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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, including extensive experience in performing hernia repair 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.
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Hernia 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.
Two 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.
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:-
The side effects of this type of surgery, most of which are rare, involve:-
You 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. 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.
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.
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.
Here are some brief descriptions about the different types of general surgery we perform:
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 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.
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).
Diagnostic laparoscopy is used to identify the internal organs of the pelvis to detect any diseases or disorders. Diagnostic laparoscopy is a minimally invasive and quick procedure that requires only a few small incisions to examine the internal organs. For examination, the doctors uses a laparoscope in this process. Laparoscope is an innovative tool with a camera that a doctor inserts into the body through the small incisions. It connects to a high-resolution monitor on which the surgeon can see the inside of an abdomen.
You will need to have a diagnostic laparoscopy for any of the several conditions that may indicate some disease or disorder in the lower abdominal or pelvic area.
If you experience acute or chronic abdominal pain, you might need a laparoscopy diagnosis to identify the cause of the pain. The causes can include:
You may feel a mass or lump inside your abdominal area that might be painful or painless. When you experience abdominal pain, your doctor will conduct an examination to feel the lumps, which you cannot see or feel. In both cases, your doctor will ask you to get a diagnostic laparoscopy. Your surgeon might even collect some tissues from the abdominal mass for biopsy. If there are any lumps, this could be an indication of the presence of tumor in some cases.
One of the main reasons for getting a diagnostic laparoscopy is the examination of reproductive organs. Both men and women may need to get laparoscopy for the following reasons:
First the surgeon will give you sedatives to relax. Also, an anesthesia expert will give you general anesthesia before the surgery. You will get a breathing tube in your throat and a catheter in your urinary bladder for draining the urine. Your surgeon will use a special instrument to make a small incision below your naval.
Through the hole, they will release a gas to inflate the pelvic area for examination. After that, your surgeon will insert the laparoscope, which would help view the inside of your abdomen. Your surgeon might make further incisions to move the organs out of way for better view. After that, the surgeon will collect fluid or scar tissues for biopsy.
Your surgeon will allow the carbon dioxide gas to move out of your body. They will remove the catheter and make the necessary stitches. The whole process would take only 30-60 minutes. You will get a discharge within a few hours after the surgery.
Before getting diagnostic laparoscopy, you should tell your doctor if you are on any medications or had any surgery before. You must tell your doctor about your recent medical condition. Your doctor might change your medication that can interfere with the process or give you new ones to prepare your body for the surgery. You must tell your doctor if you think you are going to get pregnant.
The recovery after diagnostic laparoscopy is quick but it can vary from person to person, depending upon how their body reacts to the surgery. You need to do the following after the surgery:
Do you feel abdominal pain or experience any of the symptoms mentioned above? If yes, then contact us or book an appointment for a consultation. We have the best surgeons for diagnostic laparoscopy in NYC. Call us at 212-988-1136 or visit our website for more information.
There was a time when the word “surgery” used to scare people, and they would try their best to evade a surgical procedure. The hesitance is understandable as the idea of a large cut on your body is discomforting in many ways. However, thanks to the evolution in medical science, surgical techniques have improved tremendously.
Now, surgical procedures, either big or small, are done within a few minutes to a few hours. The best part about the minimally invasive surgeries is the painless procedure with fast recovery. The advanced techniques are helping with quality treatments to patients who have to undergo surgical procedures.
Unlike the traditional open surgeries that would require a large incision, a surgeon makes multiple tiny incisions of less than an inch. For the process, the surgeon uses
Once the surgeon marks the incisions, he/she then passes the mini camera through one of the cuts. The doctor monitors the images captured by the camera on the screen and uses them as a reference. These images give the surgeon a clear picture of the area undergoing surgery.
The doctor may also insert specialized surgical instruments, such as a balloon or flexible stent, through the incisions if required. After the surgery, the surgeon stitches the incisions and sometimes places a mesh for additional support.
