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At Lenox Hill Surgeons, our dedicated team of nyc surgeons and medical professionals provide compassionate care with the highest ethical & professional standards. In our state of the art facility, we offer surgical services using only the most cutting edge and current procedures and treatments.We specialize in general surgery, including extensive experience in performing hernia repair surgery. Our expertise is in minimally invasive surgery and robotic surgery. Minimally invasive and robotic surgery often allow patients to experience easier recovery than traditional open surgery. They also allow for more precise and less traumatic surgery. When robotic and minimally invasive surgery is not an option, we are also skilled and experienced in traditional open surgical procedures.
All of our doctors are experienced and skilled surgeons having undergone extensive training in school, residency and fellowships. They all practice medicine with ethical behavior, compassion and superb bedside manner. In the operating room they all exhibit precise mechanical abilities, analytical thinking and the ability to visualize tissue in three dimensions. These innate and learned skills allow our surgeons to be some of the most dexterous and skilled professionals in all of New York City and the Country.
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Hernia repair surgery entails the application of instrumental and manual procedures for correcting herniation of tissues or viscera including groin, abdomen, brain, and diaphragm. Internal organs, composed of tissues, could get herniated or bulged, forcing them to protrude via the wall encasing them. Hernias involving the groin (an inguinal hernia) and the umbilical cord (an umbilical hernia) are two of the most prevalent forms of a hernia.
Since a hernia does not heal on its own but rather expands over time, it is crucial that you opt for surgical treatment to avoid unnecessary/preventable complications in the long run. Hernia surgery, usually performed on an outpatient basis, is a moderately simple operation that can help remedy the organ’s bulging and restore it to its original position.
Two of the most popular types of hernia repair surgery is ‘herniorrhaphy’ and ‘hernioplasty’. Herniorrhaphy-the traditional hernia repair technique-is still conducted extensively where the surgeon makes a wide and long notch over the herniated organ. Thereafter, the physician removes the protrusion and reinstates the dislodged organ or tissues to its actual site.
Finally, the doctor sutures the hole in the muscle via which the protuberance developed, sterilizes the incision, and sews it up. Hernioplasty is very much similar to herniorrhaphy procedurally excepting that in the final step, the surgeon overlays a sterile mesh (produced from animal tissues or polypropylene) on the muscular notch rather than suturing it. The nature or type of your herniation will determine the mode of repair surgery you’ll need to opt for.
Strangulated, reducible, and irreducible hernias are the three most widespread kinds of hernias. Both of the aforementioned surgical operation procedures can be carried out using a laparoscope or via open surgery.
Both hernioplasty and herniorrhaphy are straightforward and uncomplicated surgical repair processes that take about 30-40 minutes to complete. You won’t feel any pain as the surgery will be done using either local or general anesthesia. Majority of patients are discharged from the hospital or medical center on the very day the laparoscopic surgery is performed. The usual benefits of the laparoscopic repair operation include:-
The side effects of this type of surgery, most of which are rare, involve:-
You must abide by the surgeon’s instructions once you return home (which are usually on the same day the surgery is carried out) for a speedy recovery. Take all the prescribed medications on time, including the anti-inflammatory drugs for minimizing the possibilities of incision swelling. Contact your surgeon instantly if you’ve recurrent spells of fever, coughs, chills, nausea, abdominal swelling, bleeding as well as experience difficulty in urinating. Make sure you get sufficient rest for at least two weeks following the operation so that you can get back to work at the earliest.
Most hernia surgeries are effective, enabling patients to recover fully within 4-6 weeks. A typical person who has undergone hernia repair surgery can resume normal activities 2 weeks after the procedure.
Opting for a surgical procedure for remedying a hernia is highly recommended not only for avoiding complications which could take a fatal turn (though very rare) but also for going back to leading a normal life. You can make an appointment with our general surgeon for a detailed, one-to-one consultation.
Here are some brief descriptions about the different types of general surgery we perform:
This is a relatively new specialty dealing with minimal access techniques using cameras and small instruments inserted through 0.3 to 1 cm incisions. Robotic surgery is now evolving from this concept (see below). Gallbladders, appendices, and colons can all be removed with this technique. Hernias are now repaired mostly laparoscopically. Most bariatric surgery is performed laparoscopically. General surgeons that are trained today are expected to be proficient in laparoscopic procedures.
General surgeons treat a wide variety of major and minor colon and rectal diseases including inflammatory bowel diseases (such as ulcerative colitis or Crohn’s disease), diverticulitis, colon and rectal cancer, gastrointestinal bleeding and hemorrhoids.
General surgeons are trained to remove all or part of the thyroid and parathyroid glands in the neck and the adrenal glands just above each kidney in the abdomen. In many communities, they are the only surgeon trained to do this. In communities that have a number of subspecialists, other subspecialty surgeons may assume responsibility for these procedures.
