Sergei Dolgopolov MD General Surgeon NYC
Valery Dronsky MD General Surgeon NYC
Roman Grinberg MD General Surgeon NYC
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Surgical Experts Dedicated to Improving Lives


In the light of 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

Recent Awards

Healthgrades Americas 100 Best Doctors Awards

Americas 100 best cardiac care award | HealthgradesAmerica’s 100 Best Hospitals for Cardiac Care Award™ (2021, 2020, 2019)
Superior clinical outcomes in heart bypass surgery, coronary interventional procedures, heart attack treatment, heart failure treatment, and heart valve surgery.
Americas 100 best coronary intervention award | HealthgradesAmerica’s 100 Best Hospitals for Coronary Intervention Award™ (2021, 2020, 2019)
Superior clinical outcomes in coronary intervention procedures (angioplasty with stent).
Americas 100 best general surgery award | HealthgradesAmerica’s 100 Best Hospitals for General Surgery Award™ (2021, 2020, 2019)
Superior clinical outcomes in bowel obstruction treatment, colorectal surgeries, gallbladder removal, esophageal/stomach surgeries, and small intestine surgeries.

Click to see all of our Healthgrades best doctors awards

 


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

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.

Inguinal Hernia

An Inguinal Hernia is a condition in which one spot of the abdominal muscle weakens, and this causes muscle tissue to protrude outwards, causing a bulge. Therefore, you can call this hernia a protrusion bulge as well. It is the projection of an organ through the muscle tissues that make up the body wall. Mostly, an Inguinal Hernia encompasses the projection of a particular part of an organ instead. Hernias can be either external or internal in classification.

What is Inguinal Hernia?

An Inguinal Hernia is a type of external hernia that occurs around the intestine and bladder region. Other people refer to this region as the groin area in the body. This type of hernia is the most common amongst other hernias. About 96 percent of hernia patients suffer from inguinal hernias.

In this type of hernia, the inguinal canals in the abdomens tend to weaken. This weakness is mostly a natural occurrence, while other times, it occurs due to excessive abdominal strain. Therefore, this weakening of the inguinal tissue causes intestinal tissue to protrude through and cause a lump in either the left or right side of the groin. This area makes up the base of the abdomen, just below the waistline.

Both men and women have inguinal canals and can suffer from inguinal hernia. A protruding bulge around this area is a clear indication that you are suffering from this condition. Many people tend to overlook this sign and leave it unnoticed. This is a highly dangerous circumstance, as leaving the bulge untreated for a long time can lead to further protrusion and serious conditions.

Inguinal Hernia
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Types

There are four types of inguinal hernias, indirect, direct, incarcerated, and strangulated. Each type of inguinal hernias has differing severity and causes.

Indirect Inguinal Hernia

This is one of the most common types of inguinal hernias. It has an often occurrence amongst premature births. It is also a very common condition between males, even though it happens mostly at birth. You can be subject to it anytime in your life. The closing of the inguinal canal at the time of birth has much to do with this condition.

Direct Inguinal Hernia

The primary cause of direct inguinal hernia is old age. As you get older, the internal and external muscles in your body start to weaken. Therefore, doctors believe that a direct inguinal hernia happens because of the weakening of interior muscle tissues due to old age. This is evident because this type of hernia more commonly occurs in adult men.

Incarcerated Inguinal Hernia

In this situation, a person becomes unable to push back a bulge. This is because the bulging is stuck in the lower groin region and has no space to retrace inside.

Strangulated Inguinal Hernia

This is a critical condition of an inguinal hernia. It requires intensive and immediate medical care, and you need to treat it surgically. In this condition, the blood flow entering the inguinal hernia stops, and you start losing feeling in that specific region.

Symptoms

The most noticeable symptom of the inguinal hernia is the protruding bulge. The lumpy surface of the groin area is a clear indication that you have an inguinal hernia. Furthermore, the inguinal hernia tends to increase in size depending on your abdomen position. When the inguinal hernia worsens, it can lead to other complications such as pain, burning sensation, and even swelling.

