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

Surgical Experts Dedicated to Improving Lives

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

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


At Lenox Hill Surgeons, our dedicated team of nyc surgeons and medical professionals provide compassionate care with the highest ethical & professional standards. In our state of the art facility, we offer surgical services using only the most cutting edge and current procedures and treatments.We specialize in general surgery, including extensive experience in performing hernia repair surgery. Our expertise is in minimally invasive surgery and robotic surgery. Minimally invasive and robotic surgery often allow patients to experience easier recovery than traditional open surgery. They also allow for more precise and less traumatic surgery. When robotic and minimally invasive surgery is not an option, we are also skilled and experienced in traditional open surgical procedures.

All of our doctors are experienced and skilled surgeons having undergone extensive training in school, residency and fellowships. They all practice medicine with ethical behavior, compassion and superb bedside manner. In the operating room they all exhibit precise mechanical abilities, analytical thinking and the ability to visualize tissue in three dimensions. These innate and learned skills allow our surgeons to be some of the most dexterous and skilled professionals in all of New York City and the Country.

Call us: 646-846-1136

Lenox Hill Surgeons

Hernia Repair Surgery – NYC Surgeon

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

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

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

Steps

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

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

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

Benefits

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

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

Side Effects

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

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

Precautions

You must abide by the surgeon’s instructions once you return home (which are usually on the same day the surgery is carried out) for a speedy recovery. Take all the prescribed medications on time, including the anti-inflammatory drugs for minimizing the possibilities of incision swelling. Contact your surgeon instantly if you’ve recurrent spells of fever, coughs, chills, nausea, abdominal swelling, bleeding as well as experience difficulty in urinating. Make sure you get sufficient rest for at least two weeks following the operation so that you can get back to work at the earliest.

Prognosis

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

Concluding Remarks

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

References

 

General Surgery

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

Laparoscopic surgery

This is a relatively new specialty dealing with minimal access techniques using cameras and small instruments inserted through 0.3 to 1 cm incisions. Robotic surgery is now evolving from this concept (see below). Gallbladders, appendices, and colons can all be removed with this technique. Hernias are now repaired mostly laparoscopically. Most bariatric surgery is performed laparoscopically.[citation needed] General surgeons that are trained today are expected to be proficient in laparoscopic procedures.

Colorectal surgery

General surgeons treat a wide variety of major and minor colon and rectal diseases including inflammatory bowel diseases (such as ulcerative colitis or Crohn’s disease), diverticulitis, colon and rectal cancer, gastrointestinal bleeding and hemorrhoids.

Endocrine surgery

General surgeons are trained to remove all or part of the thyroid and parathyroid glands in the neck and the adrenal glands just above each kidney in the abdomen. In many communities, they are the only surgeon trained to do this. In communities that have a number of subspecialists, other subspecialty surgeons may assume responsibility for these procedures.

Surgical oncology

Surgical oncologist refers to a general surgical oncologist (a specialty of a general surgeon), but thoracic surgical oncologists, gynecologist and so forth can all be considered surgeons who specialize in treating cancer patients. The importance of training surgeons who sub-specialize in cancer surgery lies in evidence, supported by a number of clinical trials, that outcomes in surgical cancer care are positively associated to surgeon volume—i.e., the more cancer cases a surgeon treats, the more proficient he or she becomes, and his or her patients experience improved survival rates as a result. This is another controversial point, but it is generally accepted—even as common sense—that a surgeon who performs a given operation more often, will achieve superior results when compared with a surgeon who rarely performs the same procedure. This is particularly true of complex cancer resections such as pancreaticoduodenectomy for pancreatic cancer, and gastrectomy with extended (D2) lymphadenectomy for gastric cancer. Surgical oncology is generally a 2 year fellowship following completion of a general surgery residency (5-7 years).

 

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

Types of Hernias

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

Common Traits of Hernias

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

Inguinal Hernias

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

Femoral Hernias

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

Umbilical Hernia

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

Incisional Hernia

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

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

 


References

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

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

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

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

What is a Diagnostic Laparoscopy?

