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 precision 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.
Here are some brief descriptions about some general types of surgeries:
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.
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. General surgeons that are trained today are expected to be proficient in laparoscopic procedures.
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.
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.
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.
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.
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 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).
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 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.
Pancreatic cancer is one of the most aggressive forms of cancer in humans and often the prognosis for patients is poor. There are several different types of pancreatic cancer and while many of them are often deadly, there is at least one type that is highly survivable.
Because of the lethality of pancreatic cancer, most treatments focus on prolonging the patient’s life and ensuring that they retain a reasonable quality of life. Surgical interventions can be very effective as a part of this process.
Once pancreatic cancer has been established, diagnostic tests are required to determine the stage and type of the cancer. The stage refers to how far advanced the cancer has advanced and ranges from stage 0, indicating that the cancer is still contained within the pancreas, to stage 4 which means the cancer has spread to other organs in the body.
A battery of tests is required to determine the stage of the cancer and usually diagnostic pancreas surgery NYC is required. Because surgery will always carry some risk, doctors must first determine whether the tumor is removable before any surgery is performed. If imaging tests indicate that the cancer is removable, then it will fall into one of two types. Either the cancer has not spread, or if it has then it is limited, and is therefore removable.
Around 10% of pancreatic cancers are unresectable; this indicates that the cancer has grown into a major blood vessel or has metastasized and thus cannot be removed safely via surgery.
If the cancer is considered to be resectable then there are three surgical options. The Whipple procedure (a pancreaticoduodenectomy) is when the head of the pancreas is removed, sometimes along with a small portion of the stomach or small intestine. This is a difficult and complex surgery. A Distal pancreatectomy involves the removal of the tail of the pancreas. A total ancreatectom is the removal of the entire organ, although this surgery has fallen out of favor.
In around half of all cases, as soon as a surgeon opens a patient up they discover that what they thought was a resectable cancer is in fact inoperable. Usually, surgery will be followed by the administration of chemo and radiotherapy to ensure that any lingering cancer cells cannot reproduce.
Pancreatic cancer is one of the most aggressive forms of cancer there is and the prognosis is often poor, but sometimes surgical interventions can help. Visit our pancreas surgery NYC clinic for a consultation if you are concerned about your pancreas.
Laparoscopic surgery is a type of minimally invasive surgery in which a number of small incisions are made, around a quarter inch in length each. Using smaller incisions means that patients experience less pain and a shorter recuperation period. Below is a guide to some of the most common types of laparoscopic surgery.
Laparoscopic surgery of the colon requires four or five small incisions of around a quarter inch in size. Through these incisions, the surgeon uses a fiber optic camera connected to a monitor to see inside the patient and guide the other instruments.
Laparoscopic inguinal hernia repairs are done via a laparoscope, which is fed into small incisions in the abdominal wall. A camera is fed through, as is a tube which allows for the abdominal cavity to be inflated with carbon dioxide. This allows more room for the surgeon to perform the procedure. The hole through which the muscle is protruding is covered with a surgical mesh from within and surgical staples are used to patch it.
The gallbladder is an organ located on the right-hand-side of the body, just under the rib cage and near the liver. Removal of the gall bladder is one of the most common targets for laparoscopic surgery. The gall bladder stores bile, which is used to assist in the breakdown of fatty foods. When we don’t eat for extended periods, such as during sleep, the gallbladder stores the bile ready to release it when it’s needed.
Laparoscopic gallbladder removal involves four small incisions in the abdomen, whereas in open surgery a five- to seven-inch incision is required. With laparoscopic surgery, surgical instruments and a camera are fed into the incisions in order to make the necessary cuts at various points around the organ.
Laparoscopic surgery is much less painful for patients in the immediate aftermath of their surgery and in some cases, they are even able to go home on the same day. The overall recuperation period is much shorter than it is for open surgery and the incidence of complications is lower. Laparoscopic surgery also causes very little cosmetic damage when compared with open surgery and for some patients, this is very important.
Laparoscopic surgery of the colon, hernia repair, gallbladder removal, and many other forms of minimally invasive surgery are available at our clinic. Drop by for a consultation.
A liver resection is a surgery to remove part of a patient’s liver. The liver is unique among all the interior organs in the human body in that it is capable of regenerating, meaning as much as 50 per cent of the liver can be removed during a resection; so long as the other half is healthy, the organ will regenerate over time.
To access the liver, doctors need to make an incision in the patient’s belly. When the right side of a liver is removed, the gallbladder needs to be removed to allow access.
It is normal for the patient’s belly to be tender and sore for a little while and painkillers might be prescribed. The pain usually subsides after a few weeks, but during that time patients may also experience nausea, irregular bowel movements, constipation, and diarrhea. A small percentage of patients experience a fever and feel persistently tired, weak, and ill.
