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

Surgical Experts Dedicated to Improving Lives

2019-best-gastrointestinal-surgeons-award-new-york-NY-awards
Award for Best Gastrointestinal Surgeons in NY for 2019.

In the light of recent events associated with COVID-19 we would like to assure our patients that our office continues to function at full capacity. We will continue to take care of our patients in full compliance with current rules and regulations.


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.

Call us: 646-846-1136

Lenox Hill Surgeons

Hernia Repair Surgery – NYC Surgeon

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

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

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

Steps

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

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

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

Benefits

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

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

Side Effects

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

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

Precautions

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.

Prognosis

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

Concluding Remarks

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

References

 

General Surgery

Here are some brief descriptions about the different types of general surgery we perform:

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.

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.

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).

 

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

Recovery from Appendix Surgery

Recovery from Appendix Surgery 01

(Source)

When a patient is suffering from appendicitis, they need a surgery called appendectomy as treatment. This disease occurs when your appendix starts to inflame and to cause pain. If you don’t rush to the hospital to get the treatment, this disease can take your life. It is because the appendix can burst in your abdomen, which infects your other organs.

This surgery is usually an emergency treatment, but it’s common and typically don’t have side effects. This surgery requires removing your appendix. This organ is a small pouch that doesn’t have any important function in your body. However, it gets infected or blocked by bacteria, stool, and foreign bodies, and can turn into a problem.

After the operation, the patient usually goes back to their home on the same day or after a few days. The recovery from appendix surgery usually takes a few weeks, and you can go back to your regular regime.

Recovery from Appendix Surgery

Your surgeon treats your appendix either by open surgery or laparoscopic surgery. The incisions made in these methods leave scars on your belly that usually fade away with time.

After the surgery, you may feel tired and weak for many days when you return home. Your abdomen can swell, and you may experience pain. If you undergo laparoscopic surgery, you may feel pain in your shoulder for around 24 hours. Patients also feel sick and have diarrhea, gas, constipation, or a headache. These feelings typically go away in some days.

Appendix Surgery Recovery Post

(Source)

Recovery from appendix surgery typically doesn’t take many days, and recovery times depend on the surgical technique chosen. In the case of laparoscopic surgery, patients can return to their normal routine after 1 to 3 weeks, whereas open surgery takes 2 to 4 weeks to get fully recovered. If your appendix burst, you can have a drain in your cuts (incision).

The human body works fine without an appendix. Moreover, the patient doesn’t require making changes in their lifestyle and diet.

Will You Feel Pain After Recovery?

Yes, the feeling of pain is common after the surgery. You may feel pain near the incision spot and in your abdomen. You may also feel pain sensations in your shoulders. It occurs due to the carbon dioxide inflated in your body during the surgery. However, the shoulder pain typically goes away in 24 to 48 hours.

You can use ice to relieve the pain, but ask your nurse or doctor about the correct way of applying. Your doctor may also prescribe you a small quantity of narcotic pain medicine to give you relief. Many people recover without them, but some patients need narcotics for some days.

Some people also feel sick to the stomach or vomit after their operation. It happens because of the surgery and anesthesia. But you should overcome this problem in a day or two. Consult your doctor if you keep feeling sick or vomiting.

What Activities Can You Do After Recovery?

After recovery from appendix surgery, a person can become active according to their body strength. The surgeon also suggests walking. You can also use stairs on the day of your operation. Your doctor will remove your bandages the very next day of your surgery, and you are free to take a shower. Moreover, you will feel better each day after you get discharged. If you don’t feel recovery, then call your doctor.

You can start your regular regime after a week, but you need to avoid strenuous activities. If your work includes intensive activities, like heavy lifting, then ask your doctor when you will be able to go back to your job. Moreover, if you are not taking narcotic pain medicines, and don’t feel any pain, you can drive after 24 hours you have taken anesthesia.

However, patients need more time to recover if they receive open surgery. Your doctor will suggest you the time when you can go back to your routine.

