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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 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.

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.

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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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Colon Surgery for Cancer Patients

Colon cancerColon cancer is a disease that affects many people, and there are a number of ways in which treatment is administered for this type of cancer. One of the most common treatments for colon cancer is surgery, particularly if the cancer is still in its very early stages. In this case, the colon surgery may be performed in order to remove the tumor, which may require part or the colon along with the lymph nodes to be removed. The latter is because the cancer will usually spread to the lymph nodes first, which is why they may be removed as part of the colon surgery.

The decision with regards to surgery and the type of surgery required will be based on a number of factors such as what stage the cancer is at, whereabouts it is located, and whether it has spread to other parts of the body. In addition, the surgeon will also need to take your age and general health into consideration when making a decision with regards to colon surgery. This procedure is performs by a specialist surgeon with expertise in bowel cancer and colon surgical procedures.

How is the operation performed?

Colon cancerThe process through which the surgery is performed will depend on a range of factors. When your doctor carries out tests to make a firm diagnoses, he or she will be far better placed to make a decision with regard to your treatment. In some cases, the procedure is carried out as open surgery, which means that you will have to prepare yourself for a lengthy recovery period following the procedure. However, in other cases it may be performed as keyhole surgery, which is less invasive and traumatic. It also means that you do not have to cope with such as long recovery period.

Additional surgery may also have to be carried out if the cancer has spread to other areas such as the liver or lungs. In these cases, chemotherapy is generally the treatment that is used to try and shrink and control the cancer. However, there may be cases where the surgeon decides upon surgery such as a liver or lung resection based on where the cancer has spread to. Again, this is something that the surgeon will decide upon and discuss with you following diagnosis and assessment.

Speak to one of the best general surgeons in NYC

Colon cancerIf you need advice about colon surgery and what is involved, you can get in touch with us and speak with one of the best general surgeons in New York City. Call us today and we will be happy to arrange an initial consultation

 

 

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Adrenal Gland Disorders: What are They?

Adrenal glands The adrenal glands can be found at the top of the kidneys and their primary function is to deal with the release of various hormones. If these glands fail to generate enough of the hormone, or indeed if they produce too much, it can lead to problems. A number of different adrenal gland disorders can stem from this type of issue.

Some of the different types of adrenal gland disorder include Cushing’s Syndrome, Addison’s Disease, and Congenital Adrenal Hyperplasia. The hormones that are released by the adrenal glands are aimed at aiding a range of bodily functions including controlling metabolism, regulating salt and water levels, helping to deal with stress, and maintaining the body during pregnancy.

Signs and symptoms

Adrenal glands The signs and symptoms of adrenal gland disorders can vary based on the type of disorder. For instance, with Cushing’s Syndrome the symptoms can include thin arms and legs but fat around the neck and face, raised blood pressure, depression and low mood, and weakness in the muscles or bones. With Addison’s Disease, the symptoms may include weakness and fatigue, loss of weight, nausea, dark patches on the skin, salt cravings, and dizziness. With pituitary tumors, some of the symptoms and signs may include headaches and vision problems, reduced libido, and male impotence. Each type of adrenal gland disorder has its own set of common signs and symptoms.

Adrenal glands Likewise, the treatment for these disorders can vary based on the type of disorder you are suffering from. Commonly drugs are used to help control hormone production and for some types of condition you may need to take hormone replacement drugs. Medics will also look at what may be causing the problem, as it is important for the root problem to be addressed wherever possible. In some cases, surgery may be necessary – for instance, for the removal of tumors in the adrenal glands. Once a diagnosis has been made and the underlying cause of the issue has been determined, your doctor will then be able to discuss the treatment options with you more clearly.

Getting expert advice

If you think you may have an adrenal gland problem and you would like to get it checked out by an expert, you can get in touch with us to arrange an appointment with one of the best general surgeons in New York City. Simply call us today and we will be happy to schedule an appointment for you.

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Surgical Treatments for Pancreatic Cancer

Pancreatic cancerPancreatic 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.

Diagnosing the Cancer

Pancreatic cancer 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.

Treating Resectable Cancer

Pancreatic cancerIf 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.

Patient Outlook

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.

 

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Common Types of Laparoscopic Surgery

Laparoscopic SurgeryLaparoscopic 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.

Colon

colon surgeryLaparoscopic 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.

Inguinal Hernia Repair

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.

Gallbladder Removal

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.

Advantages of Laparoscopic Surgery

Laparoscopic SurgeryLaparoscopic 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.

 

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What to Expect After a Liver Resection

liver resectionA 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.

Immediately After Surgery

liver resectionTo 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.

Recuperating at Home

liver resectionOnce 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.

Complications

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.

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Recovering After a Splenectomy

splenectomyA 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.

Laparoscopy vs. Open Surgery

splenectomyThere 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.

Recovery Period

splenectomyAfter 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.

Complications

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.

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What to Expect from Laparoscopic Colon Resection Surgery

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.

What Is a Laparoscopic Colon Resection?

Laparoscopic colonLaparoscopic 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.

What Are the Advantages of Laparoscopic Surgery?

Laparoscopic colonLaparoscopic 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 colonIs Laparoscopic Surgery Suitable for Me?

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.

 

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