Sergei Dolgopolov MD General Surgeon NYC
Valery Dronsky MD General Surgeon NYC
Roman Grinberg MD General Surgeon NYC
  • best-general-surgeons-ues-nyc

Surgical Experts Dedicated to Improving Lives

At Lenox Hill Surgeons, our dedicated team of nyc surgeons and medical professionals provide compassionate care with the highest ethical & professional standards. In our state of the art facility, we offer surgical services using only the most cutting edge and current procedures and treatments.We specialize in general surgery. Our expertise is in minimally invasive surgery and robotic surgery. Minimally invasive and robotic surgery often allow patients to experience easier recovery than traditional open surgery. They also allow for more precise and less traumatic surgery. When robotic and minimally invasive surgery is not an option, we are also skilled and experienced in traditional open surgical procedures.

All of our doctors are experienced and skilled surgeons having undergone extensive training in school, residency and fellowships. They all practice medicine with ethical behavior, compassion and superb bedside manner. In the operating room they all exhibit precise mechanical abilities, analytical thinking and the ability to visualize tissue in three dimensions. These innate and learned skills allow our surgeons to be some of the most dexterous and skilled professionals in all of New York City and the Country.

General Surgery

Here are some brief descriptions about some general types of surgeries:

Trauma surgery/ Surgical Critical Care

In the United States and Canada, the overall responsibility for trauma care falls under the auspices of general surgery. Some general surgeons obtain advanced training in this field (most commonly surgical critical care) and specialty certification surgical critical care. General surgeons must be able to deal initially with almost any surgical emergency. Often, they are the first port of call to critically ill or gravely injured patients, and must perform a variety of procedures to stabilize such patients, such as thoracostomy, cricothyroidotomy, compartment fasciotomies and emergency laparotomy or thoracotomy to stanch bleeding. They are also called upon to staff surgical intensive care units or trauma intensive care units.

All general surgeons are trained in emergency surgery. Bleeding, infections, bowel obstructions and organ perforations are the main problems they deal with. Cholecystectomy, the surgical removal of the gallbladder, is one of the most common surgical procedures done worldwide. This is most often done electively, but the gallbladder can become acutely inflamed and require an emergency operation. Ruptures of the appendix and small bowel obstructions are other common emergencies.

Laparoscopic surgery

This is a relatively new specialty dealing with minimal access techniques using cameras and small instruments inserted through 0.3 to 1 cm incisions. Robotic surgery is now evolving from this concept (see below). Gallbladders, appendices, and colons can all be removed with this technique. Hernias are now repaired mostly laparoscopically. Most bariatric surgery is performed laparoscopically.[citation needed] General surgeons that are trained today are expected to be proficient in laparoscopic procedures.

Colorectal surgery

General surgeons treat a wide variety of major and minor colon and rectal diseases including inflammatory bowel diseases (such as ulcerative colitis or Crohn’s disease), diverticulitis, colon and rectal cancer, gastrointestinal bleeding and hemorrhoids.

Breast surgery

General surgeons perform a majority of all non-cosmetic breast surgery from lumpectomy to mastectomy, especially pertaining to the evaluation and diagnosis, of breast cancer.

Vascular surgery

General surgeons can perform vascular surgery if they receive special training and certification in vascular surgery. Otherwise, these procedures are performed by vascular surgery specialists. However, general surgeons are capable of treating minor vascular disorders.

Endocrine surgery

General surgeons are trained to remove all or part of the thyroid and parathyroid glands in the neck and the adrenal glands just above each kidney in the abdomen. In many communities, they are the only surgeon trained to do this. In communities that have a number of subspecialists, other subspecialty surgeons may assume responsibility for these procedures.

Transplant surgery

Responsible for all aspects of pre-operative, operative, and post-operative care of abdominal organ transplant patients. Transplanted organs include liver, kidney, pancreas, and more rarely small bowel.

Surgical oncology

Surgical oncologist refers to a general surgical oncologist (a specialty of a general surgeon), but thoracic surgical oncologists, gynecologist and so forth can all be considered surgeons who specialize in treating cancer patients. The importance of training surgeons who sub-specialize in cancer surgery lies in evidence, supported by a number of clinical trials, that outcomes in surgical cancer care are positively associated to surgeon volume—i.e., the more cancer cases a surgeon treats, the more proficient he or she becomes, and his or her patients experience improved survival rates as a result. This is another controversial point, but it is generally accepted—even as common sense—that a surgeon who performs a given operation more often, will achieve superior results when compared with a surgeon who rarely performs the same procedure. This is particularly true of complex cancer resections such as pancreaticoduodenectomy for pancreatic cancer, and gastrectomy with extended (D2) lymphadenectomy for gastric cancer. Surgical oncology is generally a 2 year fellowship following completion of a general surgery residency (5-7 years).

