Clinical Departments

Treatment Wards

Explore the specialized wards and departments of Kowsar Subspecialty Hospital.

Our Departments

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Wards & Services

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Imaging

The imaging department of Kowsar Hospital possesses the most modern equipment and machines and performs all kinds of common and routine imaging processes for its respectable patients round-the-clock.

This center is equipped with PACS, which makes it possible for doctors all around the world to access the images through the internet. All common and specialized radiographic techniques are performed under the supervision of professional experts and doctors.

The spiral CT scanner is capable of performing all CT-guided biopsies and PRT. The sonography and Doppler Ultrasound machines can be used for all types of sonography, biophysical, four-dimensional and three-dimensional Doppler ultrasound, ultrasound under the supervision of radiologists, and performing all sorts of ultrasound-guided biopsies. An MRI machine with the ability to perform all tests is among the services and machines this center provides. This unit has been active since the start of the hospital and is providing diagnostic and therapeutic services to respectable clients.

Doctors of Department

  • Dr. Moradi — Radiologist
  • Dr. Zamani — Radiologist

Department Equipment

  • DDR fixed digital radiology
  • Portable radiology (two devices)
  • Sonographic devices: GE Expert E8
  • CT Scan Device for GE

Special Radiography Services

1. Radiological Examination of the Digestive System

  • Barium B.S or Swallow Barium (esophageal radiography)
  • UGI — esophagus, stomach, duodenum
  • Transit — specialized radiology of the small intestine
  • Barium Enema (B.E) — specialized radiography of the large intestine

2. Radiological Examination of the Urinary System

  • IVP — radiography of the kidneys, ureter, and bladder
  • VCUG — specialized urethra and bladder radiography
  • Retrograde Urethrography
  • Antegrade Ureterography

Ultrasound Services

In ultrasonography, all internal organs, soft tissue and deep tissue (ovary, testis), thyroid and parathyroid glands are examined. Color Doppler of the kidneys is also performed as needed.

CT Scan Services

Our CT scan is equipped with a multislice (spiral) CT that can perform brain, lung, abdominal and pelvic CT scans with and without contrast injections, HRCT at 2 mm intervals for more accurate examination, and CT Angiography — a three-dimensional (3D) scan that receives the lowest dose due to the spirality of the device.

Digital DDR System Advantages

  • Film processing can be performed in the open space
  • Film archive is done digitally and via software
  • The likelihood of film deterioration and blackening is minimized
  • Patient radiation is reduced due to system software processing

Nuclear Medicine

Radioisotope materials are used for imaging function and anatomy of the body. The Nuclear Medicine Center of Kowsar Hospital is equipped with Siemens SYMBIA Evo Excel (Model 2018), one of the most state-of-the-art nuclear medicine imaging machines in the world. The SPECT imaging technique is used for diagnosing services.

List of Services

  • ECG Gated scan (perfusion, viability, EF calculation, …)
  • Lungs perfusion and ventilation scan (VQ scan)
  • Bone scan
  • Renal and urinary tracts scan (DMSA, DTPA, DRNC, EC)
  • Gastric system scan (salivary glands, esophageal transit, esophageal vacuum, gastric evacuation, liver, splenagia, liver hemangioma, gall bladder perforation, HIDA)
  • Gastrointestinal bleeding scan with Tc-RBC radio medicine, diverticular scan
  • Brain scan (perfusion, cisternography, brain shunt survey, trodat scan)
  • Thyroid and parathyroid scan tests
  • Whole body scan with gallium and thallium radio medicines, MIBG, DMSA
  • Iodine scan test, MIBG
  • Lymphoscintigraphy
  • Bone mass density test

Radioisotope Treatment Services

  • 131 iodine thyroid elective treatment
  • Pacification treatment of bone metastatic cancers with radio medicines such as samarium and lutetium

Clinic

The specialty and subspecialty clinic of Kowsar Hospital includes 16 active fields covering a broad range of medical and surgical services.

