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.

Resection of Colon

The resection of the colon becomes necessary if you have infections and other problems in your large intestine. If your doctor suggests you to undergo this surgery, you need to do it as early as possible because the infected part can lead to other severe issues in your body.

Resection of Colon - Top Surgeons NYC

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Your doctor will encourage you to get up and walk the day after surgery. You can also go back to your regular activities after one or two weeks, such as showering, walking upstairs, and driving, but you need to avoid intensive activities for some weeks. Moreover, take an appointment after two weeks of your surgery for a follow-up checkup. If you face any troubles like pain and soreness around the incision, then consult your doctor immediately.

What Is A Colon?

The large intestine, also called a colon, is present in the lower part of the digestive tract. It is a long organ that includes the small intestine, large intestine (colon), and the rectum (concluding part of the colon).

When you swallow your delicious meal, it begins its journey by getting into the stomach for digestion and then into your small intestine, which absorbs the nutrition in your food. The remaining (waste) of the food travels through the colon to the rectum, and then your body removes it. The colon and rectum hold the waste and absorbs water until you expel it.

What Is A Colostomy?

A resection of the colon is also known as a colostomy. This surgery aims to remove the affected part of your colon. The colon is also known as the large bowel or large intestine.

During this surgery, your surgeon cuts the affected section of your colon and then reconnects the other healthy parts. Your surgeon can also suggest you remove the entire colon or some parts of it.

If you don’t have any healthy intestine left, your surgeon can perform a colostomy. During the colon’s resection, the doctor moves one end of the colon to the outside of the abdomen wall. Then, your surgeon attaches the abdomen with the colostomy bag. So that when feces pass through your large intestine, it gathers into the bag. The stool that reaches to the bag is usually liquid or soft.

The method of colostomy is not permanent. The patient has the bag until the intestines heal entirely. By performing another surgery, the surgeon can take out the colostomy. However, in some cases, the doctor does not remove the bag, and the colostomy is permanent.

Why Do You Need Resection of Colon?

The resection of the colon becomes necessary to treat the problems like:

  • Infection
  • Colon cancer
  • Intestinal clogs caused by tumors or scar tissues
  • Diverticulitis, large bowel disease
  • Bleeding In the intestine
  • Precancerous polyps
  • Volvulus, an abnormal position of the intestine
  • Ulcerative colitis, an intestine infection
  • Intussusception – occurs when one part of the intestine slips into the other part.

The Procedure of Colon Resection

Before the surgery, you will get anesthesia, which will help you to remain asleep throughout the surgery. You will also not feel any pain during the process. Your surgeon will choose between open colostomy or laparoscopic.

During the laparoscopic colostomy, the surgeon inserts a thin camera into the intestine to get clear images. This method involves multiple small incisions. The laparoscopic colostomy is less invasive compare to open surgery.

Colon Resection Surgery | General Surgeons NYC
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On the other hand, an open colostomy takes place by making a single large incision in your belly to see the colon directly.

The basics of both surgeries are the same. Your surgeon will access the intestine by making one or more incision and removes the damaged or diseased colon. Next, the doctor will sew the remaining parts of the colon together. This step is known as anastomosis. If needed, your surgeon will also do the procedure of colostomy. Then, they will close the incision opening by stitching. In some cases, the surgeon also removes other organs.

Bottom Line

The resection of the colon can be complicated sometimes; if the patients wait too much time to go through surgery. You must get the affected part of the large intestine removed immediately so that the other parts can perform their function. Moreover, it is painful, and a patient can have soreness near their belly.

Your doctor will recommend the perfect time to undergo surgery and also suggest whether open colostomy or laparoscopic colostomy is better for you. After the surgery, there are little chances of any side effects and complications, and if you feel any problem, consult your doctor.

If you are looking for the best surgeons in NYC, Lenox Hills Surgeons is the right place. With the most advanced technology and techniques, our expert surgeons have years of experience in providing compassionate care and surgical precision. Book an appointment or call us at 646-846-1136.