Causes/Risk Factors

There is not a particular cause of a hernia that you can single out. Adults and senior citizens that suffer from hernia usually pay the price of lifelong stress on the abdominal region. The accumulated stress on the abdomen area can cause a person to undergo a groin hernia.

Furthermore, an inguinal hernia may also be a hereditary defect in a person. In this case, a person needs to be extra careful while lifting heavy objects. Not to mention, lifting heavy objects from the ground-up is a very common cause of hernias.

Inguinal Hernia surgeons surgery NYC
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People make the mistake of carrying a heavy load without stabilizing their core. This leads to herniated complications in their abdomen. Other risk factors include being male, overweight, premature birth, constipation, and pregnancy.

Diagnosis and Treatment

An external hernia is very simple to diagnose for a physician. A physical examination of the patient shows the doctor a view of the bulging protrusion. By carefully looking at it, a doctor can tell what kind of a hernia it is. If the bulging lump is reducible and acute, your doctor will simply push the protrusion back while you lie down flat.

Prevention

The best way to stay away from this type of hernia is to live a healthy lifestyle. This involves frequently exercising so that you can maintain your body weight and strengthen your core. Moreover, you should also keep a good nutrition intake that is full of fiber and proteins. Fiber keeps your gut health in check and prevents you from constipation. It is also advisable to avoid smoking and lifting weights beyond your strength capacity.

Conclusion: Consult the Hernia Experts at Lenox Hill Surgeons

If you or anyone you know is suffering from an inguinal hernia or any other type of hernia, then contact Lenox Hill Surgeons. Their highly experienced hernia surgeons will provide you with the best treatment options and professional consultation.

Call us now at 646-846-1136 to book an appointment or visit our website for more information.

Pancreas Disease and Surgery

This article will cover important information about pancreas disease and surgery. The pancreas is a pivotal organ of the human body. It is responsible for the regulation of vital enzymes inside the body. These enzymes help regulate important chemical processes inside the body. Furthermore, it also produces insulin, which is an essential chemical that controls the blood sugar level. Enzymes and chemicals such as these help you absorb micro and macronutrients. Not to mention, the Pancreas plays an emphatic role in the digestion process as well.

Pancreatic Disorders

Pancreatic disorders are one of the toughest medical issues to treat. The two most serious pancreatic disorders are exocrine pancreatic insufficiency (EPI) and pancreatitis.  EPI is an extremely harmful disorder that can lead to chronic pancreatitis.

Other disorders in the pancreas include cystic fibrosis, diabetes, and pancreatic cancer. Each of these conditions comes with varying symptoms and causes.

Pancreatitis

Condition of pancreatitis is the inflammation of the pancreas. An individual can have three types of pancreatitis, acute, chronic, and hereditary. Each of these three types constitutes a different cause and severity.

Pancreas Disease and Surgery
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Acute Pancreatitis

Acute pancreatitis can be an underlying cause of another condition, such as gallstones. It is a short term and sudden inflammation that you can face due to excessive use of harmful substances.  These substances include drugs, alcohol, and unhealthy edibles that influence hormonal imbalance in the body. Therefore, any abnormalities in the electrolytes and lipids can lead to acute pancreatitis.

The pain associated with this condition is very severe. You can expect intense pain in the upper abdomen region, followed by nausea, vomiting, diarrhea, and fever. Apart from the many habitual triggers of this disease, it can also be a result of inheritance. Hence, doctors carry out the treatment for this disease according to the cause.

Chronic Pancreatitis

Unlike acute pancreatitis, the development of chronic pancreatitis is slow and progressive. Therefore, the symptoms gradually occur and can last much longer than acute pancreatitis. This condition can also lead to exocrine pancreatic insufficiency. A person suffering from chronic pancreatitis encounters symptomatic episodes of diarrhea and abdominal discomfort.

