• Anesthesiology

    Overview

    The Anesthesiology Department of Mount Lebanon Hospital, affiliated with the Lebanese University-Faculty of Medicine, provides comprehensive anesthesia services for many surgical inpatient and outpatient specialties. Our subspecialties include anesthesia for Bariatric Surgery, Cardiac Surgery, ENT, General Surgeries, Neurosurgery, Orthopedics, Obstetric and Gynecology, Ophthalmology, Pediatrics, Plastic and Reconstructive , Thoracic, Urology surgery.

    Anesthesia is performed outside the OR in Gastroenterology, Radiology/Imaging and Radiotherapy departments and in the delivery suite.

    We treat acute, chronic and labor pains. Patient Safety is the first priority of our team. It relies on rigourous risk assessment and thourough monitoring supported by standardized policies and procedures.

    Procedures

    • Preoperative Anesthesia consultation and evaluation clinic
    • Pediatric Anesthesia
    • Regional Anesthesia and pain management

    Team

    • Violette Karam M.D.
      Head of Department
    • Abdel Basset Abdalah M.D.
      Anesthesiologist
    • Nouhad Choueifati M.D.
      Anesthesiologist
    • Nathalie Geahchan M.D.
      Anesthesiologist
    • Joe Maalouli M.D.
      Anesthesiologist
    • Patricia Nehme M.D.
      Anesthesiologist
  • Cardiac Center and Electrophysiology

    An average heart beats 100,000 times a day, pumping some 7.5 liters of blood through its chambers. Over a 70-year life span, that adds up to more than 2.5 billion heartbeats.

    Overview

    The Cardiac Center at MLH provides one of the most comprehensive programs available for the treatment of Cardiovascular Disease, including a rapid treatment program for patients with acute heart attacks. Patients receive assessment, diagnosis, planning, intervention and evaluation of individual needs from a team of experienced cardiologists, surgeons, nurses, and technicians. Services include non-invasive testing, diagnostic cardiac catheterization, interventional cardiology, electrophysiology studies and cardiac rehabilitation.

    Life Saving Readiness in Acute Care

    For patients hospitalized as a result of a cardiac event (e.g. angina, heart attack, irregular heart beat), experienced staff at MLH Hospital provide specialized care in the intensive and progressive care units as well as in the emergency room. Emergent balloon angioplastiy with stenting and “Clot busters,” are readily available to save valuable heart muscle for those experiencing a heart attack.

    Specialised Treatments

    • Coronary artery bypass grafting (CABG), including internal mammary artery grafts
    • Aortic and mitral valve repair and replacement
    • Thoracic aortic aneurysm repair
    • Aortic dissection repair
    • Radial and femoral coronary angiograms
    • Congenital heart defect repair in infants and children
    • Ross Procedure
    • Radial and femoral stenting
    • Implantation of pacemakers and automatic internal cardiac defibrillators
    • Off-pump coronary artery bypass
    • Minimally invasive cardiac surgery

    Following a cardiac event or heart surgery, careful rehabilitation is required to regain heart health and prevent a recurrence of problems as well as a state of the art equipped CSU and cardiac rehabilitation unit is available to ensure the safety and swift recovery of the patient in an experienced and well monitored atmosphere.

    Electrophysiology Lab

    Mount Lebanon Hospital’s Cardiac Electrophysiology Department is a frontrunner in the treatment of cardiac arrhythmia (irregular heart rhythms). These include tachycardia (heart beats too fast), bradycardia (heart beats too slow), atrial fibrillation and flutter, supraventricular tachycardia, Wolfe Parkinson White syndrome, ventricular tachycardia and fibrillation, neurogenic disorders such as syncope, and other complex arrhythmias.

    In our state-of-the-art laboratories, members of the Electrophysiology and Pacing Section offer a wide range of electrophysiology and mapping procedures to patients with suspected rhythm abnormalities. The procedures may be used to diagnose a heart problem or to treat it.

    In the Cardiac Electrophysiology and Pacing section, we offer a variety of highly specialized approaches to heart-rhythm problems. These include:

    Sophisticated remote monitoring devices to help diagnose arrhythmias that come and go. New implantable devices are also available to help physicians monitor volume changes in the heart for those with heart failure and provide ongoing monitoring for those with complex arrhythmias or devices.

    • Physicians and nurses in our Device Clinic perform about 1, 000 device checks each year to monitor the function of implanted devices.
    • Medical management and follow-up of patients with arrhythmias, using the most current medical regimens available.
    • A full range of the newest pacemaker and cardioverter defibrillator (ICD) devices to provide individualized treatment for many irregular heart rhythms.
    • Biventricular pacemakers, to improve left ventricular function, in patients with heart failure. This treatment complements pacemaker and ICD therapy used to treat arrhythmias associated with heart failure.
    • Removal of leads from damaged and infected pacemakers or defibrillators.
    • Advanced mapping and ablation therapy in state-of-the art electrophysiology labs, for atrial and ventricular tachycardia.
    • Syncope Clinic uses a full range of diagnostic tests including the head upright tilt test and hemodynamic, blood volume and autonomic reflex testing to evaluate patients with syncope (fainting) or other neurogenic disorders.