All About Gallbladder Surgery

The gallbladder is a small organ near your upper abdomen. Whereas, the abdomen is present in the center of your body and holds several organs, including the stomach. This organ is not a complicated one, and so not it’s surgery.

Gallbladder Surgery | Lenox Hill Surgeons NYC
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The gallbladder surgery is the most common surgery and mostly don’t cause any severe side effects.

What is the Function of Gallbladder?

The gallbladder is the one that accumulates and stores a liquid known as bile, which aids your body in breaking down your food. Gallstones, small and hard deposits, can grow in the gallbladder. It is a common health condition. When your gallstones start to cause problems in your body, your doctor will recommend you to remove them. For instance, if your gallbladder stops working properly, and you also feel pain, you will need surgery. Your health professional will suggest the best treatment you can have.

Gallbladder Surgery or Cholecystectomy

This is the surgical method to remove your gallbladder. The gallbladder is responsible for gathering the bile and storing it. This bile is a digestive fluid produced in your liver.

Traditionally, doctors perform gallbladder surgeries through an incision in the belly to take out the gallbladder. It is called open surgery. Because of the high technological methods, now doctors can do this with tiny instruments and a small cut, called laparoscopic surgery. The main instrument of the surgery is a laparoscope, hence the name. It is a minimally invasive surgery that takes place using small tools.

Cholecystectomy is a common surgery and typically don’t have any risk or complications. In many cases, patients can get discharged from the hospital on the same day of the surgery. For The procedure, the surgeon inserts cameras in your abdomen, and safely removes the gallbladder with the help of images.

In some cases, doctors can also use a large incision to take out the gallbladder. This surgery is called open Cholecystectomy.

Who Needs Gallbladder Surgery?

As you have learned, Cholecystectomy is a common method to treat gallstones and cure the complications. If you have the following problems, your doctor may recommend you undergo surgery.

  • If you have gallstones in your gallbladder, called cholelithiasis
  • If you have growth of gallstones in your bile duct, called choledocholithiasis
  • If you are suffering from gallbladder inflammation, called cholecystitis
  • If you have large gallbladder polyps
  • If you face pancreas inflammation due to gallstones

Complications of the Surgery

Mostly, patients go back to their normal and regular activities after the surgery. The complication can only happen because of the less medical care or after when people don’t take care of themselves. However, there is little chance of suffering from any complications, and even if they occur, they are few.

The complications of Cholecystectomy include blood clots, infection in the area, bleeding, hernias, and heart problems. A hernia is a condition in which your tissues or a small spot of your gut (intestine) bulges through the muscles that cover it.

Top Gallbladder Surgery & Surgeons NYC
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Moreover, any surgeries can have the risk of causing problems in other parts of the body. This does not always happen, but it is possible. Similarly, gallbladder surgeries can cause issues in the nearby area, such as large intestine, common bile duct, and small intestine. If you face these problems, you need to undergo another surgery to treat them. It is also possible that your bile might start to leak after the gallbladder surgery into your abdomen.

Mostly, a complication from gallbladder removal is rare, which means it is a safe procedure. If you want to know about the possible complication in your surgery, ask your surgeon.

Bottom Line: Consult Top NYC Specialists at Lenox Hill Surgeons

Gallbladder removals are the most common surgeries in NYC. They usually don’t involve any complications and not cause any side effects. Both men and women can undergo gallbladder surgery at any age.

Some patients can even go home on the day of the surgery. However, you should take your treatment seriously no matter what type of surgery it is. The same goes for this one. It would be best to have a health professional who can diagnose your problems properly and treat it.

Lenox Hill Surgeons team of expert gallbladder surgeons have the expertise to cure your problem once and for all. They use cutting edge technology and procedures for removing the gallbladder. Schedule a consultation on our website or by phone at 646-846-1136 today.

 

Esophagus Surgery

Esophagus surgery, known as esophagectomy, is a procedure to remove the swollen part of the tube between your stomach and mouth, called the esophagus. The surgery also helps rebuild the esophagus by using parts of other organs, mostly the stomach. This surgery is common in treating advanced esophageal cancer and is also used for Barrett’s esophagus if activated precancerous cells are growing.