Bottom Line

As you have learned, recovery from appendix surgery is not usually painful and doesn’t take an extended period. The surgery is also simple. The only reason for the horror of the appendix surgery is the appendix itself. Mostly, people show symptoms suddenly, which can lead to the eruption of the appendix. If the person doesn’t undergo surgery immediately, it can be life-threatening. This is why you need to treat your appendix as early as possible.

Contact us at Lenox Hills Surgeons, if you are looking for the best surgeons in town. We have a dedicated team of surgeons who has years of experience in treating the appendix. You can visit our website or call us on 646-846-1136 to schedule an appointment.

General surgeons & Surgery

General Surgeons & Surgery

(Source)

A general surgeon‘s responsibility is to care for the patients dealing with different conditions that usually require surgery. They don’t have any specialization or additional training, such as neurosurgery or heart surgery. But some general surgeons get advanced training in trauma surgery.

What General Surgeons Do?

The general surgeon performs a broad range of surgeries, including the abdomen, endocrine system glands, breasts, etc. Some of them are:

  • Operatable surgeries of the gastrointestinal tract, which is a passage from the esophagus to the anus
  • Breast diseases
  • Liver, kidney, and pancreas transplantation
  • Trauma to the thorax and abdomen
  • Some skin conditions
  • Initial assessment of people with a peripheral vascular condition
  • General surgery of children
  • Elective surgery

After gynecology, general surgery is the second major surgical specialty in America. It includes a wide range of surgical specialties that may lead to many sub-specialties.

Surgeons with respective subspecialty do other general work as well. The most common emergency problem that requires surgery is acute abdominal pain because the abdomen has many organs that can cause pain. Moreover, other common health problems that require surgery include hernias, gallstones, and appendicitis.

Standard Procedures of General surgeons

The general surgeons widely use the procedure of minimally invasive surgery or laparoscopic. This method is also popular in patients because it is less scarring, takes less time to recover, usually don’t have side effects, and gives improved outcomes.

Moreover, this procedure works best for patients who don’t have a severe problem. For example, general surgeons perform less severe colon operations using this procedure.

Best General Surgeons NYC

(Source)

Almost every abdominal surgery can be carried out laparoscopically, including hernia repair. Some general surgeons also opt for a specialization in laparoscopic surgery.

Sub-Specialties Of Surgeons

A general surgeon has a broad range of sub-specialties and can perform the following surgeries:

  • Breast surgery includes checking the breast cancer symptoms (biopsy), breast reconstructive surgery (lumpectomy), and breast cancer surgery (mastectomy or removal of one or both breasts)
  • The lower gastrointestinal operation for the disease of the rectum, colon, and anal canal, and especially the bowel’s cancer
  • Endocrine surgery includes thyroid and endocrine glands surgery.
  • Upper gastrointestinal includes the surgery of the liver, stomach, esophagus, and pancreas, and also include weight loss surgery.
  • Transplant surgery of kidney (renal), liver (hepatic), and pancreatic transplantation

Surgeons need special training for doing advanced trauma surgery (for trauma centers and military surgery) and for rural and remote surgery.

Where do they Work?

General surgeons must be present in A&E departments to perform emergency surgeries. In rural and remote parts of the country, general surgeons have high value and demand for their variety of skills.

As you learned, they also perform trauma surgery after accidents, although these operations are not so common nowadays because of the improved car safety technology. This job needs close collaboration with other specialist doctors and requires a holistic approach to treat the patient.

Highly specialized general surgeons are less in number. They only perform severe and complex operations within their respective sub-specialty, such as liver transplant surgery. Moreover, in the armed forces, the military surgeon is basically a general surgeon. Their major job is to treat trauma and emergency patients.

Bottom Line

A general surgeon is a highly qualified and experienced health professional who can perform various surgeries on different parts of the body. They operate the abdomen, esophagus, large intestines, small intestines, and other conditions. These surgeons treat diseases like appendicitis, hernias, esophagus cancer, and other severe health problems.

