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.
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Surgery has certainly come a long way since the advent of modern medicine. While we have been able to perform surgeries for much of history, it is only relatively recently that we have been able to do so in anything resembling a safe environment. Now that we have a much better understanding of germs and safety standards and the importance of sterilized equipment, we can perform surgeries with ease. And with a good degree of confidence, we can also predict the outcomes. Generally, the patient outlook is very good and every year we are globally improving our knowledge and techniques.
One of the major technological innovations that have allowed us to perform surgeries that were previously impossible are the robots we now possess. These robots are capable of not only performing surgeries but doing so with a level of precision that is entirely impossible for a human to replicate.
Even without robots, we can still perform keyhole surgeries, which allow surgeons to use precise tools to perform some types of surgery with only a very small opening in the skin. When only a minimal incision needs to be made then we can make the smallest possible cuts in skin and muscle.
Smaller and more precise wounds mean much less pain and this has several knock-on benefits for the patient. Higher pain levels are often associated with lower moods during recovery. America is also currently in the grip of an opioid epidemic and as a nation, we need to do more to wean ourselves of these addictive drugs. Powerful opioids do have legitimate uses, but their routine prescription is becoming problematic. Increased pain levels also have an effect on our stress levels, with higher levels of pain sometimes making sleeping, and occasionally eating, much more difficult. A lack of sleep and a poor diet are both contributing factors for depression, with the individual generally more susceptible to infections and illness.
The net effect of all the benefits of minimally invasive surgery NYC is that patients can recuperate much faster and so require less time in the hospital, freeing up beds for more patients.
Smaller wounds mean less scarring, and with surgical scars being a significant contributor to body image issues after major surgeries, this is far more important than many people realize.
To find out more about minimally invasive surgery NYC, drop into one of our clinics for a consultation.
Here are some brief descriptions about the different types of general surgery we perform:
This is a relatively new specialty dealing with minimal access techniques using cameras and small instruments inserted through 0.3 to 1 cm incisions. Robotic surgery is now evolving from this concept (see below). Gallbladders, appendices, and colons can all be removed with this technique. Hernias are now repaired mostly laparoscopically. Most bariatric surgery is performed laparoscopically. General surgeons that are trained today are expected to be proficient in laparoscopic procedures.
General surgeons treat a wide variety of major and minor colon and rectal diseases including inflammatory bowel diseases (such as ulcerative colitis or Crohn’s disease), diverticulitis, colon and rectal cancer, gastrointestinal bleeding and hemorrhoids.
General surgeons are trained to remove all or part of the thyroid and parathyroid glands in the neck and the adrenal glands just above each kidney in the abdomen. In many communities, they are the only surgeon trained to do this. In communities that have a number of subspecialists, other subspecialty surgeons may assume responsibility for these procedures.
Surgical oncologist refers to a general surgical oncologist (a specialty of a general surgeon), but thoracic surgical oncologists, gynecologist and so forth can all be considered surgeons who specialize in treating cancer patients. The importance of training surgeons who sub-specialize in cancer surgery lies in evidence, supported by a number of clinical trials, that outcomes in surgical cancer care are positively associated to surgeon volume—i.e., the more cancer cases a surgeon treats, the more proficient he or she becomes, and his or her patients experience improved survival rates as a result. This is another controversial point, but it is generally accepted—even as common sense—that a surgeon who performs a given operation more often, will achieve superior results when compared with a surgeon who rarely performs the same procedure. This is particularly true of complex cancer resections such as pancreaticoduodenectomy for pancreatic cancer, and gastrectomy with extended (D2) lymphadenectomy for gastric cancer. Surgical oncology is generally a 2 year fellowship following completion of a general surgery residency (5-7 years).
Recovering from a lumpectomy is, fortunately, typically a short process, but many women feel uneasy and are concerned about long-term effects, including the cosmetic effects of the surgery. Below is a quick guide to what to expect after a lumpectomy.
A mass excision or lumpectomy is the removal of tissue believed to be cancerous from the breast. These lumps cannot necessarily be felt during an examination, but sometimes can show up during imaging scans. When suspect lumps are found, further diagnostics are performed by a radiologist, who will perform a wire localization with the aid of a mammogram or ultrasound. This will tell the surgeon where the lump is and allow for a more precise and smaller incision to be made.
After making a small incision in the breast the surgeon then removes the lump and some of the surrounding tissue, although the surgeon will try to minimize surrounding tissue loss. Once the tissue has been removed, it will be handed to a pathologist who will analyze it to determine if it is cancerous or not and to ensure that there is no cancer in the outer layers of the surrounding tissue. If cancer is present here it would indicate that it has spread further from the source.
Sometimes the surgeon will also remove some tissue from the lymph nodes in the armpit to check that the cancer hasn’t spread to them. Also, the surgeon may insert some small metal clips into the area where tissue was removed, so that it shows up clearly on future imaging tests.
Fortunately, recovery from a lumpectomy doesn’t take long and most women will not experience any serious pain or discomfort after the procedure.
The affected skin should heal in four weeks or so. Your doctor can advise you on how to look after the skin around the incision to promote healing. They will also explain to you how to change any dressings if necessary.
Most women can resume their usual routines and physical activities within a week but should avoid heavy lifting, jogging, and any activity which causes pain to the area, until two weeks after the procedure.
The prognosis following a lumpectomy depends on the size of the tumor and what the lab results say. If your lymph nodes are found to contain cancerous cells then there is a good chance of the cancer spreading.
Mass excision surgeries, such as lumpectomies, can seem scary. If you are facing a mass excision surgery of your own and have concerns then drop into our mass excision clinic for a consultation.