    The excellence, experience and skill of the members of the Section of Cardiac Electrophysiology and Pacing, combined with true caring for our patients’ well-being, make us the regional leader in the diagnosis and care of patients with atrial fibrillation, ventricular tachycardia, Wolfe Parkinson White syndrome, flutter and other abnormal heart rhythms.

    Tests and Procedures

    • Ambulatory Monitoring
    • Electrocardiogram
    • Head Upright Tilt Test
    • Electrophysiology Study
    • Catheter Ablation
    • Cardioversion
    • Implantable Cardioverter Defibrillator
    • Lead extraction
    • Pacemaker Implant
  • Diabetes Center

    Overview

    Established in June 2007, the Diabetes & Obesity center defined its mission in good clinical practice. Integrating medical knowledge and education, this center offers to the patient a multidisciplinary approach to diabetes mellitus and its complications. Staffed by highly-qualified Endocrinologists, a diabetes nurse educator (DNE) and a dietitian, there is no doubt that every patient will have all his/her medical problems addressed during his/her visit to this center. People with diabetes need ongoing care in a patient centered, supportive, and positive environment, without barriers to obtaining care.

    The aim of this Center is to provide medical care to All patients, making it readily accessible in a friendly environment. We work on strategic plans to increase the level of awareness of the general public to the morbidities related to obesity, hypertension and diabetes.

    Due to westernization in the traditional diets of many countries, like some Arab countries and Lebanon, Diabetes will become a pandemic healthcare problem by 2030: the number of people with diabetes worldwide is projected to increase from 171 million in 2000 to 366 million by 2030. In The Middle East, there will a 164% projected rise in the prevalence of Diabetes (an increase from 20 million currently to 58.8 million in 2030). (Hossain et al. NEJM 2007; 356(3): 213).

    Diabetes, obesity and hypertension are the main cause of cardiac related mortality, made worse by smoking.

    Electronic Medical Record (EMR) for the Out-Patient clients adds innovative technology superiority and keeps all clinical files updated in a timely manner and connected to other Hospital Facilities (Laboratory exams, X-rays …)-Having everything on hand at the same time.

    Education is the mainstay of diabetes prevention and treatment in the 21st Century: patients are now empowered to decide about their disease. Teaching materials and sessions will be available to all patients, adjusted to the sociocultural diversity of our Lebanese and Arab population.

    Patients will learn about their disease, its complications, how to treat diabetes and how to gain success in overcoming its burden. Along with lifestyle modification by diet counseling and exercise, bariatric surgery will be offered to selected patients when indicated.

    The Diabetes & Obesity Center works hand in hand with other medical specialists in the Hospital, i.e. nephrologists, cardiologists, and ophthalmologists, orthopaedic & vascular surgeons and many others. Standards of care guided by international medical society recommendations form the core of medical care and up-to-date technologies and knowledge govern patient’s approach.

    Team

    • Elie Gharios M.D.
      Head of Department
    • Georges Halabi M.D.
      Endocrinologist
    • Ms. Maya Haddad Rbeiz
      Chief Dietician
    • Marie Merheb M.D.
      Endocrinologist
    • Dina Maddah El Gharib M.D.
      Endocrinologist
    • Ms. Anna Parseghian
      Diabetes Nurse Educator

    Clinic Appointments

    On a daily basis, doctors are available from 11am until 5pm to receive patients and clients in the Center.

    To book an appointment, please call the hospital at 00961 5 957 000 extension 1200.

  • Diagnostic Radiology

    Overview

    The Department of Diagnostic Imaging at Mount Lebanon Hospital is committed to providing outstanding patient care by combining excellence in clinical imaging, uptodate radiologists with state-of-the art technology

    More than 35000 radiological exams are performed yearly, taking care of more than 18000 patients.

    We provide the highest level of clinical care, supplying an outstanding education for our residents, medical and graduate students and radiological technology students.

    Mount Lebanon’s department of diagnostic imaging has many technologies available for making the diagnosis. From standard radiology to recent advanced techniques.

    A universal overtable fluoroscopy system with dose-saving spotfilm unit and high detail resolution for digital acquisition technique is used for conventional radiology.

    Magnetic Resonance Imaging (MRI)

    A high-field 1.5 Tesla machine with a wide bore (70cm) especially manufactured for claustrophobic patients.

    Scanner

    CT Scanner

    The departement is equipped with two machines:The first scanner is 20-slices spiral CT Scanner dedicated for vascular studies, whereas the second is for routine studies.

    Scanner

    Ultrasound with Doppler

    The department is equipped with two machines: The first machine is dedicated for routine and Doppler studies, the second machine is for breast and obstetrics (4D)

    3D mammography

    • Stereotatic breast biopsy
    • Breast tomosynthesis
    • Echography with elastography

    Vascular / Interventional Radiology

    Interventional radiology is a sub-specialty of Diagnostic Radiology that has evolved over the past 25 years to become an integral part of comprehensive patient care, providing alternatives to surgery for a broad range of health problems.