Surgical oncologist refers to a general surgical oncologist (a specialty of a general surgeon), but thoracic surgical oncologists, gynecologist and so forth can all be considered surgeons who specialize in treating cancer patients. The importance of training surgeons who sub-specialize in cancer surgery lies in evidence, supported by a number of clinical trials, that outcomes in surgical cancer care are positively associated to surgeon volume—i.e., the more cancer cases a surgeon treats, the more proficient he or she becomes, and his or her patients experience improved survival rates as a result. This is another controversial point, but it is generally accepted—even as common sense—that a surgeon who performs a given operation more often, will achieve superior results when compared with a surgeon who rarely performs the same procedure. This is particularly true of complex cancer resections such as pancreaticoduodenectomy for pancreatic cancer, and gastrectomy with extended (D2) lymphadenectomy for gastric cancer. Surgical oncology is generally a 2 year fellowship following completion of a general surgery residency (5-7 years).
What surgery and problems are common to the colon? The colon is a long tube-like organ that makes up most of the large intestine. It is one of the major parts of the digestive tract, responsible for the formation and disposal of our indigested stool. Once the food enters into the small intestine and all the nutrients, it goes through many enzymes for nutrient absorption and then makes its entry into the colon. Here, the colon absorbs the leftover vitamins, water, and salts from the food, converting it into the fecal matter and excreting it as waste.
Problems with the colon classify as abdominal issues since it makes up a huge part of the stomach. Having an irritable bowel is very common amongst people. A dysfunctional colon will often lead to constipation. The colon is responsible for the formation of your stool, the over absorption of water from the stool makes it hard and dry. Consequently, this causes the occurrence of constipation.
Apart from constipation, problems with the colon can also result in stomachaches, diarrhea, bloating, fatigue and stomach cramps. Thus, colon health is emphatic for an individual if they want to avoid abdominal discomfort. The best way to maintain colon health is through dietary changes.
The most common cause of bad colon health is a person’s dietary choice. Eating a diet that lacks nutritional value, especially fiber, can have adverse effects on the colon. Thus, the best way to deal with colon problems is to make changes to your diet.
Foods that put stress on a weak stomach include red meat, processed carbohydrates and sugar, alcohol, and coffee. The ideal food for colon issues is fresh vegetables and fruits. You should also consider foods that are high in fiber since fiber eases the passing down of food particles.
The following are some of the disorders related to the large intestine. These problems are ordinary, especially amongst older men.
Abdominal diseases and colon problems are now more common than they ever were. This is mostly because the general population leads an unhealthy lifestyle. Your gut health is a clear reflection of your lifestyle choices. Eating unhealthy food, and living a sedentary lifestyle can put you at high risk of colon problems.
This is why it is important to exercise and make the right nutritional choices. A good intake of fibrous food allows for a smoother stool. Furthermore, it also decreases your risks of high blood pressure, obesity, hernias, hemorrhoids, and colon cancer. Moreover, smoking is also a leading cause of colon issues that you can avoid.
In extreme cases, lifestyle changes and medication are not enough for the intense colon pain. Instances such as these call for surgical measures to overcome colon pain. A patient needs surgery when the colon damage starts to affect the health and leads to life-threatening concerns. In the case of inflammatory spread, surgery becomes the only option for the removal of the infected colon cavity.
The choice of the surgical procedure depends on where exactly is the bacterial damage on the colon. Furthermore, the severity of the patient’s condition is the determining factor of the surgical technique. There are two approaches to colon surgery, open surgery or resection, and laparoscopic surgery.
In this surgery, the surgeon uses a local excision technique. A simple procedure involves making a big incision on the abdomen so that they can operate on your stomach. Doctors can use this surgical approach regardless of the colon problems. The purpose of the surgery is to remove the part of the colon that under bacterial invasion. The large cut on your abdomen allows the surgeon good visibility and room to clean the abdominal regions after removal.
A surgeon usually opts for this surgery when the patient is old or has other underlying conditions. This surgery is not invasive, because the incisions are smaller, therefore, a patient can recover from it much faster. In this surgery, the surgeon inserts a laparoscope inside the small incisions and into the abdominal cavity. This device is tube-like in shape, with a camera attached to its end and light for visibility. This tool sends a clear picture to the doctor about the infectious spread on the colon.
If you are one of the many people that deal with abdominal issues, then you should seek urgent medical attention. Prolonging colon problems can lead to serious conditions after a long time. Visit Lenox Hill Surgeons in New York for the best treatments and incredible results.
LENOX HILL SURGEONS
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Do you need serious surgery for gallbladder disease? A gallbladder is an organ that aids a person’s digestion by storing bile and releasing it in the small intestine. It’s a small organ located right under the liver, with a highly purposeful functionality in the body. Bile is a yellowish liquid that the liver makes and transfers to the gallbladder. This liquid helps break down tiny food particles in the small intestine. Furthermore, it also helps eradicate the waste material.
The number of complications of the gallbladder is immense. However, the most common medical issues include gallbladder disease. Gallstones and Cholecystitis are just some of the gallbladder diseases amongst many others.
Gallstones may be the most common gallbladder diseases of all time. This may be due to the average person’s diet since gallstones consist of cholesterol and solidified bile. It shares commonality because people are now more accustomed to eating cholesterol-rich food.
In this gallbladder disease, a person may or may not experience any distinctive symptoms. However, if the gallstone is in any of the openings, an individual can experience severe pain. They will feel a sudden striking pain between the belly button and the right rib.