Minimally invasive surgeries have become the first choice of patients for multiple medical conditions. In fact, it would not be wrong to say that these surgeries are now the standard surgical procedures for many routine operations.
Your doctor may recommend a minimally invasive surgery for:
Depending upon the location of the surgery, you may call a minimally invasive technique an endoscopic surgery, a keyhole surgery, thoracoscopic surgery, or laparoscopy.
Compared to the traditional open surgery, minimally invasive surgery has several benefits to offer. Not only is the procedure quick and less painful, but also ensures rapid recovery. Let’s have a look at some of the advantages.
One of the biggest advantages of the minimally invasive surgeries is the smaller incisions. The surgeon marks a few tiny incisions, big enough to insert a tube, laparoscope, or other small surgical instruments.
The minimally invasive surgeries are more accurate than the open surgeries because of the laparoscope that gives a clear picture of the internal structures.
It is proven that minimally invasive surgeries are less painful in comparison to open surgeries. The advanced technique does not cause discomfort or any damage to the healthy tissues. Also, there is reduced blood loss in invasive surgeries.
Since the size of the incisions is smaller in the minimally invasive techniques, you may have very small or unnoticeable scar with a few stitches only.
The minimal procedures allow the patient to heal sooner and resume the normal routine. Since the surgeries take a few hours to complete, the patient may leave for home the same day or the next day. A short hospital stay means reduced medical bill.
Minimally Invasive surgeries are the standard surgical techniques widely in practice today. Whether you have a minor issue or want a surgical intervention for a major health condition, it is the best option. At Lenox Hill Surgeons, we have compassionate, dedicated, and highly professional surgeons who are expert in minimally invasive surgeries. Contact us today and book an appointment with the most skilled surgeons in NYC.
Sometimes, a fatty tissue or part of an internal organ squeezes through an opening in the surrounding muscle. This phenomenon results in hernia occurs. Most commonly, the internal tissue protrudes through a weak spot in the muscular wall of your lower abdomen. However, hernias may develop in many other locations in your body.
A hernia patient may observe a lump or swelling in the stomach region but feel no pain. That’s because most hernias cause no pain and only appear as a bulge. However, increased pressure in the abdominal muscle wall –due to obesity, persistent coughing, or pregnancy –may enlarge the hernia.
Some hernias are present at birth time and may go away before the infant is one year old. Adults are also susceptible to develop hernia. Some of the common types of hernias include:
Men are five times more susceptible to inguinal hernia than women. It is the most common hernia accounting to 75% of all hernias. An inguinal hernia occurs when the intestine or in rare cases the bladder, protrudes into the groin through the inguinal canal.
Pregnant and obese women are more likely to develop a femoral hernia. When the intestine enters the canal containing large blood vessels (the femoral artery and vein), it results in hernia. The canal is located between the abdomen and thigh. Thus, the bulge appears in the upper thigh, groin, or hip.
This type of hernia occurs when a part of the stomach slips upward through openings in the diaphragm and extends into the chest. Hiatal hernia is linked with “gastroesophageal reflux disease” (GERD) that causes heartburn.
It occurs when the intestine bulges into the abdominal wall through the navel. An umbilical hernia is mostly found in newborns and disappears with time. However, it may develop in obese men and women with multiple pregnancies.
33 percent of patients who undergo abdominal surgery are likely to develop an incisional hernia. It occurs when the muscle underlying the treated area pulls apart, letting the internal structures pass through the weak spot.
Not all hernias are painful or show visible symptoms. In most cases, the patient only experiences a lump. Or the skin surrounding the bulge becomes sensitive. Likewise, not all hernias need surgeries. However, a hernia becomes “incarcerated” when tissue or intestine gets trapped in the abdominal wall.
In extreme situations, incarceration may strangulate your organs. Thus, the blood supply to your intestine and tissues is cut off, thereby causing the intestine to die. The condition calls for immediate medical help and surgery.