Active Specialties

  • Internal Medicine
  • Ophthalmology (general, cornea, and retina services)
  • ENT
  • General Anesthesiology
  • Pain Fellowship
  • General Urology
  • Renal Transplant Fellowship
  • Maxillofacial Surgery
  • General Surgery
  • Laparoscopic Surgery Fellowship
  • Thorax Surgery Fellowship
  • Vascular Surgery Fellowship
  • Burns Fellowship
  • Cosmetic and Reconstructive Surgery Fellowship
  • Surgical Oncology Fellowship
  • Neurosurgery
  • General Orthopedic Surgery
  • Knee Surgery Fellowship
  • Psychiatry
  • Neurology
  • Physiotherapy
  • Occupational Medicine
  • Dentistry

Nursing & Para-Clinical Services

  • Electroencephalography (EEG)
  • Spirometry
  • Echocardiography (ECG)
  • Electromyography (EMG)
  • Optometry
  • OCT
  • IOL Calculation
  • Ear Irrigation
  • Ear Endoscopy
  • Laryngoscopy
  • Minor Surgery

MRI

The MRI ward of Kowsar Hospital of Sanandaj was established in 2016. The ward is equipped with a 1.5 Tesla Siemens Avanto MRI unit and started offering services to patients in 2017.

The area is about 280 m² and comprises a magnet room, control room, pantry, locker room, recovery, admission, and waiting room. The ward head, a radiologist, technicians, and staff (including admission, preparation, and cleaning service personnel) work in three shifts, all days a week. Quality diagnostic services are offered according to tariffs determined by the government.

Available MRI Tests

  • Brain and spinal cord imaging
  • Joint and skeletal imaging
  • Abdomen and pelvis imaging
  • Lung imaging
  • MRI scan with contrast
  • Angiography
  • Venography
  • MRU (Magnetic Resonance Urography)
  • MRCP (Magnetic Resonance Cholangiopancreatography)
  • MRE (Magnetic Resonance Enterography)

Physiotherapy

Kowsar Hospital physiotherapy department utilizes professional specialists and is equipped with modern machines, ready to serve respectable patients throughout the day. This department strives to provide the best service with the most modern knowledge available.

Services

  • Outpatient physiotherapy services
  • Specialized services for admitted patients in different wards
  • Physiotherapy and rehabilitation counseling
  • Respiratory physiotherapy
  • Prevention of surgery and bed-side effects
  • Prevention of lung infection
  • Improving and increasing lung capacity
  • Prevention of mobility limitation and improvement of range of motion

Emergency Ward

The emergency ward of the hospital has two main parts.

Part 1

  • Triage
  • Trauma
  • CPR room
  • Pharmacy
  • Supervisor room
  • GP room
  • Emergency medicine specialist rooms

Part 2

  • Acute patient wards
  • Injection room
  • Operating room
  • Laboratory
  • Radiology
  • Dialysis
  • Minor surgery rooms

Special Nursing Services

Nursing staff of the ward are constantly educated and evaluated to make sure that they are competent enough to provide quality caring services. The majority of ICU patients are in surgery, internal medicine, neurology, neurosurgery, urology, orthopedics, and nephrology services.

ICU

Kowsar Hospital has five intensive care units (ICU 1, ICU 2, ICU 3, ICU 4, BICU) equipped according to the latest world standards. All intensive care units are designed to enjoy sterile air conditioning and natural lighting to provide a pleasant condition for patients.

ICU 1, 2, and 3 — with a total capacity of 30 beds — are located on the first floor of the hospital. ICU 4 and BICU are located on the ground floor next to the emergency ward.

ICU wards are equipped with cutting-edge facilities and central monitoring systems. The hospital is ready to admit critically ill patients in ICU wards. The highly skillful and committed staff are constantly supervised and educated through conferences and educational programs so that world-class services are provided to the patients. Anesthesiologists attend the ICU wards every day in 24-hour shifts.