Furthermore, other symptoms of the gallstones include:
When facing any of these issues, a person should stay away from foods that contain fat. In some cases, fatty foods act as triggers or initiators of abdominal discomfort. A person must be quick to visit a doctor if they experience pain or discomfort.
This condition supersedes gallstones in terms of severity. When tiny gallstones start accumulating inside the gallbladder, they cause blockages inside the bile duct. These blockages tend to swell up over some time, and this swelling inside the bile duct is cholecystitis. It’s a condition that involves gallstones stuck inside the bile duct, causing blockages, swelling, and other serious complications.
In this case, instant treatment becomes a necessary endeavor. However, there are two stages of Cholecystitis, acute and chronic.
Acute Cholecystitis is a condition in which a person experiences pain that lasts only about 6 to 12 hours. The severity of this condition depends on the frequency of the painful episodes. A doctor determines that a person has acute cholecystitis when their pain lasts for a week.
If the painful episodes start lasting beyond seven days, it is an indication that the condition is more severe and may lead to chronic cholecystitis. Other symptoms of this disease, in addition to pain, can involve vomiting, nausea, yellowing, swelling, and fever.
This disease also has other causes apart from gallstones. Major surgeries, inflammation, and illness can also spike cholecystitis in a person. Increased inflammation in the gallbladder has terrible impacts, including the rupture and damage of the gallbladder.
Long-term inflammation in the gallbladder causes Chronic Cholecystitis. In this condition, you can undergo serious complications, as the gallbladder fails to empty the gallstones, and they deposit further inside. This has serious outcomes. When gallstones block out the exit points inside the gallbladder, bile tends to accumulate excessively inside.
Therefore, stagnant bile fluid becomes vulnerable to infections and inflammation. Gangrene can occur inside the gallbladder, causing the tissues to die. This critical condition can also possibly burst or tear the gallbladder because of excess bile liquid.
The decision of whether you need gallbladder surgery depends on the severity of your pain. It also depends on your underlying condition, health, and age. Surgeons take many considerations before they decide to send you into surgery.
Furthermore, you will be glad to hear that a gallbladder removal surgery is very safe and has no side effects. You do not even need your gallbladder. Thus, removing it will have no significant impact on your overall health.
If you are suffering from severe symptoms, the best option for you is to go into surgery. Hence, if you show up to the doctor with a series of gallbladder disease symptoms, they are likely to link you to professional gallbladder surgeons.
If you are looking for minimally invasive gallbladder surgery, visit us at Lenox Hill Surgeons. Our team consists of the most experienced surgeons in New York. More importantly, gallbladder surgery is our specialty. We provide you with the best services, easy operations, and friendly and professional staff. Visit our website for more information, or call us at (212) 988-1136.
What is a ventral hernia? Hernias can occur in any part of your body. Each different type of hernia gets its name depending on where it occurs. In its true nature, a hernia refers to a condition in which the internal muscle tissue weakens or becomes thin. In this case, the abdominal or whichever muscle cavity resting on that body protrudes outwards since the muscle is no longer holding it in place.
A ventral hernia is a condition that occurs in the abdominal areas. It is just like any other abdominal hernia. Instead, it consists of a bulge of tissues pushing out from an opening of a weak muscular wall or scar tissue. This type of hernia can occur in any part of the stomach region.
People call abdominal hernias incisional hernia when it occurs on the healed incisions of past surgery. In this case, the abdominal regions tend to weaken because of the surgical incisions on the stomach. Due to this, the stomach tissues can bulge outwards and cause a lump in the area where the surgeons performed incisions.
Ventral Hernias can also become life-threatening due to strangulation. When a ventral hernia is strangulated, the blood stops entering into the protruding tissues. This is a serious sign of worry for the patient. In this scenario, the patients require urgent treatment in the form of surgery. Plus, in the case of strangulated ventral hernia, you cannot push it back because it gets stuck to the abdominal wall opening.
The most frequent cause of the ventral hernia is a post-surgical muscle weakening. After abdominal surgery, the incisions on your stomach tend to make your muscle linings weaker. Most of the time, people start to develop scar tissue in the abdominal region where the incisions took place. Scar tissue usually thins down the muscle wall, keeping a person open to the risks of ventral hernia.
Therefore, there is a high chance that a ventral hernia occurs in the exact region around the scar tissues. Other times, a ventral hernia may also occur due to hereditary reasons and as a symptom of adulthood. Nevertheless, there is no primary cause of a ventral hernia.
Symptoms of a ventral hernia vary to a great extent. They range not only in types but also the severity. It is also entirely possible that one does not feel any symptoms at all apart from the lump on the abdomen area. Furthermore, serious symptoms of the ventral hernia may take about weeks or months to appear.
Other symptoms include pain, discomfort, nausea, and even vomiting. These symptoms may take longer to show. Therefore, you must not keep waiting until you get a diagnosis and go instantly to a physician in the early stages of the hernia. Prolonging the condition will only make it worse and may lead to other complications.
The pain in the abdomen region also varies from person to person. If you have mild pain in the hernia, do not take that lightly, as the intensity of the pain may increase if you leave the hernia unchecked. Strangulation is a serious complication that can result over time.