    State-of-the art imaging techniques including fluoroscopy, ultrasound, computed tomography (CT scans) and magnetic resonance imaging (MRI) are utilized to guide the placement of needles, catheters and devices directly to target sites deep within the body through a small skin incision. These procedures are often performed under local anesthesia with intravenous (IV) sedation and typically do not require general anesthesia.

    Team

    • Nazih Gharios M.D.
      Director Medical Auxillary Services
    • Marwan Haddad M.D.
      Head of Department
    • Jean Abi Ghosn M.D.
      Radiologist
    • Jinane Slaba M.D.
      Radiologist
    • Maya Sammour M.D.
      Radiologist
    • Charbel Fares M.D.
      Radiologist
    • Ms. Gladys Farah Tannous
      Radiology Manager
    • Ms. Gaby Abou Khalifeh Smeha
      Chief Technician
  • PET CT and Nuclear Medicine

    Overview

    The Department of Nuclear Medicine was founded in 2002 at the Mount Lebanon hospital/ Gharios Medical Center (first center with dedicate PET/CT in LEBANON). It is one of the largest and advanced Nuclear Medicine departments in LEBANON, with extensive activities in patient care, research and teaching (Lebanese university and American university of Beirut). It plays an active role in national and international nuclear medicine. The many activities of the department members have contributed to the use of nuclear medicine in the study of differential diagnosis cancer and therapeutic.

    Along with an unusual depth of expertise with Nuclear Medicine physicians, radiochemists and a physicist, the department features one of the most sophisticated PET/CT, a SPECT and a cyclotron with dedicated automatic laboratory for radiochemistry production.

    Furthermore, our cyclotron and nuclear laboratory produce radio-tracers and are the providers of isotopes (such as FDG, FLT, Choline, NaF and galiumG8) to all PET centers in Lebanon and in centers outside Lebanon.

    Nuclear Medicine Indications

    Nuclear Medicine is used for the diagnosis and treatment of a variety of diseases and disorders. It usually requires the administration of a small amount of a radioactive substance, also known as a radiopharmaceutical or tracer. Each tracer is designed to concentrate in certain organ(s) depending on the exam requested by the physician.

    A scan is taken of the organ(s) of interest by a specialized camera known as a Gamma Camera (SPECT). This camera does not produce radiation. It is designed to detect extremely small amounts of the tracer that are concentrated in the organ(s) of interest. The amount of tracer administered is calculated to ensure the most accurate examination with the least amount of exposure to radiation.

    A Nuclear Medicine physician will interpret the images produced during the exam. This physician is specially trained and certified in Nuclear Medicine.

    The Department of Nuclear Medicine utilizes radioactive materials to diagnose the presence of disease in the body and to treat multiple types of cancer especially for thyroid cancer and neuroendocrine cancer (Lutetium 177 DOTA-TATE), as well as conditions such as Graves’ disease and toxic nodule.

    Patient therapy is a significant component of Nuclear Medicine. Treatments, and sometimes pain relief, are offered for conditions such as Graves’ disease, thyroid cancer, neuro-endocrine cancer and cancer that has spread to the bone.

    PET/CT scans also assist radiation oncologists in planning treatment with external sources of radiation.

    Nuclear medicine is unique because it shows how organs and tissues are working. For example, nuclear medicine allows physicians to see how a kidney or heart is functioning, not just what it looks like. Most other diagnostic imaging tests, such as x-ray exams, reveal only anatomical structure.

    What is positron emission tomography (PET)?

    PET is a powerful diagnostic test that is having a major impact on the diagnosis and treatment of disease. Because disease is a biological process and PET is a biological imaging examination, PET can detect and stage most cancers, often before they are evident through other tests. PET can also give physicians important early information about heart disease and many neurological disorders, like Alzheimer’s.

    A PET scan examines your body’s chemistry. Most common medical tests, like CT and MR scans, only show details about the structure of your body. PET is different. It also provides information about function. With a single PET procedure, physicians can collect images of function throughout the entire body, uncovering abnormalities that might otherwise go undetected.

    Team

    • Firas Chadeh M.D.
      Head of Department
  • Gastro-Enterology

    Overview

    The Gastro-Enterology Department at Mount Lebanon Hospital is intended to deal with the pathologies of the digestive tract and the liver as a whole, with particular interest in the management of cancer. It forms a part of a multi-disciplinary approach along with General Surgery, Medical Oncology, Radio Oncology, Medical Imaging, and Nuclear Medicine. The facilities are located in a dedicated area of the hospital with units for diagnostic and therapeutic endoscopy. The new addition of an Endoscopic Ultra-Sound (EUS) unit complements the Gastro-Enterology facility.

