with satisfactory results. Surgical treatment is performed by the method we call closed surgery among the people. This method is performed under operating room conditions and under general anesthesia. It is necessary for both the patient and the surgeon to put the patient to sleep completely. Patients do not feel anything during the procedure. When they wake up they are in their beds. The most important feature of closed surgery is the presence of small wounds. These wounds generally range from 0.5 cm to 1 cm. There is no lung-related procedure in the surgery. When the sympathetic chain is visible, the level at which the clip will be placed is determined. As soon as it is detected, a clip is placed in a short time like 5-10 minutes and the process is terminated there. Then the same action is done to the other side. In total, the duration of the operation is 30 minutes. It takes about 30 minutes before and after anesthesia. In a total of 1 hour, the patient will be in bed. Food is given 4 hours after the operation. The patient, who is then aroused, is discharged on the same evening if his general condition is suitable. There is no need for re-dressing. They can take a bath after a day. No stitches are removed as the aesthetic is sewn. It is the pain felt in the anterior chest wall or back that should be known after the operation. This pain complaint differs from person to person. But all of them have pain that decreases over time. The patient who has the complaint of sweating does not even feel the pain. Contact us

Koltuk altı terlemesi toplumda sık görülen ve rahatsız eden terlemelerdir. Çok çeşitli şekilde görülen aşırı koltuk altı terlemeleri vardır. Sadece koltuk altı seviyesinde, aşırı koltuk altı terlemesi olmakla beraber, hastanın beline kadar inebilen hatta koltuk altından eline doğru akarak elden çıkan aşırı koltuk altı terlemeleri vardır. Aşırı koltuk altı terlemelerinde klipsli ETS ile sempatektomi işlemi başarı ile uygulanmaktadır. Underarm Excessive Sweating Excessive Underarm Sweating and Causes? Excessive armpit sweating is common and disturbing sweating in the society. There are many forms of excessive underarm sweating. Only at armpit level Although there is excessive armpit sweating, there is excessive armpit sweating that can go down to the waist of the patient and even flow from the armpit to the hand. This excessive armpit sweating is so much that it goes up to the dress and the jacket worn on it. This makes people very uncomfortable in appearance. Most of our patients choose clothes because of this excessive armpit sweating. They can't wear every outfit. Excessive underarm sweating is often not stinky. They are clear and flowing like water. In a minority, these excessive armpit sweats can be fragrant. One of the biggest problems in those with excessive underarm sweating can be the irritation of the armpit due to excessive sweating and the inflammation that develops in the armpit hair over time. Excessive armpit sweating is usually the only sweating places. However, excessive sweating is also seen in other places. Excessive hand sweating , excessive facial sweating or excessive foot sweating . Women suffer more from excessive underarm sweating. They both do not look good and cannot wear the clothes they want. There is a wide variety of treatment methods available in the treatment of excessive armpits. A wide variety of sprays and solutions have been developed for excessive underarm sweating. It has been observed to be beneficial for some patients. However, they are not very useful in excessive underarm sweating in the form of dripping. Botox applications have been shown to be beneficial in excessive armpit sweating with this type of sweating. Botox applications should be done with an interval of at most 6 months in excessive armpit sweating. These applications should be repeated in the treatment of excessive sweating. It becomes difficult to be applied by many patients due to the cost and repetition of life-long repetitions. Sympathectomy with clip-on ETS is successfully performed in excessive armpit sweating. With the clip-on ETS, the sympathectomy procedure is performed in as little as 30 minutes. It takes 1 hour for the patient to come to the bed after the procedure. The patient can be discharged after the effect of anesthesia is over. After the sympathectomy with clip-on ETS, patients