Special Services of ICU Wards

  • Bathing the patients twice or three times a week
  • Standard number of staff per patients
  • Updated educational programs for the ward nurses and staff
  • Isolated rooms for patients with critical or special conditions
  • Equipped beds with monitoring, pulse oximetry, blood pressure, skin thermometer, anal thermometer, central oxygen, central suction, CVP and arterial pressure transducer systems and devices
  • Echocardiography
  • Portable sonography
  • Portable bronchoscopy
  • Advanced wound dressing and care, supervised by the wounds clinic
  • Ventilation and air conditioning for brain and respiratory critically ill patients (CRF, CVA, poisoned, cancer patients who need vital signs monitoring)

ICU Staff & Management

An ICU ward is managed by an anesthesiologist as a ward head. A head nurse controls the nursing services. Documentation is controlled by a medical secretary and cleaning services are scheduled and done every day.

Routine Nursing Services for ICU Patients

  • Monitoring the vital signs every two hours
  • Mouth irrigation, three times a day
  • Massage and position changing every two hours
  • Moisturizing skin around the mouth for preventing angular cheilitis and fixing the tracheal tube using sterile gauze twice a day
  • Monitoring pressure and position of the tracheal tube
  • Mouth suction or PRN tracheostomy
  • Tracheostomy cleaning through N/S and changing the gauze
  • Bed wounds irrigation with normal saline
  • Betadine perineal irrigation three times a day
  • Bed bathing twice a week
  • Chest tubes and charts control
  • NGT control
  • Dressing change according to sterilization guidelines
  • Respiratory physiotherapy and motivational spirometry
  • Liquid intake and urine output check
  • Foley catheter and NGT changing every ten days

Laboratory

The young and knowledgeable personnel of Kowsar Hospital laboratory are committed to offering quality services to patients in a wide range of diagnostic fields.

Services

  • Immunology
  • Biochemistry
  • Pathology
  • Blood Bank
  • Hormone Analysis
  • Serology
  • Hematology
  • Microbiology

Operating Rooms

Kowsar Hospital enjoys a modern operating room comprising of 17 state-of-the-art operating rooms equipped with cutting-edge technologies. Specialty and subspecialty surgeries are offered across a wide range of disciplines.

Surgical Disciplines

  • General Surgery
  • Neurosurgery
  • Ophthalmic Surgery
  • Cancer Surgery
  • Thorax Surgery
  • Vascular Surgery
  • Cosmetic & Reconstructive Surgery
  • Orthopedic Surgery
  • Urology
  • Maxillofacial Surgery
  • ENT Surgical Services

Equipment & Facilities

  • Fully automated beds
  • Cutting-edge surgical technologies
  • Modern anesthesia machines
  • Fully installed monitoring devices
  • Ophthalmic surgical microscopes
  • Phacoemulsification
  • ENT endoscopy units
  • Extracorporeal shock wave lithotripsy
  • Cystoscopy
  • Arthroscopy
  • Orthopedic devices
  • Laparoscopic systems
  • One OR equipped with lead shielding and C.ARM for orthopedic and neurosurgeries
  • High-tech audio, electronic, monitoring, HIS, and automation systems

Pre-Op & Recovery

  • Pre-operating room with 16 beds, segregated for men and women
  • Large recovery room with 24 beds equipped with vital signs monitoring systems
  • Waiting room with large monitors giving constantly updated information about each patient's condition

Neurology

Cerebrovascular Diseases Treatment by Intervention Methods — there is no surgery in this method.

Interventional Procedures

  • Blocking abnormal arteriovenous communication
  • Blocking vascular aneurysm
  • Blocking arteries supplying blood to improve blood supply
  • Placing stents to improve blood supply to the brain

Tumor Treatment

Depending on the type, place, size, and dispersion level of the tumor, an appropriate intervention method is selected. Blocking the arteries supplying blood to the tumor is done by angioplasty or surgery and extraction of the tumor.

Endoscopy & Colonoscopy

Endoscopic surgical procedures in all aspects of diagnosis and treatment of various diseases are now performed widely in developed centers. Kowsar Hospital's scopy ward (gastroenterology and endoscopy), with the assistance of capable physicians and experienced staff and the most modern medical equipment such as the Olympus endoscopic device series 180 with NBI capability, is ready to provide health care services along with digestive checkups within 24 hours for respected patients.