The risk factors of ventral hernias are many. However, most patients become victim to a gene default, and hereditary reasons stand out amongst the rest. You need to take extra precautions if hernia is a common medical issue in your family.
These precautions include avoiding activities that put strain and stress on your abdomen. For instance, heavy lifting puts the most tension on your abdomen. Therefore, a person susceptible to a hernia should avoid it at all costs.
Other activities involve excessive smoking. It not only disrupts your gut health and causes it to weaken but also causes you to cough persistently. Coughing, sneezing, and laughing can also cause the hernia to occur.
The most obvious diagnosis for the ventral hernia is to look for lumps in the abdomen region. Other times, a physician will also consider imaging tests such as abdominal ultrasound, CT scan, and MRI scan. These tests ultimately confirm the presence of the ventral hernia inside your abdomen.
There are many treatment options available for the ventral hernia condition. The treatment depends on the severity of the condition. In cases of strangulation, the doctor will recommend the patient to a hernia repair surgeon. If an individual has an acute case of hernia, the doctor can physically push the hernia back into the stomach lining and prescribe over-the-counter medicines and rest for recovery.
Abdominal issues are very complicated and require the expertise of experienced doctors for treatment. If you are looking for professional surgeons that specialize in hernia treatments, visit us at Lenox Hill Surgeons in New York. Our state of the art facilities offer incredible surgical services and the best minimally invasive surgeries. Visit our website or call us at (212) 988- 1136.
What are the common problems and surgery of the esophagus? Esophagus refers to the tube that takes food that you put in your mouth and sends it down the digestive tract for absorption. Through peristalsis, the esophagus ensures that the food bolus travels smoothly down to your stomach, where it becomes ready for digestion. However, you can face many problems with the esophagus.
One of the most common issues of the esophagus includes acid reflux. In acid reflux, gastric acid enters the esophagus, causing severe heartburn and disturbance. This condition is usually a side effect of other infections and medications.
One can simply treat this condition by avoiding certain medications and food that cause esophagitis. However, some severe cases of this condition can also cause complex and intense issues. Esophagus issues are also associated with swallowing issues and prolonged sore throat.
Immune-compromised people take very long to recover from esophagus problems. However, healthy people may only take a couple of days to recover from the case of acid reflux. Over the counter medicine works just as well as any other treatment concerning acid reflux. Another useful option takes shape in the form of dietary changes.
Problems with the esophagus may arise because of many reasons. However, some causes are more common than others. Hence, a person can be suffering from esophagus problems and the cause of it will determine the treatment.
Eosinophils are a form of white blood cells that fight diseases. These cells can sometimes over-respond when a foreign allergen enters into the throat. This type of esophagus problem is very common amongst small children. Furthermore, it is also an example of an allergic reaction and has many triggers that cause it to go into overdrive. A person facing this problem will have trouble eating food. Common triggers of this disease include:
The entry point of these allergens can either be from ingestion into the esophagus or the nasal region inside the nose. Regardless of where they enter from, a person can suffer from Eosinophilic Esophagitis.
Reflux esophagitis is the resulting condition of another underlying condition. Gastroesophageal Reflux Disease or GERD, this condition causes an involuntary reaction inside a body. The stomach contents, along with the acids jump back into the esophagus and cause a burning sensation in the chest. The irritation in the esophagus can lead to severe consequences like inflammation and even damage.
Some pharmaceutical medications and drugs cause problems in the esophagus if you do not ingest them with sufficient water. Since these medications are not water-soluble, they can end up being stuck inside your throat and lead to disturbance and pain in the esophagus.
If an infection is causing esophagus disturbance, then this condition can lead to serious consequences. Infectious esophagitis is a rare condition and an outcome of bacterial or viral infection inside the esophagus. This infection can be either fungal or even parasitic. People who have a weak immune system are vulnerable to this condition. Therefore, individuals already suffering from conditions that weaken the immune system need to be wary of this infectious disease.
A person can face several symptoms when suffering from esophagus issues. This is largely due to the underlying conditions from which esophagitis manifests. Symptoms can include:
A doctor usually opts for esophagus surgery when the conditions start worsening and no other treatment works. Otherwise, surgery is imminent for someone with esophagus cancer. The primary goal of the surgery is to make an incision on your throat for an entry at the esophagus tube.
Once the surgeon has clear access to the inflamed esophagus, they can operate by removing the infectious cavity or the tumor (in case of cancer) from the esophagus. There are two main techniques for performing this type of surgery. Open surgery and minimally invasive surgery (laparoscopic).
In open surgery, the surgeon makes a big incision on the throat, chest, or abdomen region. The placement for the incision depends on where the damage takes place, along the esophagus tube. However, doctors make small incisions to perform minimally invasive surgery. For this surgery, the incisions have to be big enough for the laparoscope to enter. This is a long thin tube used for surgeries.
If you want access to the best surgeons, techniques, equipment, and medical consulting in New York, then visit Lenox Hill Surgeons. Book an in-person appointment or telehealth appointment today at (212) 988-1136.
Diverticular disease is a condition in which small sacs and pouches form inside the walls of the large intestine. Plus, the diverticular disease involves the damage or inflammation of the interior linings of the colon. When a person reaches adulthood, their colon can start to show the formation of diverticula. Thus, suffering from diverticular disease can make you susceptible to concerning symptoms.