Esophagus Surgery | Best Surgeons NYC
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Doctors also recommend esophagectomy for non-cancerous problems. For instance, if other procedures of saving the esophagus remained unsuccessful in the past, such as last stage achalasia or strictures. Or, after consuming anything that damages the wall of the esophagus.

Esophagus Surgery

Esophagus surgery can take place using two different techniques. No matter what method your doctor uses, esophagectomy is a complex surgery, and your doctor can also ask you to stay longer in the hospital. Make sure to consult a surgeon who has expertise in treating the esophagus cancer and performing its surgery. The two methods are:

Open Esophagectomy

In this surgery, the surgeon uses the open technique to treat your cancer. They operate by making one or more incisions (cut) in the neck, abdomen, and chest.

  • If the primary cut is in the neck and abdomen, the surgery is called a transhiatal esophagectomy.
  • If the primary cut is in the chest and abdomen, the surgery is called a transthoracic esophagectomy.
  • Some procedures can take place through all three locations, the chest, neck, and abdomen.

You should discuss the surgery and its methods with your surgeon and ask what to expect in the surgery.

Minimally Invasive Esophagectomy

If the cancer is small or at an early stage, your surgeon will make several small cuts for removing the esophagus instead of a large incision. They put a laparoscope (a long thin tube with a light) in one incision to have the visuals inside your esophagus during the operation. The surgical tool goes inside your body through other cuts.

To perform this type of procedure accurately, your surgeon should be highly skilled and have years of experience to remove the esophagus through this method. Moreover, because of using small incisions, a person can go home early, have less blood loss, and have a faster recovery.

Why You Need Esophagectomy?

It is the primary surgical technique for esophageal cancer. It helps in removing cancer or relieving its symptoms. This surgery is important to treat your cancer; if not done, a patient’s life can be in danger. Moreover, because this is a chronic disease, the patient experiences severe pain and can’t eat anything due to esophagus cancer, which makes this surgery more vital to give relief to the person.

Esophagus Surgery for Cancer & Esophagectomy
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In an open esophagectomy, the doctor removes all or some place of the esophagus through cuts in the neck, belly, and chest. Then, the surgeon uses part of other organs to reconstruct the esophagus, which can be your stomach and small or large intestine.

Mostly, the esophagectomy is a minimally invasive surgery, performed either by robot assists or laparoscopy. If the patient’s situation is not very critical, then this method helps in avoiding pain and faster recovery.

Risk of Esophagus Surgery

Like any other surgery, this surgery also has possible risks and side effects. The following are some of them:

  • Anesthesia reaction (anesthesia is a medication which aids patient to sleep during the surgery, so they don’t feel pain. Reaction can include rash, swelling, wheezing, and low blood pressure).
  • Pneumonia
  • Infection
  • Blood clots
  • Bleeding
  • Voice changes
  • Leakage from the area where the intestine or stomach connects with the esophagus
  • Esophagus gets narrow, which leads to swelling
  • Nausea
  • Vomiting
  • Heartburn
  • Dumping syndrome (when food travels quickly from your stomach to the small intestine, which can lead to diarrhea, nausea, and feeling of fullness)

Consult Lenox Hill Surgeons About Esophagus Surgery

Esophagus surgery is not a common one. It is a complex surgery that only highly qualified surgeons can perform. Plus, it’s a necessary procedure for patients who have esophagus cancer. Moreover, a person suffering from the esophagus disease should get the treatment as early as possible, so that their surgeon can save the other un-affected parts of the esophagus. Also, a patient is unable to eat and drink if they are in this condition.

The surgery also has risk and complications which can happen to anyone, especially if the surgeon lacks skills and experience. So, in this case, you need to find a surgeon who can treat your esophagus and save you from future problems.

Lenox Hills Surgeons have a dedicated team of surgeons who are experts in surgical precision. Our professional, qualified surgeons provide compassionate care to all patients and maintain the highest standards of hygiene during surgical procedures to avoid complications. If you want to know more or to schedule an appointment, visit our website or call us on 646-846-1136.

