Physical Medicine and Rehabilitation (PM & R) is a direction specializing in enhancing and restoring functional ability and quality of life of our patients with disabilities.
In Israel there are several advanced specialized rehabilitation centers in which our professionals help patients recover from injury, surgery, stroke or other damage.
If you or someone from your family need a quality rehabilitation, please contact us. We will find a specialized rehabilitation center for you, a program of which will be focused on solving your problem.
In our specialized centers the rehabilitation of the following types:
Physiotherapy. It is also known as physical rehabilitation – a complex therapy and exercises related to reclamation and disabilities by encouraging mobility and activity in order to restore functional ability and quality of life of the patient
Drug therapy and diet. Therapeutic approach to the treatment of diseases and related symptoms by a special diet
Sports rehabilitation. Focuses on physical rehabilitation, treatment and prevention of injuries associated with sports
Water therapy. Procedures and exercises performed in the water for relaxation, fitness, physical rehabilitation and other therapeutic effects
Vision rehabilitation. To restore functional ability and quality of life and independence of people who have lost visual function due to disease or injury
Rehabilitation, which combines medical or psychotherapeutic treatment for patients dependent on psychoactive substances such as alcohol, prescription drugs or narcotic substances.
Rehabilitation of criminal behavior.
Rehabilitation (neuropsychology) – therapy aimed at improving neurocognitive functions that have been lost or reduced as a result of illness or injury.
Infertility and IVF
Infertility treatment of is one of the fields in which leading Israeli doctors solve the problem of the inability of partners to conceive a child naturally. In women this problem is also expressed in the inability to bear a child.
There are a large number of biological and other causes of infertility which copes modern Israeli medicine. According to statistics, 40% of infertility cases are men, another 40% are associated with infertility in women, and 20% – the result of complications for both partners.
Israel is a leading country in the field of infertility treatment. Treatment success of our specialists is one of the highest in the world.
Infertility is a disease of the reproductive system, defined as failure to achieve a clinical pregnancy after 12 months or more of regular unprotected sexual intercourse (in the absence of other causes, such as breastfeeding or postpartum amenorrhea). Primary infertility occurs in couples which has never had a child. Secondary infertility – the inability to conceive after a previous pregnancy.
The causes of infertility in men and women: DNA damage, genetic factors, Robertson’s translocation, diabetes, thyroid disease, adrenal disease, hypothalamic-pituitary factors, hyperprolactinemia, hypopituitarism, exposure to toxins, physical agents, chemical dusts and pesticides. Smokers are 60% more likely to infertility than non-smokers.
The main cause of male infertility is low sperm quality. Infertility may be caused by a low sperm count due to endocrine problems, drug exposure, radiation or infection. The cause may be malformations testicular hormonal imbalance or blockage of the duct system of men. Most of these problems can be cured by surgery or hormonal therapy for infertility associated with viable but stationary spermatozoa, usually caused by a primary ciliary dyskinesia.
The causes of female infertility may be structural problems in the fallopian tube or uterus, problems with ovulation. Infertility can be caused by a blockage of the fallopian tubes due to malformations, infections such as chlamydia and / or scar tissue. For example, endometriosis can cause infertility with growth of endometrial tissue in the fallopian tubes and / or around the ovaries.
Another major cause of infertility in women may be an inability to ovulate. Malformations of ovaries can complicate the process. For example, polycystic ovary syndrome, when the ovary is partially developed and it excess male hormones. Some women are infertile because the ovary is not mature. Other factors may be overweight or underweight, age above 35 years old, etc,.
In some cases, a man and a woman inability to have children may be due to a combination of causes of infertility in men and women. The cause may be genetic or immunological problems. It may also be that each partner is independently fertilia, but the couple can not conceive a child without assistance.
Diagnosis of infertility
If both partners are young and healthy and trying to get pregnant within one year have not been successful, visit our specialist can help to quickly identify potential health problems. Women over the age of 35 years should consult a doctor after 6 months of unsuccessful attempts, since diagnosis may take some time and age may affect the treatments that are possible in this case.
Our doctor examines history and conducts a physical exam. Both partners should be tested to identify the cause.
Treatment depends on the cause of infertility, it may include counseling, hormonal therapy, surgical intervention (if necessary) or a combination of these methods. If the partner’s sperm quality and mechanical female reproductive structures in a good condition, doctor may start with prescribing a course of ovarian stimulating drugs, intrauterine insemination (IUI), which can be done at home or in an outpatient physician (sperm injection into the uterus during ovulation using catheter). With these methods fertilization occurs inside the body. Several methods can be used in combination with other techniques.
IVF. If conservative treatments are not successful doctor may suggest that patients undergo the procedure of in vitro fertilization (IVF). IVF and related techniques (ICSI, ZIFT) is assisted reproductive technology.
IVF methods usually start with ovarian stimulation to increase the production of eggs. After stimulation doctor removes one or more eggs from the ovary and unites them with sperm in the laboratory in order to obtain one or more embryos. Fertilization takes place outside the body, and the fertilized egg is placed in the woman’s reproductive tract at the time of embryo transfer procedures.
Benign tumors of the uterus (fibroid)
Amenorrhea (absence of menstruation)
Dysmenorrhea (painful menstruation)
Menorrhagia (heavy menstrual periods)
Vaginal infections (vaginitis), including fungal, bacterial, protozoal and viruses
Cancer and precancerous genital conditions including ovaries, fallopian tubes, uterus,cervix, vulva
Psychiatry specializes in the diagnosis and treatment of mental disorders, which include various affective, behavioral, cognitive and perceptual disorders.
Our experts are working with adult patients and children. They specialize in all kinds of mental disorders, geriatric psychiatry, neuropsychiatry, social psychiatry and addiction.
All our doctors are highly skilled professionals with many years of experience treating.
Diagnosis of mental disorders
In the diagnosis methods are used MRI or CT scan to rule out organic brain damage. Along with this, the differential diagnosis – mental state examination and physical examination, with the preparation of pathological psychiatric or psychosocial history. In some cases, a neuroimaging or other neurophysiological measurements, personality or cognitive tests.
Mental disorders management
Methods of treatment are determined by an experienced only on the basis of carefully conducted diagnostics and accurate diagnosis. Typically, treatments are medical methods that require ongoing drug monitoring, blood tests for serum drug levels, kidney function, liver function and/or function of the thyroid gland, electroconvulsive therapy (ECT) is sometimes carried out in the event of serious and debilitating conditions in which the patient not responding to the drug.
Over the past few years the approach to treatment in Israel has changed. In the past for the treatment of psychiatric patients was often hospitalized for a period of six months or more, in some cases hospitalization was for many years. Today, as a result of drug development and technology of the latest generation, patients undergo a psychiatric outpatient treatment. If hospitalization is required, the average length of stay in hospital is about one to two weeks, and only a very small number of patients arrive at the long-term hospitalization.
