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.

Monthly Archives: December 2018

Gallbladder and Gallstone Surgery – NYC General Surgeon

Gallstone and Gallbladder Surgery: Steps, Benefits, Side-Effects, Precautions & Prognosis

gallbladder-medical-information-surgery-nyc-03Gallstone and gallbladder surgery referred to as cholecystectomy in medical parlance, is an operative procedure where your gallbladder is removed. Gallbladder surgery is chiefly performed to get rid of gallstones or cholesterol stones which if not removed could lead to severe complications like cholangitis, pancreatitis, and cholecystitis. Gallbladder deletion or excision is the best solution if this biliary-tract organ becomes swollen (cholecystitis) or infected or if you’re diagnosed with biliary dyskinesia (compromised outflow of bile), choledocholithiasis or pancreatitis.

Cholecystectomy is the most popular and preferred treatment mode of doing away with gallstones as these do not resolve or dissolve as a matter of course. You know that you’re due for surgery when you suffer from acute abdominal pain, nausea, vomiting, flatulence, fever or jaundice.

Surgery Types & Methods

In very rare circumstances, gallstones can be melted away or resolved by making dietary changes like reducing consumption of fatty foods or taking certain medications. However, these strategies are, for the most part, ineffective if the stones are sizable. For nearly 80% of individuals with gallstones, surgery is the best and the only alternative.

gallstone-removal-expert-surgeon-nyc-02

There are primarily three surgical procedures that surgeons carry out for gallstone elimination: cholecystectomy (gallbladder resection), ERCP (endoscopic retrograde cholangiopancreatography), and cholecystostomy (drainage of the bladder).

  1. Cholecystectomy is the most widely used technique for clearing away cholesterol stones. Two types of gallbladder surgery are in vogue-laparoscopy (keyhole surgery) and open surgery. The laparoscopic operation is more popular in comparison to the open surgery mode because of the former’s inherent benefits.
  2. The open surgical method is resorted to especially when anatomical issues are resulting from previous gastrointestinal surgeries, like the presence of scar tissues. Though it takes roughly 1-2 hours for performing both the types of operation, open surgery entails a longer stay in the hospital and an extended recovery period, largely because of the wider opening.
  3. In ERCP, an endoscope is inserted into the small intestine via the esophagus for dealing with an obstructed common bile duct. Surgical tools are slotted in together with the endoscope for correcting the constricted or blocked sections of CBD once the gallbladder is excised. Often, it may not be possible to conduct surgery on some patients.

In these circumstances, the excess bile is drained away from the bladder with the help of a catheter. Nevertheless, these patients will have to consider surgery in the long run.

Benefits

Opting for a laparoscopic or open gallbladder surgery has its benefits. Removing a diseased or contaminated bladder ensures that you’ll be able to get back to leading a normal life quickly. Choosing laparoscopic intervention ascertains that your hospital stay will be shorter-you may be discharged on the very day the operation is performed. Also, the recuperation will be faster compared to open surgery.

The chances of the complications returning or recurring are also very slim once the surgery is done.

Side Effects

  • Bleeding
  • A hernia
  • Blood clots
  • Heart attack or stroke
  • Wound infection
  • Abdominal swelling
  • Allergic reactions from general anesthesia
  • Bile leakage
  • Pneumonia
  • The possibility of damage to organs surrounding the gallbladder

Precautions

  • Cleanse and dress the incision area periodically
  • Walk as much as you can to prevent thrombosis
  • Wear loose fitting clothes so that the incision is not abraded against
  • Follow the dietary chart prescribed by the surgeon
  • Take all medications on time and complete the course

Prognosis

gallstone-gallbladder-surgeon-specialists-experts-new-york-01As far as the short-term prognosis is concerned, the success rate of bladder operations is excellent. The kind of surgery you go for determines the recuperation period. You’ll experience mild postoperative pain if laparoscopy is involved. Talking about the long-term scenario, you’re less likely to suffer from the complications you had before the surgery.

Concluding Remarks

Laparoscopic or open surgery is the feasible option for getting relief from complications or issues related to the gallbladder. For more details about this treatment option and to evaluate if this is the right stage to get this treatment, we advise you to fix an appointment with one of our specialists for consultation.