It is also common for patients to experience numbness around the wound following liver surgery NYC, but this usually wears off over time, although there will always be some numbness where the incision was made and this is perfectly normal.
Once you leave the hospital, it is important that you observe certain precautions. Make sure you get plenty of rest. It is during sleep and relaxation that your body does most of its repair work. You might find yourself becoming tired more easily for a little while and you should always rest when you feel tired; try to do some light exercise, such as going for a short walk, every day. Conversely, avoid strenuous exercise until your doctor clears you for it.
It is usually a good idea to wait until at least eight weeks, unless your doctor says otherwise, before doing any heavy lifting. You may find that coughing produces a sharp pain around the area of the incision. If so, try holding a pillow over your stomach when you cough to lessen the pain.
You should dial 911 if you have any of the following symptoms: losing consciousness, respiratory trouble, sudden chest pain and accompanying shortness of breath, or a severe pain in the belly. These could indicate internal problems and are potentially life-threatening.
For further information, drop into one of our liver surgery NYC clinics for a consultation with one of our doctors.
A splenectomy is a surgical procedure where the spleen is removed. Most of you will have heard of a spleen, but surprisingly few people know where it is or what it does. The spleen is located under the left rib cage, near the stomach. It is a small organ, about the size of a human fist, and it plays an important role in mediating the body’s autoimmune response. The spleen stores white blood cells, which are the frontline of the body’s autoimmune defenses, as when the body detects bacteria or infection it releases white blood cells to fight them. It also plays a role in recycling old red blood cells to ensure that the body’s circulatory system remains healthy.
There are two types of splenectomy: laparoscopic and open surgery. Open surgery is the traditional approach where a large incision is made for the surgeon to gain access to the necessary area. Laparoscopic surgery, on the other hand, is a form of minimally invasive surgery, also known as keyhole surgery, and is designed to minimize both the immediate discomfort of the operation and the time required to recuperate.
Because of the shorter hospital stay required for spleen surgery NYC, laparoscopic surgeries are often preferred by hospitals, as they require far fewer resources and are cheaper overall. Patients also prefer this method for the shorter recuperation period and much lower incidence of side effects and complications.
Unfortunately, not all patients are suitable candidates for laparoscopic surgery; it depends largely on the patient’s health and the nature of the problem with their spleen.
After the surgery, a hospital stay will be required. The duration of this stay is dependant upon the type of surgery the patient has had and how well it went. Those who have had open surgery will require a longer stay, usually a week or so, whereas a laparoscopic patient will require less.
After leaving the hospital, the recuperation period is usually around five weeks. Some patients will be advised to avoid baths during the recuperation period to allow the wound to heal more quickly; showers are usually OK though.
Fortunately, complications from splenectomies are rare and patients can live full lives without their spleen. However, as the spleen is involved in the body’s autoimmune response, once it is removed the patient will become more susceptible to infections. Of particular concern are those that cause pneumonia, meningitis, and influenza.
For a consultation on the most appropriate form of splenectomy for you, drop into one of our spleen surgery NYC clinics for a consultation. Speak with the best general surgeons in NYC.
Colon surgeries account for more than 600,000 of the surgical procedures performed every year in the United States with colon surgery being used to treat a wide spectrum of diseases, including cancer, polyps, inflammatory bowel diseases; mainly Chron’s and ulcerative colitis. Colectomies or surgeries on the colon used to be invasive and have extensive recuperation periods. Now, however, we can use laparoscopic techniques to make surgeries much less invasive and much less painful.
Laparoscopic surgery is part of a technique known as minimally invasive surgery. The goal of such procedures is to minimize the patient’s suffering and ensure that they inflict the smallest wound possible on the patient when accessing the diseased part of the colon.
Most of the colonic laparoscopies that are performed are of a type known as keyhole surgery; instruments are fed through a small number of openings, each incision measuring about a quarter of an inch. By using a fiber optic camera, surgeons can project an image of the patient’s colon on to a monitor to guide them.
Laparoscopic colon resection surgery NYC uses just a small incision in the body to feed instruments through, often guided by fiber optic cameras. Results may vary, depending on the extent of the surgery and the skill of the individual surgeon, but in general, laparoscopic surgery has many advantages over conventional methods.
There is less postoperative pain with laparoscopic surgery owing to the smaller wounds required. Consequently, patients have a much shorter recuperation period and thus require less hospital resources throughout the course of their treatment. Because there is much less damage to the surrounding area for most operations, patients can return to a solid-food diet much sooner than they would otherwise be able to. This also speeds up the return of the patient’s normal bowel functioning. Laparoscopic surgery also involves a much smaller wound than usual, so there is less cosmetic damage and scarring.