Diagnostic laparoscopy is used to identify the internal organs of the pelvis to detect any diseases or disorders. Diagnostic laparoscopy is a minimally invasive and quick procedure that requires only a few small incisions to examine the internal organs. For examination, the doctors uses a laparoscope in this process. Laparoscope is an innovative tool with a camera that a doctor inserts into the body through the small incisions. It connects to a high-resolution monitor on which the surgeon can see the inside of an abdomen.

When do you need a Diagnostic Laparoscopy?

You will need to have a diagnostic laparoscopy for any of the several conditions that may indicate some disease or disorder in the lower abdominal or pelvic area.

Abdominal Pain

If you experience acute or chronic abdominal pain, you might need a laparoscopy diagnosis to identify the cause of the pain. The causes can include:

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

Lump in Abdominal

You may feel a mass or lump inside your abdominal area that might be painful or painless. When you experience abdominal pain, your doctor will conduct an examination to feel the lumps, which you cannot see or feel. In both cases, your doctor will ask you to get a diagnostic laparoscopy. Your surgeon might even collect some tissues from the abdominal mass for biopsy. If there are any lumps, this could be an indication of the presence of tumor in some cases.

Examination of Reproductive Organs

One of the main reasons for getting a diagnostic laparoscopy is the examination of reproductive organs. Both men and women may need to get laparoscopy for the following reasons:

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

Process of Laparoscopic Diagnosis

First the surgeon will give you sedatives to relax. Also, an anesthesia expert will give you general anesthesia before the surgery. You will get a breathing tube in your throat and a catheter in your urinary bladder for draining the urine. Your surgeon will use a special instrument to make a small incision below your naval.

Through the hole, they will release a gas to inflate the pelvic area for examination. After that, your surgeon will insert the laparoscope, which would help view the inside of your abdomen. Your surgeon might make further incisions to move the organs out of way for better view. After that, the surgeon will collect fluid or scar tissues for biopsy.

Your surgeon will allow the carbon dioxide gas to move out of your body. They will remove the catheter and make the necessary stitches. The whole process would take only 30-60 minutes. You will get a discharge within a few hours after the surgery.

What to do before and after Diagnostic Laparoscopy

Before getting diagnostic laparoscopy, you should tell your doctor if you are on any medications or had any surgery before. You must tell your doctor about your recent medical condition. Your doctor might change your medication that can interfere with the process or give you new ones to prepare your body for the surgery. You must tell your doctor if you think you are going to get pregnant.

The recovery after diagnostic laparoscopy is quick but it can vary from person to person, depending upon how their body reacts to the surgery. You need to do the following after the surgery:

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

Do you feel abdominal pain or experience any of the symptoms mentioned above? If yes, then contact us or book an appointment for a consultation. We have the best surgeons for diagnostic laparoscopy in NYC. Call us at 212-988-1136 or visit our website for more information.

What Are The Benefits Of Minimally Invasive Surgery?

There was a time when the word “surgery” used to scare people, and they would try their best to evade a surgical procedure. The hesitance is understandable as the idea of a large cut on your body is discomforting in many ways. However, thanks to the evolution in medical science, surgical techniques have improved tremendously.

Now, surgical procedures, either big or small, are done within a few minutes to a few hours. The best part about the minimally invasive surgeries is the painless procedure with fast recovery. The advanced techniques are helping with quality treatments to patients who have to undergo surgical procedures.

What Is Minimally Invasive Surgery?

Unlike the traditional open surgeries that would require a large incision, a surgeon makes multiple tiny incisions of less than an inch. For the process, the surgeon uses

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

Once the surgeon marks the incisions, he/she then passes the mini camera through one of the cuts. The doctor monitors the images captured by the camera on the screen and uses them as a reference.  These images give the surgeon a clear picture of the area undergoing surgery.

The doctor may also insert specialized surgical instruments, such as a balloon or flexible stent, through the incisions if required. After the surgery, the surgeon stitches the incisions and sometimes places a mesh for additional support.

Common Minimally Invasive Procedures

Minimally invasive surgeries have become the first choice of patients for multiple medical conditions. In fact, it would not be wrong to say that these surgeries are now the standard surgical procedures for many routine operations.