Appendicitis Surgery

Appendicitis occurs when the appendix gets inflamed or swollen. It’s a medical emergency that almost always requires the immediate appendicitis surgery to remove the appendix. Luckily, you can live without this organ peacefully.

Appendicitis Surgery | Best Surgeons NYC
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So, where is your appendix? This 3 and a 1/2 inch long organ extends from your large intestine on the lower right side of your abdomen.

What Causes Appendicitis?

Appendicitis can strike in any gender and at any age. But it is rare in children who are less than the age of 2. Mostly, it occurs in people between the ages of 10 and 30.

Appendicitis occurs because your appendix gets clogged up because of the presence of feces, any foreign body like bacteria, or cancer. This blockage can also happen because of infection since the appendix can inflame in response to a body infection.

Types and Procedure of Appendectomy

There are two methods to perform the appendicitis surgery, open and laparoscopic. Your doctor will choose the type of surgery considering several factors, including the complexity of your appendicitis and medical history.

Open Appendectomy

In this procedure, your surgeon makes one long incision on the lower right side of your abdomen. Then, they remove the appendix and close the opening with the stitches. The open appendectomy allows your surgeon to clean the abdominal cavity if the appendix has erupted.

Your doctor will choose this method if the particles inside the appendix spread to the abdomen. This option is also perfect for patients who have had abdominal surgery earlier as well.

Laparoscopic Appendectomy

During the laparoscopic appendectomy, your surgeon removes the appendix by making multiple small incisions in your abdomen. The doctor then inserts a small narrow tube known as a cannula. This instrument helps to pump up your belly with the carbon dioxide gas. This method allows your surgeon to see the appendix.

After inflating your abdomen, the doctor injects a tool called a laparoscopic through the incision. This instrument is a long, thin tube that has a high-intensity light and high-resolution camera. The camera helps your surgeon to see inside your body and aids in guiding them by displaying images on a screen. When the doctor locates the appendix, they take it out from your body. All the incisions are sterilized, closed, and dressed.

This type of surgery is a perfect option for seniors and patients who are overweight. This method has fewer risks than open appendectomy surgery and typically takes a shorter time to recover completely.

What You Face During Appendectomy

Before your surgeon removes the appendix, they will give you antibiotics to fight against infection. You will be asleep throughout the appendicitis surgery after taking anesthesia. The doctors remove the appendix by making a 4-inch long incision or with a tool called a laparoscope, in your abdomen. If any patient has peritonitis, then the surgeon will also clean their abdomen and drain the pus.

Appendicitis Surgery & The Appendix | Best Surgeons NYC
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Moreover, you can get up and walk around after 12 hours of your surgery. Mostly, people go back to their regular routine after 2 to 3 weeks. If your surgeon uses the methods of laparoscopy, then you will recover faster.

Contact your doctor if you face any of the following problems after appendicitis surgery:

  • Uncontrolled vomiting
  • Pus in the wound
  • Increased abdomen pain
  • Feelings of faintness or dizziness
  • Blood in your vomit or pee
  • Excessive pain and redness at the place of the incision on your belly
  • Fever

Bottom Line

Appendicitis surgery is one of the simple, quicker, and effective procedures. Almost all surgeries get successful and typically don’t show any severe complications. However, appendicitis itself is life-threatening. This health problem can cause trouble more than you think. If your appendix gets severe, then it can erupt in your body. The particles in the appendix, such as bacteria and feces, can cause infection in the abdomen.

If this happens with the patients, they need to rush towards the emergency to get the surgery immediately. The doctor will not waste any time and start the treatment. But the treatment is always the surgery. Moreover, if you face any symptoms of appendicitis, go to your doctor to have a checkup. Your doctor will suggest the best treatment.

In this case, Lenox hills surgeons can help you. We have surgeons who are serving in this field for many years and provide you the best treatment possible. They perform appendicitis surgery using the best technology and methods to prevent any complications. Visit our website or call us on 646-846-1136 to book an appointment. Hurry up before it is too late.