Diverticulitis is the most serious type of diverticular disease. It is also one of the most common abdominal problems of the west. It constitutes a series of conditions that harm your digestive tract. Furthermore, it can lead to disturbing and harsh symptoms that may require surgery for treatment.
The symptoms of diverticulitis can range in intensity. Moreover, symptoms also vary in frequency. Some experience instance symptoms. While others stay asymptomatic for a long time and gradually start experiencing symptoms over a couple of days. The most common symptoms of diverticular diseases are:
However, in terms of diverticulitis, symptoms happen to be more severe and extreme, such as:
The most recurring and evident symptom of diverticular disease is abdominal pain. Developing symptoms that translate with the diverticulitis is a clear indication that you need instant medical help.
The doctor will diagnose diverticulitis firstly by carrying out a physical exam. It is important to notice that this disease often has no symptoms at all. The diagnosis of this disease usually results from a routine colonoscopy procedure. This makes it incredibly difficult to diagnose this disease without the help of tests.
However, doctors do check the patient’s stomach to see if it is showing any signs of tenderness. Ideally, the diagnosis of this disease involves running a few tests on the patient. These tests include a series of abdominal tests that allow the doctor to have a clear vision of the interior linings of the large intestine or colon.
Tests such as abdominal ultrasound, MRI scan, CT scan, and X-ray provide doctors with an extensive view of the patient’s gastrointestinal tract. Another great diagnosis method is the use of colonoscopy procedures. This may even be better since the doctor has control of the camera, and they can navigate it for a closer and clearer view of the problem. With a colonoscopy tube, a doctor has a better resolution of the disrupting pouches. Hence, they can make a better diagnosis and formulate an excellent treatment plan to tackle the problem.
Surgery is imminent in cases where the diverticulitis starts developing complications. On the other hand, you can treat uncomplicated diverticulitis easily by making slight changes to your diet. Furthermore, your doctor can also prescribe you over-the-counter medicine.
Doctors can also treat some cases of complicated diverticulitis with IV fluids and intravenous medication. The treatment for this condition varies on the severity of the disease and the age of the person. Other factors also come into play when deciding the treatment, but these two are crucial.
Surgery is usually the last resort in terms of the treatment of diverticular diseases. When medications and dietary changes fail to work, and the pain begins to worsen as time passes by, a person has no option but to opt for surgery. An effective surgery can be extremely helpful for a patient. It can alleviate pain, diminish symptoms, and make bowel movements better. You will find two main types of surgeries for diverticular diseases.
This surgery is a simple procedure in which the surgeon makes an incision in your abdomen to enter the colon. The surgeon then removes the infectious segments and pouches in the linings of your colon. After the removal process, the surgeon attaches the healthy part of your colon either by sewing them or using a staple.
Bowel resection with colostomy involves the removal of the diverticula in your intestine walls. The surgeon cuts off the inflamed region of your colon and then attaches the two regions to the openings of each other.
Surgeons can perform both of these surgeries using an open method and also with the help of laparoscopy. The latter option is less invasive and accounts for a quicker recovery time. Regardless of the options, both techniques yield results in regards to treatment.
If you have abdominal issues and require expert consultancy and treatment, then visit us at Lenox Hill Surgeons. We provide the best surgeons in NYC concerning colon and abdomen issues. Visit our website for more information or call us at (212) 988-1136 to book an appointment.
What is the process of appendix removal surgery? The appendix is a small tube-shaped organ inside the human body. It sits in the lower right side region of the abdomen. Medical experts do not exactly know about the function and purpose of the appendix organ. To this day, the exact functionality of the appendix is unknown. However, some believe that it aids in the digestion process. However, appendix removal, or appendectomy is a very common procedure and the removal of the appendix has no affects on the health of a person.
An appendectomy is a surgical procedure that aims to remove the appendix from a person’s body. Usually, people who undergo this surgery are emergency patients that come are suffering from appendicitis.
Appendicitis is a disease that causes the appendix to swell up. The swelling of the appendix is an inflammatory response of the appendix. Appendicitis occurs when there is a bacterial invasion inside the appendix. The bacteria inside the appendix begin to multiply and create puss. Consequently, when the puss increases, it starts to press against the inner walls of the appendix, since it cannot escape. As a result, the appendix starts to become swollen, and the pressure inside increases, causing severe pain to an individual.
This pain starts in the lower right side of the stomach and spreads all across the abdominal area. A person suffering from appendicitis pain has trouble walking, coughing, or doing any other activity. Some of the intense symptoms of appendicitis include vomiting, stomach pain, nausea, fever, diarrhea, and fainting in some cases. Appendicitis is an emergency, and a person needs to get medical attention as soon as possible.
Delaying appendicitis can lead to an adverse situation for a person. Since the accumulation of the pus stretches and pressure the appendix. Delaying appendectomy can ultimately cause the appendix to burst once the pressure reaches its peak point. Having a perforated appendix inside the abdominal region can lead to complications. This is because the bacterial material burst out into the abdominal cavity. In this circumstance, one puts the other abdominal organs into harm.
