General

surgery

Thyroid and Parathyroid Surgery

Hospitalization requirements post-surgery have markedly improved with a majority of patients discharged to the comforts of home on the same day, in part due to techniques, which decrease post-operative pain and discomfort. Thyroid removal is appropriate for nodules in the thyroid that have the chance of becoming cancer, a large thyroid goiter that causes a choking sensation in the neck or when the thyroid produces excess hormone (hyperthyroidism) that is not responding to medical treatment. Because of the our expertise, and using minimally invasive techniques on many procedures, the recognized complications of this operation – namely bleeding, infection, dysfunction of the parathyroid glands or injury near the vocal cords – are rarely seen.

Anti-Reflux Surgery and Paraesophageal Hernia Surgery

Anti-reflux procedures such as laparoscopic Nissen fundoplication is the standard surgical approach for treatment of severe gastroesophageal reflux. Utilizing minimally invasive procedure allows improved cosmetic appearance, reduces morbidity, decreases length of stay, decreases complications and allows faster recovery.

Large hiatal and paraesophageal hiatal hernias causing symptoms that have failed to resolve with medical management require laparoscopic minimally invasive surgical repair. This approach is safe and effective treatment, allowing for smaller scars, shorter recovery and shorter stay.

Laparoscopic Bowel Surgery

Laparoscopic bowel surgeries involve making three to five small incisions to insert multiple Trocars into the abdomen. With specialized instruments, the affected portion of the colon or small bowel is dissected and removed through these small incisions. The colon is the large intestine where the small intestine empties the metabolic wastes of digestion that are not absorbed in the body. After absorption of water, the colon expels these wastes as faeces through the rectum at regular intervals. Common colon ailments include irregular bowel movements, growth of polyps, and colon cancer. Sometimes, surgical interventions are necessary to take care of these problems in the colon. As people grow older, often small outpouchings of the intestine form called colonic diverticuli. Diverticulosis and diverticulitis are conditions that arise from these outpouchings of the intestine and may sometimes cause bleeding and infection. If you have suffered multiple attacks then you may require an operation to remove the effected portion of the colon.

Utilizing this laparoscopic method, patients have a shorter stay and recovery time, less pain, faster return to diet and activity, and improved cosmetic appearance.

Breast Surgery and Breast Conservation Surgery

Lumpectomy, partial or segmental mastectomy – the goal of breast conservation surgery is to give patients equivalent survival rate as mastectomy while limiting cosmetic damage. This is a less radical surgical approach and is frequently requested by our patients when appropriate.

More about Lumpectomy from the American Cancer Society

Sentinel node biopsy and axillary lymph node dissection. If breast cancer spreads, it typically goes first to nearby lymph nodes. Knowing whether the cancer has spread to your lymph nodes helps medical providers find the best way to treat your cancer. If you have been diagnosed with breast cancer, it’s important to find out how far the cancer has spread. To help find out if the cancer has spread beyond the breast, one or more of the lymph nodes under the arm (axillary lymph nodes) are removed and checked under a microscope. This is an important part of staging. When the lymph nodes contain cancer cells, there is a higher chance that cancer cells have also spread to other parts of the body. Treatment decisions will often depend on whether cancer is found in the lymph nodes.

More about Lymph Node Surgery from the American Cancer Society

Mastectomy is a way of treating breast cancer by removing the entire breast through surgery. It’s often done when a woman cannot be treated with breast-conserving surgery (lumpectomy), which spares most of the breast. It can also be done if a woman chooses mastectomy over breast-conserving surgery for personal reasons. Women at very high risk of getting a second cancer sometimes have a double mastectomy, the removal of both breasts.

More about Mastectomy from the America Cancer Society

Skin Cancer and Melanoma Surgery

Melanoma is a cancer that begins in the melanocytes. Other names for this cancer include malignant melanoma and cutaneous melanoma. Most melanoma cells still make melanin, so melanoma tumors are usually brown or black. But some melanomas do not make melanin and can appear pink, tan, or even white.

Melanomas can develop anywhere on the skin, but they are more likely to start on the trunk (chest and back) in men and on the legs in women. The neck and face are other common sites. Having darkly pigmented skin lowers your risk of melanoma at these more common sites, but anyone can get melanoma on the palms of the hands, soles of the feet, and under the nails.

Surgical treatment of skin malignancy, which includes lymph node biopsy, excision of lesion and reconstruction. Surgery is the main treatment option for most melanomas, and usually cures early-stage melanomas.

Surgery/Procedures
Offered in the Office

Colonoscopy – screening, diagnostic and therapeutic
Esophagogastroduodenoscopy (EGD) – diagnostic and therapeutic
Percutaneous Endoscopic Gastrostomy (PEG) tube – placement, replacement and /or revision
Upper and Lower extremity angiogram
Venography
Lower extremity angioplasty, stent placement and limb salvage procedures.
Venous Reflux Ultrasound
Vein ablation for varicose veins and venous ulcers.
Lower and upper extremity, carotid and aortic arterial and venous ultrasounds
Lumpectomy of the breast
Lymph node biopsies and excisions
Procedures of the skin
Minimal wound debridement and amputation surgery
Port Placements and removal
Open inguinal hernia
Spider vein injections
Ear lobe repair
Kenalog injection
Laser Liposuction

Vascular Ultrasound Services
Offered in the Office

Venous reflux ultrasound
Vein ablation for chronic venous insufficiency, varicose veins and venous ulcers
Lower and upper extremity, carotid and aortic arterial and venous ultrasounds