The purpose of a surgical hernia repair is to relieve the pain and push the bulge back to the right place, thereby strengthening the muscle area. Hernia repair is one of the most common and shortest surgical procedures in the world. The surgical options for enlarged hernias include:
For open surgery, the patient is given general anesthesia. The surgeon makes an incision of around 2.5 to 3 inches around the surrounding the hernia. The doctor may push the hernia back into the abdomen, tie it off, or gently remove it.
Once the procedure is over, the surgeon closes the area with stitches. In the case of large hernias, doctors place a piece of mesh over the hole for extra support. Thus, the mesh keeps the hernia in place, reinforcing the weakened muscle.
Minimally Invasive Surgery
In minimally invasive surgery, also called laparoscopy, the surgeon inflates a harmless gas in the abdomen. The gas helps the doctor to look at the structure and organs closely. The surgeon then goes for a series of small incisions near the hernia.
He/she then inserts a thin tube with a small camera (laparoscope) into one of the cuts. The captured images serve as a guide for the surgeon to treat the hernia. The laparoscopy is performed with general anesthesia, and people tend to recover sooner with this procedure as compared to open surgery.
Whether you require traditional open surgical procedure or minimally invasive surgery, Lenox Hill Surgeons is the right place in NYC. Our compassionate team of surgeons meets the highest ethical and professional standards. Book your appointment today and consult the best surgeons in the town.
Do you have spleen problems? The spleen is a soft, spongy organ that rests under your rib cage in the upper left portion of the abdomen toward the back. The spleen is normally equal to the size of the fist and is an integral part of the lymph system. This small organ defends your body in multiple ways.
Sometimes, the spleen gets larger than its size, which may affect either of the functions it performs. As a result, the enlarged spleen or splenomegaly, starts filtering not only the damaged blood cells but also the healthy cells in your bloodstream. This causes a reduction in the number of normal blood cells in your body.
Also, the excessive red blood cells and platelets may obstruct your spleen and affect the functioning adversely. Sometimes, a physical examination may not be enough to feel the spleen. However, certain diseases may result in a swollen and enlarged spleen. It is important to know that an enlarged spleen does not always indicate a problem. Rather, it might signal an overactive spleen.
Sometimes, an enlarged spleen causes no signs or clear symptoms. However, some people may experience discomfort or pain in the upper left side of the abdomen radiating to the left shoulder. Your spleen may become so large that it presses on your stomach. As a result, you may feel full without eating or only eating a small amount.
When the enlarged spleen exerts pressure on the other organs, it affects the blood flow to the spleen. Thus, the spleen may not be able to work actively. The removal of too many blood cells due to abnormal spleen functioning may cause anemia. Also, the low count of white blood cells may expose you to infections more often.
The enlargement of the spleen may cause several infections and diseases. Some of the main causes of enlarged spleen include:
A ruptured spleen may cause bleeding in the abdominal activity that may prove fatal. It is paramount to get medical help for the enlargement of the spleen. You can’t afford to leave an enlarged spleen untreated as it may lead you to serious medical issues.
Most of the times, treating the root cause of spleen enlargement may help evade the removal of the spleen. For instance, if the spleen enlargement is a result of an infection, the doctor may prescribe antibiotics. Shrinking the spleen through radiation may save you from spleen removal.
However, if the doctor fails to identify the main culprit, or the case is severe, then the surgeon may remove the spleen through splenectomy. For the procedure, the doctors prefer minimally invasive surgery to open surgery. Hence, for removing the spleen, the surgeon marks several small incisions. With the help of laparoscopy, the doctor then removes the enlarged spleen.
You are required to be extra cautious after the spleen removal surgery as it makes you susceptible to contract infections more often. Hence, you may not be able to fight the bacteria effectively. However, vaccines, certain medicines, and antibiotics may help reduce the risk of infection post-surgery.