Outpatient treatment involves periodic visits to a psychiatrist for consultation. Initial meetings at which the psychiatrist conducts a psychiatric examination and assessment of the patient, usually last from 45 to 75 minutes. Follow-up appointments, usually shorter time, i.e., from 15 to 30 minutes. It depends on the need for drug therapy, the effect of other medical disorders to mental and emotional functioning of the patient, as well as counseling patients about exercise, methods of cognitive therapy, sleep, special care, etc .. The frequency with which the psychiatrist takes a patient to treatment varies from once a week to twice a year, depending on the type, severity and the stability condition of each individual patient.
Common mental disorders
Acute stress disorder. Adjustment disorder. Adverse drug effects. Alcohol abuse. Alcohol dependence. Alcoholic hallucinosis. Age-related decline in cognitive function. Agoraphobia. Alzheimer’s disease. Amnestic disorder. Amphetamine dependence. Amphetamine psychosis abandoned. Anorexia nervosa. Anterograde amnesia. Antisocial personality disorder. Anxiety disorder. Anxiolytic disorders associated with attention deficit disorder. Attention deficit hyperactivity disorder. Autophagy. Avoidant personality disorder. Barbiturate dependence. Benzodiazepine dependence. Abuse of benzodiazepines. Bereavement. Bibliomania. Binge eating disorder. Bipolar disorder. Bipolar II disorder. Disorder due to changes in the size and shape of the body. Adolescent antisocial behavior. Adult antisocial behavior. Borderline intellectual functioning. Borderline personality disorder. Brief psychotic disorder. Bulimia. Sleep disorder caused by caffeine. Cannabis dependence. Claustrophobia. Catatonic disorder. Schizophrenia. Children’s amnesia. Children’s antisocial behavior. Circadian rhythm sleep disorder. Cocaine dependence. Cocaine intoxication. Cognitive disorder. Communication disorder. Conduct disorder. Cotard syndrome. Cyclothymia. Delirium tremens. Depersonalization. Depressive disorder. Dermatilomaniya. Desynchronosis. Progressive ataxia. Diogenes syndrome. Dyspareunia. Dissociative identity disorder (multiple personality disorder). Dyslexia. Dysthymia. Ekbom syndrome. Encopresis. Enuresis. Erotomania. Exhibitionism. Simulates disorder (Munchausen syndrome). Fregoly syndrome. Frotterizm. Fugue state. Ganser’s syndrome. Gender identity disorder. Generalized anxiety disorder. General adaptation syndrome. Grandiose delusions. Hallucinogenic disorder. Hallucinogen-persisting perception disorder. Abulia. Epilepsy (absence). Histrionic personality disorder. Huntington’s disease. Hypomanic episode. Hypochondria. Disorder of impulse control. Inhalant abuse. Insomnia due to general disease. Mental deficiency. Disorder intermittent temper. Kleptomania. Korsakoff’s syndrome. Lacunar amnesia. Major depressive disorder. A major depressive episode. Male erectile disorder. Simulation. Manic episode. Melancholy. Small depressive disorder. Small depressive episode. Mizofoniya. Mixed episode. Mood disorder. Episode mood. Pathological jealousy. Narcissistic personality disorder. Neglect of a child. Neuroleptic-related disorders. Nightmares. Obsessive-compulsive disorder (OCD). Oneyrofreniya. Opioid dependence. Opioid disorder. Ortoreksiya. Panic disorder. Paranoid personality disorder. Parasomnia. Parkinson’s disease. Pathological gambling addiction. Perfectionism. Personality change due to a general medical condition. Personality disorder. Phencyclidine-related disorder. Phobia. Phonological disorder. Post-traumatic stress disorder. Post-traumatic stress disorder (PTSD). Premature ejaculation. Primary hypersomnia. Primary insomnia. Psychogenic amnesia. Psychotic disorder. Pyromania. Reactive attachment disorder of early childhood. Reading disorder. Periodic brief depression. Relational disorder. Residual schizophrenia. Retrograde amnesia. Rumination syndrome. Sadomasochism. Schizoaffective disorder. Schizoid personality disorder. Schizophreniform disorder. Schizotypal personality disorder. Seasonal Affective Disorder. Selective mutism. Severe mental retardation. Total psychotic disorder. Sleep paralysis. Sleepwalking. Social anxiety disorder. Social phobia. Somatization. Somatoform disorder. Specific phobia. The Stendhal Syndrome. Stereotypic movement disorder. Stuttering. Tardive dyskinesia. Tourette’s syndrome. Transient global amnesia. Trichotillomania.
Pain clinic is engaged in the study and treatment of various kinds of pain.
Pain is an unpleasant feeling, often caused by intense or damaging stimuli. Pain is usually temporary and lasts until the painful stimuli is removed or pathology has healed, some disease states, such as rheumatoid arthritis, peripheral neuropathy, cancer and idiopathic pain may persist for many years.
Our narrow field specialists have years of experience in the treatment of pain of a different nature.
Dr. Silviu Brill is the leading Israeli pain management specialists.
Head of the Institute of acute and chronic pain at Sourasky Medical Center (Ichilov), Tel Aviv
Complex regional pain syndrome (reflex sympathetic dystrophy) is one of the most complex chronic pain syndromes. Very strong pain occurs in one of the extremities (usually after injury) and significantly reduces organ function and quality of life of patients. In addition to pain, can occur other symptoms, such as hypersensitivity as sometimes skin changes color and temperature, and a local movement disorder.
Syndrome is of two types:
CRPS type I – there is no signs of local nerve damage
CRPS type II – When the secondary nerve damage
Prevalence of the syndrome – 20 cases per 100 000 people, 70% of victims are women, whose average age is 30-50.
CRPS symptoms: chronic pain, constant in the damaged area. This pain increases usually with a movement or at the touch of the damaged area. Symptoms are also local changes, color changes, and temperature of the damaged zone, excessive sweating and local swelling, weakness and difficulty in movement of the limbs, trembling.
The nature and types of pain
Neuropathic pain. Caused by damage or disease affecting any part of the nervous system involved in bodily feelings (somatosensory system). Peripheral neuropathic pain is often described as “burning”, “tingling”, “electric shock”, “tingling” or “creepy”.
Phantom pain. Felt in parts of the body, which has been lost or from which the brain no longer receives signals. This is one of the types of neuropathic pain. Phantom limb pain are common oyen with amputation of limbs.
Nociceptive pain. Caused by stimulation of peripheral nerve fibers that respond only to stimuli approaching or exceeding harmful intensity (nociceptors). The most common categories are thermal, mechanical, and chemical stimuli. Nociceptive pain also can be visceral, deep and superficial somatic somatic. Visceral pain is difficult to define, as a rule, often accompanied by nausea and vomiting and can be described as a deep, compressing. Deep somatic pain is initiated by stimulation of nociceptors ligaments, tendons, bones, blood vessels, fascia and muscle, and appears as a dull, aching, poorly localized pain. Examples include sprains and fractures. Superficial pain is caused by activation of nociceptors of the skin or other superficial tissue, it is sharp, well-defined and clearly located. These are examples of injuries that produce superficial somatic pain, including minor wounds and minor burns (first degree).