Cardiothoracic surgery

Most cardiothoracic surgeons in the U.S. (D.O. or M.D.) first complete a general surgery residency (typically 5–7 years), followed by a cardiothoracic surgery fellowship (typically 2–3 years).

Pediatric Surgery

Pediatric surgery is a subspecialty of general surgery. Pediatric surgeons do surgery on patients age lower than 18. pediatric surgery is 5–7 years of residency and a 2-3 year fellowship.

Contact us at 646-846-1136 to schedule an appointment.

Hernia Repair Surgery – NYC Surgeon

Hernia Repair Surgery: Steps, Benefits, Side-Effects, Precautions & Prognosis

best-hernia-repair-surgeon-experts-nyc-info-process-prognosis-01Hernia repair surgery entails the application of instrumental and manual procedures for correcting herniation of tissues or viscera including groin, abdomen, brain, and diaphragm. Internal organs, composed of tissues, could get herniated or bulged, forcing them to protrude via the wall encasing them. Hernias involving the groin (an inguinal hernia) and the umbilical cord (an umbilical hernia) are two of the most prevalent forms of a hernia.

Since a hernia does not heal on its own but rather expands over time, it is crucial that you opt for surgical treatment to avoid unnecessary/preventable complications in the long run. Hernia surgery, usually performed on an outpatient basis, is a moderately simple operation that can help remedy the organ’s bulging and restore it to its original position.

Steps

umbilical-hernia-surgeons-nyc-info-02Two of the most popular types of hernia repair surgery is ‘herniorrhaphy’ and ‘hernioplasty’. Herniorrhaphy-the traditional hernia repair technique-is still conducted extensively where the surgeon makes a wide and long notch over the herniated organ.  Thereafter, the physician removes the protrusion and reinstates the dislodged organ or tissues to its actual site.

Finally, the doctor sutures the hole in the muscle via which the protuberance developed, sterilizes the incision, and sews it up. Hernioplasty is very much similar to herniorrhaphy procedurally excepting that in the final step, the surgeon overlays a sterile mesh (produced from animal tissues or polypropylene) on the muscular notch rather than suturing it. The nature or type of your herniation will determine the mode of repair surgery you’ll need to opt for.

Strangulated, reducible, and irreducible hernias are the three most widespread kinds of hernias. Both of the aforementioned surgical operation procedures can be carried out using a laparoscope or via open surgery.

Benefits

Both hernioplasty and herniorrhaphy are straightforward and uncomplicated surgical repair processes that take about 30-40 minutes to complete. You won’t feel any pain as the surgery will be done using either local or general anesthesia. Majority of patients are discharged from the hospital or medical center on the very day the laparoscopic surgery is performed. The usual benefits of the laparoscopic repair operation include:-

  • Very short duration of stay
  • Faster healing
  • Reduced pain post surgery
  • Quicker return to normal life
  • Minimal costs (including all the expense heads)
  • Lower risks of infection

Side Effects

The side effects of this type of surgery, most of which are rare, involve:-

  • Swelling and redness around the incision or opening
  • Blood clot
  • Mesh pain
  • Urinary tract infection
  • Urinary incontinence
  • Infection
  • Difficulty urinating
  • Hernia recurrence
  • Neuralgia or nerve damage
  • Constipation
  • Kidney failure or complications
  • Breathing problems or pneumonia

Precautions

fresh-food-post-hernia-surgery-during-recovery-03You must abide by the surgeon’s instructions once you return home (which are usually on the same day the surgery is carried out) for a speedy recovery. Take all the prescribed medications on time, including the anti-inflammatory drugs for minimizing the possibilities of incision swelling. Contact your surgeon instantly if you’ve recurrent spells of fever, coughs, chills, nausea, abdominal swelling, bleeding as well as experience difficulty in urinating.

Eat fresh, organic foods, and include more vegetables and fruits in your diets to keep constipation at bay. Make sure you get sufficient rest for at least two weeks following the operation so that you can get back to work at the earliest.