Before a patient goes into surgery, they have to complete an eight hour fast, in which they do not eat or drink anything. The doctor will also make a complete list of the medications you take so that the doctor can tell you whether you need to continue them before and after surgery. Other information is also necessary such as previous medical conditions and allergies. This information is important since it helps the doctor determine the surgical technique they will use and the medications they will provide.
Initially, when a patient suffering from appendicitis goes to the doctor, the doctor will likely perform a physical examination. This examination includes asking the patient about the location of the pain and gently pushing the abdominal region to spot the location and source of the pain. Once the doctor confirms the physical diagnosis of appendicitis, they may also run digital screening tests to re-confirm appendicitis. However, this may not be necessary the appendix is at a critical stage. In that instance, the patient goes straight into surgery without imaging or blood tests.
There are two types of appendectomy procedures, the surgeons decide which ones to perform after consideration of certain factors. These factors involve the severity of the situation, the age and medical history of the patient, and the underlying conditions of the patient, especially bleeding disorders. The two types of procedures are open appendectomy and laparoscopic appendectomy.
An open appendectomy is a simple and straightforward surgical approach. It involves a surgeon making an incision on the stomach. They make the incision on the lower right side of the stomach, which is the location where the appendix is situated. This allows them a full view of the appendix.
After the incision, the surgeon operates the infected appendix, removing it and cleaning any bacterial mess if the appendix bursts. This surgical approach is ideal when the appendix bursts because the surgeons have room to clean the interior parts.
Unlike open appendectomy, this surgical approach allows surgeons to make smaller incisions on the abdomen. After the incisions, they insert a small tube inside the abdomen and pump carbon dioxide gas inside it so that the stomach is inflated and they have room to use the laparoscope.
This is a tube-like device, with a high-intensity light and camera attached on its end. Surgeons use this device to navigate the appendix and cut it off with the help of stitches. Furthermore, this surgery is more favorable to people that are old, overweight, or have bleeding issues. The smaller incisions allow them to recover faster.
If you or any of your close relatives have symptoms that point to appendicitis, make sure that you do not leave it unnoticed. Lenox Hill Surgeons is a medical facility in New York that makes it easy for you to get treatment. Explore our website for more information or book an appointment now by calling 646-846-1136.
Many people classify Hernias into different kinds, Inguinal, Femoral, Incisional, and Umbilical. However, few understand the exact occurrence of the Hernia. You will find most of the hernia occurrences in the abdominal regions of the body. That said, a hernia can also make an appearance in the thighs and groin areas as well. Although most of the hernia conditions are not life-threatening, some can send patients into intensive care.
A Hernia-induced pain is a pressure exerted by an internal organ on the tissue walls that are holding it. Organs tend to show protuberance around muscle linings, and this causes a person to feel intense pressure. If the hernia is abdominal, you may feel intense pain in the stomach, and depending on the severity, you may also need intensive care.
Since a hernia usually causes an organ to put pressure on the tissue or muscle, you can also notice an outward bulge on the stomach area in the case of an abdominal Hernia. Thus, a physician may simply look for an outward bulge for the diagnosis of a hernia.
The most obvious cause of a hernia is the weakening of a muscular wall that is keeping a specific organ in place. When a specific muscular wall is unable to withstand the pressure of an organ, then the organ pushes the wall, causing a lump. This bulging lump may diminish after wishful waiting and lying down. Furthermore, it can also make an appearance after intense coughing.
Ultimately, the only reason an organ will cause a muscle to bend is when a certain muscle is weak. Therefore, weak muscle linings and tissue is the sole cause of a hernia. The weakened spot on the tissue is a birth defect in some cases, while it can also be a cause of certain activities later on in life. Excessively performing any movement that imposes pressure on internal muscle organs is likely to cause a hernia over a long period. The following are some of the activities.
In most instances, a hernia will cause a swelling in the particular region. In this circumstance, the hernia poses no immediate danger, and resting will cause it to diminish over time. Other symptoms of acute hernia such as this include pain, discomfort, and excessive strain while walking.
However, some cases are more severe and can lead to other symptoms such as nausea, vomiting, and even blood in the stool. In these cases, a person needs immediate surgery for the herniated area. In the case of a Hiatal Hernia, the swelling is not present on the surface. The person experiences symptoms such as heartburn, indigestion, chest pain, and difficulty swallowing.
Furthermore, you can also push the hernia-induced lump or bulge back in the stomach. Most people opt for lying straight down to flatten the lump. It also helps to avoid activities that can trigger a bulgy reaction on the stomach. These activities include laughing, coughing, crying, or any other form of physical exertion.
If you want to minimize your risk of a hernia, then it is ideal that you maintain your body weight. Regular exercises and a healthy diet result in the strengthening of muscles. Moreover, you can also train your abdominal muscles to withstand an excessive amount of pressure.
Besides training and exercising, you also have to make sure that you avoid lifting heavy objects. Even if you want to lift heavy weights, make sure that you go through proper training, warm-up, and technical insight over core engagement.
Additionally, you must take care of your nutrition. Avoid meals that evoke constipation and stomach issues. Make sure that your meals involve adequate micronutrients and fiber so that you can pass stool smoothly, without complications.