Laparoscopic surgery has very wide-ranging applications and is used in a number of very different bowel diseases. For patients that are suitable for laparoscopic surgery, the experience is much easier. However, it is not appropriate for everyone.
To find out if you are suitable for colon surgery, visit our colon resection surgery NYC clinic to arrange a consultation.
Most of you will have at least heard of a hernia. In fact, a good percentage of you almost certainly know someone who has suffered from one, but you might not know exactly what one is, perhaps because a description of a hernia actually makes it sound far worse than it is.
The good news is that hernias are relatively uncommon. in 2015, there we 18.5 million cases in a global population of roughly 7.2 billion people.
Essentially, a hernia is when an organ pushes through the muscle that holds it in place. They most commonly occur in the abdomen but are also sometimes seen in the groin and upper thigh. Fortunately, hernias aren’t immediately life-threatening, but they also won’t go away on their own and so hernia surgery NYC is sometimes required.
There are several different types of hernias with the most common, accounting for roughly 70% of cases, being inguinal hernias. Inguinal hernias are when the intestines force their way through the lower abdomen wall, in an area of the body known as the inguinal canal.
The Inguinal canal is in the groin. Because of the physiological differences between men and women in this area, this type is more common in men.
A hiatal hernia is when your diaphragm, a muscle used in the process of breathing, and which separates the organs in the abdomen from those in the chest, is intruded by part of the stomach, which pushes right through to the chest cavity. This type generally occurs in the younger population (under-50s); it is also one of the more likely hernias to be seen in children. Generally, when this occurs, it is because of a congenital defect.
These are the most common types of hernia, but others can occur. An umbilical hernia is sometimes seen in infants less than 6 months old and it occurs when the intestines push through the abdomen wall. This type of hernia is often accompanied by a noticeable bulge in the belly. Fortunately, this is the only type which sometimes spontaneously heals. After abdominal surgery, an incisional hernia can occur if the intestines push through the incision wound.
While hernias are relatively common they are fortunately easy to treat. Visit our renowned Surgery NYC clinic if you are concerned and would like a consultation.
A pilonidal cyst is a cyst located at the coccyx and they can present a problem if they become infected and pus filled. If this happens then it becomes a pilonidal abscess and these can be very painful. Initially, a pilonidal cyst looks like a pimple over the coccyx. They occur more in men than women and more in the young than the old. There is some evidence to show that a sedentary lifestyle or job can raise an individual’s risk of developing a pilonidal cyst; it also makes it more likely that they will develop into pilonidal abscesses.
This is the standard procedure for dealing with pilonidal abscesses. The area of the abscess is anesthetized using a local anesthetic. An incision is then made in the abscess, the abscess is drained, and then any hair follicles within are removed. The wound is then left opened and packed with gauze.
This is a simple procedure performed at a pilonidal cyst surgery clinic and because it uses a local anesthetic, there is almost no chance of complications. The drawback is that the patient will need to change and dress the wound properly themselves until the cyst heals, which is usually around three weeks.
This is a method similar to the incision and drainage method, but after performing the procedure, still under local anesthesia, the edges of the cut are sewn to the edges of the wound to make a sort of pouch.
This is an outpatient procedure that doesn’t require dressing to be changed every day. However, it takes roughly twice as long to heal and the technique is considered obscure, meaning not all doctors will perform it.
In this method, once the cyst is drained, it is then closed surgically. Again, this method doesn’t require any packing of gauze and thus requires no action on the part of the patient post-op. The drawbacks of this method are that the cyst is more likely to cause problems further down the road.
Following the removal of a pilonidal cyst, it is important that patients are advised properly in postoperative care. They need to ensure that they keep the wound clean and know how to check for signs of infection.
Pilonidal cyst surgery is a simple procedure which has a minimal recovery time. Your doctor will be able to advise you on the most suitable method for you and will show you how to properly dress and redress the wound, but if you need any advice, drop by our pilonidal cyst surgery clinic.
Many people are familiar with the concept of surgeons having individual specialties. Generally, doctors and surgeons choose one area of the body to specialize in and, while a doctor in clinical practice will have to deal with multiple conditions affecting different parts of the body, surgeons rarely work outside of their preferred area. For this reason, most hospitals have a general surgeon. The role of a general surgeon is multifaceted and they are proficient in performing surgery in more than one area.
General surgery NYC encompasses a range of different procedures but these are mainly centered around the torso, meaning a general surgeon usually operates on the gastrointestinal tract, from the esophagus to the anus. General surgeons may also operate on breasts and sometimes work alongside oncologists in removing cancers. The kidneys, pancreas, and liver are also areas covered by a general surgeon.