Prognosis

Most hernia surgeries are effective, enabling patients to recover fully within 4-6 weeks. A typical person who has undergone hernia repair surgery can resume normal activities 2 weeks after the procedure.

Concluding Remarks

Opting for a surgical procedure for remedying a hernia is highly recommended not only for avoiding complications which could take a fatal turn (though very rare) but also for going back to leading a normal life. You can make an appointment with our general surgeon for a detailed, one-to-one consultation.

References

 

Laparoscopic appendectomy – NYC General Surgeon

Laparoscopic appendectomy: Steps, Benefits, Side-Effects, Precautions & Prognosis

top-nyc-surgeon-for-laparoscopic-appendectomy-appendicitis-01The procedure of surgically removing the narrow, elongated tube attached to the colon-known as an appendix when it becomes diseased, inflamed or infected (appendicitis) is called appendectomy. It is normally carried out on an emergency basis as swollen appendicitis could burst if not excised, causing the clogged stool and bacteria to spread. It would eventually infect other gastrointestinal organs and lead to peritonitis-a life-threatening condition. A ruptured appendix could also create an abdominal abscess which is also a grave condition that could endanger your life.

Steps

Generally, two kinds of appendectomy are carried out to do away with appendicitis:

  1. The traditional ‘open appendectomy’
  2. Laparoscopic appendectomy (a more advanced form of surgery)

laparoscopic-appendectomy-info-procedure-surgical-experts-02Open appendectomy is more suitable for patients whose appendices have split open and also for those who have undergone abdominal surgery before.

A laparoscopic appendectomy, on the other hand, involves accessing the appendix via three tiny incisions or openings made in the lower abdomen. A cannula filled with carbon dioxide (a slender and small tube) is inserted through the openings for inflating the abdomen following which a laparoscope is slotted in.

A high-resolution camera fixed at the head of the laparoscope transmits the image to a display screen. The displayed images will clearly show the precise location of the appendix which in turn will help the surgeon to channelize the surgical instruments for ligation (of the appendix) and excising it. Keyhole surgery usually resorts if the patient happens to be overweight and aged.

Benefits

The specific benefits of laparoscopic appendectomy vary from one patient to another, depending upon his or her condition. Nevertheless, the common benefits entail:

  • Short stay in the hospital
  • Reduced postoperative pain
  • Faster restoration of normal bowel function
  • Speedier return to a normal lifestyle

Side Effects

The associated risk factors or complications are more or less the same for both laparoscopic appendectomy and open appendectomy. Following are some common side effects:

  • Bleeding from the operated site
  • Seepage from the colonic edge, especially at the juncture from where it was ligatured and removed
  • Clotting of the blood vessels in the deeper venous layer and the clots getting transported to the lungs causing pulmonary embolism which could turn fatal
  • Increased likelihood of the urinary bladder, ureter, large and small intestines suffering injury
  • Heightened risk of infection

Precautions

nyc-appendix-removal-surgeons-specialists-03Once you’re through with the surgery, you’ll need to abide by the surgeon’s instructions to stay safe and secure. Your surgeon will generally list the following instructions and precautions:

  • Walking from the day following the surgery to minimize chances of muscle soreness and blood clots
  • Taking the prescribed medications on time and completing the medicine course
  • Cleaning the incisions regularly to prevent infection risks
  • Watching out for symptoms of infection diarrhea, abdominal cramps, and inflammation in the incisions and reporting the same to your physician immediately

Prognosis

Most patients convalesce from appendicitis within 4-5 weeks of the conduction of laparoscopic appendectomy. Nevertheless, a very slim chance of getting infected is always present.   

Concluding Remarks

Laparoscopic appendectomy is generally resorted to when there is imminent risk of the inflamed appendix bursting open. The risks related to leaving appendicitis untreated are remarkably grave and could endanger the affected individual’s life. For complete information on laparoscopic appendix surgery of the appendix, you can contact our general surgeon and make an appointment with him for possible surgery.