Some patients experience persistent pain, which vary in intensity and quality, others have several attacks per day, or it may occur only once in a week or two. These pains are often described as crushing, burning or cramping. Such pain can be alleviated to the extent of days, weeks or, sometimes permanently, local anesthetic injections into the nerves or sensitive areas.
Psychogenic pain or somatoform pain. This pain caused by reinforced or extended due to a mental, emotional or behavioral factors. Headache, back pain, abdominal pain, are sometimes psychogenic pain. These pains are not considered less relevant or harmful than pain from any other source.
People with long term pain frequently display psychological disorders – depression and hypochondria (neurotic triad). Often associated with chronic pain patients low self-esteem, and the pain goes away immediately after the decision of the psychological problem.
Paraplegia. Loss of sensation and the ability to control movements from a serious spinal cord injury may be accompanied by pain in the lower back and at the level of spinal cord injury, visceral pain caused by the functions of the bladder or bowel. This phantom body pain is initially begins as a burning or tingling sensation, but can turn into a severe crack or pinching pain, burning, or “screw-knife in the tissue.”
Sudden pain. This transient acute pain that comes suddenly and does not decrease with time. It is common in cancer patients, who often have a background pain, as a rule, well removes drugs.
Episodic (incident) pain. It is a pain that occurs as a result of activities such as the movement of joints affected with arthritis, sprains wounds, etc.
Asymbolia and insensitivity to pain. Episodic analgesia may occur under special circumstances, for example, with waves during sports or war. Soldiers on the battlefield can not feel pain for hours after traumatic amputation or other serious injury.
Pain is a symptom of many diseases. Knowing the start time, location, intensity, pattern of occurrence (continuous, intermittent, etc.) that enhance or facilitate factors, and quality (burning, sharp pain, etc.) pain, helps our professionals to accurately diagnose the problem.
In addition to the physical examination to measure pain, in some cases, applied MRI brain scans. This diagnostic gives physicians the correct correlation with subjective pain patient.
Drug therapy usually includes drugs such as analgesics and anesthetics to treat acute pain.
Chronic pain is much more complex and may require the coordinated efforts of the pain clinic team, which typically includes medical practitioners, clinical psychologists, physiotherapists, occupational therapists and nurses.
In some cases, corticosteroids are used to give relief of pain 80% of patients. MCR drugs such as morphine, prescribed by specialists in the case of very severe pain on an individual basis, when indicated.
Some patients may be recommended an electrical stimulation of the spinal cord.
Physiotherapy treatment aimed at preventing secondary degeneration of the damaged area. Learning the proper operation and use of assistive devices to help improve or restore the functioning of the affected area.
Mini-invasive procedures. In some cases, such as back pain, can be recommended for one of the minimally invasive procedures – percutaneous radiofrequency ablation nucleoplasty or damaged areas that have a good effect and not cause damage to healthy tissues.
Psychological therapy. Cognitive behavioral therapy (CBT) and social support is a very important component, which along with other methods to help our patients experience less pain and adapt to life with the pain in some cases.
Genetic disorders are diseases caused by one or more violations of the human genome, especially if they are present from birth (congenital diseases). Most genetic disorders are quite rare and affect one person among every few thousands or millions.
Genetic disorders may or may not be hereditary, ie passed from parent genes. When non-inherited genetic disorders, defects can be caused by new mutations or changes in DNA. When the defect is transmitted only by inheritance, this is still at the stage of the embryo. Diseases such as some forms of cancer can be caused by inherited genetic disease in some people, new mutations in other people, as well as environmental causes from third. When and to what extent a person with a genetic defect will actually suffer from the disease, almost always depends on environmental factors and conditions of human development. Some types of recessive gene disorders occur only under certain conditions.
Our specialists carry out genetic testing for the detection of diseases transmitted by inheritance. In the case where there is suspicion of a congenital defect which can lead to a high probability of disease in the family, our doctors are doing research on the presence of mutations in the genes responsible for the occurrence of malignant diseases. Genetic testing can prevent or allow to identify the disease at an early stage, and apply rapid therapeutic decision.
In such cases, the patient must undergo consultation of genetics, which will determine the next steps, as well as the need to perform molecular testing. Depending on the results of the consultation can also be issued recommendations for patients’ relatives to the first degree, with a definite program of observation and genetic tests, if required.
Genetic tests are also used for early diagnosis of cancer.
You can order a genetic test in our lab remotely by sending us a sample of blood or saliva. The test results are known, usually within two weeks.
Autosomal dominant disease
For the occurrence of such diseases only one mutated gene. Chance that the child unasaleduet this gene – 50%. Examples of this type of disorder Huntington’s disease, neurofibromatosis type 1, neurofibromatosis type 2, Marfan syndrome, hereditary nonpolyposis colorectal cancer, hereditary multiple exostosis, tuberous sclerosis, von Willebrand disease, acute intermittent porphyria.
Autosomal recessive disease
For the manifestation of such diseases requires that two copies of the mutation were subjected to gene. The victim is usually unaffected parents, each of which has one copy of mutating the gene. Two healthy parents carry one copy of the mutated gene and create a 25% risk of having an affected child, for each pregnancy. This disorder CoA dehydrogenase deficiency, cystic fibrosis, sickle cell anemia, Tay-Sachs disease, Niemann-Pick disease, spinal muscular atrophy, and Roberts syndrome.
Y-related disorders, which are also referred golandricheskimi disorders caused by mutations at the Y-chromosome. These diseases can be transmitted only from men to their sons. Women can not be affected because they do not have a Y-alosomami. Y-related disorders are very rare, but the most famous examples tend to cause infertility.
X-chromosomal dominant disease
X-linked dominant disease caused by mutations in genes on the X chromosome. One example of such a disorder is hypophosphatemic rickets. Men tend to suffer more severely from the disease. Some X-linked dominant disorders such as Rett syndrome, type 2 pigment incontinence and Aicardi syndrome usually result in death in men either in utero or shortly after birth. A woman with an X-chromosomal dominant disorder has a 50% risk of an affected child with each pregnancy.
X-chromosomal recessive disease
X-linked recessive conditions are also caused by mutations in genes on the X chromosome. Men are more prone to disease, and the likelihood of transmission of the disorder differs between men and women. Examples of such diseases are serious diseases Hemophilia A, Duchenne muscular dystrophy and Lesch-Nyhan syndrome, as well as common and less serious conditions such as male pattern baldness and red-green color blindness, Turner’s syndrome. Estimated prevalence of such diseases: Duchenne muscular dystrophy 1 7000, hemophilia 1 in 10 000.
This type of inheritance, also known as maternal inheritance, applies to genes in mitochondrial DNA. Because only egg transmit mitochondria to the developing embryo, only mothers can pass on mitochondrial disease to their children. An example of this type of disorder is hereditary optic neuropathy Leber.
Multifactorial and polygenic (complex) disorders
Genetic disorders can also be complex. Multifactorial and polygenic means that they are likely to be associated with the effects of multiple genes in combination with lifestyle and environmental factors. Multifactorial disorders include heart disease and diabetes. Although complex disorders often associated in families, they do not have a clear pattern of inheritance. It is difficult to determine a person’s risk of inheriting the steppe or pass the disorder to someone.