have stinging pain in the front of the chest or in the back in the early period of the surgery. Sometimes these pains are accompanied by difficulty in breathing. All these complaints are significantly reduced a few hours after the sympathectomy with clip-on ETS. In some patients, the pain that continues for a few days to a few weeks after discharge is in the form of stinging. These pains, which occur after sympathectomy with clip-on ETS, do not interfere with the patient's movement or work. A permanent reduction of 70-80% in axillary sweating is achieved with the clip-on ETS and sympathectomy procedure in excessive armpit sweating. Compared to excessive sweating seen in other regions, the response rate of underarm excessive sweating to sympathectomy performed with clip-on ETS is slightly lower. The reason for this has been shown to be the presence of two types of sweat glands in the armpit and the stimulation of the nerves that operate the armpit sweat glands from many places. Different responses can be obtained in the right and left armpits after the sympathectomy with clip-on ETS applied to some patients with excessive underarm sweating. These differences are probably due to the different sympathetic chain networks. We recommend that patients with only excessive underarm sweating, who will undergo sympathectomy with clip-on ETS, have botox application first. As a result, if desired, a sympathectomy with clip-on ETS is performed. Sympathectomy with clip-on ETS in patients with excessive underarm sweating provides close to 100% dryness in most patients. Reflex sweating is also a condition that should be known in these patients. If unwanted amounts of sweating occur in the armpit after sympathectomy with the clip-on ETS, supportive sweating treatment is given. Contact us

Aşırı terleme şikayeti olanlarda en sık görülen yer ellerdir. Eldeki aşırı terlemeler belirgin olup kişiyi çok rahatsız edebilmektedir. Aşırı el terlemesi olan kişiler kendilerine özgü davranışları ile bunu toplumdan hatta en yakınlarından bile saklamaya çalışmaktadır. Aşırı el terlemesi nedeniyle hem sosyal hayatta hem de iş hayatında belirgin sıkıntı çekmektedirler. Özellikle aşırı el terlemesi nedeniyle el sıkışamamaktadır. Excessive Hand Sweating What is Excessive Hand Sweating? What Causes Hand Sweating? The most common place in those with excessive sweating is the hands. Excessive sweating in the hands is evident and can disturb the person very much. People with excessive hand sweating try to hide it from the society, even from their closest ones, with their unique behaviors. Due to excessive hand sweating, both in social life and at work. they have significant difficulties in their life. He cannot shake hands, especially due to excessive hand sweating . There is a coldness in his communication with the other party. These excessive sweats Because of this, they enter into an antisocial structure. In addition, if they are at work or school, they can not write due to excessive sweating. This puts people in trouble and it is tiring. Apart from these, excessive hand sweating in daily activities also leaves people in difficult situations. These are the inability to hold the car steering wheel, the inability to hold a glass etc. as. As a result, excessive hand sweating is something that people do not want and get rid of as soon as possible. It is among the types of sweating he wants. Along with excessive sweating in the hand, in other parts of it There may also be excessive sweating. It is usually accompanied by excessive sweating on the feet. Other than that seats six, face or body in general is also excessive sweating. People with excessive sweating in several places usually highlight excessive sweating on the hand. With a careful history and examination, most people with excessive hand sweating will also notice excessive sweating elsewhere. In addition to these, patients with excessive hand sweating have cold hands. This cold happens in summer and winter. Although this coldness may be due to excessive hand sweating, it is mainly due to the sympathetic hyperactivity that causes excessive hand sweating, and after the constriction of the veins to the hand, coldness occurs as a result of less blood flow to the fingers. There are a wide variety of treatment options for excessive hand sweating. However, the method of sympathectomy, called clip-on