    Procedures

    • The recently introduced Endoscopic Ultra-Sound (EUS), which is a combination of both endoscopy and ultrasonography, benefits from the advantages of the two medical disciplines. EUS complements standard endoscopy when more detailed information is required. The ultrasound transducer located at the distal end of the endoscope would be the closest to any suspicious pathology. It results in high resolution images that allow easy diagnosis and staging of any lesion around the GI tract. The precise definition of the tissue characteristics, hemodynamics, tumor invasion depth (TNM-staging), and trouble-free minimally invasive guided biopsy or Fine Needle Aspiration (FNA) guarantee the best possible treatment
    • Upper GI diagnostic and therapeutic duodenoscopy (haemostasis, polypectomy, mucosectomy, dilatation, prosthetics)
    • Colonoscopy diagnosis and treatment (hemostasis, polypectomy, mucosectomy, dilatation, prosthetics)
    • Percutaneous gastrostomy
    • E.R.C.P. diagnostic and therapeutic biliary-pancreatic (Sphinterotomie, dilation, prosthetic ..)
    • Liver biopsy

    Medical operation is based on the principle of teamwork and complementarity.

    A weekly meeting is devoted to the presentation of complex cases and the development of consensus treatment protocols. This meeting is multidisciplinary and combines the services of General Surgery, Medical Oncology, Radio oncology, and other services as appropriate.

    Management of digestive cancers is done in a coordinated manner and involves the services:

    • Gastroenterology
    • General Surgery
    • Medical Oncology and Radio-Oncology
    • Nuclear Medicine and Medical Imaging

    This support includes:

    • The development of multidisciplinary care protocols for digestive cancers with periodic review.
    • The multidisciplinary study of records of patients with digestive cancers with prior establishment of care plans
  • Neonatal ICU

    Overview

    MLH has a Neonatal Intensive Care Unit technologically equipped to provide advanced levels of comprehensive care for critically ill newborns, and managed by a team of experienced physicians, advanced practitioners and critical care nurses who draw upon their years of experience, advanced skills and compassion to provide the best possible care for their tiny patients.

  • Nephrology

    Overview

    The Nephrology Department and the Kidney Room at MLH handle the evaluation, management, and education of patients with renal problems, chronic or acute renal failure, hemo and peritoneal dialysis.

    The Kidney room at MLH is fully equipped with 17 dialysis machines of the latest technology.

    A dedicated isolation room equipped with a machine in a private setting is operated by a highly trained and caring staff in a comfortable, safe, and hygienic environment. Hepatitis patients have their own dedicated machines.

    International infection control standards are meticulously applied. This was certified by the committee for hospital accreditation of the Lebanese MOH (2011).

    TV and Music entertainment apparatus are hooked to the automated dialysis chairs and beds in order to provide a soothing and relaxing atmosphere for the patients during their stay.

    Our highly qualified staff helps and coaches the patients and their families to improve the patient’s quality of life, and achieve an optimum level of patient safety and dedicated care.

    The unit has performed more than one hundred fifty thousand sessions.

    Team

    • Line Abi Khalil Bou Youness M.D.
      Head of Department
    • Mahmoud Khattib M.D.
      Nephrologist
    • Ms Rita Elias
      Nurse Manager

    Opening Hours

    The Renal Dialysis unit opens 6 days a week (Sundays off) from 6:00 am to 7:00 pm

  • Neurology, Epilepsy and Sleep Monitoring

    Overview

    Mount Lebanon Hospital department of epilepsy and sleep monitoring is equipped with the most advanced diagnostic tools. A dedicated team of neurologists and neurosurgeons have an established expertise in evaluating and treating the condition.

    Video-EEG monitoring unit

    Video-EEG monitoring or long-term monitoring for epilepsy (LTME) refers to the simultaneous recording of EEG and clinical behavior over extended periods of time to evaluate patients with paroxysmal events. It is used when it is important to correlate clinical behavior with EEG phenomena. EEG recordings of long duration may be useful in a variety of situations in which patients have intermittent disturbances that are difficult to record during routine EEG sessions.

    This video-EEG monitoring helps the physician answering the following questions:

    Are the episodes recorded epileptic seizures or not.

    If Epileptic, what epilepsy type is it? Where are the seizures arising from? (brain region?)

    Having these questions answered will subsequently guide treatment, and mostly will help deciding whether the patient can be cured from his epilepsy by any surgery type.

    So any patient with frequent seizures despite two appropriate medication trials could benefit from such an evaluation.

    Technical aspects

    Patient is admitted electively or urgently depending on the situation. If the admission is elective anti-epileptic drugs may be decreased or stopped while in the hospital if the frequency of the events is not high enough. A reduction of the medications can even be initiated prior to admission. This is very individual, and there is no standard protocol

    The monitoring is performed in a fixed room available on the 4th floor, which was wired to a network including a camera fixed to the wall. It visually records all the patient’s movements while in the unit and transmits that to a monitor at the nurses’ station. Privacy is respected and a specialized nurse is available at all times to observe the patient, test him and assist him as needed.

    The video signal is digitized and synchronized to the EEG signal. They are displayed simultaneously and reviewed and analyzed by our epileptologist.

