We are fully aware that the patient is not a “biological machine” that has experienced damage, but a person with feelings, with fears, with expectations, with dreams, with family.
The Center for Liver Diseases of the Clinic “AGIOS LUCAS” is a comprehensive care center that focuses on the management and treatment of liver diseases.
The Center is staffed by specialized doctors of Hepatology, Hepatosurgery, Hepato-Oncology and Interventional Radiology with the scientific responsible being Georgios Grammatikos, Senior Lecturer. Professor at the University of Frankfurt. The specialization of doctors both in Greece and in specialized centers abroad provides the clinical and scientific experience required and can address the entire spectrum of Diagnostic and Therapeutic Hepatology and Hepatosurgery with the most up-to-date international medical guidelines.
Our Center is also aimed at patients who are looking for a in-depth multidisciplinary second opinion in order to proceed to the most valid therapeutic option.
The thorax is a construction that protects vital organs such as the heart and lungs. Its symmetry and proper construction play a decisive role in this protection and in the aesthetics of man.
When this structure shows deficiencies in shape, symmetry or integration in the formation of bones, diseases are caused, which may affect the normal functioning of the organism. The most common cases we face involve diseases of the anterior chest wall and are scaphoid or avian thorax and scoliosis. Other frequent problems that we face are malignancies and injuries that are capable of causing an unstable chest and obstructing the patient's breathing.
Finally, we also deal with rarer conditions, such as sternal rotation, sternal aplasia, Poland syndrome and a combination of various congenital diseases. The thoracic surgery team of the Clinic “AGIOS LOUKAS” is facing all diseases related to the chest.
If the parents or child perceive any deformity or some lack or asymmetry in the chestThe child or adolescent is necessaryvisit an Orthopedist or a specialized Thoracic Surgeon.
* Diseases such as scaphoid or avian thorax and scoliosis, are quite common in the general population. For this reason, every parent should know what to do when their child has an abnormality in the chest area.
Evaluation of chest diseases with imaging through 3d scanner
The 3D scanner is an imaging test that does not use radiationand gives useful information about the patient's posture, the breakdown of his weight as well as how exercise affects him. This information helps to better understand the problem and planning the appropriate treatment.
The Clinic “AGIOS LOUKAS” is a pioneer, as it is the only clinic in Greecewho uses this machine to evaluate chest ailments.
The scaphoid thorax is the condition in which the chest goes inward (pectus excavatum). It affects the position of the ribs and presses on the vital organs. It occurs in one in 400 births and more often in boys. In Greece, more than 20,000 people have this condition. Symptoms of the condition depend on its severity. If it is severe, then the organs of the thoracic cavity are squeezed, affecting vital functions of the organism, such as breathing. The posture and general appearance of the patient are also affected, which can burden him psychologically.
Treatment depends on the severity of the condition, age and growth rate of the child. Treatment can be conservative, invasive or mixed.
Conservative treatment is selected when the child is in development and the chest is elastic. The first step is for the thoracic surgeon to indicate to the patient special strengthening exercises and correct his posture. It is also important to constantly monitor the condition so that the doctor intervenes whenever necessary.
Next treatment, considered a combination of conservative and invasive intervention, is the placement of Klobe's cage. It is placed in front of the chest for a few hours a day and acts like a suction cup, pulling the sternum outward. Thus, it does not let the sternum get worse. This treatment lasts up to 18 months.
If the problem is very serious or there is no compliance of the child with the treatments or the child's growth has stopped, then the invasive solution is chosen. This can be minimally invasive or involve classical surgery.
A minimally invasive solution is the installation of the NUSS bar which is placed with a small incision and with the help of a camera under the sternum in order to restore it to its normal position. This bar remains on the chest for 3 years.
The classic surgery is the Ravitz technique, in which we cut and reposition the sternum and ribs. However, it is a laborious and complex operation and is not preferred nowadays. Also the result is often not aesthetically acceptable by the patient.
Finally, if the patient does not prefer any of the above operations, they may choose to have medical silicone fitted to fill the gap created by the condition.
Avian thorax (Pectus carinatum) is a condition in which the thorax and ribs protrude outward and occurs in one per 100,000 births. The main symptoms of the condition concern the posture but also the general appearance of the patient, which can burden him psychologically. If the condition is severe, affecting vital functions of the body such as breathing.
Treatment of avian thorax is either conservative or invasive.
Conservative treatment is the first option and is done when the child is in development and the chest is elastic. It includes:
special belts that press the chest inward; They are properly regulated by the doctor so that they are acceptable to the child and do not cause a feeling of pressure.
Suggestions from the doctor for posture during the day and sleep
When the problem is severe and cannot be treated conservatively or the patient's development has been completed, then we proceed to invasive options. They are divided into classical surgical and minimally invasive.
Classical surgical treatment:
It is the reverse Ravitch, in which we cut and reposition the sternum and ribs. However, it is a laborious and complex operation and is not preferred nowadays. Also the result is often not aesthetically acceptable by the patient.
Minimally invasive treatment:
The most common option is to place a special bar outside the sternum, which presses the chest inward.
Another option is to enter the chest with a camera and rub the problematic sides with a special tool to reduce the forces that push the sternum outwards. Next, we insert a special belt, which can now work and effectively press the sternum inward. The thoracic surgery team of the clinic “Saint Luke” is one of the few in the world to apply this technique
A third option, which is preferred by women at an older age, is breast prosthetics. In this way, the problem is covered and aesthetically corrected.
Contact
Schedule your examination at the Chest Wall Disease Clinic of our clinic.
We are trained in the newest and most innovative techniques and keep up with the latest developments in our field. We have vast experience in congenital chest diseases, and we are one of the few teams in Greece and the only one in Thessaloniki, specializing in robotic thoracic surgery.
Modern and advanced equipment
We have all the technical means needed to address the patient's problems. In this way we are able to offer personalized care to each patient, tailored to their needs and wishes.
Next to the Patient
We ensure that the patient receives the best possible care, with the least possible burden. We give a great foundation to the management of patient pain, using the most innovative and innovative means.
-preventive medicine-
Importance of prevention
A child at the age of 10-12 years develops at a great pace and his chest is still elastic. Therefore, the doctor can intervene conservatively in the condition, without burdening the child with some heavy intervention. Interventions such as physiotherapy, appropriate advice and supportive support can reduce or even reverse the problem.
Therefore, the treatment of congenital diseases must begin with childhood. If, after the completion of growth, conservative methods have not brought the desired result, surgical intervention becomes necessary, because now the chest ceases to be elastic.
Contact
Schedule your examination at the Chest Wall Disease Clinic of our clinic.
Treatment of an extremely rare malignancy in a young person
-reviews-
Patient Impressions
“Excellent Scientist and Wonderful Man in every sense of the word Mr. Klimatsidas! Thank you so much for everything, Doctor! May God always have you well! Sincerely”
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-A.D.
... Be always well!
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“An excellent scientist!!! A difficult surgery that handled it flawlessly in all respects! We praise God who sent him on our way!!! THANK YOU DOCTOR
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- Silver
... Be all well!!!
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“Leading, Excellent and Experienced Surgeon/Doctor. And above all human. Difficult surgery on my mother, everything went perfectly! Thank you very much!! 🙏”
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