Colon Surgery for Cancer

Colon cancer is one of the common types of cancer that starts from the large intestine. Colon cancer occurs in the last part of your digestive tract, and it tends to affect adults, but it can also take place at any age.

Most doctors advise some screening tests for people with no symptoms or signs to look for colon cancer or noncancerous colon polyps. At the early stage of colon cancer, your chances of being cured are quite high. Screening can help detect colon cancer at an early stage.

Generally, doctors will recommend people of around age 50 to begin screening because, at this age, they tend to be at risk of developing colon cancer. But people with a family history of colon cancer are at higher risk of having colon cancer, and they should consider getting screened earlier.

There are quite a lot of screening options, and every one of them has its own set of drawbacks and benefits. Before choosing any type of screening, it would be best if you discuss them with your doctor. Doctors are experts that give you advice concerning the most suitable and appropriate options.

Doctors use screening for a colonoscopy; thus, they can remove polyps at the time of screening before it turns into advanced stage cancer.

Causes of Colon Cancer

Colon cancer specialists are not sure about its causes. Usually, colon cancer starts when healthy cells in the colon expand and undergo changes in their DNA. Your DNA holds several sets for instructions.

Healthy cells raise and split in an orderly technique according to your DNA instructions, which maintains normal function of your body. Your cells will become cancerous when the cell’s DNA is damaged, and they continue to divide or multiply.

A tumor will occur in your body as soon as the cells build up. As time passes, the cancer cells can develop to attack and wipe out normal healthy tissue. Cancerous cells can reach other parts of your body and begin multiplying there too (metastasis).

Colon Surgeries for Cancer

There is more than one treatment to cure colon cancer, but the ones that help you depend on your current situation. Also, the type of treatment you select involves the exact spot of your cancer, every type of health concern, and, most importantly, its stage. Usually, the treatment for colon cancer includes surgery to eliminate it. Doctors might recommend some other treatments too, such as chemotherapy and radiation therapy.

Surgeries for Early-Stage Colon Cancer

For small colon cancer, your doctor might recommend you a simple invasive approach through surgery. Following are those simple invasive surgeries;

·       Remove Polyps While a Colonoscopy (polypectomy)

As for small and localized cancer, which contain a polyp while being at an early stage, your doctor can eliminate it entirely while performing a colonoscopy.

·       Endoscopic Mucosal Resection

The doctor can remove larger polyps during colonoscopy with the help of some special tools and a small quantity of the colon’s inner lining. In scientific terms, you can cell this whole procedure, an endoscopic mucosal resection.

·       Minimally invasive surgery (laparoscopic surgery)

There is a type of polyp that doctors can’t remove during a colonoscopy, but they can eliminate it with laparoscopic surgery. In this procedure, the surgeon will operate quite a lot of small incisions on the wall of your abdomen. The surgeon inserts these instruments and attaches a camera with them, which will display your colon on a video. They might also take samples from lymph nodes where the cancer is situated.

Symptoms of Colon Cancer

Below are the common signs and symptoms of colon cancer. Even early-stage patients of colon cancer have these symptoms:

  • A constant change in your bowel condition, including constipation, diarrhea, or a difference in your stool’s stability.
  • Blood or rectal bleeding in your stool.
  • Continuous abdominal discomfort like gas, cramps, or pain
  • A feeling that your bowel doesn’t clear entirely
  • Fatigue or weakness
  • Unplanned weight loss

Moreover, many colon cancer patients do not experience any of the above symptoms, especially in the early stages. Symptoms that do appear are likely to vary slightly, although it depends on the size and location of your large intestine’s cancer.

Conclusion

Several medications can reduce the risk of colon cancer or precancerous polyps. However, you must not take these medications before consulting with your doctor. You can also contact Lenox Hill surgeons by visiting their website. You can search for your disease or condition and its pertinent treatment through their website. There is plenty of important information about colon cancer and surgical treatment.

Recovery from Appendix Surgery

Recovery from Appendix Surgery 01

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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

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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

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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

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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

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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

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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

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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

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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