    Our unit at Mount Lebanon Hospital is equipped to prepare for epilepsy surgery by completing scalp video-EEG and if needed recording from intracranial implantation of EEG electrodes. Additional imaging studies can be performed to help the surgical decision, particularly ictal PET and SPECT (injection of product at seizure onset then imaging is performed). As of January 2012, the unit is upgraded with the state of the art cortical stimulator, the only one available of its kind in the Middle East to assist and map for epilepsy surgery and other brain surgery types. It is assigned to record after stimulating the brain through electrodes implanted on the brain surface to test for language and motor function and other functions. Its main role is to guide surgical resection, extent and safety.

    Sleep Lab

    The sleep lab helps in evaluating sleep related pathologies and consists mostly on performing a polysomnogram or PSG, which is a recording of multiple physiological parameters during sleep, in addition to a detailed history taking from the patient and performing additional tests such as MSLT (multiple sleep latency test), full head EEG, CPAP titration depending on the clinical indication.

    The PSG is performed on Alice 5 machine in a designated room on the 4th floor.

    Indications for a PSG:

    1. Sleep related breathing disorders, mostly excessive snoring and apneas during sleep or excessive daytime somnolence. At times titration of CPAP is needed.
    2. Narcolepsy or idiopathic hypersomnia
    3. Cyclic nocturnal arrhythmias and related symptoms
    4. Atypical, violent or potentially injurious parasomnias
    5. Nocturnal seizures
    6. Insomnias, mostly when breathing disorder suspected or periodic limb movement suspected, initial diagnosis is uncertain or arousals occur with violent or injurious behavior

    Team

    • Joseph Hatem M.D.
      Head of Department of Neurology
    • Karine Abou Khaled M.D.
      Head of Department of Epilepsy
  • Nursing Services

    Overview

    The Nursing Services is a fundamental department of MLH dedicated to providing comprehensive, compassionate, and excellent Nursing care services to our patients.

    We promote a distinguished positive working environment based on motivation, appropriate staffing, respect and open door policy and a support of life long learning for nurses, students, and other health care providers, focusing on continuous quality initiatives, evidence based practice and research. We are committed to career advancement, recruitment and retention of expert resources.

    The nursing staff faced many challenges such new technology, informatics, accreditation standards and advancements in the nursing profession, but we succeeded to cope to change in a positive way.

    Mission

    Our mission is to provide support and direction to nursing leaders and to members of nursing staff, as well as high quality of care, based on our strong commitment to practice, education, research, innovation and collaboration.

    Vision

    • To adapt our organization to succeed in a changing environment
    • To work collaboratively as partners with colleagues, individuals, communities and organizations
    • To be a model in excellent nursing care

    Function

    The Nursing services department is in charge of the nursing care delivery system at MLH.

    The Nursing department provides both basic and specialized nursing care to the patients on 24hrs basis through the shift and or call.

    Within the scope of assuring that the nursing needs are met appropriately and in a timely manner, the department handles the recruitment, selection, unit assignment, and retention of nurses, as well as their training, orientation, and continuing in-service education.

    The challenge has always been to create ways and means to retain the MLH nurses and train them to meet the Hospital requirements. Many initiatives have been taken to retain our nurses by providing them with incentives and the recognition they deserve.

    The Nursing administration is also in charge of the Staff Development Program and the Practical Nurse Training Program. Nursing staff are regularly trained and certified in Cardio Pulmonary Resuscitation Program as part of their induction program. Renewal of certification every year has also been introduced

    Every nurse is subject to an individual annual training plan, which could exceed 30 hrs a year

    One of the distinguished activities of the Nursing Service is to hold various Quality Assurance Programs. We have the direct responsibility for the continued assessment and improvement of the quality of services provided based on the following indicators. These reports are documented reported and reviewed regularly.

    • Incidence of falls
    • Incidence of pressure sores.
    • Incidence of medication errors
    • Patient identification
    • Nursing audits on different procedures
    • Continuous education done by the nursing staff
    • Competency testing done by the RNs and PNs.

    The Hospital Infection Control Committee (HICC) aims to protect the patients from preventable infection in the hospital setting by providing safe patient care. The hospital infection control coordinator is involved in identifying and attempting to prevent infection through (i) General survey of all the wards every month (II) Hospital acquired infection survey every month (III) Education programs for all levels of staff.

    Our Structure

    The department is being headed by a Nursing Director who is currently being assisted by 5 Assistant Nursing Directors, who are charged with the tasks of overseeing together with the ward Managers the total patient care. The Ward managers ensure the patient wellbeing in liaison with other services and the clinical department of the hospital.

    The department is a single largest department has over 180 nurses, 19 Nurse Managers, and 140 Practical Nurse. The department has 20 units; 17 in-patient and 4 out-patient including the theatres and other special diagnostic and treatment units.

  • Obstetrics & Gynecology

    Overview

    MLH Obstetrics Department hosts the region’s most respected and innovative surgeons offering advanced techniques and proven minimally invasive procedures for infertility, urinary incontinence, endometriosis and pelvic problems. These surgeons use electro-surgical resectoscopes, embolization, and thermal energy for the conservative treatment of abnormal uterine bleeding. They also perform advanced laparoscopic procedures using tools that include harmonic scalpels and endocoagulators.