References

 

Spleen Surgery – NYC General Surgeon

Spleen Surgery: Steps, Benefits, Side-Effects, Precautions & Prognosis

spleen-surgery-medical-information-02Surgical excision of the spleen or splenectomy becomes imperative when this vital immunologic organ becomes diseased or cancerous or is damaged due to an injury or wound. You could also be a potential candidate of splenectomy if you suffer from an acute blood disorder (polycythemia vera, idiopathic thrombocytopenic purpura, hemolytic anemia or sickle cell anemia) or have a ruptured or enlarged spleen resulting from trauma. Since the spleen is a vital cog in the immunity system, helping to combat diseases and removing worn-out and damaged cells from the bloodstream, its absence could leave you vulnerable to infections.

As removal of the spleen compromises the healthy functioning of your immunological system, you’ll need to take prophylactic antibiotics and vaccines on a regular basis.

Steps

open-splenectomy-laprascopic-splenectomy-spleen-surgery-expert-surgeons-nyc-01A spleen operation is either performed as an open surgery mode or laparoscopically. In open surgery, the surgeon makes a long and broad cut across the left side of the abdomen, and after that excises the spleen. The opening is then ligatured using sterilized catgut. Open splenectomy is suitable for patients with a swollen or ruptured spleen; those with disfigured splenic tissues from past surgeries, and those who are overweight.

The procedure for laparoscopic splenectomy is nearly the same as the traditional technique only that the former is more advanced. This surgical technique entails the insertion of a laparoscope via a few tiny cuts or keyhole incisions made in the abdomen. A high-resolution video camera attached at the laparoscope’s head transmits images of the spleen and the surrounding area to a large VDU.

The surgeon based on the transmitted images channels small surgical tools inside the highlighted area for cutting off the spleen. The incisions are then sewn up.

Benefits

Splenectomy is usually the last resort to get rid of an infected or dysfunctional spleen. As the surgery can considerably weaken the immune system, the operation should be carried out only on an emergency basis. Nevertheless, a spleen surgery can help mitigate a range of health problems including but not limited to benign or malignant cysts, infection, and blood disorders that may not be treatable through other techniques.

Side effects

The risks or complications about a splenectomy usually involve:

  • Bleeding from the operated area
  • Infection
  • Heart attack or stroke
  • Thrombosis or blood clots
  • Allergic reactions resulting from general anesthesia
  • Breathing problems
  • Pus formation beneath the diaphragm
  • Pneumothorax or lung collapse
  • Herniation in the incision area
  • Venous blood clot shifting to the liver causing portal vein thrombosis
  • Organs in the vicinity of the spleen like stomach, pancreas, and gallbladder becoming dysfunctional

 Precautions

 spleen-surgery-information-prognosis-causes-procedure-best-surgeons-nyc-03Before the surgery, you’ll be recommended to stop taking specific medicinal supplements and medicines. At the same time, you may have to refrain from consuming foods and water. You also may have to go for blood transfusion, (depending on the state of your health) to make sure that you do not become deficient in blood after the operation. You’ll be inoculated with a pneumococcal vaccine to minimize risks of infection once your spleen is expunged.

Prognosis

You’ll stay in the hospital for about a week following the surgery and depend upon the severity of the complication; complete convalescence might take 5-7 weeks. In the long term, you’ll tend to stay healthy but will remain vulnerable to particular infections and to alleviate the chances of outbreak you’ll have to take prophylactic antibiotics and inoculations lifelong. For more details on how Spleen surgery can be beneficial for you, you can consult our specialists by making an appointment.

References

  1. https://www.jstor.org/stable/3406279?seq=1#page_scan_tab_contents
  2. https://www.healthline.com/health/spleen-removal#outlook
  3. https://www.webmd.com/digestive-disorders/splenectomy#1
  4. https://www.mayoclinic.org/tests-procedures/splenectomy/about/pac-20395066
  5. https://www.sages.org/publications/patient-information/patient-information-for-laparoscopic-spleen-removal-splenectomy-from-sages/
  6. https://my.clevelandclinic.org/health/treatments/14614-splenectomy
  7. https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=zc2195