The most common hereditary diseases: Asthma. Autoimmune diseases. Multiple sclerosis. Cancer. Tsiliopatii. Cleft palate. Diabetes. Heart disease. Hypertension. Inflammatory bowel disease. Impaired intellectual development. Mood disorder. Obesity. Refraction. Infertility.
Plastic surgery specializes in correction or restoration of form and function of organs. Plastic surgery includes cosmetic and aesthetic, reconstructive, craniofacial surgery, hand surgery, microsurgery and the treatment of burns.
In plastic surgery the most common method is the transplantation of skin tissue (skin grafting). Skin grafts can be transplanted into the patient or actually from the donor.
The most common reconstructive procedures after tumor removal surgery correction laceration, scar, hand surgery, and breast reduction plastic. In recent years, also increased the number of breast reduction surgery for men.
There was widespread reconstructive surgical procedures on the breast after a mastectomy (removal of the breast), surgery for cleft lip and palate, contracture for survivors of severe burns as well as the creating a new outer ear in the case where it is congenitally absent.
For the coating defect our plastic surgeons use microsurgical techniques – transplant free flaps of skin, muscle, bone, fat or combinations thereof in the damaged area, followed by restoration of blood supply by crosslinking arteries and veins, and including very small – to 2 millimeters in diameter.
Cosmetic (aesthetic) surgery
These are procedures that are conducted for the sole purpose of improving a person’s appearance or remove the signs of aging. The most common operations are the procedures for breast augmentation, liposuction, rhinoplasty, face and abdomen (abdominoplasty). Non-surgical treatments include Botox injections and laser hair removal.
Abdominoplasty (tummy tuck) – change in the shape and elasticity of the stomach
Blepharoplasty – reshaping the eyelids (including Asian blepharoplasty)
Phalloplasty (penis liposuction) – creation or reconstruction of the penis or, sometimes, artificial change in the shape of the penis by surgery, often for cosmetic purposes
Breast augmentation (breast implants) – breast augmentation by injection of adipose tissue, saline or silicone implants.
Reduction mammoplasty (breast reduction) – removal of skin and glandular tissue
Mastopexy (breast lift) Changing the shape of the breast, I aim to eliminate sagging, often after weight loss (after a pregnancy, for example).
Buttock augmentation (implants) – increase buttocks using silicone implants, injections, or transplantation of adipose tissue from other areas of the body
Lifting the buttocks – the rise and firming the buttocks by excision of redundant skin
Chemical peels – elimination of acne, chicken pox, and other scars, wrinkles, lentigines (age spots, freckles), and photodamage in general.
Cryolipolysis – used to destroy fat cells. The principle of this procedure is based on a controlled cooling with a view to non-invasive local reduction of fat in order to change the contours of the body.
Cryoneuromodulation – surface treatment and subcutaneous tissue structures with the use of nitrous oxide gas, including for temporary wrinkle reduction, reducing the time of pain, treatment of dermatological problems and focal cryo-treatment of tissue
Changing the shape and lip augmentation
Rhinoplasty – nose reshaping
Otoplasty – Ear reshaping
Rhytidectomy (facelift) – Removal of wrinkles and signs of aging on your face
Neck Lift – This procedure is often combined with lower reconstruction for facial rejuvenation.
Browplasty (brow lift or forehead lift) – brow Lift, smoothing the skin of the forehead
Midface lift (lifting of the cheeks)
Genioplastika – chin augmentation using silicone implants, by moving the jaw bone or soft tissue stapling
implantation of the cheeks
Orthognathic surgery – correction of facial bones
Injection – of collagen, fat, hyaluronic acid
Brachioplasty – reduction of excess skin and fat between the armpit and elbow
Laser skin rejuvenation or resurfacing
Liposuction – removal of fat deposits using suction conventional techniques or ultrasonic energy
Removal scars – removal of excess tissue (fibrous protein and collagen), which is formed in the healing process.
Acute burn surgery when the patient is receiving medical treatment immediately after a burn. Reconstructive burn surgery takes place after the burn wound healing.
Craniofacial surgery is divided into adults and children. Our children’s craniofacial surgery mainly focused on the treatment of congenital anomalies of the craniofacial skeleton and soft tissues, such as cleft lip and palate, craniosynostosis, and pediatric fractures.
Adult craniofacial surgeons are treating fractures and secondary operations (such as orbital reconstruction) in combination with orthognathic surgery.
Surgery of the upper extremity is focused on the treatment of acute injuries and chronic diseases of the hand and wrist, correction of congenital malformations of the upper extremities, Dupuytren’s contracture and peripheral nerve problems (such as brachial plexus injuries or carpal tunnel syndrome).
Microsurgery is usually engaged in the reconstruction of missing tissues by transplanting kani and reconstruction of blood vessels. As a rule, it is a reconstruction of the breast, head, neck, hand surgery / replantation, and brachial plexus surgery.
Pediatric Plastic Surgery
Many birth defects or syndromes occur at birth and are best treated in childhood. Pediatric plastic surgeons specialize in treating such problems in children. The most common of these is the craniofacial abnormalities, cleft lip and palate, as well as birth defects of the hands.
Infectious diseases are diseases caused by biological agents that can be transmitted from one person to another, rather than genetically, by physical or chemical agents.
Infection is the invasion of the host organism tissues by pathogenic agents, their reproduction, and the reaction of the tissues of the human body to stay invading organisms and toxins produced.
These include diseases caused by viruses, viroids, bacteria, prions, arthropods such as ticks, fleas and lice, fungi such as ringworm, and other microparasites such as tapeworms.
The body can fight off infections using their immune system.
Symptomatic infections are obvious while the infection, which is active but does not produce noticeable symptoms, called subclinical or inapparent. Inactive infection that is called latent. Infection also can be acute or chronic.
Our doctors specialize in treating the following types of infections:
Urinary Tract Infections
Respiratory Tract Infections
Odontogenic infection (infection that originates in the teeth or in the surrounding tissues)
Diseases in which infection is the most common cause, include pneumonia, meningitis and salpingitis.
Signs and symptoms of infectious disease
Symptoms of infection depends on the type of disease. Some signs of infection affect the whole body, such as fatigue, loss of appetite, weight loss, fever, night sweats, chills and pain. Others are specific to individual parts of the body such as skin rash, cough or runny nose.
In some cases, infectious disease may be asymptomatic for a long period of time or all the time. Bacterial and viral infections can cause the same kinds of symptoms.
It is important to accurately diagnose the cause of the infection, because viral infections can not be treated with antibiotics. The disease can occur if the host protective immune mechanisms are compromised and the body can not defend themselves. Microorganisms can cause tissue damage by releasing a variety of toxins or destructive enzymes. For example, the agent produces tetanus toxin that paralyzes muscles, and staphylococcus releases toxins that cause shock and sepsis. Not all infectious agents cause disease in all people. For example less than only 5% of patients infected with polio the disease develops. On the other hand, some infectious agents are highly virulent.