Your doctor may recommend a minimally invasive surgery for:

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

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

Benefits of the Minimally Invasive Surgery

Compared to the traditional open surgery, minimally invasive surgery has several benefits to offer. Not only is the procedure quick and less painful, but also ensures rapid recovery. Let’s have a look at some of the advantages.

Small Incisions/Cuts

One of the biggest advantages of the minimally invasive surgeries is the smaller incisions. The surgeon marks a few tiny incisions, big enough to insert a tube, laparoscope, or other small surgical instruments.

Accurate Procedures

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

Less Painful Procedure

It is proven that minimally invasive surgeries are less painful in comparison to open surgeries. The advanced technique does not cause discomfort or any damage to the healthy tissues. Also, there is reduced blood loss in invasive surgeries.

Minimal Scars

Since the size of the incisions is smaller in the minimally invasive techniques, you may have very small or unnoticeable scar with a few stitches only.

Rapid Recovery

The minimal procedures allow the patient to heal sooner and resume the normal routine. Since the surgeries take a few hours to complete, the patient may leave for home the same day or the next day. A short hospital stay means reduced medical bill.

Final Thoughts

Minimally Invasive surgeries are the standard surgical techniques widely in practice today. Whether you have a minor issue or want a surgical intervention for a major health condition, it is the best option. At Lenox Hill Surgeons, we have compassionate, dedicated, and highly professional surgeons who are expert in minimally invasive surgeries. Contact us today and book an appointment with the most skilled surgeons in NYC.

Hernias & Surgery

Sometimes, a fatty tissue or part of an internal organ squeezes through an opening in the surrounding muscle. This phenomenon results in hernia occurs. Most commonly, the internal tissue protrudes through a weak spot in the muscular wall of your lower abdomen. However, hernias may develop in many other locations in your body.

A hernia patient may observe a lump or swelling in the stomach region but feel no pain. That’s because most hernias cause no pain and only appear as a bulge. However, increased pressure in the abdominal muscle wall –due to obesity, persistent coughing, or pregnancy –may enlarge the hernia.

Types of Hernia

Some hernias are present at birth time and may go away before the infant is one year old. Adults are also susceptible to develop hernia. Some of the common types of hernias include:

Inguinal hernia

Men are five times more susceptible to inguinal hernia than women. It is the most common hernia accounting to 75% of all hernias. An inguinal hernia occurs when the intestine or in rare cases the bladder, protrudes into the groin through the inguinal canal.

Femoral hernia

Pregnant and obese women are more likely to develop a femoral hernia. When the intestine enters the canal containing large blood vessels (the femoral artery and vein), it results in hernia. The canal is located between the abdomen and thigh. Thus, the bulge appears in the upper thigh, groin, or hip.

Hiatal hernia

This type of hernia occurs when a part of the stomach slips upward through openings in the diaphragm and extends into the chest.  Hiatal hernia is linked with “gastroesophageal reflux disease” (GERD) that causes heartburn.

Umbilical hernia

It occurs when the intestine bulges into the abdominal wall through the navel. An umbilical hernia is mostly found in newborns and disappears with time. However, it may develop in obese men and women with multiple pregnancies.

Incisional hernia

33 percent of patients who undergo abdominal surgery are likely to develop an incisional hernia. It occurs when the muscle underlying the treated area pulls apart, letting the internal structures pass through the weak spot.

Symptoms

Not all hernias are painful or show visible symptoms. In most cases, the patient only experiences a lump. Or the skin surrounding the bulge becomes sensitive.  Likewise, not all hernias need surgeries. However, a hernia becomes “incarcerated” when tissue or intestine gets trapped in the abdominal wall.

In extreme situations, incarceration may strangulate your organs. Thus, the blood supply to your intestine and tissues is cut off, thereby causing the intestine to die. The condition calls for immediate medical help and surgery.

Hernia Repair Surgeries

The purpose of a surgical hernia repair is to relieve the pain and push the bulge back to the right place, thereby strengthening the muscle area. Hernia repair is one of the most common and shortest surgical procedures in the world. The surgical options for enlarged hernias include:

Open Surgery

For open surgery, the patient is given general anesthesia. The surgeon makes an incision of around 2.5 to 3 inches around the surrounding the hernia. The doctor may push the hernia back into the abdomen, tie it off, or gently remove it.