Lastly, avoid the habit of smoking. Smoking is not just harmful to your lungs but also causes persistent coughing and sneezing. This ultimately can result in a hernia if you do not treat it soon enough. Make sure that you visit the doctor in the case of coughs.
If you feel like you have a hernia, make a quick self-diagnosis and do not prolong the symptoms. Seek professional help immediately. Waiting on a hernia can make the situation worse; the earlier the treatment, the better.
When are hernia repairs necessary? When fatty tissue or any organ forces out a weak part, which is surrounded by the connective muscle wall or tissue, it leads to hernia. It usually protrudes in the lower abdomen, but may also develop in other body parts. Your body can’t cure it on its own. Typically, hernia gets bigger. In the worst cases, it can lead to life-threatening complications. Because of the harmful nature of this problem, doctors mostly recommend surgery.
However, every hernia doesn’t need emergency surgery, and it can wait for a while in some cases. This aspect depends on the size and symptoms of a hernia. The surgery of hernia repair involves pushing back the body part to its place and making sure that it remains in its place.
The surgery becomes necessary if the hernia starts to cause long-term and worsen pains or discomfort to the patient. Moreover, mostly, hernia becomes noticeable after 1 to 2 years. You will feel the hernia when it starts to emit painful or irritating symptoms. Some people notice hernia symptoms only when they are doing any activities, such as intensive exercises.
The following are some hernia symptoms, which makes it important to undergo surgical repair.
Some patients may not show visible or painful symptoms. Others may only experience sensitivity on the skin surrounding the bulge. But hernia can’t repair on its own or heal without surgery. So, when and if it shows negative signs, surgery is necessary.
Your doctor will suggest you treat it with surgery if any of the following things happen with you.
The hernia can wait for the surgery if the following things happen with you:
Like other surgical procedures, hernia repair surgeries also have some side effects or risks involved. The incision can sometimes be noticeably red and inflamed. It is also painful when you touch it.
The anti-inflammatory medication can help you lower down the inflammation and other related symptoms. You can also reduce inflammation by applying ice to the affected area for 10 minutes once every hour.
The following are some related risks and complications of hernia.
However, note that hernia repair is the shortest and most common surgical procedure. And if you consult a professional surgeon for your hernia repair, the risk levels decrease. Remember, not all hernias are life-threatening.
The hernia is a serious health problem that needs treatment and extensive care. You can’t treat it with just herbs or wait for some miracle to cure your problem. The surgery becomes necessary when hernia enlarges or worsens. Your doctor will recommend you which type of surgery can help you more and which one is best to avoid any risk and complications.
You must take your health seriously to prevent other problems caused by the hernia. This is why you need a health professional that can treat your hernia and save you from future issues. Lenox Hill Surgeons can help you in this case. We have highly professional surgeons who use most modern technological methods and equipment to treat your hernia.
Most hernias show little to no symptoms, but it can become a chronic health problem. A patient feels intense pain and irritation when it gets worst. It mostly needs surgery to cure the problem completely. Moreover, there is no age limitation to develop a hernia in your body.
There are multiple types of hernia that need different treatments and surgeries. Let’s learn about some of them.
There are several types of hernia. The following are some most of the common forms of hernia.
This is the most common form of hernia. An inguinal hernia occurs when your intestines tear in the lower abdominal wall or push through a weak place, mostly in the inguinal canal. Moreover, it also occurs predominantly in men.
In case you don’t know, the inguinal canal is present in your groin. In men, it is the place where spermatic cord travels from the abdomen to the scrotum. This cord places the testicles at its location. Whereas, women have this place in the inguinal canal, which has a ligament that helps to hold the uterus.
Men suffer more from this hernia because the testicles move down through the inguinal canal after birth. The canal needs to be closed entirely behind them. But sometimes the canal doesn’t close properly, which makes the area a weak spot.
It occurs when a spot of the stomach protrudes up and gets into your chest through the diaphragm. The diaphragm is a layer of muscles that helps you to inhale and exhale. It separates the organs of the abdomen and chest.
People age 50 or older are more prone to this hernia. Children can also develop this condition caused by a congenital disability.
Moreover, this hernia always leads to gastroesophageal reflux. It happens because your stomach’s contents get back to the esophagus, which causes burning sensations.
This hernia can occur in babies and children. It happens when children’s intestine bulges through the abdominal wall around their belly button, and you can notice the bulge near it.
However, this is the only type of hernia that sometimes goes away on its own when the abdominal wall becomes stronger, mostly, when the child turns to 1 or 2 years. The child needs surgery if the hernia doesn’t go away until the age of 5 years.
Adults can also develop this problem because of the pressure on the abdomen. In men, it can occur due to obesity, or fluid in the gut, whereas, women with multiple pregnancies are also prone to this condition.
This hernia occurs when the tissue erupts through a hole in the muscles of your abdomen. You can notice its presence when you lie down.
A person can also have it from birth, but it usually occurs at any point in your life. Obesity, pregnancy, and intensive exercises can become the factor of its occurrence.
This hernia also occurs at the spot of a surgical incision and called incision hernia. It can happen because of the weak abdominal muscles or surgical scarring at the place of surgery.
Different types of hernia need different types of surgeries. The following are some types of hernia surgery.