Your spleen is a small but integral organ of your body, and the enlargement of spleen may have drastic effects on the functioning of it. Therefore, it is vital to your health to seek professional help for your major and minor spleen problems.
Contact Lenox Hill Surgeons today and schedule an appointment with the best surgeons in NYC for spleen removal.
The pancreas plays an important role in human digestion. One of its major functions is to release the hormones insulin and glucagon that regulate the blood sugar level. The diseases and disorders of pancreas like pancreatitis are less common, and the treatment requires no surgery. However, a surgery is inevitable when treating a severe disorder or removing a tumor.
Open surgery and laparoscopy are the options available for the pancreas surgery. Open surgery involves either the removal of a certain part of the pancreas where the tumor is growing or the removal of other parts of digestive organs as well like gall bladder, stomach, small intestine, and common bile duct. The type of surgery depends upon the stage of cancer.
Whipple procedure or pancreatic resection involves the removal of the pancreatic head, duodenum of the small intestine, gall bladder and bile duct. This surgical procedure treats pancreatic cancer and other disorders of the pancreas. Whipple procedure is a complex and risky surgical treatment, but very effective and life-saving for treating pancreatic cancer, pancreatitis, bile duct cancer, serious trauma or injury in the pancreas and ampullary cancer.
The name of the procedure that involves the removal the left side of the pancreas ( body and tail) to eradicate the growing tumor is distal pancreatectomy. Your surgeon might need to remove the spleen attached with pancreas as well.
Total pancreatectomy is the removal of the pancreas when tumor has spread all over the pancreas. Other common procedures cannot treat this issue. You can live without pancreas normally. However, you will need a supply of insulin, glucagon, and other important hormones and enzymes.
Minimal Invasive Laparoscopy for pancreas involves removing the tumor or a small part of the pancreas with small incisions. Your surgeon will make three to four keyhole incisions in your pancreas and remove the infected or injured portion with tumor growth.
The pancreatic disorder includes the production of cysts in the pancreas. Cysts in the pancreas are large fluid-filled sacks that can disturb the normal functioning of the pancreas and can even turn cancerous. Pseudocyst drainage involves inserting a tube or needle into the cysts or pseudocysts to drain the cysts from the pancreas.
Islet cells in the pancreas are responsible for the production of insulin. Impairment in islet cells leads to an insufficient production of insulin leading to Diabetes type 1. Islet cell transplantation can potentially cure diabetes. Healthy islet cells from the donor are harvested and transplanted into the pancreas of the patient.
To have the best outcome of the pancreas surgery, it is crucial to have the surgery from a highly qualified and experienced surgeon. In rare cases, there can be come complications. The complications include bleeding, infection, development of diabetes ( temporary or permanent), leaking, etc. if the surgeon fails to join the organs after removing multiple parts from the digestive system. The pancreas surgery can lead to weight loss and change in the bowel functions.
Lenox Hill Surgeons have NYC’s best and most qualified surgeons for treating pancreatic cancers and disorders. With Lenox Hill Surgeons your pancreatic surgeries are complication-free. We promise to provide you the best treatment for your surgery and quick recovery.
Call us at 212-988-1136
Visit lenoxhillsurgeons.com to learn more.
They say the liver is the mother of all organs. It is the body’s detoxifying machine that breaks down metabolic products and toxic substances. It produces vital enzymes and proteins for our body and also plays role in fat metabolism. Liver diseases, disorders, and tumors can cause liver failure and abnormalities in the body’s regular functions. There are various surgical treatment options for treating liver diseases and abnormalities
Following are the common four types of procedures for liver surgery.