Once the procedure is over, the surgeon closes the area with stitches. In the case of large hernias, doctors place a piece of mesh over the hole for extra support. Thus, the mesh keeps the hernia in place, reinforcing the weakened muscle.

Minimally Invasive Surgery

In minimally invasive surgery, also called laparoscopy, the surgeon inflates a harmless gas in the abdomen. The gas helps the doctor to look at the structure and organs closely. The surgeon then goes for a series of small incisions near the hernia.

He/she then inserts a thin tube with a small camera (laparoscope) into one of the cuts. The captured images serve as a guide for the surgeon to treat the hernia. The laparoscopy is performed with general anesthesia, and people tend to recover sooner with this procedure as compared to open surgery.

Final Word

Whether you require traditional open surgical procedure or minimally invasive surgery, Lenox Hill Surgeons is the right place in NYC. Our compassionate team of surgeons meets the highest ethical and professional standards. Book your appointment today and consult the best surgeons in the town.

Spleen Problems

Do you have spleen problems? The spleen is a soft, spongy organ that rests under your rib cage in the upper left portion of the abdomen toward the back. The spleen is normally equal to the size of the fist and is an integral part of the lymph system. This small organ defends your body in multiple ways.

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

Spleen Problems: What is Splenomegaly?

Sometimes, the spleen gets larger than its size, which may affect either of the functions it performs. As a result, the enlarged spleen or splenomegaly, starts filtering not only the damaged blood cells but also the healthy cells in your bloodstream. This causes a reduction in the number of normal blood cells in your body.

Also, the excessive red blood cells and platelets may obstruct your spleen and affect the functioning adversely. Sometimes, a physical examination may not be enough to feel the spleen. However, certain diseases may result in a swollen and enlarged spleen. It is important to know that an enlarged spleen does not always indicate a problem. Rather, it might signal an overactive spleen.

Symptoms of Spleen Enlargement

Sometimes, an enlarged spleen causes no signs or clear symptoms. However, some people may experience discomfort or pain in the upper left side of the abdomen radiating to the left shoulder.  Your spleen may become so large that it presses on your stomach. As a result, you may feel full without eating or only eating a small amount.

When the enlarged spleen exerts pressure on the other organs, it affects the blood flow to the spleen. Thus, the spleen may not be able to work actively. The removal of too many blood cells due to abnormal spleen functioning may cause anemia. Also, the low count of white blood cells may expose you to infections more often.

Causes of Splenomegaly

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

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

Treatment

A ruptured spleen may cause bleeding in the abdominal activity that may prove fatal. It is paramount to get medical help for the enlargement of the spleen. You can’t afford to leave an enlarged spleen untreated as it may lead you to serious medical issues.

Most of the times, treating the root cause of spleen enlargement may help evade the removal of the spleen. For instance, if the spleen enlargement is a result of an infection, the doctor may prescribe antibiotics. Shrinking the spleen through radiation may save you from spleen removal.

Splenectomy

However, if the doctor fails to identify the main culprit, or the case is severe, then the surgeon may remove the spleen through splenectomy. For the procedure, the doctors prefer minimally invasive surgery to open surgery. Hence, for removing the spleen, the surgeon marks several small incisions. With the help of laparoscopy, the doctor then removes the enlarged spleen.

You are required to be extra cautious after the spleen removal surgery as it makes you susceptible to contract infections more often. Hence, you may not be able to fight the bacteria effectively. However, vaccines, certain medicines, and antibiotics may help reduce the risk of infection post-surgery.

Final Word

Your spleen is a small but integral organ of your body, and the enlargement of spleen may have drastic effects on the functioning of it. Therefore, it is vital to your health to seek professional help for your major and minor spleen problems.

Contact Lenox Hill Surgeons today and schedule an appointment with the best surgeons in NYC for spleen removal.

Types of Pancreas surgery

The pancreas plays an important role in human digestion. One of its major functions is to release the hormones insulin and glucagon that regulate the blood sugar level. The diseases and disorders of pancreas like pancreatitis are less common, and the treatment requires no surgery. However, a surgery is inevitable when treating a severe disorder or removing a tumor.