References

  1. https://www.sages.org/publications/patient-information/patient-information-for-laparoscopic-appendectomy-from-sages/
  2. https://www.healthline.com/health/appendectomy#recovery
  3. https://www.hopkinsmedicine.org/healthlibrary/test_procedures/gastroenterology/appendectomy_92,P07686
  4. https://www.everydayhealth.com/appendicitis/guide/appendectomy/
  5. https://www.findatopdoc.com/Healthy-Living/Everything-You-Need-to-Know-About-an-Appendectomy
  6. https://www.cochrane.org/CD006437/COLOCA_determining-optimal-method-securely-closing-base-appendix-during-keyhole-surgery-after-removal
  7. https://www.healthpages.org/surgical-care/what-kind-surgeon/
  8. https://www.cochrane.org/CD006437/COLOCA_determining-optimal-method-securely-closing-base-appendix-during-keyhole-surgery-after-removal

 

 

Surgery for Esophageal Cancer – General Surgeon NYC

Esophagus Surgery: Steps, Benefits, Side-Effects, Precautions & Prognosis

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Esophagogastrectomy or esophagus surgery entails doing away with the entire esophagus (and often a stomach part) for treating esophageal cancer, Barrett’s esophagus, achalasia, esophageal stenosis, and GERD. The thoracic surgeon transforms the remaining section of the stomach into a tubular form serving as the replacement for the excised esophagus. The reconstructed esophagus enables the patient to swallow as he or she was doing before the surgery.

Steps

A surgical team comprising of medical specialists and headed by a thoracic or general surgeon performs esophagogastrectomy. The surgical procedure is usually open-type and is carried out in three separate ways.

  1. Transthoracic esophagectomy (TTE) is conducted via the chest cavity
  2. Transmittal esophagectomy (THE) is performed by making incisions in the breastbone and the neck’s left side
  3. En bloc esophagectomy is performed by perforating the abdomen, chest, and neck

Nowadays, the majority of the esophageal surgeries are done using the minimally-invasive laparoscopic procedure where 5-6 fine incisions are made in the abdomen, chest, and neck. The total number of slits (along with their locations) to be made are decided based on the purpose of carrying out the operation and whether the patient has undergone abdominal or thoracic surgeries on previous occasions.

Regardless of the type or method used, the operation is complex thereby necessitating an extended stay in the hospital. If the metastasis is limited to the esophagus and not spread further, excising the gullet and adjacent lymph nodes might help reverse cancer. Alas, most of the cases are detected at an advanced stage compelling the surgeon to go for a compound surgery.

 Benefits

esophageal-cancer-surgeons-minimally-invasive-esophagectomy-nyc-02

Minimally invasive esophagectomy has proven to be more effective compared to open esophagectomy as the postoperative mortality and morbidity rates related to the former are much lower. There are numerous studies to corroborate the outcomes associated with MIE are better than PE. Some of the likely benefits associated with MIE vis-à-vis PE comprise:

  • Ashorter period of hospitalization
  • Less painful procedure
  • Reduced risk of complications or infections
  • Less bleeding (and hence fewer transfusions)
  • Speedier return to leading a normal life

Side Effects

Some complications related to esophageal surgery are common to other forms of surgery including but not limited to:

  • Stroke and heart attack (while the operation is in progress)
  • Shortness of breath
  • Anastomotic leaking (low blood pressure, vomiting, surgical wound drainage, increased heart rate, and so on)
  • Bleeding
  • Pulmonary embolism

Complications or risks particularly associated with esophagogastrectomy (which are somewhat rare) include:

  • Acute chest infection
  • Pulmonary complications, particularly pneumonia
  • An injury or wound to the adjacent organs during the operation
  • Leakage at the junction of the conjoined stomach and esophagus

Precautions

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The surgeon who will operate will spell out the risks about the surgery as well as the preparations and precautions you to need to take before, after and during the procedure. You’ll have to quit smoking altogether at least before the surgery and possibly afterward as well. You’ll have to abide by the instructions specified by your surgeon once you’re discharged from the hospital.

The precautions that you’ll need to take will revolve around your diets, medications, clothing, personal accessories, and lifestyle.

Prognosis

The quality of life of most patients improves post-surgery, but some complications linger on. Follow-up care in the form of pain management, lung therapy, psychosocial care, and nutritional evaluations are highly recommended by the medic to keep the complications or risks at bay.

Concluding Remarks

Minimally invasive esophagectomy or esophagogastrectomy is evidentially the best form of surgical treatment for patients with esophageal cancer. If you or somebody close to you has been diagnosed with neoplasm of the esophagus, you can contact us to make an appointment with our general surgeon for a consultation.