Digestive Treatments Performed

  • Endoscopy of the esophagus, stomach, and duodenum
  • Colonoscopy (colon)
  • Removal of bile duct stones, bile duct sphincterotomy, and stenting
  • Gastric balloon weight loss
  • Control of bleeding from the stomach and duodenum
  • Banding of esophageal varices
  • Banding of hemorrhoids
  • Balloon dilation of the esophagus and achalasia
  • Balloon dilation of the duodenum
  • Checkups of upper and lower gastrointestinal system

Ear, Nose & Throat (ENT)

Our department treats patients experiencing the entire range of head and neck disorders. Our physicians are trained in the latest surgical techniques and use the most recent technology to provide you with the best medical and surgical care. We use an interdisciplinary approach to provide the best treatment option for you.

Conditions Treated

  • General Otolaryngology
  • Head & Neck Cancers
  • Ear & Balance Disorders
  • Voice & Swallowing Disorders
  • Sinus & Nasal Disorders
  • Skull Base Disorders
  • Salivary Gland Disorders
  • Thyroid Disease
  • Facial Trauma
  • Rhinoplasty

Rhinoplasty — Anesthesia Options

Rhinoplasty requires local anesthesia with sedation or general anesthesia, depending on how complex your surgery is and what your surgeon prefers.

  • Local anesthesia with sedation: Usually used in an outpatient setting; the doctor injects a pain-numbing medication into the nasal tissues and sedates the patient through an IV line.
  • General anesthesia: The patient receives the anesthetic by inhaling it or through an IV line; general anesthesia affects the entire body and causes unconsciousness during surgery, requiring a breathing tube.

Procedure

Rhinoplasty may be done inside your nose or through a small external cut (incision) at the base of your nose, between your nostrils. Your surgeon will likely readjust the bone and cartilage underneath your skin.

Neurosurgeon

Refer to a neurosurgeon if you experience any of the following symptoms.

When to See a Neurosurgeon

  • Waist disc and spine problem
  • Head trauma
  • Brain tumors
  • Headache, poor concentration, fainting
  • Weakness of the hands and legs
  • Body shaking

Problems We Treat

  • Brain aneurysm
  • Spine disorder
  • Epilepsy
  • Brain tumors
  • Functional brain disorders
  • Fixation fractures
  • Biopsy from nerves
  • Spinal surgeries
  • Congenital problems
  • Maxillofacial disorders

Pathology Laboratory

The Pathology Laboratory supports physicians at the hospital and elsewhere by performing testing services for diagnostic and therapeutic evaluations. The laboratory team consists of highly experienced physicians, scientists, medical technologists, medical technicians, histotechnologists, cytology technologists, pathologists' assistants, phlebotomists, lab assistants, biologists, chemists, microbiologists, geneticists, genetic counselors, and other specialists, all working collaboratively.

Besides serving patients, the laboratories also do testing for other clinics and hospitals nationally and internationally. In the hospital, clinical laboratory testing for patients is available, as well as consultative work for the setup, staffing, equipment purchase and evaluation, and test repertoire selection for referring physicians' office laboratories.

Services

  • Biochemistry
  • Hematology / Blood Transfusion
  • Histopathology / Cytopathology
  • Microbiology
  • Serology
  • Public Health
  • Bone and Soft Tissue Pathology
  • Breast Pathology
  • Cardiovascular Pathology
  • Cytopathology
  • Dermatopathology
  • Gastrointestinal Pathology
  • Genitourinary Pathology
  • Gynecologic Pathology
  • Head and Neck Pathology
  • Hematopathology
  • Liver Pathology
  • Pulmonary Pathology
  • Renal Pathology
  • Transplant Pathology

Plastic Surgery & Beauty

Abdominoplasty (Tummy Tuck)

A flabby abdomen is caused not only by the accumulation of fat, but also by poor elasticity of the skin, excess skin, and the stretching of the inner girdle of connective tissue (abdominal fascia) and abdominal muscles that extends from the ribs to the pubic bone.

Your abdomen is more likely to protrude after your abdominal fascia has been stretched during pregnancy or after significant changes in weight. A tummy tuck can remove loose, excess skin and fat, and tighten weak fascia. It can also remove stretch marks and excess skin in the lower abdomen below the bellybutton. However, a tummy tuck won't correct stretch marks outside of this area.