Types of Pancreas surgery

Open surgery and laparoscopy are the options available for the pancreas surgery. Open surgery involves either the removal of a certain part of the pancreas where the tumor is growing or the removal of other parts of digestive organs as well like gall bladder, stomach, small intestine, and common bile duct. The type of surgery depends upon the stage of cancer.

Whipple Procedure:

Whipple procedure or pancreatic resection involves the removal of the pancreatic head, duodenum of the small intestine, gall bladder and bile duct. This surgical procedure treats pancreatic cancer and other disorders of the pancreas. Whipple procedure is a complex and risky surgical treatment, but very effective and life-saving for treating pancreatic cancer, pancreatitis, bile duct cancer, serious trauma or injury in the pancreas and ampullary cancer.

Distal Pancreatectomy:

The name of the procedure that involves the removal the left side of the pancreas ( body and tail) to eradicate the growing tumor is distal pancreatectomy. Your surgeon might need to remove the spleen attached with pancreas as well.

Total Pancreatectomy:

Total pancreatectomy is the removal of the pancreas when tumor has spread all over the pancreas. Other common procedures cannot treat this issue. You can live without pancreas normally. However, you will need a supply of insulin, glucagon, and other important hormones and enzymes.

Laparoscopy Surgery for the Pancreas:

Minimal Invasive Laparoscopy for pancreas involves removing the tumor or a small part of the pancreas with small incisions. Your surgeon will make three to four keyhole incisions in your pancreas and remove the infected or injured portion with tumor growth.

Pseudocyst Drainage:

The pancreatic disorder includes the production of cysts in the pancreas. Cysts in the pancreas are large fluid-filled sacks that can disturb the normal functioning of the pancreas and can even turn cancerous. Pseudocyst drainage involves inserting a tube or needle into the cysts or pseudocysts to drain the cysts from the pancreas.

Islet Cell Transplant:

Islet cells in the pancreas are responsible for the production of insulin. Impairment in islet cells leads to an insufficient production of insulin leading to Diabetes type 1. Islet cell transplantation can potentially cure diabetes. Healthy islet cells from the donor are harvested and transplanted into the pancreas of the patient.

Risks of Pancreatic Surgery:

To have the best outcome of the pancreas surgery, it is crucial to have the surgery from a highly qualified and experienced surgeon. In rare cases, there can be come complications. The complications include bleeding, infection, development of diabetes ( temporary or permanent), leaking, etc. if the surgeon fails to join the organs after removing multiple parts from the digestive system. The pancreas surgery can lead to weight loss and change in the bowel functions.

Lenox Hill Surgeons have NYC’s best and most qualified surgeons for treating pancreatic cancers and disorders. With Lenox Hill Surgeons your pancreatic surgeries are complication-free. We promise to provide you the best treatment for your surgery and quick recovery.

Call us at 212-988-1136

Visit lenoxhillsurgeons.com to learn more.

Liver Surgery

They say the liver is the mother of all organs. It is the body’s detoxifying machine that breaks down metabolic products and toxic substances. It produces vital enzymes and proteins for our body and also plays role in fat metabolism. Liver diseases, disorders, and tumors can cause liver failure and abnormalities in the body’s regular functions. There are various surgical treatment options for treating liver diseases and abnormalities

Types of Liver Surgery

Following are the common four types of procedures for liver surgery.

  1. Liver Biopsy

Some people regard liver biopsy as a surgical procedure, but it is basically the collection of liver tissues to diagnose any disease or problems in the liver. The procedure involves the insertion of a needle to collect the liver tissue samples. A laboratory technician will analyze the sample of tissue that will help the doctor to diagnose the liver disease or disorder. Your doctor will ask you for a liver biopsy if you have the following conditions:

  • Abnormal blood enzyme levels persistently
  • Yellowing of the skin (an indication of jaundice)
  • Liver enlargement
  • Liver abnormality found in ultrasound or scan.
  1. Liver Resection

Liver resection or partial hepatectomy is the surgical removal of a certain part of the liver. The open liver surgery is the treatment for removing tumors and the neighboring cells around the tumor from the liver.  Sometimes, the doctor would need to remove the entire lobe of the liver, called lobectomy or hemi hepatectomy.