References

  1. https://www.uwhealth.org/healthfacts/surgery/4281.pdf
  2. https://www.cancer.org/cancer/esophagus-cancer/treating/surgery.html
  3. https://www.ariahealth.org/programs-and-services/surgery/general-surgery/surgery-for-esophagus
  4. https://www.cancercenter.com/esophageal-cancer/surgery/
  5. https://www.healthline.com/health/esophagectomy-open#postsurgery
  6. https://www.cancercenter.com/esophageal-cancer/da-vinci-surgical-system/
  7. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4283863/
  8. https://www.mayoclinic.org/tests-procedures/esophagectomy/about/pac-20385084
  9. https://www.uwhealth.org/healthfacts/surgery/4281.pdf
  10. https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=134&contentid=154

 

Stomach Surgery: Gastric Bypass by NYC Top Surgeon

Stomach Surgery (Gastric Bypass): Steps, Benefits, Side-Effects, Precautions & Prognosis

top-gastric-bypass-surgeons-surgeon-ny-nyc-01Gastric bypass is a type of surgical process chiefly carried out for treating a series of lifestyle conditions like type 2 diabetes, hypertension, obesity, and sleep apnea. These conditions more often than not occur concomitantly. The surgery is performed using a laparoscope (an elongated & slim tube featuring a high-resolution camera with intense light at the top) that is popped inside a slit made in the belly.

The laparoscope allows the surgeon to view the entire abdomen to restructure the small intestine to enable food to bypass the duodenum. This rearrangement leads to the body absorbing and assimilating fewer nutrients and calories, thereby enabling you to shed excess flab as well as stay fit and trim in the long run.

Steps

Stomach surgery is conducted in two distinct manners namely, open surgery and laparoscopy or laparoscopic surgery. In open surgery, the surgeon uses a scalpel for cutting open the stomach while in laparoscopy numerous small cuts are made in the abdomen. The end objective of both the types of surgery is to clearly view the digestive organs and the gastrointestinal tract and carry out the operation effectively.

The bypass surgery involves two necessary steps:
gastric-bypass-surgery-stomach-stapling-experts-info-031. The surgeon makes use of staples for sectioning the stomach into two halves: a larger bottom-half and a smaller upper half. The goal is to decrease the stomach’s size-the eventually reduced the volume of the upper section (known as pouch where the swallowed food will settle) will make you consume less, thereby letting you slim down.
2. The bypass surgery is performed in the 2nd step. The surgeon creates a notch in the pouch and links the jejunum (the initial part of the small intestine) with the opening. So, whatever you take will pass directly from the stomach’s upper pocket to the small intestine via this aperture, ultimately making you take in lesser calories.

On the whole, laparoscopy is preferred over general surgery as the former is less painful, involves shorter hospitalization and faster recuperation, and risks of infections are also lower.

Benefits

  • The Roux-en-Y gastric bypass (the medical term for gastric surgery) results in considerable weight loss provided you fully abide by the instructions
  • A good proportion of patients can maintain the postoperative bodyweight even 15-16 years after the surgery
  • Optimal use of stored or available energy
  • Feeling of fullness after taking a small meal and diminished appetite

Side effects

Like any other surgical procedure, gastric bypass is not without its complications and side effects. The following complications have been observed:

  • Gastrointestinal/intra-abdominal hemorrhage
  • Venous thromboembolism
  •  Increased risk of intra-abdominal infections like blisters and peritonitis
  • Bowel obstruction
  • A hernia
  • Dumping of contents into the jejunum more frequently, especially when excessive foods or sugary foods are eaten
  • Nutritional deficiencies (deficiency of calcium, iron, zinc, and folate as well as vitamins A, B1, and B12)

Precautions

There are certain precautions you’ll need to take once you’re released from the hospital following your surgery:

  • Taking the prescribed medications on a regular basis
  • Taking multivitamins, vitamin D, calcium, and vitamin B12 every day
  • Taking balanced diets with limited consumption of calories
  • Exercising daily for at least half an hour
  • Remaining socially active
  • Regular follow-up with the surgeon

Prognosis

nyc-dr-surgeon-specialist-gastric-bypass-surgery-for-weight-loss-02Majority of individuals who opt for gastric surgery can lose 65% of their excess bodyweight. About 85% of those who undergo gastric bypass are successful in maintaining 50% of the excess weight they lost initially.