Persistent infections occur because the body is unable to clear the initial infection. There are certain viruses which can maintain a chronic infection, infecting various cells of the body. Some viruses will never leave the body. A typical example is a herpes virus which as a rule lies in the nervous system and is shown again in special circumstances.
Transmission: airborne droplets (by inhalation), fecal-oral route (contaminated food or water), direct skin contact (athlete’s foot, impetigo and warts), by transmission from mother to embryo, fetus or child during pregnancy or childbirth, by medical procedures such as injection or transplantation of infected material by insect bites, sexually orally (kissing, or indirect contact, such as through the exchange and a glass or cigarette).
Diagnosis of infectious diseases is almost always begins with a medical history and physical examination. More detailed identification techniques include specifying culture infectious agents. Culture allows identification of infectious organisms by examining their microscopic features, by detecting the presence of substances produced by pathogens, and directly determine the genotype of an organism it. Other methods (eg, X-rays, CT scans, PET-CT or MRI) are used to produce images of internal disturbances in connection with the growth of an infectious agent. Images can be used in detecting, for example, bone abscess or spongiform encephalopathy.
Crop on microbiological culture. Microbiological culture are the main tool used for the diagnosis of infectious disease. In a microbial culture of a specific agent designed its growth medium. A sample is taken from a potentially diseased tissue or fluid is then tested for the presence of an infectious agent that can grow in this medium.
Microscopy. Another major tool in the diagnosis of infectious diseases is a microscopy. Virtually all methods of cultivation should be confirmed by microscopic examination for definitive identification of the causative agent. Microscopy is done by using an electron microscope.
Biochemical tests. Biochemical tests involved in the identification of infectious agents include detection of metabolic or enzymatic agents specific to the infectious agent. Since bacteria ferment carbohydrates in samples representative of their genus and species identification of the fermentation products is typically used in identifying bacteria.
Serological methods. These tests are highly sensitive often used to identify microorganisms. They are based on the ability of the antibody to specifically bind an antigen. The antigen is usually a protein, carbohydrate, binds to the antibody. Serological tests are usually the preferred method of identification, however, are some of the costly due to develop reagents ispolzuemyeh test.
Molecular Diagnostics. This technology, based on the method of polymerase chain reaction (PCR) is the gold standard for determining the infectious agents. Infectious agent should grow in the human body to excite the disease, that is, substantially, it should enhance its nucleic acid to induce disease. This amplification of the nucleic acid in infected tissues enables to detect an infectious agent using PCR.
Thus, currently Israeli technology capable of detecting any infectious agents quickly and with high accuracy.
Management infectious diseases
Our specialists use certain drugs for the treatment of the latest generation of infections, such as antibiotics, antivirals, antifungals, antiprotozoal, anthelmintic drugs.
Dermatology is the division involved in the diagnosis and treatment of diseases of the skin hair and nails.
Due to many years of experience, precision diagnostics, the latest generation of drugs as well as technologically advanced surgical procedures, our medicine copes well in all kinds of dermatological ailments.
Each type of dermatological diseases is treated by a narrow section specialist that makes treatment the most effective and helps improve the quality of life of our patients.
We accept applications for the treatment of patients with all forms of dermatological diseases, any kind and location.
Among the most common diseases are immune-mediated skin diseases such as lupus, psoriasis, contact dermatitis, bullous pemphigoid, pemphigus vulgaris and others.
Pediatric Dermatology is a separate field that covers a complex disease of the newborn, hereditary diseases or genodermatozy skin as well as many other skin diseases in children.
The modern methods of treatment of dermatological diseases as follows:
Laser therapy. Used to remove birthmarks, skin diseases (eg, vitiligo), Tattoo removal, cosmetic resurfacing and rejuvenation.
Hair removal using a laser or other methods
Tattoo removal by laser
Steroid therapy and chemotherapy
Cryosurgery. It is used for the treatment of warts, skin cancer and other dermatoses
Vitiligo Surgery. Autologous transplantation of melanocytes, blister grafting
Systemic therapy. The use of antibiotics, immunomodulators and new injectables.
Mohs surgery. Is excision of skin cancers using a microscope. This operation allows to intraoperative assessment of 100% of the peripheral and deep tumor margins.
Photodynamic therapy. Is used to treat skin cancer and precancerous growths.
Phototherapy – including the use of narrowband UVB, broadband UVB, psoralen and UVB.
Nephrology is the direction, which is related to the renal function, treatment of kidney disease and renal replacement therapy (dialysis and kidney transplantation).
Pediatrics specializes in providing medical care to infants, children and adolescents.
Israel has accumulated many years of successful experience in the treatment of childhood diseases. Together with the pediatrician the child is watched by a narrow section pediatrician who specializes in a certain type of disease that makes treatment the most effective and helps improve the quality of life of our young patients.
Differences between adult and pediatric medicine, is the difference in size of the body and parallel to the changes taking place in it and maturation. The smaller the body of a child or a newborn so it is essentially physiologically different from an adult. Cases such as birth defects, genetic variations, as well as development issues are more relevant to pediatricians than to doctors for adults. One of the differences is also the fact that children are minors and they can not make decisions for themselves.
Guardianship, privacy, legal responsibility and informed consent is always considered in every pediatric procedure. In a sense our pediatricians take a holistic approach and in some cases treat the parents and sometimes even family, not just the child.
Children’s Allergy and Immunology
Children Infectious Diseases
Rheumatology focuses on the diagnosis and therapy of rheumatic diseases. In our practice we combine the best Israeli rheumatologists who narrowly specialize in the clinical problems of the joints, soft tissues, autoimmune diseases, vasculitis, and heritable connective tissue disorders.
Many of rheumatic diseases closely related to disorders of the immune system, therefore the treatment is performed in conjunction with immunologists.
Leading Israeli doctors for rheumatism and autoimmune diseases
Prof. Ori Elkayam – Head of Rheumatology Department, “Sourasky” Medical Center (Ichilov), Tel Aviv.
Israeli approach to rheumatology disease treatment
Rheumatic fever is a common colloquial term that refers to any pathological disorders that affect the musculoskeletal system, including joints, muscles, connective tissue, as well as the soft tissues around the joints and bones. It also includes a rheumatic heart disease, which is specific to the heart valves, but has symptoms similar to rheumatic fever, which usually develops after a streptococcal infection.
One of the progressive achievements of modern Israeli rheumatology is to develop new drugs called biologics or disease-modifying drugs that can more effectively monitor a severe systemic disease.
Major diseases, in which our rheumatologists specialize
Autoimmune and connective tissue diseases
- Sjogren’s syndrome.
- Scleroderma (systemic sclerosis).
- Polymyalgia rheumatica.
Diseases of the musculoskeletal system
- Degenerative arthropathy.
- Inflammatory arthropathy.
- Rheumatoid arthritis.
- Ankylosing spondylitis.
- Reactive arthritis (reactive arthropathy).
- Psoriatic arthritis.
- Enteropathic arthropathy.
- Juvenile idiopathic arthritis (JIA).
- Crystal arthropathy: gout, pseudogout.
