Procedures Procedures

Procedures

Acid Reflux/GERD Surgery (Laparoscopic Nissen Fundoplication)

This is the standard surgical treatment for GERD. It tightens and reinforces the lower esophageal sphincter (LES). The upper part of the stomach is wrapped around the outside of the lower esophagus to strengthen the sphincter. Fundoplication can be performed as an open surgery or as laparoscopic surgery .

Appendectomy

An appendectomy is the surgical removal of the appendix. It's a common emergency surgery that's performed to treat appendicitis, an inflammatory condition of the appendix.

Benign/Malignant Breast Disorders

Benign

Non-cancerous (benign) breast disease affects nearly every woman at some point. Different benign breast conditions will affect your breast in different ways. However, all of them will cause some abnormal change. For this reason, it is vital to contact a medical professional if you have symptoms such as pain, irritation, a lump or tenderness.

Malignant

Breast cancer surgery is a key component of breast cancer treatment that involves removing the cancer with an operation. Breast cancer surgery may be used alone or in combination with other treatments, such as chemotherapy, hormone therapy, targeted therapy and radiation therapy.

Breast Biopsy, Lumpectomy

An excisional biopsy is a diagnostic procedure used to determine if a breast disorder is benign or malignant. A Lumpectomy is performed when there is a known diagnosis of breast cancer and the mission is to remove all of the cancer with a healthy margin of tissue around the tumor.

Colon and Rectal Cancer Surgery

Your doctor will determine the best treatment plan for you based on multiple factors, including the location of the cancer in your colon or rectum and whether the cancer has spread to other organs. Today, doctors use two approaches for colon cancer surgery including traditional surgery and minimally invasive surgery . Additional treatment such as chemotherapy and radiation may also be required.

Colo-Rectal Surgery

Colorectal surgery deals with disorders of the colon, rectum and anus. The most common disorders include diverticular disease, colon and rectal cancer and inflammatory bowel disease such as Crohn’s and ulcerative colitis. Although non-operative treatments are sometimes used to treat these conditions, you may require surgery.

Esophageal Surgery

This surgery is used to treat esophageal cancer, Barrett’s esophagus with high-grade dysplasia (pre-cancerous cells) or for end stage achalasia (failure of the muscles of the esophagus to relax, making it hard to swallow).

Anal Fistulas and Infections

Unfortunately given its location, the anus is prone to infection. One of these infections is a perianal abscess. This often requires surgical drainage.

A fistula is a connection between two spaces which should not connect. An anal fistula is a small tunnel that connects the anus to an opening on the skin around the anus, and can be caused by infection, such as an abscess, and can also be related to Crohn’s disease. Surgery is almost always necessary to treat an anal fistula.

Gallbladder Surgery (Laparoscopic Cholecystectomy)

Your gallbladder helps digest food, and more specifically food that is greasy, fried and high in fat content. If it’s not working the way it should, hard fragments start to form. These are called gall stones. Only about 30% of people with gallstones will develop symptoms, such as upper abdominal pain, nausea or vomiting. However, about 80 percent of people who have symptoms from their gall stones will need surgery. Removal of the gall bladder, or cholecystectomy, is one of the most commonly performed surgeries in the United States and is performed both as a traditional surgical procedure and as a laparoscopic procedure .

Gastrointestinal Endoscopy

A gastrointestinal endoscopy is a procedure used to visually examine your upper digestive system to diagnose and sometimes treat conditions that affect the esophagus, stomach and beginning of the small intestine.

Hemorrhoids

Hemorrhoidectomy is surgery to remove hemorrhoids. There are different types of techniques to remove hemorrhoids. The most common is where incisions are made around the hemorrhoid tissue to remove it. The swollen hemorrhoid tissue, which involves a vein is tied off or burned to prevent bleeding and the hemorrhoid is removed. The specific type of procedure to remove hemorrhoids is decided between the surgeon and patient prior to surgery.

Hernia Surgery/Repair

A hernia repair is the surgical procedure to repair a hernia, or weakness in the groin or the wall of the abdomen. A hernia occurs when part of an internal organ or body part protrudes into an area where it should not. The most common hernias occur in the abdominal, most commonly the navel or groin area. A small portion of the intestine, or more commonly a piece of fat, pokes through a weak area in the muscular wall of the abdomen or groin. This causes an abnormal bulge under the skin of the abdomen, usually near the groin or navel. Hernias can be repaired through a traditional surgical procedure or through a laparoscopic surgical procedure .

Hiatal Hernia

A hiatal hernia is when part of the stomach extends up through the diaphragm and into the chest. It can cause severe acid reflux or GERD symptoms. Surgery can repair a hiatal hernia by pulling your stomach back into the abdomen and making the opening in the diaphragm smaller. If you have dangerous symptoms as a result of the hernia, then surgery may be your only option. These symptoms may include:

  • bleeding
  • scarring
  • ulcers
  • narrowing of the esophagus

Hiatal hernias can be repaired through a traditional surgical procedure or through a laparoscopic surgical procedure . This surgery has an estimated 90 percent success rate.

Lumps: Cysts/Lipomas

Cysts and lipomas form under the skin. Although they are fairly common and usually harmless, you should always consult a specialist if you find a lump on your skin. It is always important to have them checked to eliminate the possibility of a form of cancer. Most cysts and lipomas can be managed or removed surgically.

Thyroid Surgery

The most common reason for thyroid surgery is to remove a thyroid nodule which has been found to be suspicious. Surgery may be recommended if a biopsy shows cancer or possible cancer or is inconclusive. Surgery may be also recommended for nodules with benign biopsy results if the nodule is large, if it continues to increase in size or if it is causing symptoms (discomfort, difficulty swallowing, etc.).