One can also begin to lose weight. The slow progression of this disease can cause long-term damage to the pancreas. Lastly, since the pancreas regulates the blood glucose level and nutrient absorption, a person with chronic pancreatitis becomes highly vulnerable to diabetes and malnutrition.

Hereditary Pancreatitis

Like chronic pancreatitis, hereditary pancreatitis is also a progressive condition. Genetic mutations cause the occurrence of this condition in an individual. With this disease, a person can start showing symptoms as early as 30 years old. Further complications will also cause a person to develop the symptoms of chronic pancreatitis. Doctors usually treat this condition with the help of PERT and pain management.

EPI (Exocrine Pancreatic Insufficiency)

EPI is a condition that makes a person highly enzyme deficient. The deficiency of enzymes can lead to severe consequences. The pancreas loses its functionality to release nutrient-absorbing enzymes and causes malnourishment.  Another indication of this disorder is the excessive fat in a person’s stool.

Surgery for Pancreatitis

A doctor resorts to surgical solutions for pancreatitis when the pancreas becomes unable to secrete essential fluids. This inability is usually due to tissue scarring of the pancreas, which the inflammation causes.  Surgeons will either create a new passageway from the pancreas to the small intestine to exhibit the flow of the fluids. Alternatively, the surgeons will remove the infected tissue from the pancreas.

Lateral Pancreaticojejunostomy

This surgical procedure heals the central part and the tails of the pancreas. This particular surgical approach involves the surgeons operating on the pancreatic duct. This duct is an organic tube that covers the pancreas and makes the essential fluids flow inside.

The surgeons take this duct and attach it to the small intestine, where most of the digestion and absorption takes place. By doing so, the doctors counter the problems with nutrient absorption. Once they form the connection between the digestive enzymes and the food particles, the patient starts to build back their nutrition intake.

Pancreatic Resection

Surgeons decide to take this surgical approach when the infectious cavity starts causing massive damage to the pancreas. The spread of inflammation in a muscle cavity will cause the pancreas muscles to die. In this case, the doctor needs to proceed with a pancreatic resection to stop the inflammation from causing further destruction. For this procedure, the doctor removes the infectious areas of the pancreas to keep it from spreading and causing other complications.

Best Pancreas Disease and Surgery Doctors USA
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Recovery

The recovery time of the surgery can depend on the type of the surgery also your condition. Open surgery usually accounts for a longer recovery time because the incision wound needs rest time to heal. However, if the surgeon uses another technique in which the incisions are small, then you can expect the recovery to be faster.

Pancreas Disease and Surgery: To Conclude

If you or anyone you know are suffering from pancreatic problems, then visit Lenox Hill Surgeons. We provide you with the best surgeons, specialized in treating pancreas diseases. Visit our website or call us today to schedule an appointment:

LENOX HILL SURGEONS
155 East 76th Street
Suite 1C
New York, NY 10021

Phone: 646-846-1136
Email: lenoxhillsurgeons@gmail.com

Website: https://www.lenoxhillsurgeons.com/

Hiatal Hernia

What is a hiatal hernia? Hernias are disruptive conditions in which the tissue linings or muscle walls become unable to hold the tissue cavities in place. It happens due to the weakening or thinning down of muscle tissue. Abdominal hernias are the most common type of hernias. Hernias come in two forms, either external or internal. The more common external hernia causes a lump to form on the surface of the skin. In comparison, the internal hernias show a different set of symptoms. However, symptoms vary depending on severity.

Hiatal Hernia

A Hiatal hernia is an internal hernia. The name “Hiatal hernia” comes from its region of occurrence, which is the hiatus. The hiatus is a small opening in the diaphragm through the esophagus or the food tube passing from your chest to your stomach.

In the case of a Hiatal Hernia, the upper region of your stomach cavity starts to bulge out of the hiatus and into the chest. The severity of the Hiatal Hernia depends on whether it is a sliding hiatal hernia or a paraesophageal hernia.