Some people regard liver biopsy as a surgical procedure, but it is basically the collection of liver tissues to diagnose any disease or problems in the liver. The procedure involves the insertion of a needle to collect the liver tissue samples. A laboratory technician will analyze the sample of tissue that will help the doctor to diagnose the liver disease or disorder. Your doctor will ask you for a liver biopsy if you have the following conditions:
Liver resection or partial hepatectomy is the surgical removal of a certain part of the liver. The open liver surgery is the treatment for removing tumors and the neighboring cells around the tumor from the liver. Sometimes, the doctor would need to remove the entire lobe of the liver, called lobectomy or hemi hepatectomy.
Minimally invasive laparoscopic liver surgery involves removing a tumor with a few incisions without removing a whole part of the liver. Your surgeon can remove a benign or malignant tumor with only three to four key-hole incisions.
Liver transplant or full hepatectomy is the removal of the diseased liver and transplanting a healthy one in its place. It is the treatment option for end-stage liver disease or total failure of the organ. This surgery option is the least common, and finding a liver donor with a good match is not easy.
Laparoscopic Liver surgery is the easier and less painful surgical treatment to remove a benign or malignant tumor from the liver. The incisions are smaller and not more than three or four. Such small incisions heal fast and the patient is back to normal in a very little time. In the case of liver resection, the incisions and stitches take a long time to recover and can cause severe pain.
If the tumor has covered more than half of the liver, then liver resection and laparoscopy cannot treat the liver. A liver transplant is the only option in that case. Patients with severe liver complications are not fit for liver surgeries. Those who previously had upper abdominal surgery cannot undergo liver resection and laparoscopic surgery.
If you experience problems within your liver, contact us and get a consultation to know if you need a biopsy or not. If you are already diagnosed with tumor or some other disorder within your liver then get in touch with Lenox Hill Surgeons. Our highly qualified surgeons have expertise in Liver Resection and Minimally Invasive Liver Laparoscopy. They will help you know which treatment options are suitable for you.
What Is Laparoscopic Colon Resection? The human digestive system comprises organs that help break down the food, absorb nutrients, and excrete waste material from the body. When you eat something, the food travels from the mouth to the stomach through the esophagus.
The food then enters the small intestine where it is absorbed, and the un-dissolved nutrients move into the large intestine (colon). The colon stores the waste until it is removed through rectum or anus. The large intestine is vital to the digestive system, and adverse effects of a medical condition may require you to go through surgical intervention.
Essentially, Colectomy or colon resection is a surgical technique to treat the diseases affecting your colon, such as colon cancer. During the surgery, the doctor removes the cancerous part of the colon. Depending upon the severity, the surgeon may perform
After the removal of the cancerous portion, the surgeon sews the healthy ends of the colon to leave enough space for the waste to leave the body. However, if the surgeon has cut the colon completely, then he/she may perform a colostomy.
A patient may undergo a colon resection for various medical conditions associated with the large intestine. For instance, you may need surgery for colon cancer, polyps, inflammatory bowel diseases, obstruction in the intestine, bleeding, and other problems.
Colon resection is a major surgical procedure, and it is better to take some preventive measure before the surgery day.
Your surgeon may perform the surgery in either of the following ways:
During the traditional open surgery, the surgeon makes a large cut in the abdomen to access the colon. With the help of the surgical tools, the doctor then removes the affected tissues surrounding the colon. He/she may go for total or partial colectomy.
The minimally invasive technique, also called laparoscopic colectomy, involves several tiny incisions in the abdomen. The surgeon may mark as many as 4 to 5 cuts and insert a laparoscope through one of them.
The real-time video helps the surgeon monitor the patient’s internal organs. With a surgical tool, the doctor takes out the colon from the body and removes the affected part. After the removal, the surgeon places the colon back in the abdomen through an incision.
Laparoscopic colon resection does not cause pain or discomfort, and the patient recovers faster as compared to open colectomy. If your colon is affected and requires a colon resection, Lenox Hill Surgeons is the right place in NYC. Our dedicated and skilled surgeons have expertise in minimally invasive surgeries, and we provide quality healthcare. Contact us today and book an appointment with the best surgeons in town.
