Op. MD. Sakhavat Aslanov Reviews

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.

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 33-year-old pregnant woman at 16 weeks gestation presented with symptomatic cholelithiasis. Dr. Aslanov coordinated with obstetricians to perform a second-trimester laparoscopic cholecystectomy using uterine displacement techniques and lower insufflation pressures. He maintained continuous fetal monitoring throughout. Both mother and fetus recovered well, with the pregnancy continuing to term without complications.

A 60-year-old farmer with chronic hidradenitis suppurativa of the groin and perineum, previously deemed inoperable elsewhere due to disease extent. Dr. Aslanov performed a staged radical excision over three procedures, utilizing negative pressure wound therapy with instillation between operations. He incorporated the patient's wife into wound care training. Near-complete resolution was achieved after 6 months.

A 41-year-old professional pastry chef developed a large insulinoma in the pancreatic tail. Dr. Aslanov performed a laparoscopic spleen-preserving distal pancreatectomy, taking extra care to preserve the splenic vessels. He consulted with a hospital dietitian to create a specialized postoperative glycemic management plan that accommodated the patient's need to taste-test creations during recovery.

A retired 68-year-old clockmaker presented with an incarcerated incisional hernia containing a migrated intrauterine device from 40 years prior. The IUD had eroded through the uterine wall and become embedded in the hernia sac. Dr. Aslanov performed en bloc resection of the hernia sac with the embedded device, followed by complex abdominal wall reconstruction. The patient's meticulous nature aided in perfect adherence to recovery protocols.

A 25-year-old humanitarian aid worker recently returned from a conflict zone presented with a shrapnel-induced enterocutaneous fistula. Dr. Aslanov managed the patient's malnutrition for 3 weeks preoperatively, then performed a successful resection and anastomosis. He coordinated with mental health services to address the patient's emerging PTSD symptoms related to the injury mechanism.

A 52-year-old woman with situs inversus totalis presented with acute left lower quadrant pain, mirror image appendicitis. Dr. Aslanov performed a laparoscopic appendectomy using completely reversed instrument positioning and monitor placement. The surgical team practiced the mirrored approach on a simulator beforehand. Recovery was uneventful but required careful re-education about symptom location for future concerns.

A 31-year-old male with Crohn's disease developed a complex perianal fistula that had failed multiple previous interventions. Dr. Aslanov performed a novel combination of fistula tract laser ablation followed by injection of autologous platelet-rich fibrin. He coordinated closely with the patient's gastroenterologist to optimize medical therapy simultaneously. Significant improvement occurred with preservation of continence.

An 80-year-old grandmother caring for her orphaned grandchildren presented with a giant ventral hernia containing most of her small bowel. Dr. Aslanov performed a component separation technique with mesh reinforcement, then organized temporary social services support during her 6-week restricted activity period. Her recovery allowed her to resume caregiving responsibilities.

A 29-year-old professional athlete with a sports hernia (athletic pubalgia) that conservative treatment failed to resolve. Dr. Aslanov performed a minimally invasive preperitoneal repair with biologic mesh, then designed a sport-specific rehabilitation protocol with the hospital's physiotherapy team. The athlete returned to competition at full capacity after 3 months.

A 57-year-old immigrant factory worker with limited Turkish proficiency presented with advanced gastric cancer discovered during investigation for anemia. Dr. Aslanov performed a total gastrectomy with D2 lymphadenectomy, utilizing hospital interpreter services throughout. He arranged for community health worker follow-up to ensure understanding of dietary changes and medication schedules during recovery.