Trauma to the abdomen, from assault or motor vehicle injury, can sometimes require emergency surgery, in which case a general surgeon will usually perform the procedure.
Many general surgeons do have a sub-specialty and this is important when they are working in the ER, as in addition to performing emergency surgeries for trauma to the abdomen, there will be instances where a more specialized surgery is required.
Laparoscopic surgery, also known as minimally invasive surgery, or ‘keyhole surgery’, is an increasingly common part of a general surgeon’s professional life. Patients generally prefer this type of surgery as it is much less invasive, causes a lot less pain and discomfort than most surgery methods, and has a much shorter recovery time, requiring a shorter hospital stay.
The most common sub specialties that general surgeons are trained for are as follows;
General surgeons are an essential part of any hospital’s emergency and trauma units. The most common reasons for patients being admitted to trauma units, such as car crashes, collisions, and assault, often involve abdominal injuries, which are covered by the role of a general surgeon.
Appendix surgery NYC is one of the most common forms of surgery; it is also one of the safest. The appendix sits where the large and small intestines meet. It is a thin tube which is roughly four inches in length and in most people, it sits in the lower right abdomen.
We still don’t know for sure what the function of the appendix is, but we have several theories. One theory is that the role of the appendix is to hold bacteria, to essentially ‘reboot’ the digestive system following a bout of diarrhea. Others believe that the appendix is an evolutionary hangover from our past when our diet was vastly different to today. It may have held digestive enzymes, which we no longer need as we have mastered the art of cooking food.
The most common problem with the appendix is appendicitis. For reasons that we do not fully understand, the appendix can become inflamed and ultimately rupture. The most obvious symptom of this is an intense pain in the lower abdomen, often accompanied by nausea and vomiting.
Tumours of the appendix are rare but, fortunately, because a patient can easily survive without an appendix and without any impact on their quality of life, the prognosis is generally good so long as the cancer hasn’t metastasized. Carcinoid tumors periodically chemicals, which cause flushing, wheezing, and diarrhea. The other type of tumors found in the appendix is epithelial tumors, which are growths on the appendix that do not secrete chemicals.
Surgery to remove the appendix is known as an appendectomy and remains the only treatment for appendicitis that we know of. Traditionally, this surgery was performed by making a large incision in the patient’s abdomen to gain access to the appendix, but by using modern laparoscopic techniques, the surgeon only needs to make a small incision through which instruments can be used to cut the appendix into smaller pieces for removal. Surgery is also required to remove any tumors.
While awaiting confirmation of a diagnosis, many doctors prescribe antibiotics to patients with a potential appendicitis, just in case the symptoms are being caused by an infection. It is also possible, albeit rather rare, for antibiotics to alleviate appendicitis. There is some evidence that in such cases patients are at a significant risk of relapse.
Our clinic, with its team of dedicated and talented surgeons, offers the best appendix surgery NYC, so contact us for a consultation.
\Although living without a gallbladder isn’t a huge deal, it does require some simple lifestyle changes. Fortunately, these changes are minor enough that most patients have no trouble adapting to them. Most patients find that having their gallbladder removed has no impact on their general comfort or quality of life and it seems that several different factors come into play in the aftermath of surgery, which will affect recovery. For some, there are uncomfortable symptoms that can have an impact on their day to day functioning.
The gall bladder acts as a reservoir to store and, when necessary, release bile. Bile is a liquid which aids in the digestive process. Specifically, it aids the breakdown and digestion of fatty foods. The gallbladder releases bile into the small intestine when it is needed. When food hasn’t been eaten for a long period of time, such as when we go to sleep, the gallbladder stores the bile. After having the gallbladder removed it is no longer there to store the bile and, consequently, even though you will still have the same overall amount of bile in your body, there will be less in your intestine.
Following gall bladder surgery NYC, there can be some subsequent changes in the digestion of food. Most doctors will, therefore, recommend that their patients switch to a low-fat diet, usually only temporarily, but if problems persist then this might need to be a long-term change. Fortunately, these issues are relatively uncommon. Some people may notice that they start having more frequent bowel movements and this can be exacerbated by fatty foods.
If you do experience any changes in your digestion then you shouldn’t worry. These issues are very unlikely to be serious and the best defense against them is to switch to a low-fat diet. There also are medications that can be prescribed to alleviate the symptoms by binding the bile.
In addition to avoiding high-fat foods and switching to low-fat diet, some people also find it helpful to eat smaller and more frequent meals rather than a few big meals in the day; it is also a good idea to avoid eating large meals after having not eaten for a length of time.
If you need advice about gall bladder surgery then drop into our gall bladder surgery NYC clinic. One of our expert doctors will then be able to advise you on what to do next.