  1. Laparoscopic Liver Surgery

Minimally invasive laparoscopic liver surgery involves removing a tumor with a few incisions without removing a whole part of the liver. Your surgeon can remove a benign or malignant tumor with only three to four key-hole incisions.

  1. Liver Transplant

Liver transplant or full hepatectomy is the removal of the diseased liver and transplanting a healthy one in its place. It is the treatment option for end-stage liver disease or total failure of the organ. This surgery option is the least common, and finding a liver donor with a good match is not easy.

Advantages of Laparoscopic Liver Surgery

Laparoscopic Liver surgery is the easier and less painful surgical treatment to remove a benign or malignant tumor from the liver. The incisions are smaller and not more than three or four. Such small incisions heal fast and the patient is back to normal in a very little time. In the case of liver resection, the incisions and stitches take a long time to recover and can cause severe pain.

Who Cannot Undergo Liver Surgery?

If the tumor has covered more than half of the liver, then liver resection and laparoscopy cannot treat the liver. A liver transplant is the only option in that case. Patients with severe liver complications are not fit for liver surgeries. Those who previously had upper abdominal surgery cannot undergo liver resection and laparoscopic surgery.

If you experience problems within your liver, contact us and get a consultation to know if  you need a biopsy or not. If you are already diagnosed with tumor or some other disorder within your liver then get in touch with Lenox Hill Surgeons. Our highly qualified surgeons have expertise in Liver Resection and Minimally Invasive Liver Laparoscopy. They will help you know which treatment options are suitable for you.

Call us at 212-988-1136 or visit lenoxhillsurgeons.com to learn more about us.

Laparoscopic Colon Resection

What Is Laparoscopic Colon Resection? The human digestive system comprises organs that help break down the food, absorb nutrients, and excrete waste material from the body. When you eat something, the food travels from the mouth to the stomach through the esophagus.

The food then enters the small intestine where it is absorbed, and the un-dissolved nutrients move into the large intestine (colon). The colon stores the waste until it is removed through rectum or anus.  The large intestine is vital to the digestive system, and adverse effects of a medical condition may require you to go through surgical intervention.

What Is Laparoscopic Colon Resection?

Essentially, Colectomy or colon resection is a surgical technique to treat the diseases affecting your colon, such as colon cancer. During the surgery, the doctor removes the cancerous part of the colon. Depending upon the severity, the surgeon may perform

  • Total colectomy – removing the colon completely
  • Partial Colectomy – removing a part of the colon affected by cancer
  • Hemi-colectomy – removing the left or right half of the colon.
  • Proctocolectomy – removing both the colon and rectum

After the removal of the cancerous portion, the surgeon sews the healthy ends of the colon to leave enough space for the waste to leave the body. However, if the surgeon has cut the colon completely, then he/she may perform a colostomy.

Conditions That Colectomy Treats

A patient may undergo a colon resection for various medical conditions associated with the large intestine.  For instance, you may need surgery for colon cancer, polyps, inflammatory bowel diseases, obstruction in the intestine, bleeding, and other problems.

  • Intestinal Blockage: Obstruction in the colon calls for urgent medical help. The surgeon may perform a total or partial colectomy to clear the colon.
  • Colon Cancer: Colon cancer affects more than 100,000 US citizens each year. However, proper screening may help prevent cancer. For the newly developed cancer, the surgeon may remove a part of the colon. On the other hand, for advanced-stage cancer, the doctor is likely to remove a bigger portion of the intestine.
  • Excessive Bleeding: To treat uncontrolled bleeding, the surgeon may perform partial colectomy.
  • Diverticulitis: In the case of complex diverticulitis, the surgeon may remove the affected area of the colon.

Preparation for the Surgery

Colon resection is a major surgical procedure, and it is better to take some preventive measure before the surgery day.

  • Talk to your doctor and avoid the medicines that may complicate the surgical procedure.
  • For certain colon resections, your doctor may ask you to keep fast hours before the surgery.
  • In some situations, the surgeon may prescribe antibiotics to evade a possible infection.
  • Your colon has to be empty before the surgery. And for this purpose, the surgeon may give you an oral solution to drink hours before the surgery.