LENOX HILL SURGEONS
155 East 76th Street
New York, NY 10021
Appendix Surgery or Appendectomy involves the removal of appendix after the occurrence of appendicitis. Let’s find out about when you need an appendix surgery, what the procedure involves, and where to get best surgeons for appendectomy.
Appendicitis is a serious medical condition that requires an appendix surgery. It occurs due to the infection in the appendix because of growing bacteria or clogging of the stool in the appendix. The infection causes inflammation and severe pain that is only treatable with the removal of the appendix. In the case of an accident or serious injury that causes the trauma and appendicitis, appendectomy is the only surgical option available. Peritonitis is a serious condition resulting from the inflammation of the appendix and can cause the appendix to rupture.
First, the surgeon will administer the patient with certain antibiotics to prevent the overgrowth of bacteria. The dose of antibiotics will depend upon the degree of the damage. In the case of sepsis, the patient would have a single dose of injectable antibiotic. If the appendix has ruptured already, the surgery will start without administering the antibiotics.
The patient will undergo general anesthesia before the surgery. For the surgery, there are two common methods; open surgery and laparoscopic surgery.
The surgeon will sterilize the skin with a germ-killing solution first. In rare cases, the surgeons do need to shave the skin in the appendix area. The surgeon will then cut the skin deeply (2-3 inches) to open the portion of lower abdomen to expose the appendix. If there is some mass growing on the appendix, the surgeon will make incisions on the mass as well.
Beneath the skin, the surgeon will make incision through the layer of protective tissues and abdominal walls to reach the appendix. Once the surgeon identifies the location of the appendix, he/she will carefully cut the appendix and remove it out of the patient’s body. After that, the surgeon will stitch the peritoneum layer, which he/she had previously ruptured for the removal of the appendix. The surgeon will stitch the skin of the lower abdomen.
Laparoscopy is the recent trend in surgical procedures, which involves cutting certain a part of an organ or removing if entirely. This process involves making three small incisions (of ¼ or ½ inches) to expose and remove the appendix instead of opening a larger portion of the stomach or lower abdomen. This surgery also uses a small camera or laparoscope, which is a mini tv-like monitor to show the appendix and the surgery procedure in an enlarged view. To remove the appendix laparoscopically, our surgeons have special instruments that can easily perform the surgery without any deep incisions.
Laparoscopic appendectomy has several benefits over the open surgery appendectomy.
What is gastroesophageal reflux disease (GERD)? If you have experienced acidity or heartburn many times, you are not alone. National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) reports that 20 percent of American population gets affected by Gasteresphageal reflux diseases (GERD).
More than 15 million adults in the US, especially pregnant women, suffer from heartburn daily. GERD is essentially mild acid reflux that may occur twice a week. However, some people may also experience severe acid reflux, at least once a week.
Your digestive system is home to several digestive enzymes and acid. Normally, when you eat something, the lower esophageal sphincter (LES), i.e., the lining of the stomach, opens. It allows the food to enter the stomach and then closes. This helps to obstruct the food or any acidic enzymes from flowing back to the esophagus. However, sometimes the LES does not close properly.
As a result, the acid and digestive stomach enzymes flow back into the esophagus. The frequent backward flow of stomach acid, i.e., the acid reflux, may irritate LES, thereby weakening the lining. Hence, if your acid reflux returns multiple times every week, you probably have GERD (Gastroesophageal Reflux Disease).
The occurrence of the following signs or symptoms may indicate that you are likely to have GERD.
Some people may have nighttime acids reflux and are likely to experience sleep disruption, chronic cough, laryngitis, and worsening asthma. Also, the chest pain may radiate toward the neck at night.
People, who are obese, have connective tissue disorders, Hiatal hernia, gallbladder diseases, are prone to having GERD. Similarly, pregnant women are prone to the condition.
