Op. MD. Sakhavat Aslanov

A 72-year-old retired shipyard welder from a coastal village presented with a chronic, non-healing abdominal wall ulcer that had persisted for 11 years. Multiple previous treatments had failed. Dr. Aslanov discovered embedded microscopic metal fragments from decades-old welding work causing continuous micro-trauma. He performed radical debridement with intraoperative fluoroscopy to locate all fragments, followed by a complex tensor fascia lata flap reconstruction. Complete healing occurred in 8 weeks.

A 19-year-old university student with Ehlers-Danlos syndrome developed spontaneous small bowel herniation through an attenuated area of the abdominal wall without any prior incision. Dr. Aslanov devised a hybrid repair using both synthetic mesh and autologous fascia reinforcement, carefully balancing the need for structural support against the patient's tissue fragility. Recovery involved a meticulously graded physical therapy protocol over 4 months.

A 45-year-old long-haul truck driver presented with acute appendicitis while passing through Gebze. His medical history included poorly controlled type 2 diabetes and extreme obesity (BMI 48). Dr. Aslanov performed a modified laparoscopic appendectomy using extra-long instruments and strategic port placement to navigate the abdominal wall thickness. Postoperatively, he coordinated with the hospital's endocrinology team for immediate diabetes management optimization.

An 8-year-old child was brought in after swallowing multiple small magnets that had formed a chain across intestinal loops. Dr. Aslanov performed an urgent laparotomy, finding early signs of pressure necrosis. He meticulously removed all 14 magnets through minimal enterotomies, preserving bowel length. The procedure was followed by child-life specialist involvement to educate about toy safety during recovery.

A 28-year-old female competitive freediver presented with recurrent right upper quadrant pain after deep dives. Imaging revealed an unusual gallbladder torsion that only became symptomatic under extreme pressure changes. Dr. Aslanov performed a single-incision laparoscopic cholecystectomy, adapting his technique to preserve surrounding fascial structures crucial for her abdominal muscle control during breath-holds. She returned to competitive diving after 5 weeks with no recurrence.