The Surgical Procedures

Your surgeon may perform the surgery in either of the following ways:

Open Colectomy

During the traditional open surgery, the surgeon makes a large cut in the abdomen to access the colon. With the help of the surgical tools, the doctor then removes the affected tissues surrounding the colon. He/she may go for total or partial colectomy.

Laparoscopic colectomy

The minimally invasive technique, also called laparoscopic colectomy, involves several tiny incisions in the abdomen. The surgeon may mark as many as 4 to 5 cuts and insert a laparoscope through one of them.

The real-time video helps the surgeon monitor the patient’s internal organs. With a surgical tool, the doctor takes out the colon from the body and removes the affected part. After the removal, the surgeon places the colon back in the abdomen through an incision.

Final Thoughts

Laparoscopic colon resection does not cause pain or discomfort, and the patient recovers faster as compared to open colectomy. If your colon is affected and requires a colon resection, Lenox Hill Surgeons is the right place in NYC. Our dedicated and skilled surgeons have expertise in minimally invasive surgeries, and we provide quality healthcare. Contact us today and book an appointment with the best surgeons in town.

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

646-846-1136

Surgery For The Appendix

Appendix Surgery or Appendectomy involves the removal of appendix after the occurrence of appendicitis. Let’s find out about when you need an appendix surgery, what the procedure involves, and where to get best surgeons for appendectomy.

Why do People Get an Appendix Surgery?

Appendicitis is a serious medical condition that requires an appendix surgery. It occurs due to the infection in the appendix because of growing bacteria or clogging of the stool in the appendix. The infection causes inflammation and severe pain that is only treatable with the removal of the appendix. In the case of an accident or serious injury that causes the trauma and appendicitis, appendectomy is the only surgical option available. Peritonitis is a serious condition resulting from the inflammation of the appendix and can cause the appendix to rupture.

Procedure for Appendix Surgery

First, the surgeon will administer the patient with certain antibiotics to prevent the overgrowth of bacteria. The dose of antibiotics will depend upon the degree of the damage. In the case of sepsis, the patient would have a single dose of injectable antibiotic. If the appendix has ruptured already, the surgery will start without administering the antibiotics.

The patient will undergo general anesthesia before the surgery. For the surgery, there are two common methods; open surgery and laparoscopic surgery.

Open Surgery for the Appendix Removal

The surgeon will sterilize the skin with a germ-killing solution first. In rare cases, the surgeons do need to shave the skin in the appendix area. The surgeon will then cut the skin deeply (2-3 inches) to open the portion of lower abdomen to expose the appendix.  If there is some mass growing on the appendix, the surgeon will make incisions on the mass as well.

Beneath the skin, the surgeon will make incision through the layer of protective tissues and abdominal walls to reach the appendix. Once the surgeon identifies the location of the appendix, he/she will carefully cut the appendix and remove it out of the patient’s body. After that, the surgeon will stitch the peritoneum layer, which he/she had previously ruptured for the removal of the appendix. The surgeon will stitch the skin of the lower abdomen.

Minimal Invasive Laparoscopy

Laparoscopy is the recent trend in surgical procedures, which involves cutting certain a part of an organ or removing if entirely. This process involves making three small incisions (of ¼ or ½ inches) to expose and remove the appendix instead of opening a larger portion of the stomach or lower abdomen. This surgery also uses a small camera or laparoscope, which is a mini tv-like monitor to show the appendix and the surgery procedure in an enlarged view. To remove the appendix laparoscopically, our surgeons have special instruments that can easily perform the surgery without any deep incisions.

Advantages of Laparoscopic Appendectomy

Laparoscopic appendectomy has several benefits over the open surgery appendectomy.

  • The surgeon will make only a few stitches on the patient’s body. This means the post-operative pain significantly reduces in this procedure as compared to an open surgery.
  • The recovery is also quicker.
  • The patient achieves the normal functioning of the bowel quickly.
  • The hospital stay is lesser for laparoscopic surgery.
  • Laparoscopic surgery gives better cosmetic results. The stitch marks do not look horrible.

Are you having problems with your appendix? Call us at 212-988-1136 to book an appointment. We have NYC’s best surgeons for laparoscopic appendix surgery. For more information visit our main website.