- Septic arthritis.
Mixed connective tissue disease
- Microscopic polyangiitis.
- Strauss syndrome Chardjev.
- Hepatitis B and polyarteritis nodosa.
- Schonlein-Henoch purpura.
- Serum sickness.
- Giant cell arteritis.
- Temporal arteritis.
- Takayasu’s arteritis.
- Behcet’s syndrome.
- Kawasaki disease (mucocutaneous lymph syndrome).
- Buerger’s disease (thromboangiitis obliterans).
- Ehlers Danlos.
- Soft tissue rheumatism.
Local disease and destruction of joints and structures around the joints
Ophthalmology is a direction that focuses on the physiology and diseases of the eye.
We select a narrow field doctor from leading specialized Israeli hospitals for treatment of each specific type of eye disease that makes the treatment as effective as possible and helps to improve the quality of life of our patients.
Specialty of our doctors
Treatment of corneal surface of the eye and external diseases
Treatment of anterior segment
Ophthalmology retina (laser, conservative and medical treatment of the retina).
Oculoplastics and surgery of the orbit
Pediatric Ophthalmology / Strabismus
Recently in Israel we use laser eye surgery. The laser used for the treatment of Non-refractive diseases (e.g., for sealing the retina).
Laser surgery of the cornea is used to modify the surface of the eye. These operations are performed in order to correct myopia, hyperopia (farsightedness) and astigmatism (irregular curvature of the surface of the eye).
Main types of operations that are performed by our experts as follows:
Retina. Vitrectomy. Vitrectomy TransParsPlana (TPPV). Retinal laser photocoagulation (PRP). Correction of retinal detachment. Pneumatic retinopexy. Cryopexy or cryotherapy of the retina. Correction of macular holes. Partial plate sclerouvectomy. Partial plate sclerocyclochoroidectomy. Partial plate sclerochoroidectomy. Back sclerotomy. Radial optic neurotomy. Age-related macular degeneration (AMD). Macular translocation. Retinotomy. Imbrication technique.
Cornea. Keratoplasty. Automated lamellar keratoplasty (ALK). Keratoplasty using the laser (LASIK). IntraLASIK. Photorefractive keratectomy (PRK). Laser thermal keratoplasty (LTK). SC-conductive keratoplasty. Limbal incisions laxative. Astigmatic keratotomy (AK), the arcuate keratotomy or transverse keratotomy. Radial keratotomy (RK). Mini-radial keratotomy (MARK). Hexagonal keratotomy (HK). Epikeratophakia. Intracorneal ring (ICR) or corneal ring segments (Intacs). Implantable contact lenses. Laser presbyopia reversal (LRP). Front ciliary sclerotomy (ACS). Scleral expansion band (SEB). Transplantation (transplantation) of the cornea. Penetrating keratoplasty. Keratoprosthesis (Kpro). Phototherapeutic keratectomy (PTK). Excision of pterygium. Osteo-odonto-keratoprosthesis (OOKP).
Oculoplastics. Eyelid surgery. Blepharoplasty (Eyelid Surgery). Asian blepharoplasty. Ptosis. Correction of ectropion. Correction of entropy. Canthal resection (canthectomy). Cantholysis. Canthopexy. Canthoplasty. Cantorrhaphy (reduction of the optic fissure). Side canthotomy (separation of the external canthus). Epicanthoplasty. Tarsorrhaphy (narrowing of the palpebral fissure).
Eye muscle surgery. Isolation of the inferior muscle. Correction of strabismus. Procedure breaks muscle. Myectomy. Myotomy. Tenotomy. Strengthening myshtsy.Transposition.
Surgery of the lacrimal apparatus. Dacryocystorhinostomy (DCR). Canaliculodarcyocystostomy (correction of occlusion of the lacrimal sac). Canaliculotomy. Dacryodenectomy (removal of the lacrimal gland). Dacryocystostectomy (removal of part of the lacrimal sac).
Orbital surgery (eye socket). Orbital reconstruction. Orbital decompression in Graves’ disease.
Removal of the eye. Enucleation. Eviscerate. Exenteration.
Vascular surgery is the division aimed to provide diagnosis and treatment diseases of the circulatory system, arteries and veins, with the help of medical therapy, minimally invasive catheter procedures as well as surgical reconstruction.
We select the narrow field physician to treat a certain type of vascular disease, which makes treatment in the most effective and helps improve the quality of life of our patients.
Our experts use interventional radiology treatment for the majority of vascular problems. CT and MRI angiography allow physicians to consider most clearly and evaluate each vessel condition in a large number of projections and at different angles, and to decide on further treatment.
Minimally invasive procedures such as angioplasty vessels allow to perform operations on vessels of various sizes, in different parts of the body, including the blood vessels of the brain, with the stenting and bypass surgery with no significant damage to healthy tissue, 1-2 days of hospitalization and faster recovery.
The durability of endovascular arterial procedures performed in Israel confirmed by long-term practice results.
Professionals who perform such procedures are neurosurgeons and interventional neuroradiologists. This is one of the narrow specialization of Israeli medicine.
In the treatment of superficial veins such as varicose veins sclerotherapy and non-immediate use of intravenous laser treatment. On such treatments specialize phlebologists and radiologists. These practices offer a full spectrum of treatment without surgery.
Our physicians specialize in the treatment of vascular diseases as follows:
Carotid atherosclerosis. Atrial flutter. Atrial septal defect (ASD). Atrial tachycardia. Atrioventricular block. Atrioventricular dissociation. Atrioventricular nodal tachycardia. Benign limfangioendotelioma. Increased sensitivity of the carotid sinus. Atrial fibrillation.
Occlusion of the central artery of the retina. Occlusion of the central vein of the retina. Cerebral amyloid angiopathy. Hemangioma Cherry (cherry hemangioma). Cholesterol embolism. Choroidal neovascularization. Cobb syndrome. Ischemic atherosclerosis. Ischemic vasospasm. Cryoglobulinemia. Congenital marbling (Cutis marmorata). Degosa disease.
Abdominal angina. Abdominal aortic aneurysm. Actinic purpura. Angiodysplasia of colon. Angioendoteliomatoz. Angioid streaks. Angiokeratoma. Angiokeratoma scrotum. Angiolimfoidnaya hyperplasia with eosinophilia. Serpiginous angioma. Angiosarcoma. Disease antiglomerulyarnoy basement membrane. Coarctation of the aorta. Aortoiliac occlusive disease. Arteriovenous fistulas.
Ischemia. Limb ischemia. Acute ischemia. Anti-coagulation and thrombolysis. Chronic ischemia. Intermittent claudication. Occlusive disease of the peripheral arteries. Diabetic foot ulcer. Mesenteric ischemia. Renal ischemia. Extracranial cerebrovascular disease. Venous disease. Deep vein thrombosis. Thrombophlebitis. Varicose veins and varicose veins. Malformations. Lymphatic disease. Lymphedema. Raynaud’s syndrome. Scleroderma. Hyperhidrosis.