Sliding Hiatal Hernia

A sliding hiatal hernia is normally not that big of an issue. Although they can cause slight discomfort, they do not pose a serious threat to an individual. The outward bulge of the stomach cavity is rather small, and the stomach, along with the lower esophagus, slides slightly into the chest region. A person that encounters this hernia will experience heartburn or acidity.

Hiatal Hernia surgery repair
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Fixed Hiatal Hernia or Paraesophageal Hernia

This type of hernia is more of a threat for an individual. This occurrence does not involve the shifting of the stomach or the esophagus. Instead, a part of your stomach’s cavity squeezes its way into the hiatus. In this circumstance, a person enters the danger of losing blood supply to that specific region because of the tight squeeze.

Doctors even refer to this condition as strangulation of the hernia. The most alarming thing about this hernia is that a person will rarely experience any symptoms. Therefore, if a doctor comes to a conclusive diagnosis of this condition while judging other underlying symptoms, then it may be too late.

Symptoms

It is rare for a person with Hiatal Hernia to show symptoms. Usually, the symptoms encompass a series of problems that relate to ingestion and digestion. This is obvious because both the fixed hernia and sliding hernia have to do with the displacement in the abdomen region.

Therefore, people suffering from these conditions will experience heartburns or acid reflux. Since the stomach and esophagus get closer to the chest region, a person may have trouble with stomach acid and experience acidity. Other symptoms may include:

  • Chest pain
  • Excessive Burping
  • Harsh taste in the mouth
  • Stomach ache
  • Vomiting
  • Shortness of breath
  • Bloating
  • Swallowing issues
  • Bolus Backflow

Furthermore, symptoms such as excruciating stomach pain, vomiting, or inability to pass stool require immediate medical attention. These symptoms are indications of the worsening of fixed hernias and call for an emergency.

Causes

Hernias are nothing but the weakening of internal tissues and their inability to withstand the pressure of the organ or organ cavity against it. Thus, there is no clear reason why a person undergoes a hernia. That said, doctors believe that a hiatal hernia is most likely a case of old age.

Best Hiatal Hernia Surgeons NY
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As a person gets older, their muscular firmness tends to weaken, and the muscle lining can become thin. Another possibility for the development of a hernia can be the changes in the diaphragm that can come with adulthood and worsen as you get older.

Damage to the diaphragm due to an injury is also another cause of hiatal hernia. Muscular damage can weaken the diaphragm and the hiatus. This injury can be a result of an accident or even activities that put a strain on your diaphragm, such as coughing, heavy lifting, vomiting, and others.

Diagnosis

Since a hiatal hernia is an internal hernia, the doctor cannot diagnose this condition with a routine physical examination. For the diagnosis of a Hiatal hernia, a doctor analyzes the underlying symptoms. If the symptoms correspond to this type of hernia, the doctor is likely to run some test procedures. These tests include:

  • X-RAY (x-ray photographs can reveal abnormal displacements of your stomach, making it easier to diagnose Hiatal hernia)
  • Endoscopy (This is a thin tube with a camera. The doctor inserts this tube into your esophagus for this test)
  • Esophageal Manometry (This test reveals the rhythmic pattern of the esophageal muscle contractions when a person swallows.)

Hiatal Hernia: To Conclude

Lenox Hill Surgeons is a state of the art facility in New York City. Our team of surgeons specialize in Hernia treatment and surgery. If you or your loved one is suffering from such a condition, then visit us for expert consultancy and treatment.

You can find more information on our website, or call us at 646-846-1136.

All About Appendix Surgery

Appendix surgery, more commonly known as appendectomy, is the surgical removal of an appendix from inside a person’s body. This rather common procedure has no negative implications and is a result of very few complications. The appendix is a small pouch-shaped organ inside our body. It takes space in the lower right side of the abdomen.