For the diagnosis of GERD, your doctor may conduct the following tests (as per requirement):
Changing your lifestyle may help relieve the symptoms of GERD. For instance, reducing or abandoning smoking may help. Also, including a balanced diet and avoiding fatty food and certain beverages may work. In mild acid reflux cases, over-the-counter medications can be a good option. Also, your doctor may recommend prescription medications. However, if medicines prove to be of little help, your doctor may suggest a surgical procedure.
It is a surgical procedure that exerts pressure in your lower esophagus. The surgeon folds the top of your stomach (partially or completely) around the esophagus. Thus, the stomach is tightened to prevent acid reflux. The surgeon may perform the procedure through conventional open surgery or a laparoscope. However, most surgeons prefer minimally invasive surgery.
It is yet another minimally invasive surgical procedure. The surgeon threads into the esophagus with a small tube and uses radiation to tight the barrier between the esophagus and stomach.
The surgeon folds a ring of tiny titanium beads around the junction of the esophagus and the stomach. The magnetic force between the beads helps keep the junction closed, thereby preventing the acid reflux. However, the band allows the food to pass through. The surgeons use minimally invasive surgery to implant the Linx device.
So, if you’re facing heartburn or acid reflux frequently and the symptoms are severe, you should seek medical help immediately. Our highly professional team of surgeons at Lenox Hill Surgeons has expertise in minimally invasive surgery. For consultation, appointment or surgery, contact us today.
LENOX HILL SURGEONS
Doo you have Dysphagia? Do you often choke or cough while swallowing food? Do you take more time than others to chew or swallow your food? Is the swallowing process painful for you? If yes, then you possibly have Dysphagia, or swallowing difficulties.
You may not have faced such problems before as swallowing problems are common in older people. However, dysphagia may occur at any point in life. Eating too fast or not properly chewing the food may cause swallowing difficulties occasionally. In case of persistent dysphagia, it is better to seek medical help.
People who have this condition may face problems swallowing certain foods or liquids. In extreme cases, people may not be able to swallow food at all or have to cut it into smaller pieces to avoid swallowing difficulty.
Esophageal dysphagia: After you start swallowing the food, you may feel that the food is not passing down the throat. Instead, it seems as though it has stopped in your chest.
Oropharyngeal dysphagia: Your throat muscles may become weak due to a certain condition, thereby causing swallowing difficulties. You may frequently choke or gag while swallowing, or sense that the food is going up to your nose or down the windpipe. Oropharyngeal dysphagia may lead to pneumonia.
The signs that suggest you are likely to have dysphagia include:
Swallowing difficulties may be a result of several medical conditions interfering in the swallowing process. Some of the problems that may cause dysphagia are:
To devise the best treatment plan for your swallowing difficulties, your doctor may perform certain physical exams and tests to find the root cause. Besides CT scan and MRI, you may undergo:
Cineradiography/ Barium X-ray: The X-ray requires the patient to drink a barium solution. After that, the surgeon threads an X-ray machine with a camera in the patient’s esophagus.
Manometry: The purpose of this test is to evaluate the esophageal muscle contractions while swallowing.
Upper Endoscopy: The surgeon inserts an endoscope into the esophagus that captures the images of the internal structure. The doctor may collect tissue samples (biopsies) of the esophagus to check for a possible esophageal stricture, inflammation, or tumor.
If you are facing dysphagia due to neurological disorders, the doctor will recommend some swallowing therapies and modification in the diet. Sometimes, in extreme dysphagia, the doctor may suggest feeding tubes for the patient.
For the swallowing difficulties because of the esophagus, the doctor may prescribe medicines or go for a surgical procedure.
Whether you have minor swallowing difficulties or severe dysphagia that requires surgery, make sure to seek the help of the best surgeons. We, at Lenox Hill Surgeons, use the cutting edge treatments and have expertise in minimally invasive surgery.
Contact us today to book an appointment.
LENOX HILL SURGEONS