Nevus syndrome. Capillary malformations. Dermatological of glomus tumors. Dermatological of pyogenic granuloma (Lobular capillary hemangioma). ICE syndrome. Endocardial cushion defects. Erythema. Erythema (ball vasculitis). Dermatological of urticaria vasculitis. Vascular injuries of the extremities. Fat embolism. Dysplasia. First degree atrioventricular block. Ganglion cyst. Ganglieva cyst. Telangiectasia. Giant cell arteritis. Granuloma of the face. Granulomatosis with polyangiitis. Hereditary angioedema.
Vasculitis. Children hemangioma. Endarteritis obliterans infraingvinalny. Thrombosis of the internal jugular vein. Anomalies of the coronary artery. Syndrome Klmppelya-Trenaunay-Werber. Libman-Sacks endocarditis. Vasculopathy. Loeffler endocarditis. Lymphangiectasia. Lymphangioma. Lymphedema. Microscopic polyangiitis. Mitral regurgitation. Mitral stenosis. Mitral valve prolapse. Mondor’s disease. Myocardial infarction. Myocardial rupture.
Neovascular glaucoma. Neovascularization of the cornea, CL-linked. Nephrotic syndrome. Anemic nevus. Spider nevi. Osler-Weber disease. Paradoxical embolism. Occlusive disease of the peripheral arteries. Peripheral vascular injury. Flegmaziya white pain. Pigmentary purpura, dermatitis. Polyarteritis nodosa. Polychondritis, polymyalgia rheumatica. Occlusive disease of the popliteal artery. Obstruction of the portal vein. Pseudo-Kaposi’s sarcoma (akroangiodermatit). Radial nerve entrapment. Renal arteriovenous malformation. Aneurysm of the renal artery.
Renal thrombosis. Right ventricular myocardium. Aneurysms of the saphenous vein. Stasis dermatitis. Syndrome subclavian vein. Subretinal neovascular membrane. Superficial thrombophlebitis. Superior vena cava syndrome. Second degree atrioventricular block third degree atrioventricular block. Thoracic obstruction. Thromboangiitis obliterans. Thrombophlebitis. Transient global amnesia. Stenosis of the tricuspid valve. Tufted angioma. The defeat of the ulnar nerve. Unilateral nevoid telangiectasia. Unstable angina. Occlusive disease of the upper extremities. Vascular pathology of the vocal fold. Occlusive vascular syndromes of the upper extremity. Vascular ring. Neuropathy with vasculitis. Vienna Galena (vices). Venous insufficiency. Venous lake. Ventricular fibrillation. Ventricular tachycardia.
If you or someone in your family were revealed vascular disease, please contact our specialists.
Gastroenterology is the division focused on the diagnosis and treatment of the digestive system disorders.
The focus of the doctors is diseases affecting the gastrointestinal tract. Hepatology and hepatobiliary treats the liver, pancreas and bile ducts.
Our physicians apply minimally invasive surgery techniques, laparoscopy, to treat the problems of esophagus, stomach, intestines with the least interference into the body. A modern methods of diagnosis – gastrocolonoscopy, virtual colonoscopy performed by highly skilled professionals on the newest equipment, thus avoiding the discomfort and the consequences of these procedures.
We select the narrow section of each physician to treat a certain type of disease, which makes treatment in the most effective and helps improve the quality of life of our patients.
The main diseases of the gastrointestinal tract
Esophagus. Achalasia of the esophagus. Barrett’s esophagus. Boerhaave syndrome. Bulimia. CMV esophagitis. Disorders of esophageal motility. Esophageal spasm. Diverticula of the esophagus. Hematoma of the esophagus. Leiomyoma of the esophagus. Hiatal hernia. Stricture of the esophagus. Esophageal rings. Esophagitis. Lymphoma of the esophagus. Gastroesophageal reflux. Mallory-Weiss syndrome. Plummer-Vinson syndrome. Reflux Laryngitis. Schatzki ring. Tracheoesophageal fistula.
Pancreas. Acute pancreatitis. Chronic pancreatitis. Necrotizing pancreatitis and pancreatic abscess. Hyperamylasemia. Pseudoaneurysm of the pancreas. Pancreas transplantation. Pancreatic cancer. Pancreatic pseudocysts. Injury of the pancreas. Papillary tumors.
Gall bladder. Acalculous cholecystitis. Cholecystitis. Cholecystopathy. Ampullar cancer. Ampullary carcinoma. Stricture of the bile duct. Tumors of the bile duct. Biliary disease. Biliary fistula. Biliary obstruction. Injury of the biliary tract. Cholangitis. Choledochal cysts. Cholelithiasis. Emphysematous cholecystitis. Gallbladder cancer. Gallbladder empyema. Mucocele of the gallbladder. Tumor of the gallbladder. Volvulus. Pericholangitis. Postcholecystectomy syndrome. Primary sclerosing cholangitis (PSC). Periodic purulent cholangitis. Cholangiocarcinoma.
Liver. Acute liver failure. Alcoholic hepatitis. Autoimmune hepatitis. Amebic liver abscesses. Budd-Chiari syndrome. Chyle fistula. Ascites. Conjugated hyperbilirubinemia. Dubin-Johnson syndrome. Fatty liver. Fibrolamellar carcinoma. Cystadenomas of the liver. Cysts of the liver. Cirrhosis. Hepatocellular adenoma. Hepatic encephalopathy. Hemangioma of the liver. Hepatitis A. Hepatitis B. Hepatitis C. Hepatitis D. Hepatitis E. Hepatorenal syndrome. Echinococcosis cysts. Obstruction of the portal vein. Toxic damage of isoniazid. Liver abscesses. Liver disease and pregnancy. Liver transplantation. Portal hypertension. Portal-systemic encephalopathy. Abscess of the liver. Primary biliary cirrhosis. Yellow fever.
Colon. Acute megacolon. Chronic megacolon. Angiodysplasia of the intestine. Bacterial gastroenteritis. Amebiasis. Lymphocytic and collagenous colitis. Colon adenocarcinoma. Polyps of the colon. Complications of inflammatory bowel disease. Constipation. Clostridium diffitsele (colitis). Cytomegalovirus. Diverticulitis of the colon. Anal fistula (rectum). Hirschsprung’s disease. Inflammatory bowel disease. Irritable bowel syndrome. Hereditary colorectal cancer. Neutropenic enterocolitis. Pilonidal disease. Pseudomembranous colitis. Shigellosis. Toxic megacolon. Ulcerative colitis. Villous adenoma.
Intestine. Afferent loop syndrome. Ascariasis. Benign neoplasm of small intestine. Celiac disease. Chronic bowel ischemia. Cyclospora. Eosinophilic gastroenteritis. Fecal incontinence. Gastrointestinal foreign bodies. Giardiasis. Herniation of bowel. Ileus. Balantidiasis. Gastrointestinal carcinoid tumor. Fistulas of the small intestine. Intestinal flukes. Intestinal leiomyosarcoma. Intestinal lymphangiectasia. Motility disorders of the small intestine. Intestinal perforation. Polypoid adenomas of the intestine. Ileus. Radiation damage to the intestine. Stromal tumors of the intestine. Lactose intolerance. Malignant neoplasms of the intestine. Meckel’s diverticulitis. Mesenteric lymphadenitis. Mesenteric tumor. Paracentesis. Children pyloric stenosis. Protein-losing enteropathy. Radiation enteritis and proctitis. Irritable bowel syndrome. Diverticulosis of the intestine. Strongyloidiasis. Tropical sprue. Viral gastroenteritis. Whipple’s disease.