An interesting thing about the appendix is that it is of no functional use to the human body. Scientists do not know of the purpose of the appendix. Therefore, the removal of this organ results in no impact on a person’s health.

The most common reasons for the appendix are that it helps a person recover from stomach issues, such as diarrhea, infections, and inflammations of the abdomen. However, many people undergo appendix surgery and live healthy and long lives, which makes these claims unfounded speculations.

All About Appendix Surgery
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Appendix Surgery: Issues

People are often victims of an inflamed and infected appendix. The appendix is often vulnerable to bacteria and disease invasion. In some cases, the bacterial invasion inside an appendix causes pus and inflammation to grow rapidly. Thus, a person usually experiences excruciating pain in the lower right side of their stomach. Often people mistake this pain for a stomachache and avoid medical attention.

However, this is an alarming situation. Leaving appendicitis unnoticed will lead to the overdevelopment of bacteria, and this can lead to harsh conditions, such as nausea, weakness, vomiting, and diarrhea. Thus, urgent medical attention becomes a requirement. In situations such as this, it is ideal for someone to stay rested since walking and movement can cause more pressure in the stomach.

Prolonging this condition can be critical and life-threatening. You must seek treatment as soon as possible. An infected appendix accumulates an infectious cavity inside. The excessive accumulation of this cavity can start putting pressure on the appendix when it has no place to escape.

Therefore, this pressure causes unrelenting pain, and leaving this condition untreated for a long period can result in the bursting of the appendix. A perforated appendix will release the infectious puss and material onto the abdominal cavity. This will lead to an array of further complications and, quite possibly, death.

Appendectomy

A person has to go through an appendectomy in the case of a swollen or inflamed appendix. An appendectomy is the only treatment for appendicitis. Since the appendix has no purpose in the human body, removal solves all the problems that come with a perforated appendix. However, a person must get an appendectomy before the bursting of the appendix.

An appendectomy is a surgical procedure that completely rids a person of all the intense symptoms of appendix inflammation. The symptoms include:

  • Stomach pain, starting from the bottom and spreading across until settling into the lower right side.
  • Swelling of the stomach
  • Constipation or diarrhea
  • Nausea
  • Vomiting
  • Appetite loss
  • Slight fever
  • Abdominal Rigidity

Types of Appendectomy

You will find two types of appendectomy procedures. The first one involves an open surgery, and the second one involves the laparoscopic tool. Both surgeries share a similar purpose. However, the methods differ slightly. Your doctor can opt for the choice of method by looking at a patient’s severity and also medical history.

Open Appendectomy

An open appendectomy simply involves the surgeon making an incision on the lower right side of your abdomen, where your appendix is located. This incision gives the surgeon a clear opening towards the appendix. The team of doctors will then remove the appendix and stitch the incision wound close. The surgeon has to perform a step further and clean your abdominal cavity if the appendix burst and released harmful substances. Therefore, rupturing of the appendix is also a reason why the doctor chooses this surgical procedure.

All About Appendix Surgery | Top Surgeons NYC
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Laparoscopic Appendectomy

For this appendectomy procedure, the surgeon makes small incisions on a person’s stomach instead of a big one. After that, the surgeon inflates the abdomen by inserting a tube that releases carbon dioxide gas inside. Inflating the stomach makes the surgeon’s visibility better so that they can perform this procedure with precision and accuracy.

After that, the surgeon will insert the laparoscope inside the abdomen. This is a tube-like tool that has a camera on its end. The high-resolution camera allows the doctor to have a clear view of the internal abdomen. After locating the appendix with the laparoscope, the surgeon performs the removal of the inflamed organ. Lastly, they clean the incisions and close them. This method is less invasive and gives the patient a much quicker recovery time.

All About Appendix Surgery: Conclusion

If you have abdominal discomfort and want access to the best testing and treatment facility in New York, visit Lenox Hill Surgeons. Get experienced consultancy from specialists in the field. Call us now at (212) 988-1136. For more information, visit our website.