ETS , is a permanent and high-success treatment method for sweating in the form of dripping water and leaving your hand traces. The success rate after the sympathectomy with clip-on ETS is close to 100%. With the sympathectomy performed with the clip-on ETS, both excessive sweating in the hand and coldness in the hand, if any, are eliminated. Sympathectomy with clip-on ETS is performed under general anesthesia. Sympathectomy can be performed for both hands in a total of 30 minutes. It takes one hour in total for the patient to come to bed. Most of our patients are discharged on the same day. It takes about 2-7 days for them to start work. The effect of the sympathectomy performed with the clip-on ETS can be seen from the moment he comes out of the surgery and goes to bed. This effect is no longer temporary and continues for many years. Some of our patients with excessive hand sweating who underwent sympathectomy with clip-on ETS may sweat once or several times in the first week, but this is a temporary sweating and does not occur in the following days. There are two issues that patients with excessive hand sweating should know after the clip-on ETS and sympathectomy procedure. The most important of these is that they will definitely get rid of excessive hand sweating and if any, hand cold will also pass. The other is the side effects related to the sympathectomy performed with the clip-on ETS. The first side effect of the sympathectomy procedure performed with the clip-on ETS is chest pain and stinging that started after the operation. It is stated that these complaints are a little more in the first awakening period from anesthesia. Some people complain of not being able to take a deep breath at that time. All this decreases significantly over the following hours. After the patients ate their meals 4 hours later, their complaints regressed significantly. Some of our patients state that the sympathectomy procedure performed with the clip-on ETS is not that painful. As a result, pain differs because it is a personal perception. Regardless, all pain complaints are resolved in patients who underwent sympathectomy with clip-on ETS. In some cases, these pains vary from person to person, ranging from 1 week to 1 month. However, these pains are not in a way that prevents work and movements. They get a lot of relief with medication. In addition, the patient is very happy when the excessive sweating of the hands, which he has suffered for many years, has passed. This happiness makes most patients forget their pain. Reflex sweating is another issue to be aware of in the clip-on ETS and sympathectomy for excessive hand sweating. After the sympathectomy with the clip-on ETS performed as a result of excessive sweating, the patients initially experience an increase in sweating in other parts of the body, such as the trunk, back, chest, hips, between the legs and folds of the patients. In the future, this reflex sweating decreases, although it varies from person to person. However, in some of the patients, this amount of sweating can continue. For now, it is not possible to know who will start this reflex sweating and in whom it will be permanent. As it is known, sweating is important for our body. For this reason, we do not stop all sweating with the clip-on ETS sympathectomy procedure. For this reason, the body will look for another area to sweat after the hands that have been sweating excessively for many years are cut with the clip-on ETS in as little as 30 minutes. He will want to take his deficit here from another region. Therefore, reflex sweating begins. However, reflex sweating returns to normal in most patients. Reflex sweating continues in a small amount and place where it does not want. In people who continue to have excessive sweating as a reflex, these excessive sweats are tried to be controlled with other alternative treatments. Contact us