    MLH includes an obstetrical department, offering women and their new babies the comforts of home, plus the latest technology in obstetrics. The Obstetrics & Gynecology Department features elegantly appointed private birthing suites, where mothers and their babies can spend their hospital stay together. Epidural anesthesia performed by a special team of anesthesiologists, available 24 hours a day, secure painless, and peaceful delivery.

  • General Surgery

    Overview

    The Division of General Surgery at MLH, offer innovative surgical procedures, high technology and high quality patient care. Services include the evaluation and treatment of the full range of complex general surgery problems.

    This Division consists of a team of specialist surgeons who treat a broad array of diseases and practice.

    Practices

    • Gastrointestinal surgery
    • Hepatobiliary and pancreatic surgery
    • Cancer surgery
    • Breast surgery
    • Bariatric surgery
    • Minimally invasive surgery (laparoscopic surgery)
    • Endocrine surgery
    • Trauma surgery

    Minimally invasive surgery

    The team is highly trained in laparoscopic surgery. A big part of our activity is done by this technic: cholecystectomy, appendectomy, hiatal hernia, inguinal hernia, colectomy, bariatric surgery, adrenalectomy…

    Cancer Surgery

    Faculty in this division are specifically trained in surgical oncology: Colorectal cancer, pancreatic cancer, hepatobiliary cancer, breast cancer, peritoneal cancer…

    We were the first in Lebanon to develop hyperthermic intraperitoneal chemotherapy (HIPEC) for Pseudomyxoma, Mesothelioma and peritoneal carcinomatosis.

    In Breast cancer we are equiped for sentinel lymphnode biopsy by using the Radioisotop Technic.

    The existence of a top qualified oncology department and a highly equipped radiology department with Pet CT, MRI… will help us perform a high and accurate quality of surgical oncology.

    Bariatric Surgery

    In our department we have expert surgeons in Bariatric Surgery , we provide state of the art minimally invasive surgery for Obesity . We are also able to treat complications of this surgery.

    We are affiliated to the Lebanese Medical University in the surgical education of the Residents

  • Oncology Center

    Overview

    The Oncology department was designed specially to meet the needs of the patients in the region. Indeed this is the sole comprehensive center in the Middle East to meet the community’s growing needs for treatment and diagnosis of cancer.

    Our ultimate Mission is to provide our patients with the best quality oncology treatment based on the latest medical and scientific evidence, using established state of the art technologies.

    Complete panel of diagnostic tools

    • Cylclotron & PET CT
    • Spiral CT Scan and Echography
    • Tumor markers
    • Image guided Biopsy
    • Diagnostic Endoscopy
    • Gamma camera
    • 3D Mammography with breast tomosynthesis
    • Stereotatic breast biopsy

    Comprehensive treatment platform

    • Chemotherapy using the most up-to-date protocols
    • Radiotherapy: IMRT and Rapid Arc therapy
    • Bone marrow transplant
    • Oncologic Surgery
    • ICU and pain clinic
    • Iodine and lutetium therapy

    Radiation Oncology

    Innovation has been a hallmark of the Department of Radiation Oncology’s at MLH throughout its history. Established in 1995 it was the earliest pioneer in radiation therapy.

    This intensely dynamic department continues to grow in size, activity and stature. It is dedicated to the maintenance of clinical excellence and to the exploration and application of new techniques in the fast changing world of therapeutic oncology.

    Special equipment richly complement this sub-specialization of medical talents:

    • Dedicated CT Sim for treatment planing and simulation
    • Three Accelerators: Two Varian 2100 Clinac, One Varian IX accelerator with Rapid Arc
    • Fully digitized Treatment Planing System using Varia and Eclipse, IMRT
    • Complete array of equipment for total body irradiation (TBI)

    Our highly Medical professionals are concerned with every aspect of the patients’ conditions be it psychological or physiological, in an effort to alleviate their suffering, enhance and extend their quality of life.

    Bone Marrow Transplant

    Mount Lebanon Hospital is proud to introduce the Bone Marrow Transplant program The BMT Program is nothing but another milestone added to the foundation of healthcare excellence that MLH is always committed to. The introduction of the BMT program places MLH on the list of the best competing healthcare institutions in the region in terms of healthcare innovations and pioneering.

    “Autologous” means from yourself. An autologous BMT requires the removal or harvesting of some of your own healthy bone marrow or stem cells at a time when there is no evidence of cancer cells. This bone marrow is then frozen and stored. It will be given back to you, or transplanted after you receive high doses of cancer therapy.

    Patients at MLH can now be “rescued” from the effects of high-dose chemotherapy and/or radiation treatments by replacing the destroyed bone marrow.