You might consider a tummy tuck if:

  • You have excess skin that's accumulated around the area of your bellybutton
  • You have a weak lower abdominal wall
  • Liposuction didn't adequately improve the appearance of your abdomen
  • You previously had a C-section and have retracted scarring

Mammoplasty (Breast Reduction)

There are several techniques for breast reduction surgery. They all aim to remove excess breast tissue, reshape breasts, and reposition the nipples. The chosen technique depends on the woman's physical condition and desired results, and also determines the position of the scar.

The most common technique is an anchor-shaped incision that goes around the areola (still leaving the nipple attached), down to the crease between the breast and chest, and then horizontally into that crease. If the breast is large and droopy, the nipple and areola may be detached and later re-attached. Usually the scar is positioned around the areola and just at the base of the breast, where it can be easily hidden.

The procedure is performed under general anesthesia and takes about 2–3 hours. Drains are inserted and left in place to let any accumulating fluids and blood flow out of the site of operation. These are usually removed after two days. Antibiotics may be given before and after the operation to reduce the risk of wound infections.

Surgery

For many people, surgery is a daunting prospect. Our surgical specialists share a common goal: creating a patient experience dedicated to superior quality, safety, satisfaction, and the best possible outcomes. We have some of the finest surgeons in the area and state-of-the-art diagnostic facilities. Your care is our primary concern, and we've compiled the necessary guidelines to help prepare you for your surgery.

Gastric Sleeve Surgery

In gastric sleeve surgery, a surgeon removes part of the stomach and makes a narrow tube or "sleeve" out of the rest. The new, banana-shaped stomach is much smaller than the original stomach. After the operation, a person will eat less, feel full sooner, and be less hungry.

Gastric sleeve surgery is a major operation. Doctors will give you anesthesia so you sleep through the surgery. After you're asleep, the surgeon will take out three-quarters of your stomach, leaving you with a smaller banana-shaped stomach called the gastric sleeve. After the operation, you'll probably stay in the hospital for a couple of nights so doctors and nurses can monitor your recovery.

Cholecystectomy

Before surgery, a complete blood count and liver function tests are usually obtained. Prophylactic treatment is given to prevent deep vein thrombosis. Use of prophylactic antibiotics is controversial; however, a dose may be given prior to surgery to prevent infection in certain people at high risk. Gas may be removed from the stomach with an OG or NG tube, and a Foley catheter may be used to empty the patient's bladder.

In open cholecystectomy, a surgical incision of around 8 to 12 cm is made below the edge of the right rib cage, and the gallbladder is removed through this large opening, typically using electrocautery. Open cholecystectomy is often done if difficulties arise during a laparoscopic cholecystectomy — for example, the patient has unusual anatomy, the surgeon cannot see well enough through the camera, or the patient is found to have cancer.

Laparoscopic Cholecystectomy

A laparoscopic cholecystectomy is a surgery during which the doctor removes your gallbladder. This procedure uses several small cuts instead of one large one. A laparoscope — a narrow tube with a camera — is inserted through one incision, allowing your doctor to see your gallbladder on a screen. Your gallbladder is then removed through another small incision.

The procedure is used when you have stones in your gallbladder. The gallbladder stores bile, a fluid made by your liver, which helps digest fats in the foods you eat. Gallstones can block the flow of bile in your digestive system, causing bloating, nausea, vomiting, and pain in your abdomen, shoulder, back, or chest. Gallstones can also block the ducts that channel bile from the liver or gallbladder to the intestine, and can cause the gallbladder to become infected. A blockage in the common bile duct can cause jaundice or irritate the pancreas.

Urology

The Urology unit of the hospital, with the most advanced devices and experienced doctors and surgeons, provides specialized services as follows.

Specialized Services

  • Kidney surgery
  • Cystoscopy
  • Indo-urological applications
  • Nephrolithotomy
  • Women's urology
  • Laparoscopic kidney surgery
  • Laparoscopic prostate surgery
  • Urinary tract repair, plastic surgery, penile curvature, and kidney function disorders
  • Evaluation of bladder nerve function, bladder muscle and bladder sponge, volume and capacity of bladder, and urinary tract examination