Göğüs Cerrahisi ve Göğüs Hastalıkları alanlarında birçok hastane ve üniversitede görevler almış bir Hekim'dir. Aşırı Terleme, Klipsli ETS,Kapalı Cerrahi İşlemleri gibi birçok konuda hastalarına yardımcı olmuş ve olmaya devam etmektedir. Ayrıca Ankara' da Göğüs Hastalıkları kapsamında; Akciğer Kanseri, Akciğer Enfeksiyonları, Plevra Hastalıkları,Trakea Hastalıkları, Pektus Ekskavatum Rahatsızlıkları, Özofagus Hastalıkları,Endoskopik İşlemler, Mediasten, Toraks Duvarı uzmalık alanları arasındadır. Biography Prof. Dr. Serdar Han Kimdir ? Medical doctor, thoracic surgeon. He was born in Ankara in June 1967. He graduated from Ankara Mimar Kemal High School. After high school education, he entered Ankara University Faculty of Medicine with a good grade. In addition to his courses during his medical education took an active part in social activities. After graduation, he worked as a health center physician in Yozgat Akdağmadeni for a while and then as a responsible physician in the state hospital establishment in the same region. After completing his compulsory service, he returned to Ankara. He started his thoracic surgery specialization at Ankara University Faculty of Medicine. He participated in many surgeries and studies for 5 years in Turkey's leading clinic. After receiving his specialization, he started to work as a chief assistant at Ankara Numune Hospital. He successfully performed hundreds of surgeries in this hospital where he worked for more than ten years. He worked as an observer in prestigious institutions in America and Europe in order to follow international developments. He started the closed surgery method and stapler (skin stapler) applications, which were used for the first time when he returned home, in his own hospital in 1999. He returned to the university to continue his academic studies. He received the title of Associate Professor in 2005 and the title of Professor in 2011. During this time, he contributed to the education of many undergraduate and doctoral students by giving lectures. He has many international and national articles and book chapter authorship. He participated in many congresses as a speaker. He has performed and continues to perform thoracic surgery operations in many private hospitals in Ankara. Dr. Serdar Khan; He still continues to serve his patients in his private practice. Education Information 1984-1990 ANKARA UNIVERSITY MEDICAL FACULTY 1992-1997 ANKARA UNIVERSITY FACULTY OF MEDICINE/DEPARTMENT OF SURGICAL MEDICAL SCIENCES/DEPARTMENT OF THROAT SURGERY 1997-2005 HEAD ASSISTANT ANKARA NUMNE TRAINING AND RESEARCH HOSPITAL 2005-2006 ASSOCIATE DEPARTMENT HEAD KIRIKKALE UNIVERSITY FACULTY OF MEDICINE/ DEPARTMENT OF SURGICAL MEDICAL SCIENCES/THROAT SURGERY 2006-2011 Associate Professor of Thoracic Surgery ANKARA GUVEN HOSPITAL 2011-2021 PROFESSOR HEAD OF DEPARTMENT, HEAD PHYSICIAN UFUK UNIVERSITY FACULTY OF MEDICINE / DEPARTMENT OF SURGICAL MEDICAL SCIENCES / THROAT SURGERY 2021-Present PROFESSOR LOKMAN HEKIM UNIVERSITY FACULTY OF MEDICINE/SURGERY MEDICAL SCIENCES/THORICAL SURGERY DEPARTMENT Research Publications Articles Published in International Refereed Journals 1. HAN SERDAR (2011). Han S Han U Atinkaya C Osmanoglu G Cavusoglu T Dikmen E Management of Gastrostomy to Prevent Perforation in Acute Severe Corrosive Esophagitis and Gastritis An Experimental Study The Turkish Journal of Gastroenterology 2010 was accepted. The Turkish Journal of Gastroenterology(0), 0 (Publication No: 596745) 2. HAN SERDAR (2011). Management of Gastrostomy to Prevent Perforation in Acute Severe Corrosive Esophagitis and Gastritis An Experimental Study. turkish journal of gastroenterology(22), 122 (Publication No: 597060) 3. HAN SERDAR (2010). Serdar Han Rasih Yazkan Are serum aluminum levels a risk factor in the appearance of spontaneous pneumothorax Turk J Med Sci 2010 40 1. Turk J Med Sci(40(1)), 18 (Publication No: 597399) 4. HAN SERDAR (2010). Serdar Han Nedim Çekmen Dyspnea related to xiphoid pathology Chirurgia 2010 August 23 4 127 9. Chirurgia(23(4)), 127 (Publication No: 597442) 5. HAN SERDAR (2009). Serdar Han eComment New tecnique in tracheal reconstruction Interactive Cardiovascular and Thoracic Surgery 2009 9 449. Interactive Cardiovascular and Thoracic Surgery(9), 449 (Publication No: 597319) 6. HAN SERDAR (2009). Kaplan T Köse N Han S Uncommon Coexistence of Isolated Left Lung Aplasia and Thalassemia Minor Case Report Archives of Lung 2009 10 1 18 22. Archives of Lung(10(1)), 18 (Publication No: 597516) 7. HAN SERDAR (2008). Karahalil B Emerce E Koçer B Han S Alkis N Karakaya AE The association of OGG1 Ser326Cys polymorphism and urinary 8 OHdG levels with lung cancer susceptibility a hospital based case control study in Turkey Arh Hig Rada Toxikol 2008 Dec 59 4 241 50. Arh Hig Rada Toxikol (59(4)), 241 (Publication No: 597723) 8. HAN SERDAR (2007). Han