Concluding Remarks

Though gastric surgery is a practical solution for getting rid of inordinate bodyweight, the procedure can never be a panacea for obesity. If you wish to keep your weight under check post surgery and lead a fulfilling, healthy life, you’ll need to make lifestyle changes as well as heed dietary and exercise guidelines. To know more about stomach surgery as well as to fix an appointment with our bariatric surgeon, you can send us an email or contact us via phone.

References

  1. https://bariatric.surgery.ucsf.edu/conditions–procedures/laparoscopic-gastric-bypass.aspx
  2. https://medlineplus.gov/ency/article/007199.htm
  3. https://asmbs.org/patients/bariatric-surgery-procedures
  4. https://www.healthline.com/health/laparoscopy
  5. https://obesitynewstoday.com/gastric-bypass-success-rate/
  6. https://www.ucsfhealth.org/education/life_after_bariatric_surgery/
  7. https://www.acefitness.org/education-and-resources/lifestyle/blog/896/after-gastric-bypass-surgery-are-there-specific-exercise-precautions-i-should-take

 

Esophagus Surgery

What Happens After Esophagus Surgery?

top-esophagus-surgery-specialist-surgeon-nyc-ny-01 The esophagus plays a vital part in our functioning, as it is the tube that enabled food to be moved from your throat when you swallow through to your stomach. This tube, which is around eight inches in length, is made up of muscles, which then contract to move food and drink along to your stomach.

 Anyone that suffers from cancer of the esophagus or from severe damage of the stomach may find that they are in need of surgery. Either a section or the entire esophagus may need to be removed depending on the condition and the extent of the damage.  In the event that the entire esophagus has to be removed, it is then rebuilt using sections of either the stomach or the large intestine.

What to expect

 As you can imagine, this is a major surgery and the recovery period can be lengthy depending on the surgery carried out and any complications that may have arisen. You may need to spend a day or two in a high dependency ward immediately after the surgery, as this is a big operation. Being in this type of unit means that medics can keep a closer eye on you.

There will be a number of tubes in you when you come round for the surgery. These serve functions such as administering fluids, draining blood and fluid, draining the chest, and even checking on your blood pressure. In addition, once you start to come round properly and the anesthetic wears off, you will experience some pain and discomfort but will receive painkillers to help deal with this.

After a couple of days, you may be moved to a standard ward but you should expect to be in hospital for around ten days or so. After the surgery, you will have dressings applied to the wounds, and these will be changed after a couple of days and the wounds cleaned by medical staff. In addition, the clips or stitches that you have will stay in for around ten days and are generally removed prior to you leaving the hospital to go home. In the event you cannot have them taken out before being discharged, a nurse may come out to do this or you may have to return to hospital to have them removed.

Prior to your discharge, it is important that you pay careful attention to the information provided to you in relation to caring for your wounds while you heal.

 Find out more from our expert

 If you would like further information about esophagus surgery and would like to speak to an expert, get in touch with the best general surgeon in NYC today.

NYC General Surgeons Discuss Rheumatoid Arthritis

What is Rheumatoid Arthritis?

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According to the Arthritis Foundation, there are approximately 1.5 million Americans who are living with rheumatoid arthritis right now. Both men and women can develop it, but statistics show that women are almost three times more likely to suffer from the condition. If you have recently been diagnosed with rheumatoid arthritis, or suspect you may have it, it’s imperative to learn all you can so you can find the best treatment plan for your specific needs.

Understanding Rheumatoid Arthritis

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Classed as a chronic inflammatory autoimmune disorder, rheumatoid arthritis can severely affect a number of areas on a person’s body. While many people assume it just affects the joints, it doesn’t stop there. Rheumatoid arthritis can also affect a person’s heart, lungs, blood vessels, eyes, and even their skin. When a person has rheumatoid arthritis, their own body turns against itself and starts attacking the tissue.

Over time, it can cause swelling which is exceptionally painful, joint deformity, and even bone erosion.

What Are the Signs and Symptoms?

arthritis-symptoms-elderly-03

In the beginning stages of rheumatoid arthritis, typically the person may notice stiffness of the joints after activity or, in the morning, swollen joints, tender joints – joints that feel warm to the touch. Weight loss, fatigue, and even a fever are other common symptoms.
While each case is different, it tends to start in the fingers and toes; in other words, the smaller joints.