Abdomen. Abdominal compartment syndrome. Abdominal pain. Achlorhydria. Acute gastritis. Atrophic gastritis. Benign tumors of the stomach. Chronic gastritis. Dumping syndrome. Stomach cancer. Gastrointestinal stromal tumors. Gastric obstruction. Gastrinoma. Helicobacter pylori infection. Torsion of the omentum. Children gastroenteritis. Peptic ulcer disease. Peritoneal cancer. Solid tumor gland. Stress-induced gastritis. Zollinger-Ellison syndrome.
Systemic diseases of the gastrointestinal tract. Crohn’s disease. Ascites. Chylothorax. Enteropathic arthropathy. Familial adenomatous polyposis (FAP). Food poisoning. Gastrointestinal diseases and pregnancy. Malabsorption. Hemochromatosis. Paroxysmal nocturnal hemoglobinuria. Malignant atrophic papulosis. Peritonitis and abdominal sepsis. Peutz-Jeghers syndrome. Somatostatinoma. Unconjugated hyperbilirubinemia. Upper gastrointestinal bleeding. Lower gastrointestinal bleeding. WDHA syndrome (pancreatic cholera). Wilson’s disease.
Otolaryngology is a direction that deals with the diagnosis and treatment of diseases of the ear, nose, head and neck.
Many of these disorders affect the hearing, speaking, breathing, and the vestibular apparatus.
Our otolaryngologists (ENT doctors) have a long-term experience in the detection, treatment and prevention of disorders of the head and neck, that allow them to master all the advanced technology of surgery at a high level.
Recent years the development of head and neck surgery reported a decline in the number of open surgical procedures. They were replaced by endoscopic procedures, which allow to fix the problem without the intervention of open and enable quick recovery of the body after treatment without prolonged hospitalization.
Otology and neurootology. Dizziness. Benign paroxysmal positional vertigo (DPPG). Labyrinthitis (vestibular neuronitis). Endolymphatic hydrops of Meniere’s. Perilymphatic fistula (fistula). Acoustic neuroma. Hearing loss. Mastoiditis. Otitis externa – inflammation of the outer ear or ear canal. Otitis media – inflammation of the middle ear. Tympanic membrane perforation (hole in the eardrum due to infection, trauma, explosion or loud noise).
Rhinology (diseases of the sinuses and anterior skull base). Sinusitis acute and chronic. Allergies. Rhinitis. Apnea. Pituitary tumor. Empty nose syndrome. Severe or recurrent nosebleeds.
Head and neck oncology. Squamous cell carcinoma of the oral cavity, pharynx and larynx. Oral cancer. Skin cancer of the head and neck. Thyroid cancer. Cancer of the larynx.
Endocrine surgery of the head and neck. Thyroidectomy. Microvascular reconstruction. Parathyroidectomy. Skull Base Surgery. Surgery of the salivary glands. Thyroid nodules.
Children’s otolaryngology. Adenoidectomy. Obstructive sleep apnea syndrome. Tonsillectomy (removal of tonsils). Myringotomy.
Laryngology. Dysphonia (hoarseness). Laryngitis. Reinke edema. Vocal nodules and polyps of the brain. Spasmodic dysphonia.
Plastic facial and reconstructive surgery. Rhinoplasty and septoplasty. A facelift (rhytidectomy). Braulifting (brow lift). Blepharoplasty (eyelid correction). Otoplasty (ear correction). Genioplastika (correction of the chin). Konturnyya beauty treatments. Injuries to the face. Fracture of the nose. Fracture of the mandible. Orbital fracture (cheekbones). Frontal sinus fracture. Complex discontinuities and soft tissue injuries.
Spinal surgery specializes in the diagnosis and treatment of spine and spinal cord problems.
The main spine problems are as follows:
Injury and damage the spine and spinal cord
Tumors of the spine, spinal cord and peripheral nerves
In modern Israeli neurosurgical diagnosis and treatment neuroradiology is mostly used, including image-guided computed tomography (CT), magnetic resonance imaging (MRI) and positron emission tomography (PET). Some neurosurgical procedures involve the use of functional MRI during surgery.
Using microsurgery these modern technologies allow most accurately perform the installation microvascular anastomosis, clipping of aneurysms with the least damage to the body, the treatment of hemangiomas. Such methods are used in minimally invasive spine surgery. Microsurgery used in such basic procedures as microdiscectomy, laminectomy and discs implantation.
Our neurosurgeons are increasingly using minimally invasive endoscopic surgery. For example, endoscopic endonasal surgery is used to remove tumors of the spinal cord and cerebrospinal fluid leakage correction.
Neurosurgeons are also involved in stereotactic radiosurgery, along with radiation oncologists in the treatment of tumors and treatment of arteriovenous malformations.
In neurosurgery spine also apply methods of endovascular imaging (diagnostic angiography) for the diagnosis and treatment of malformations of the spine and vasospasm. Moreover, such procedures as vertebroplasty, kyphoplasty, angioplasty and others are carried out.
Neurology is one of the health units where our experts assist foreign patients in the diagnosis and treatment of nervous system disorders, including the central and peripheral system, or autonomic and somatic nervous system.
Allergology and Immunology
Allergy is a disorder associated with the hypersensitivity of the immune system. Allergic reactions occur when the immune system of a person reacts to normally harmless environmental substances. Such substances are called allergens.
Israel is one of the leading countries in orthopedic problems treatment.
Israeli physicians possess advanced technologies of joints treatment, such as arthroscopy, plastic joints ligaments and tendons, physiotherapy, injection biological therapy. Surgery arthroplasty (joint replacement) is a routine operation, which have a 99% success rate.
Our orthopedists are heads of major departments of public hospitals of Israel, as well as senior staff daily practicing surgeons.
In order to determine a therapy in each individual case a physical examination as well as X-ray images, MRI or CT are important.
Basic criteria that affect the doctor’s decision about treatment are:
Intensity of pain and discomfort
Lifestyle ( in the case of athletes )
Localization and lesion size
Treatment of adrenal glands dysfunction, type 1 diabetes, type 2 diabetes, goiter, Graves’ disease, thyroiditis, thyroid cancer, metabolic disease, pituitary gland (hypopituitarism), Turner syndrome, acquired disorders, ovarian failure (menopause), impaired testicular function, impaired puberty.
Urology is a unit that focuses on the treatment of male and female urinary tract and the male reproductive system. Organs of male and female reproductive system engaged in the treatment of urology include kidneys, adrenal glands, ureters, bladder, urethra, and male reproductive organs (testes, epididymis, vas deferens, seminal vesicles, prostate and penis).