U Can IO Han S Kayhan B Onal BU Expressions of p53 VEGF p21 could they be used in preoperative evaluation of lymph node metastasis of esophageal squamous cell carcinoma Disease of the Esophagus 2007 20 379 85. Disease of the Esophagus(20), 379 ( Publication No: 597692) 9. HAN SERDAR (2006). Dikmen E Kara M Kisa U Atinkaya C Han S and Sakinci U Human hepatocyte growth factor levels in patients undergoing thoracic operations European Respiratory Journal ERJ 2006 27 73 6. European Respiratory Journal(27), 73 (Publication No: 597568) 10. HAN SERDAR (2005). Han S Kayhan B Kocer B Dural KA new and safe tecnique for removing cervical esophageal foreing body Turkish Journal of Gastroenterology 2005 16 2 108 10. Turkish Journal of Gastroenterology(16(2)), 108 (Publication No: 596982) 11. HAN SERDAR (2005). Han S Yalçın B Akbulut H Ökten I The efficacy of preoperative cisplatin and 5 fluorouracil combination in patients with stage III squamous cell carcinoma of the esophagus Turkish Journal of Cancer 2005 35 1 26 31. Turkish Journal of Cancer(35(1)), 26 (Publication No: 597633) 12. HAN SERDAR (2005). Han S Sakıncı U Dural K Results of Left Thoracophrenotomy Cervical Approach in Distal Third Esophageal and Cardia Tumors 40th Congress of the European Surgical Research ESSR Konya Turkey May 25 28 2005. 40th Congress of the European Surgical Research (ESSR).(0), 0 (Publication No: 596919) 13. HAN SERDAR (2004). Han S Sakıncı Ü Köse SK and Yazkan R The relationship between aluminum and spontaneous pneumothorax treatment prognosis follow up Interactive Cardiovascular and Thoracic Surgery ICVTS 2004 3 1 79 82. Interactive Cardiovascular and Thoracic Surgery(3(1)), 79 (Publication No: 597112 ) 14. HAN SERDAR (2004). Okudan B Han S Baldemir M Yıldız M Detection of Alveolar Epithelial Injury by 99m Tc DTPA Radioaerosol Inhalation Lung Scan Following Blunt Chest Trauma Annals of Nuclear Medicine 2004 18 7 573 7. Annals of Nuclear Medicine(18(7)), 573 (Publication No. : 597175) 15. HAN SERDAR (2003). Han S Yıldırım E Dural K Özışık K Yazkan R and Sakıncı Ü Transaxillary approach in thoracic outlet syndrome The importance of resection of the first rib Eur J Cardio Thoracic Surgery 2003 24 428 33. Eur. J. Cardio Thoracic Surgery(24), 428 (Publication No: 597807) 16. HAN SERDAR (2003). Han S Yıldırım E Dural K and Kaplan T Pulmonary Mature Teratoma Primary or Metastatic The Journal of Cardiovascular Surgery 2003 44 5 677 8. The Journal of Cardiovascular Surgery(44(5)), 677 (Publication No: 597353) 17. HAN SERDAR (2001). Yavuzer S Kutlay H Han S and Cangir AK Atypically located pericardial cysts Ann Thoracic Surg 2001 Dec 72 6 2137 9. Ann. Thoracic Surg(72(6)), 2137 (Publication No: 597277) 18. Han S, Yildirim E, Dural K, Baldemir M, Sakinci U (1900). Hydatid disease of a rib in a rare location. JOURNAL OF CARDIOVASCULAR SURGERY, 45(1), 85-86. (Publication No: 597928) 19. Han S, Yildirim E, Dural K, Kaplan T (1900). Pulmonary mature teratoma primary Or metastatic. JOURNAL OF CARDIOVASCULAR SURGERY, 44(5), 677-678. (Publication No: 597894) Articles Published in National Refereed Journals 1. Chest Surgery (2003)., HAN SERDAR, Sim Matbaacılık Ltd. Sti, Page Number 15, ISBN:975- 92200-0-8, Turkish, (Publication No: 28679) Papers presented at national scientific meetings and published in proceedings books one. HAN SERDAR (2011). multidisciplinary evaluation noncardiac chest pain. jcam(online), 1 (Control Number: 596681) 2. HAN SERDAR (2000). Dural K Yıldırım E Han S Ulasan N Saygın H Synovial sarcoma case report VI National Congress of Thoracic and Cardiovascular Surgery 21 25 October 2000 Antalya . Joint congress of thoracic diseases and thoracic surgery(0), 0 (Control Number: 596876) 3. HAN SERDAR (2000). Dural K Han S Yıldırım E Ulasan N Saygın H Sakıncı Ü Thymectomy results of 10 patients with myasthenia gravis Joint congress of Chest diseases and Chest surgery 6 9 November 2000 Antalya . Joint congress of chest diseases and thoracic surgery(0), 0 (Control No: 596831) 4. HAN SERDAR (1995). Özdemir N Küçük B Han S Cangır AK Erden E Tracheal reconstruction with polytetrafluoroethylene vascular grafts in mongrel dogs Journal of ankara medical school 1995 17 2 103 8 . Journal of ankara medical school(17(2)), 103 (Control Number: 597238) Awards - 2023 - Top Cardiac Surgeon by SF Magazine - 2023 - Special Contribution to Cardiology Research