The surgeons perform operations that require experience and skills to manage and prevent the problems that may occur during the procedure. This is why you must always consult surgeons who have training in the specific disease or condition you have so that you will not face any complication and risk.

Lenox Hills Surgeons have an experienced team who perform surgeries using the most modern technological tools. If you are looking for the best general surgeons in NYC, you have come to the right place. Schedule an appointment for any general surgery today by visiting our website or calling us at 646-846-1136.

Colon Surgery for Diverticulitis

Diverticulitis occurs when diverticula become inflamed. Diverticula are small patches present in the digestive tract. The inflammation of diverticula may be due to any infection. Diverticula are usually located in your colon, which is the largest portion of your large intestine. They are mostly harmless to your digestive system. However, after inflammation, these patches can disrupt your life due to pain and other symptoms. To learn more about Diverticulitis and Colon surgery, you should read this article completely.

When Should You Have Diverticulitis Surgery?

You may have diverticulitis if the patches in your colon are inflamed. Here are some causes and symptoms of diverticulitis:

  • Stomach cramps
  • Constipation
  • Diarrhea
  • Stomach Pain
  • Painful infections

Many people suffering from diverticulitis may not need surgery to recover. You can treat this condition with probiotics, fiber, and antibiotics. When you don’t see any reduction in symptoms, the doctor may recommend removing the infected part of the colon through surgery.

Surgery is only necessary when all the other treatments of diverticulitis fail, or on the other hand when a hole in the colon doesn’t react to alternative treatments.

If you are having an attack of acute diverticulitis, you need to be hospitalized. You may also receive pain medication or fluids intravenously before going for a surgery.

Diverticulitis surgery is a risky procedure. According to the American Society of Colon and Rectal Surgeons (ASCRS), it is recommended that surgeons perform this surgery in the following conditions:

  • Peritonitis is when the colon is ruptured and causing leaks to the abdomen or develops severe inflammation; this requires emergency surgery.
  • When the swelling does not subside or becomes infected after draining
  • When the symptoms are serious, and all the other treatments, such as antibiotics do not work.

Colon Surgery for Diverticulitis 01

(Source)

Types of Diverticulitis Surgery

There are two types of major surgery for diverticulitis:

1.    Bowel Resection (Primary Anastomosis)

The surgeon removes infected parts of the colon in this procedure, called a colectomy, and sews the cut ends together. After both the healthy pieces are joined, the surgery is over.

2.    Bowel Resection (Colostomy)

In this procedure, a colectomy is performed by the surgeon connecting your bowel with an opening present inside your abdomen (colostomy). The opening is known as a stoma. If you are suffering from excessive inflammation, your surgeon will perform a colostomy. A colostomy may be permanent or temporary, depending on how well you can recover in the next few months.

Each of the above surgery may take place by laparoscopically or by open surgery:

·       Open Surgery

Your surgeon will make a six to eight-inch incision on your abdomen and view the intestinal area.

·       Laparoscopic

Your surgeon will only make small cuts. He will then place small cameras or instruments in your body with the help of small tubes (trocars), which measure less than a centimeter.

Get Ready for Your Surgery

You doctor may ask you to take the following measures two weeks before surgery:

  • Do not take medication that reduces the thickness of your blood, such as aspirin or ibuprofen (Advil).
  • If you are a smoker, do not smoke for a while, or if you are ready, quit smoking permanently. It is difficult for your body to recover from surgery when you are smoking.
  • Wait for any existing cold, fever, or flu to break.
  • You should replace your diet with liquids and take laxatives so that your bowels get empty.

When there are 24 hours to your surgery, you need to:

  • Only drink water and any other clear liquid, such as juice or broth.
  • Do not eat anything for up to 12 hours before the surgery.
  • If your doctor suggests any medication, take it before surgery.

After the surgery, you should take some time off from your work or from any other responsibilities so that you may recover. Two weeks are enough for you to rest at home or in the hospital.