Herniorrhaphy is the oldest method to repair the hernia and is still commonly used. This repair requires the surgeon to make a long incision directly over the hernia and use surgical tools to open it to get to the hernia.
Your surgeon removes the hernia sac after that tissue or organs return to their original position. They stitch the sides of the muscle hole through which they draw out the hernia from your body. After sterilizing the wound, the surgeon stitches it entirely.
It is also known as tension-free hernia repair. Hernioplasty is a little different; instead of stitching the muscle, your surgeon covers it with a sterile, flat mesh. The mesh comes in different types of plastics, such as animal tissue and polypropylene.
The surgeon makes small cuts in the shape of the mesh in the surrounding area of the hole. After that, they stitch the mesh into the healthy tissues. The weak tissue around the hernia uses the patch as support to regrow.
The hernia is a painful health problem and sometimes need the treatment immediately. It is a severe issue that needs good care and the best treatment. In this case, take help from the experts that have specialization related to the hernia.
Lenox Hill Surgeons are a compassionate team of surgeons who are experts in this field for years. These professionals meet all ethical standards and have done thousands of successful surgeries. You can contact us on our website or take an appointment on 646-846-1136.
General surgery involves post-residency training and specialty training. All General Surgeons are highly skilled and highly trained professionals. General surgeons are knowledgeable about the entire body and are skilled in performing accurate procedures. We can consider general surgeons the leaders of advanced disciplinary teams, health care systems, and hospitals. Their responsibility is to organize and perform complex operative care, whether in trauma, transplant, oncology, or GS.
General Surgeons carry out operations on parts of the body such as the colon, liver, gastrointestinal tract, endocrine system, and other main parts of the human body. Surgeons, for the most part, work all day and may often work extended periods of time at irregular shifts. In any event, when they are not in their work environment, surgeons must be accessible if the need arises. This means they can be approached to come into work anytime on the off days. These experts work in hospitals and other health centers.
General Surgeons are responsible for the operation room, and supervising other medical experts to guarantee everything is done effectively. Like other medical experts, surgeons are liable for analyzing patients, diagnosing, and suggesting the best course of action. Some General Surgeons are additionally answerable for conducting and directing research in the field.
As a General Surgeon, a portion of the techniques you’ll perform includes bariatric surgeries, thyroidectomies, colonoscopies, and gallbladder or appendix removal. A portion of these surgeries are insignificantly invasive and are performed utilizing laparoscopic techniques. Others, for example, organ transplantation or removal, can be invasive.
General Surgeons additionally have the ability to fan out into various specialties, for example, organ transplantation, pediatric surgery, or plastic surgery. One of the recent types of specialties includes performing surgeries, for example, bariatric surgeries and LAP-BAND, helping patients with obesity. Plastic surgeons can perform procedures that run from augmenting breasts to repairing injuries and wounds of the skin. Many General Surgeons additionally work with cardiovascular specialists on procedures including the heart; for example, heart transplant surgery and valve fix.
If you want to become a General Surgeon, you must:
Graduating from a medical school doesn’t consequently make you a licensed surgeon. You’ll have to earn licensure by passing the Comprehensive Osteopathic Medical Licensing Exam or the United States Medical Licensing Examination, depending upon whether you graduated with a Doctor of Osteopathic Medicine or Doctor of Medicine. These three-section exams evaluate your capacity to apply scientific or medical knowledge towards taking care of the patients and advancing health in a clinical limit. Additionally, if there are any other specific requirements you have to satisfy in your state, you’ll have to confirm with the state clinical licensing board.
After graduating from medical school, you’ll have to enroll for a five-year general surgery residency program. As an occupant, you’ll have chances to help with a variety of surgeries, just as to give pre-and post-operative consideration on patients. You can finish various clinical rotations in areas, for example, anesthesia, critical care, pediatric surgery, thoracic surgery, and cardiac surgery. You may, likewise, be required or urged to take part in the research.
None of this ought to prevent you from pursuing your dreams to be a surgeon. However, it’s critical to know about the professional risks and what you can do to control them. Meditation, a healthy diet, regular exercise, and other things, for example, therapy, counseling, or even simply talking with your loved ones, will help reduce feelings of anxiety. So remember, despite the fact that a surgeon saves the lives of different people, taking care of yourself will be just as significant.
Your journey to turn into a surgeon will be challenging, long, but one of the most rewarding things you’ll ever do. You’ll utilize your hard-earned expertise to assist patients with living better lives while improving the surgical profession for ages of patients to come.
If you are looking for professional general surgeons for your condition, kindly contact us at 646-846-1136. You can also visit our website to book an appointment online at https://lenoxhillsurgeons.com/.
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.
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.
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.
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.
The resection of the colon becomes necessary to treat the problems like:
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.
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.
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.
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.
The gallbladder surgery is the most common surgery and mostly don’t cause any severe side effects.
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.
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.
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.
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.
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.
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, 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.
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 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:
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.
You should discuss the surgery and its methods with your surgeon and ask what to expect in the surgery.
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.
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.
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.
Like any other surgery, this surgery also has possible risks and side effects. The following are some of them:
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.
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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… Continue Reading
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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… Continue Reading
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