  • Psychiatry

    Overview

    The Psychiatry Department operates on the principles and modalities of institutional Psychotherapy i.e. any person who works in the team has a therapeutic function. In the words of Michael Balint, “The most prescribed drug in the world is the doctor himself,” All the team members, whatever their function and technique “prescribe” themselves to the patient in the department. The result is a friendly atmosphere which helps the patients in the healing process as much as the drug therapies. Patients cease to feel excluded, foreign to others and to themselves. The effect of segregation related to psychiatry disappears. Our service has become a “home” for hospitalized patients and for those who have left the service. Witness the “visits” made by patients to the department once they have left. Some patients come to stay there in the living room, doing nothing, alone or with others …

    This has helped the patient to win back his place in his family where he was first excluded. Exclusion stems from the strangeness of the symptoms. Faced with this strangeness and the anxiety it arouses, the family eventually identifies the patient by a “he” that opposes the “we” she refers to herself, creating a divide that isolates the patient within the family. The fact that the symptom is understood by the caregivers and dealt with with respect, the patient will no longer feel left out. This home offered by the team will greatly facilitate the patient’s prescribed treatment. Psychopharmacological treatments, psychotherapeutic interviews, psychotherapy group, talk groups and appraisal interviews are experienced by the patient without any intrusive note. The same applies for regular meetings with the patient’s family and in his presence. All these treatments help the patient to regain his respect and frees him from the loneliness he feels.

    Apart from the time they devote to patient care, psychiatrists of the team spend a significant time on the floor. This presence helps to reduce patient anxiety, and stimulates a feedback mechanism between the team members who feel reassured.

    Symptoms and disorders treated

    The team welcomes all types of clinical pathologies without exeption and patients are neither selected nor grouped geographically in the floor according to their symptoms. References to the current psychiatric nosology, the DSM IV, the classical psychiatry and psychopathology psychotherapy gives our team a complementary perspectives that help identify the origin of the patient’s suffering and respond by means of the most appropriate treatment. Particular emphasis is given to bipolar disorder, more and more frequent.

    For patients with addiction disorders, we do not have any ideal abstinence goal or a mission of “cleansing”. The withdrawal treatment is not the only tool used in care. The use of substitute products allows us to help patients regain balance in their addiction. However, we will not “idealize” substitutes and make them the only tool in the care of drug addicts. From the hospital management, we will seek with the patient, his family or his entourage socio-professional ways to strengthen the care given in the department. Taking into account the post hospitalization phase is mandatory to optimize the effects of hospital stay.

    Continuing education

    Continuing education for nurses and caregiver allows caregivers to take distance from the transfer of patients, and better control the therapeutic tools used in the service. This training is continuous with the head of department informally, during daily discussions on relationship problems posed by patients, at a weekly meeting for the passing from the night shift and day shift and finally in quarterly training sessions involving all team members.

    The emergency hospitalization

    The emergency hospitalization is harmonized between the psychiatric ward and the emergency. The organization is based on three essential points: the participation of the psychiatric department in emergencies, the admission at emergency department and the use of certain psychotropic drugs. Psychiatrists share the emergency duties alternating 24/24. The Head of Service can be reached at all times and throughout the year. As for the nursing staff, on arrival of any emergency psychiatric or suspicious patient, a nurse from the psychiatric ward moves to participate in the management. In the event of an agitated patient or which creates great anxiety among staff, the psychiatry nurse is accompanied by one or two caregivers (male preferred) from the psychiatry department.

    Coordination is also ongoing with the Security Service of the Hospital. It allows the intervention of security guards in the best possible conditions to help health care providers, when necessary to bring calm to a troubled situation on the floor.

    A teaching hospital department

    The collaboration with the Faculty of Medicine at the Lebanese University has been around for years and has been enforced by the fact that Mount Lebanon Hospital is has become a University Hospital. A resident is permanently assigned to the floor and the Department of Psychiatry at the Lebanese University is led by Dr. Wadih Naja, in collaboration with Dr. Ramzi Haddad.

    Dr. Shawki Azouri, Chief of Psychiatry at Mount Lebanon Hospital teaches medical psychology.

    Finally, the department collaborates with the St. Joseph University for training purposes. Trainee psychologists do their training under the supervision of the psychologist of the floor.

    Team

    • Chawki Azoury M.D.
      Head of Department
    • Wadih Naja M.D.
      Psychiatrist
    • Ramzi Haddad M.D.
      Psychiatrist
    • Ms. Elissar Chbeir
      Nurse Manager
    • Ms. Dala Fakhreddine
      Psychologist
  • Pulmonary Department

    Our mission is to provide state-of-the-art patient care of the highest quality and compassion

    Overview

    The Pulmonary Department at Mount Lebanon Hospital offers complete evaluation and treatment of all general disorders of the respiratory system.

    Conditions may include (but not limited to): Shortness of breath, Chronic Cough, Chest Pain, Hemoptysis (Coughing of blood), Pneumonia and other infections, Asthma, COPD and Emphysema, Acute and Chronic Pulmonary Emboli, Pulmonary Hypertension, Sarcoidosis, Interstitial Lung Diseases, Pulmonary Vascular Diseases, Lung Cancer and Sleep Disorders.