Colon Surgeon for Diverticulitis

(Source)

Process of Colon Surgery

In order to perform colon surgery for diverticulitis, your surgeon will:

  1. Cut three to five little openings in the region of your abdomen (for laparoscopy) or make a six to eight-inch opening to inspect your intestine and other organs (for open surgery).
  2. Insert a laparoscope and other tools for surgery through the cuts (for laparoscopy).
  3. Fill your stomach region with gas to make more room for the colon surgery (for laparoscopy).
  4. Look at your organs to ensure there aren’t any other problems.
  5. Find the part of your colon that is affected, cut it from the remaining part of your colon, and take it out.
  6. Sew back the two parts of your colon together (primary anastomosis) or open a gap in your midsection or abdomen and join the colon to the gap (colostomy).
  7. Sew up your entry points and clean the regions around them.

Conclusion

If you are feeling inflammation or pain in the colon region, kindly visit our clinic or contact us today.

LENOX HILL SURGEONS
646-846-1136
lenoxhillsurgeons@gmail.com

Appendectomy

Appendectomy Appendectomies surgeon NYC

(Source)

Appendectomy is the surgical method for removing the appendix. Mostly, this procedure takes place on an emergency basis. Some patients who are undergoing abdominal surgeries for any other health problems can ask their doctor to remove the appendix so that appendicitis doesn’t get a chance to develop in the future. It would help if you discussed it with your surgeon first.

Appendectomies are a quick method of removing your appendicitis. It has a few risks or side effects that your doctor can easily cure. It is best to treat your appendicitis because if you wait for a longer time, it can erupt, which can be life-threatening and challenging to treat.

So, if you have signs of appendicitis, then consult your doctor on an emergency basis to save your life.

Why Is an Appendectomy Performed?

When your appendix gets inflamed and swollen because of the infection, surgeons remove it by performing appendectomies. This health disorder is known as appendicitis. The condition occurs in your appendix when its opening becomes blocked by the stool or bacteria. It leads to inflammation, and your appendix becomes swollen.

The most effective and quickest way to solve the problem is to remove the appendix. Unfortunately, the appendix can burst if it doesn’t get immediate and proper treatment. When the appendix erupts, the bacteria and fecal particles inside the organ spread into your abdomen.

It can cause a severe infection called peritonitis. A person can also build up an abscess if their appendix burst. Both of these problems are life-threatening and needs immediate treatment and surgery.

Symptoms of Appendicitis

There are various symptoms of appendicitis, some of them are:

  • Severe stomach pain starting suddenly around the belly button and traveling to the lower right side of the abdomen
  • Swelling in abdomen
  • Rigid abdomen muscles
  • Diarrhea or constipation
  • Vomiting
  • Nausea
  • Fever
  • Loss of appetite

Mostly, appendicitis pain occurs in the lower right side of your abdomen, but pregnant women can feel the pain in the upper right side of their abdomen. One in every 1,500 pregnant women needs an appendectomy.

You need to rush to the emergency if you feel you are facing any of the mentioned symptoms. It is best to get treatment immediately to avoid any further health problems and complications.

Appendectomy Procedure

Usually, surgeons perform appendectomies in operating rooms. First, they shave the patient’s hairs and swab with a germ-killing medical solution. This sterility method helps to avoid infections.

Appendectomy Procedure Medical Info

(Source)

Moreover, the surgeon can use either laparoscopic techniques or open surgery methods for removing the appendix. The open surgery involves making a 2 to 3-inch incision in the lower right-hand side of your abdomen to remove the appendix. The other method requires several small incisions in your abdomen; it uses a laparoscope to capture images of the inner body. The surgeon removes the appendix with the help of these images.

Home Much Time You Need To Recover?

The recovery time after appendectomy varies from person to person and also widely depends on the type of the surgical method, type of anesthesia, and complication that develops after surgery. For instance, a laparoscopic appendectomy can take place on an outpatient basis so that the patient can go home to recover.