What Are the Causes?

While doctors understand how rheumatoid arthritis develops, what they are unclear about is what actually sets off that motion or process. When a body’s immune system starts to attack the synovium, then the process begins.
Some doctors believe that genes play a big factor in determining whether or not you will develop it, while others point towards environmental factors and even certain bacterial viruses.

What Are the Treatment Options?

rheumatoid-arthritis-treatment-04Because rheumatoid arthritis gets worse over time, leaving it is not an option. You want to get a proper diagnosis as early as possible, and then start up with an appropriate course of action. Treatment can include a medication such as NSAIDs and/or steroids, as well as physical therapy.
In severe or advanced cases, it may be necessary to have a surgeon repair or even rebuild the tissue that has been damaged. This will help to prevent more problems down the road.

Contact us today to schedule an appointment with the best surgeons in Manhattan.

Top General Surgeons in Manhattan – Carpal Tunnel Surgery

What is Carpal Tunnel Syndrome?

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Have you been feeling numbness, tingling, or even itching sensation in your fingers or hand as of late? Does it feel like you don’t have the same strength in your fingers and hand as you used to? If so, you may be suffering from carpal tunnel syndrome. This particular condition affects women more often than men, but that’s not to say that men aren’t at risk.

Here’s a closer look at the condition including what it is, who is at risk, what the signs and symptoms are, and what you can do about treatment:

Understanding Carpal Tunnel Syndrome Better

carpal-tunnel-syndrome-symptoms-surgeon-02Carpal tunnel syndrome occurs when there is added pressure being placed on your median nerve. This nerve is found in your arm and actually runs all the way down your arm, right into your wrist. The area in which the nerve runs into is called the carpal tunnel, thereby giving this condition its name.

The median nerve is an important one in that it helps to control feeling in your thumb and movement in your first three fingers. When you have carpal tunnel syndrome, there is swelling in that passageway, which then restricts motion and can cause pain.
Unfortunately, it doesn’t go away on its own, and it will only continue to get worse over time if no treatment is taken.

What Are the Signs and Symptoms?

The typical signs and symptoms include numbness, itching, tingling, and burning in your thumb, fingers, or even the palm of your hand.

Who Is At Risk of Developing It?

As for who is most at risk of developing carpal tunnel syndrome, that would be people who engage in repetitive motions. It’s not uncommon for it to be related to work, such as a person who spends much of their workday typing or using machinery.

But those aren’t the only people at risk. Those who are pregnant, have rheumatoid arthritis, are obese, have diabetes, or who have hypothyroidism are also at high risk.

carpal-tunnel-syndrome-treatment-surgeon-03

What Are the Treatments Available?

The treatment plan will depend on the individual and the severity of the condition. The first step is usually lifestyle changes, and from there medication may be prescribed. If this fails, then surgery can end up being necessary. Surgery may be needed to reconstruct and even repair tissue that has been damaged.

For more information, contact us today at 646-846-1136 to schedule an appointment with the best plastic surgeon in Manhattan.

What is a Phalangeal Fracture?

Your hands are one of those things you often take for granted, that is until you injure one and suddenly see how much you rely on them. Hand injuries can affect your ability to do your job, drive, and go about your daily life, not to mention they can cause a fair amount of pain and discomfort. One type of hand injury that can occur is a phalangeal fracture. While many of these types of injuries can just be treated with a simple splint, some cases aren’t so simple and may require surgery.

How Does a Phalangeal Fracture Happen?

Phalangeal fracture In order to understand how these fractures occur, it’s important to understand what the phalanges are. The phalanges are actually the bones in your fingers, but they can also be found in toes. So, a phalangeal fracture means you have broken one or more of the bones in your fingers or thumb. The most common way that a phalangeal fracture occurs is a direct blow. This could mean something has dropped on the hand, squished the hand, or the person has punched something.

What Are the Signs and Symptoms?

Phalangeal fracture The common signs to watch for include not having full movement or flexibility of your fingers, pain, swelling, and loss of rotation, numbness, and severe bruising. A doctor will be able to take an x-ray and instantly see if there is a fracture. If you suspect you may have a broken finger, it’s best to have it looked at as soon as possible, so it can be properly set and treated.

What Are the Common Treatments?