    A full range of Services are available including

    • The recently acquired Endoscopic Bronchial Ultrasound (EBUS) adds an ultrasound transducer to the distal end of the bronchoscope which allows the close positioning of the transducer to the region of interest which offers the best approach for the diagnosis and staging of mediastinal and parenchymal lung lesions and cancer. The EBUS guides Trans-Bronchial Needle Aspiration (TBNA) anywhere in the bronchial tree, lungs, and the mediastinal, subcarinal or parabronchial lymph nodes. It is a gold standard technique that improves diagnosis, and TNM staging of central and hilar tumors, as well as solitary pulmonary nodules (SPN)
    • Arterial Blood Gas Testing
    • Pulmonary Function Tests
    • Bronchoscopy with Bronchoalveolar Lavage (BAL), Endobronchial Brush Cytology and Biopsies
    • Sleep Studies

    Interventional Procedures, such as CT Guided lung biopsies, are coordinated with the Radiology Department.When thoracic surgery is recommended, we work in collaboration with thoracic surgeons to provide the best care available for our patients.

    We provide comprehensive Lung Cancer diagnosis and treatment options. Lung Cancer treatment is based on the type and stage of the tumor, and the patient’s general medical condition.
    Treatment options include surgery, radiation, chemotherapy or a combination of these treatments.

    Team work with Medical Oncologists, Radio Oncologists and Thoracic Surgeons is our policy to select the most appropriate treatment for each patient.

    Respiratory Therapists (Inhalation Team) are important members of the health care team in the Pulmonary Department. They work under the supervision of physicians, providing the best outcome for
    the patient.

    Duties include

    • Drawing Arterial Blood Gases and Administering Oxygen Therapy
    • Teaching patients how to inhale the aerosols properly
    • Inserting Endotracheal Tube
    • Managing Invasive and Non Invasive Ventilation
    • Responding to Code Blue or other urgent calls for care

    Continuous Medical Education

    Mount Lebanon Hospital is affiliated with the Lebanese University Faculty of Medicine. Interns and Residents in Internal Medicine rotate through the Pulmonary Department during their training.

    Educational program includes:
    Morning Reports, Bedside Rounds and Monthly Lectures on Important Topics in Pulmonology.

  • Otolaryngology - Head and Neck Surgery

    Overview

    The Otolaryngology – Head and Neck Surgery Department at Mount Lebanon Hospital offers the highest standards of care to its patients, with highly qualified specialists working in a fully equipped clinic. In addition to the basic setup, we have an up-to-date audiogram and tympanogram machine, and a high-definition flexible fiberoptic video-laryngoscopy, ensuring the most comprehensive examination of our patients.

    The department covers all areas of the Otolaryngology-Head and Neck Surgery field, including otology and neurotology, cochlear implants and other ear surgeries, a vertigo/tinnitus/hearing loss clinic, rhinology, maxillo-facial surgery, facial plastic surgery, as well as laryngology and head and neck surgery. With all these services available at our hospital, we offer one of the most competitive otolaryngology services in Lebanon and the region, continuously aiming at the best level of care for our patients.

  • Orthopedic Surgery

    Overview

    The Mount Lebanon Hospital Orthopedic Surgery Service offers a wide range of surgical and nonsurgical treatment options for bone and joint diseases and injuries along with specialized children orthopedic surgery and care.

    Combining the best in orthopedic medicine and surgical care along with strong diagnostic imaging tools and a full range of equipment, prostheses, and supplies, our expert surgeons are renowned for outstanding orthopedic care.

    Different types of advanced techniques are performed

    • Joint reconstruction and replacement of the hip, knee, and shoulder. Different prosthetic devices for joint replacement and revision surgery
    • Corrective surgery of the foot, ankle, wrist, shoulder, elbow, and hand
    • Cancer Resection and Reconstruction of soft tissue in the limbs, as well as metastatic tumors in collaboration with medical oncologists and radiation oncologists
    • Spinal surgery, including treatment of degenerative diseases, Spinal reconstruction for patients with spinal bone tumors, scoliosis, or deformity
    • Sports medicine and surgery for teens and adults at any level of ability, including professional athletes
    • Microsurgical repair of severe injuries to the fingers, hands, arms, feet and legs, including reattachment of severed parts as well as Muscular free flaps
    • Pediatric orthopedics, including scoliosis, spinal deformities, and other congenital and developpemental conditions for children and adolescents
    • Diabetic foot infection in collaboration with the infectious disease and endocrinology services. We have a very low rate of amputation for these patients
    • Trauma Surgery and poly-trauma care including the upper extremity and lower extremity, pelvis, acetabulum and other bones and joints, isolated fractures/dislocations, and poly-trauma. Additionally, we treat complications of fracture, including infection, non-unions and mal-unions

    Team

    • Gaby Haykal M.D.
      Head of Department
  • Plastic Surgery

    Overview

    Mount Lebanon Hospital Plastic Surgery Department is a comprehensive unit that offers reconstructive and cosmetic surgery in a highly secure and professional environment. Highly specialised plastic surgeons and state of the art equipment combine with the most advanced surgical and medical techniques to provide the client with the best possible results.

    The most common procedures performed are:

    • Breast augmentation and lift
    • Rhinoplasty
    • Abdominoplasty
    • Liposuction
    • Arm and tight lift
    • Eye and face lift
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