However, open methods may need an overnight stay or more than that to be cured enough to go home. The patient can start to perform normal regular activities in a few days. Still, complete recovery can take 4 to 6 weeks to resume strenuous activities. Until this time, you need to avoid extra stressful activities.

Risks of an Appendectomy

An appendectomy method is one of the most common surgeries and simpler to perform. However, there are some risks related to the surgery, which can be painful, including:

  • Bleeding
  • injury to nearby organs
  • infection
  • blocked bowels

However, it’s important to understand that the risk of not treating your appendicitis is more severe than these associated risks of appendectomy. Patients require appendectomy immediately to deter peritonitis and abscesses from developing.

Bottom Line

You need to take this condition seriously and get its treatment immediately. If you are looking for a surgeon who can perform appendectomies without causing any complications in your surgery, Lenox Hill Surgeons are here to help you.

We use cutting-edge technology, and our qualified surgeons have the expertise to make your surgery successful. Whether you need an appendectomy or other treatments for other abdominal-related conditions, contact us today to book an appointment. You can either visit our website or contact us on 646-846-1136.

Don’t wait too long to treat your appendicitis!

Types of Hernias

A hernia can be any one of a category of conditions that involve the protrusion of tissue through the muscles that are supposed to hold it in place. There are many different types of hernias, each presenting a little bit differently and requiring different treatment. However, there are a few distinct characteristics that all hernias have in common.

Common Traits of Hernias

As mentioned above, all hernias are the bulging of an organ or another tissue through the muscular wall surrounding it. When the material breaks through, this typically causes some level of pain. Typically, the amount of pain increases when the location of the hernia is under stress. This can be caused by lifting, twisting, coughing, or stretching. The underlying cause of many hernias is simply weak muscle fibers. In the abdominal cavity and surrounding areas, tissue is held in place by a wall of muscle. These organs, fatty deposits, or other structures are simply held in place by the tension of the muscles in question. When there is weakness in the supportive muscle, small gaps can form, allowing openings for hernias to be created. Once enough pressure has been put on the area, the compressed tissue will forcefully expand out through the cavity in the muscle wall. This small protrusion of tissue is the hernia.

Inguinal Hernias

In the case of an inguinal hernia, the soft tissue protrusion is typically a section of the intestines, although it could also be a fatty deposit. This is by far the most common type of hernia, with estimates of almost 25% of men experiencing an inguinal hernia in their lifetime. These hernias are not harmful on their own, but if left untreated can lead to a number of complications. Correctional surgery is a fairly common procedure. In many cases, inguinal hernias can be identified easily through the presence of a small bump in the inguinal region, pain in bending and lifting, weakness, and discomfort associated in coughing.

Femoral Hernias

Femoral hernias are less common than inguinal hernias but cause similar pain. When a section of tissue juts out from the muscular lining of the femoral region, a small lump appears, usually near the inside of the thigh. This obtrusion can cause pain and discomfort, especially when bending, lifting, or coughing. When laying down, the lump may seem to go away on its own. It is usually recommended that, in the case of repeated herniations, corrective surgery is performed.

Umbilical Hernia

An umbilical hernia follows the course of a typical hernia but is localized to the umbilical region, at the belly button. These hernias are most commonly found in infants, whose abdominal muscles have not had a chance to fully strengthen and develop. As opposed to standard hernias in adults, umbilical hernias for infants tend to correct themselves. In some cases, though, surgery is needed after a few years to provide a longer-term solution to umbilical hernias. With infants, it is important to communicate with your child’s doctor about signs of pain, vomiting, or swelling in the umbilical region. With adults or children with complications, a simple surgery can typically remediate any problems.

Incisional Hernia

However, a hernia can theoretically develop anywhere that there is a weakness in the muscles responsible for holding in soft tissue. This issue arises most commonly in the case of surgical incisions. An incision creates an opening in the muscular wall which requires time to heal. If enough pressure is exerted within the abdominal cavity before the muscle is completely healed, the internal tissues can project through the weak point, causing a hernia in an area not mentioned above.