The Colon: Common Problems & Surgery

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.

Common Problems of the Colon

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.

Colon Problems Surgery
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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.

Types of Colon Disorders

The following are some of the disorders related to the large intestine. These problems are ordinary, especially amongst older men.

  • Diverticulitis (this is a disease that causes pouch formation inside the linings of the colon, it leads to disturbing symptoms and discomfort)
  • Crohn’s Disease (a person suffering from this disease faces intense pain in their abdomen)
  • Colorectal Cancer(this disease does not show any symptoms, however, it is very severe)
  • Irritable Bowel Syndrome(this disease causes frequent pain in the lower left side of the abdomen)
  • Ulcerative Colitis

Prevention

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.

Colon Surgery

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.

(source)Common Problems & Surgery of the Colon

Types of Colon Surgery

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.

Open 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.

Laparoscopic Surgery

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.

To Conclude: Consult the Top NYC General Surgeons at Lenox Hill Surgeons

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
155 East 76th Street
Suite 1C
New York, NY 10021

646-846-1136

https://www.lenoxhillsurgeons.com/

Gallbladder Disease: Will You Need Serious Surgery?

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.

Types of Gallbladder Diseases

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

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.

Gallbladder Disease Causes & Treatment
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Symptoms

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:

  • Intense abdominal pain lasting several hours
  • Fever, along with chills
  • Itchiness sensation on the skin
  • Sweatiness
  • Dark coloration of urine
  • The pale color of stool
  • Yellowish color on the skin
  • Nausea
  • Vomiting
  • Loss of appetite
  • Muscular contractions inside the abdomen (this occurs when a gallbladder makes contraction to expel a gallstone)

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.

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Cholecystitis

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

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.

Chronic Cholecystitis

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.

Will You Need Surgery?

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.

Gallbladder Disease: To Conclude

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.

Ventral Hernia Causes, Symptoms & Treatment

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.

What is a Ventral Hernia?

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.

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Ventral Hernia: Causes

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.

Ventral Hernia: Symptoms

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.

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Risks

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.

Diagnosis

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.

Ventral Hernia: Treatment

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.

To Conclude: Consult Lenox Hill Surgeons

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.

The Esophagus: Common Problems & Surgery

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.

Common Problems of 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.

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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.

Types of Esophagus Problems

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.

Eosinophilic Esophagitis

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:

  • Milk
  • Soy
  • Eggs
  • Wheat
  • Tree nuts
  • Peanuts
  • Shellfish
  • Pollen

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

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.

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Esophagitis Due to Drugs

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.

Esophagitis Due to Infections

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.

Symptoms of Esophagus Problems

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:

  • Swallowing difficulties
  • Pain while gulping and swallowing
  • Sore throat
  • Acid reflux
  • Heartburn
  • Cracked voice
  • Chest pain
  • Coughing
  • Loss in appetite (this may be due to esophagus pain)
  • Nausea
  • Fever(this symptom is possible in times of viral infection)

Esophagus Surgery

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.

Esophagus Problems & Surgery: Conclusion

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.

General Surgery: Diverticular Disease

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.

What is Diverticulitis?

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.

Diverticular Disease: Symptoms

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:

  • Stomachache
  • Bloating in your stomach
  • Constipation
  • Diarrhea

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However, in terms of diverticulitis, symptoms happen to be more severe and extreme, such as:

  • Frequent and constant stomach pain.
  • Nausea
  • Vomiting
  • Fever
  • Rectal Bleeding

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.

Diagnosis of Diverticulitis

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.

Diverticular Disease: Treatment

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.

General Surgery for Diverticulitis

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.

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Bowel Resection – Anastomosis

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 – Colostomy

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.

Diverticular Disease Conclusion: Consult Lenox Hill Surgeons Today

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.

Appendix Removal Surgery

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.

Appendectomy

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

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.