Gastroesophageal Reflux Disease (GERD)

What is gastroesophageal reflux disease (GERD)? If you have experienced acidity or heartburn many times, you are not alone. National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) reports that 20 percent of American population gets affected by Gasteresphageal reflux diseases (GERD).

More than 15 million adults in the US, especially pregnant women, suffer from heartburn daily. GERD is essentially mild acid reflux that may occur twice a week. However, some people may also experience severe acid reflux, at least once a week.

What Causes GERD to Occur?

Your digestive system is home to several digestive enzymes and acid. Normally, when you eat something, the lower esophageal sphincter (LES), i.e., the lining of the stomach, opens. It allows the food to enter the stomach and then closes. This helps to obstruct the food or any acidic enzymes from flowing back to the esophagus. However, sometimes the LES does not close properly.

As a result, the acid and digestive stomach enzymes flow back into the esophagus. The frequent backward flow of stomach acid, i.e., the acid reflux, may irritate LES, thereby weakening the lining. Hence, if your acid reflux returns multiple times every week, you probably have GERD (Gastroesophageal Reflux Disease).

Symptoms of GERD

The occurrence of the following signs or symptoms may indicate that you are likely to have GERD.

  • A sharp or burning sensation in your chest behind the breast bone
  • The sensation, also called heartburn, may get worse when you eat, lie down or bend.
  • Tightness in the upper abdomen or chest
  • Difficulty in swallowing
  • Food or sour liquid regurgitation, i.e., the backflow of stomach juices in your oral cavity
  • Sore throat
  • Developing a sour taste at the back of the mouth

Some people may have nighttime acids reflux and are likely to experience sleep disruption, chronic cough, laryngitis, and worsening asthma. Also, the chest pain may radiate toward the neck at night.

Diagnosis

People, who are obese, have connective tissue disorders, Hiatal hernia, gallbladder diseases, are prone to having GERD. Similarly, pregnant women are prone to the condition.

For the diagnosis of GERD, your doctor may conduct the following tests (as per requirement):

  • X-Ray of the Upper Digestive system: the patient gets a barium solution to drink and the doctor conducts an X-ray test to examine the esophagus.
  • Esophageal manometry: the doctor inserts a flexible tube into your esophagus to measure the rhythmic contraction of your esophageal muscles when you swallow
  • Esophageal pH monitoring: the surgeon inserts a monitor into your esophagus to measure the pH level. Usually, the doctor keeps the patient under observation for one day to see when the acid stomach enters the monitor.
  • Upper Endoscopy: the surgeon threads a flexible tube with a tiny camera down your throat to examine your esophagus and stomach. He/she may also collect a sample of the tissue (biopsy).

Treatments

Changing your lifestyle may help relieve the symptoms of GERD. For instance, reducing or abandoning smoking may help. Also, including a balanced diet and avoiding fatty food and certain beverages may work. In mild acid reflux cases, over-the-counter medications can be a good option. Also, your doctor may recommend prescription medications. However, if medicines prove to be of little help, your doctor may suggest a surgical procedure.

Nissen Fundoplication

It is a surgical procedure that exerts pressure in your lower esophagus. The surgeon folds the top of your stomach (partially or completely) around the esophagus. Thus, the stomach is tightened to prevent acid reflux. The surgeon may perform the procedure through conventional open surgery or a laparoscope. However, most surgeons prefer minimally invasive surgery.

Stretta Procedure

It is yet another minimally invasive surgical procedure. The surgeon threads into the esophagus with a small tube and uses radiation to tight the barrier between the esophagus and stomach.

LINX surgery

The surgeon folds a ring of tiny titanium beads around the junction of the esophagus and the stomach. The magnetic force between the beads helps keep the junction closed, thereby preventing the acid reflux. However, the band allows the food to pass through. The surgeons use minimally invasive surgery to implant the Linx device.

So, if you’re facing heartburn or acid reflux frequently and the symptoms are severe, you should seek medical help immediately. Our highly professional team of surgeons at Lenox Hill Surgeons has expertise in minimally invasive surgery. For consultation, appointment or surgery, contact us today.

LENOX HILL SURGEONS
646-846-1136