Do you have a hernia? Schedule an appointment today with the best surgeons in NYC to figure out your best hernia treatment options.

 


References

https://www.uofmhealth.org/health-library/aba5300

https://www.webmd.com/digestive-disorders/types-of-hernias

https://www.webmd.com/digestive-disorders/understanding-hernia-basics

https://nyulangone.org/conditions/hernia-in-adults/types

What is a Diagnostic Laparoscopy?

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.

When do you need a Diagnostic Laparoscopy?

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.

Abdominal Pain

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:

  • Appendicitis
  • Pelvic infections
  • Adhesive scar tissues
  • Endometriosis
  • Bowel Syndrome
  • Abdominal Bleeding
  • Cancer
  • Fluid accumulation in abdomen
  • Infection or problem with digestive organs like the stomach, intestine or pancreas

Lump in Abdominal

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.

Examination of Reproductive Organs

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:

  • Bleeding
  • Severe pain during urination, menstruation or ejaculation
  • Decreased fertility – not getting successfully pregnant
  • Any unusual and discomforting symptoms in the pelvic area or reproductive organs

Process of Laparoscopic Diagnosis

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.

What to do before and after Diagnostic Laparoscopy

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:

  • Take maximum rest and get enough sleep
  • Don’t engage in heavy or tiring physical activities
  • Do light exercises or stretches to avoid chances of blood clot
  • Wear clothes that have loose fitting

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.

What Are The Benefits Of Minimally Invasive Surgery?

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.

What Is Minimally Invasive Surgery?

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

  • Small surgical instruments, such as a clamp or knife, for incisions
  • A laparoscope, i.e., a tiny tube with a miniature camera at one end.

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.

Common Minimally Invasive Procedures

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:

  • Appendectomy –the removal of the appendix
  • Hernia repair
  • Cholecystectomy –the removal of the gallbladder
  • Abdominal examination
  • Colon resection
  • Gynecological surgeries

Depending upon the location of the surgery, you may call a minimally invasive technique an endoscopic surgery, a keyhole surgery, thoracoscopic surgery, or laparoscopy.

Benefits of the Minimally Invasive Surgery

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.

Small Incisions/Cuts

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.

Accurate Procedures

The minimally invasive surgeries are more accurate than the open surgeries because of the laparoscope that gives a clear picture of the internal structures.

Less Painful Procedure

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.

Minimal Scars

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.

Rapid Recovery

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.

Final Thoughts

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.

Hernias & Surgery

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.

Types of 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:

Inguinal hernia

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.

Femoral hernia

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.

Hiatal hernia

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.

Umbilical hernia

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.

Incisional hernia

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.

Symptoms

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.

Hernia Repair Surgeries

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:

Open Surgery

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.

Final Word

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.

Spleen Problems

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.

  • First, the spleen filters your blood and removes the damaged blood cells from the bloodstream.
  • Also, it produces white blood cells, thereby preventing the body against germs and bacteria.
  • Spleen houses the red blood cells and platelets that help your blood clot.

Spleen Problems: What is Splenomegaly?

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.

Symptoms of Spleen Enlargement

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.

Causes of Splenomegaly

The enlargement of the spleen may cause several infections and diseases. Some of the main causes of enlarged spleen include:

  • Bacterial infections, such as syphilis
  • Parasitic infection, for instance, malaria
  • Viral infection like mononucleosis
  • Liver diseases
  • Hemolytic anemia
  • Metabolic disorders
  • Blood cancer
  • A blood clot in the spleen or liver

Treatment

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.

Splenectomy

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.

Final Word

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.

Types of Pancreas surgery

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.

Types of Pancreas surgery

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:

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.

Distal Pancreatectomy:

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:

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.

Laparoscopy Surgery for the Pancreas:

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.

Pseudocyst Drainage:

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 Cell Transplant:

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.

Risks of Pancreatic Surgery:

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.