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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.

How to Prepare for an Appendectomy?

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.

Diagnosis

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.

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Types of Appendectomy Procedures

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.

Open 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.

Laparoscopic Appendectomy

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.

Appendix Removal Surgery: Conclusion

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.

All About Hernias

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.

What is a Hernia?

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.

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Common Causes of a Hernia

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.

  • Straining your abdominal muscles while defecating in the toilet (People who have a bad case of constipation are vulnerable to hernia as well)
  • Excessive coughing (Dry coughs usually cause your abdominal muscles to tighten. Thus, repetitive coughing episodes put unnecessary strain on the stomach)
  • Persistent sneezing
  • Obesity
  • Smoking (Smoking causes excessive coughing, and long term smoking can also potentially cause internal damage to abdominal muscles)
  • Heavy Lifting (you can run the risk of a hernia when you lift a heavy object from the ground without stabilizing your abdominal core. You must always engage your core before you lift a heavy object from the ground to avoid excessive strain on your muscles.)
  • Physical Exertion

All About Hernias: Symptoms

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.

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All About Hernias: Prevention

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.

Conclusion: Consult Lenox Hill Surgeons

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.

Lenox Hill Surgeons provide the best Hernia treatment, diagnosis, and services in New York. Contact them at 646-846-1136 to book an appointment now.

 

 

Hernia Repair: When is it Necessary?

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.

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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.

Hernia Repair Surgery: an Overview

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.

Symptoms of Hernia

The following are some hernia symptoms, which makes it important to undergo surgical repair.

  • long-term pain or discomfort
  • Irritation or pain that disturbs regular activities
  • Discomfort or pain increases or gets worst after time.
  • The large size of the hernia
  • The rapid growth of hernia
  • Hernia in the place where it can get worst or enlarge, such as the groin
  • Vomiting or severe abdominal pain
  • A hernia that pressurizes the nerves, causing numbness or irritation

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.

Do You Need Hernia Surgery?

Your doctor will suggest you treat it with surgery if any of the following things happen with you.

  • Tissue can trap into the abdominal wall, called incarceration. If you don’t cure it, it can lead to strangulation, which prevents the blood from reaching the tissues.
  • It may strangulate your organs. This problem can lead to permanent damage, and you need to treat it immediately. The strangulated organs, such as intestines, can die. If not treated quickly, you can become severely ill. Make sure to call your doctors if you have nausea, fever, or pain, which gets worse, and hernia transforms into purple, red, or dark.
  • If it’s causing chronic pains or discomfort, or its start to magnify.

The hernia can wait for the surgery if the following things happen with you:

  • Lying down causes your hernia to go away, or you are able to bulge it back into your belly.
  • Your hernia is small-size and causes no or few less severe symptoms.

Complication of Surgery

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.

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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.

  • Tissue or organ damage
  • Infection
  • Reoccurrence of hernia
  • Seroma under the surface of the skin
  • Nerve damage
  • Nerve pain that also causes tingling
  • Constipation
  • Blood clot
  • Lung infection and breathing problems
  • Difficulty in urinating
  • Urine leakage or incontinence
  • Mech pain
  • Kidney failure or complications

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.

Hernia Repair: When is it Necessary? Bottom Line

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.

Contact us on our website or call us on 646-846-1136 to get your appointment.

Types of Hernias & Surgery

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.

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There are multiple types of hernia that need different treatments and surgeries. Let’s learn about some of them.

Types of Hernia

There are several types of hernia. The following are some most of the common forms of hernia.

·       Inguinal 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.

Hiatal Hernia

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.

Umbilical Hernia

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.

Ventral Hernia

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.

Types of Repair

Different types of hernia need different types of surgeries. The following are some types of hernia surgery.

Types of Hernias & Surgery
(Source)

Herniorrhaphy (Tissue Repair)

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.

Hernioplasty (Mesh Repair)

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.

Bottom Line

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.

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