Phalangeal fracture For a relatively minor fracture that doesn’t involve a number of bones, a simple splint and taping may be all that is necessary. Unfortunately, that isn’t the case for everyone and sometimes treatment can be more complicated. If the fracture was severe enough to damage the tissue and break through the skin, then you may need surgery to repair that area.

As well, depending on the bones that are affected, you may even need screws and pins put in place.

In very rare cases, there may be a total loss of motion for the finger that has been broken, and it’s always important to keep an eye out for infection. This is something your doctor will be able to watch for, and you will also need to be aware of the signs.

Schedule an appointment with the best plastic surgeon in Manhattan if you need surgery on your hand.

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Recovery Times and Side Effects from Gall Bladder Surgery

Many people who are due to have gall bladder surgery do not know what to expect when it comes to the side effects of this type of procedure or the recovery times required. Well, the first thing to remember is that this type of surgery can be carried out in one of two ways. Depending on the problem and a number of other factors, you may have to have open surgery for your gall bladder issue. Alternatively, you may be able to have the operation through keyhole surgery. The type of surgery you have will have an impact on the side effects as well as the recovery period.

Those that have keyhole surgery

Gall bladder surgery If you are having a gall bladder operation through the use of keyhole surgery, the procedure will be far less invasive and involved. In fact, you should be able to go home on the day the procedure is carried out as long as there are no complications. In addition, the recovery period is much shorter than with open surgery. In general, you may be looking at around two weeks to recover from keyhole gall bladder surgery, after which time you can go back to your normal routine.

Those that have open surgery

 

Gall bladder surgery

The other alternative is open surgery, which is a far more involved procedure. When you have this type of surgery, you will be kept in hospital for a number of days before you are allowed to be discharged and go home. The recovery period following on from this type of open surgery is generally around six to eight weeks, so you will be out of action for some time before you can resume normal activities and routines.

 

Side effects of this type of procedure

You do not have to worry about long term effects of gall bladder surgery, as you can live a normal life without one. You will, however, experience some side effects from having this type of procedure carried out, although these are short term effects. Some of these include:

  • Swelling, bruising, and tenderness around the woundsGall bladder surgery
  •  Nausea due to painkillers or anesthetic
  •  Stomach and shoulder pains
  •  Bloating and gas
  •  Diarrhea
  •  Low mood and feeling irritable
  •  Fatigue

Get in touch with a professional

If you have concerns about gall bladder surgery or you want to find out more information, you can get in touch with us today and speak to the best general surgeon in NYC.

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Possible Problems Stemming from Liver Surgery

Liver surgeryThe liver is a vital organ in the body and it performs a number of crucial functions. This organ is responsible for making, breaking, and storing substances. It helps with all sorts of bodily functions such as digestion, blood clotting, and the storage of fat and glucose. This is just part of the functions that this vital organ provides, which is why it is important to keep your liver in the best condition possible.

If you do have a medical problem that affects the liver, you may have to undergo liver surgery. The liver is an organ that we cannot live without so any conditions that have a major effect could result in the need for surgery. This can be major surgery and as with all major surgical procedures, it can come with risks. It is important to familiarize yourself with the possible risks so that you are fully prepared for your procedure.

Some of the main risks of liver surgery

Liver surgeryThere are a number of potential risks and side effects that can stem from having liver surgery. Some of the ones that you should bear in mind if you are having this type of surgery include:

  •  Severe bleeding: Because of the amount of blood in the liver, an operation could result in heavy bleeding when the organ is cut. However, expert surgeons have the techniques and skills to minimize on this risk.
  • Leakage of bile: Another risk during a liver operation is the possibility of bile leakage. The liver contains a number of bile ducts and the bile can leak from these once a cut has been made to the surface of the organ. This is a relatively rare occurrence and in most cases it sorts itself out without the need for additional treatment.
  • Liver failure: If you have a section of the liver removed because of conditions such as cancer, the amount of the organ that is left behind may not be sufficient for your body. This could then lead to liver failure. This is one of the most serious possible problems connected to this type of surgery.
  • Infections: As with many major surgical procedures, there is a risk of infection when you have liver surgery. This could include one of a range of infections or even multiple infections such as chest infections, abdominal infections, and infections of the wounds. In most cases, antibiotics are used to treat these.

Speak to the Best General Surgeon in NYC

Liver surgeryIf you would like to know more about the procedure and possible risks of liver surgery, get in touch with us today and speak to the best general surgeon in NYC.

 

 

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