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Surgical Experts Dedicated to Improving Lives
At Lenox Hill Minimally Invasive Surgery PLLC, Dr. Valery Dronsky and his staff of 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.
Dr. Dronsky is an experienced and highly skilled surgeon having undergone extensive training in school, residency and fellowships. He practices medicine with ethical behavior, compassion and superb bedside manner. In the operating room he exhibits precision mechanical abilities, analytical thinking and the ability to visualize tissue in three dimensions. These innate and learned skills allow Dr. Dronsky to be one of the most dexterous and skilled professionals in New York City and the Country.
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Recent Awards
We are honored and deeply appreciative to have consistently received prestigious awards and recognition year after year, establishing us as one of New York’s foremost hospitals for a wide range of general surgeries, safety measures, specialized procedures, and overall excellence in healthcare. At Lenox Hill Minimally Invasive Surgery, our unwavering commitment lies in delivering exceptional care and unwavering support to our patients, guaranteeing their safety and successful recovery throughout their entire surgical experience.
Hospital Quality Awards
America’s 50 Best Hospitals Award™ (2023, 2022)
Top 1% in the nation for providing the highest clinical quality year over year.
America’s 100 Best Hospitals Award™ (2021)
Top 2% in the nation for consistently delivering clinical quality year over year.
America’s 250 Best Hospitals Award™ (2023, 2022, 2021)
Top 5% in the nation for consistently delivering clinical quality.
Patient Safety Excellence Award™ (2023, 2022)
Top in the nation for providing excellence in patient safety by preventing infections, medical errors, and other preventable complications.
Specialty Clinical Quality Awards
America’s 100 Best Hospitals for Cardiac Care Award™ (2023, 2022, 2021, 2020, 2019)
Superior clinical outcomes in heart bypass surgery, coronary interventional procedures, heart attack treatment, heart failure treatment, and heart valve surgery.
America’s 100 Best Hospitals for Coronary Intervention Award™ (2023, 2022, 2021, 2020, 2019)
Superior clinical outcomes in coronary intervention procedures (angioplasty with stent).
America’s 100 Best Hospitals for Prostate Surgery Award™ (2023, 2022, 2021)
Superior clinical outcomes in prostate removal surgery and transurethral resection of the prostate.
Click to see all of our Healthgrades best doctors awards
Visit our main website at www.LenoxHillMinimallyInvasiveSurgery.com
Blog Posts are Below:
Monthly Archives: December 2024
Spleen Surgery: Surgical Interventions for Splenic Conditions
In this guide, we’ll explore common splenic conditions that may require surgery, the types of surgical interventions available, and what patients can expect during recovery.
The spleen is an important organ located in the upper left side of the abdomen. It plays a crucial role in filtering blood, fighting infections, and managing blood cells. Although the spleen is essential for immune function, certain conditions and injuries may require surgical intervention to remove or repair the spleen. Spleen surgery, or splenectomy, can significantly improve a patient’s quality of life, especially when the organ’s dysfunction or damage leads to other health complications.
Common Conditions Requiring Spleen Surgery
There are several conditions and situations where spleen surgery may be necessary. Here are some of the most common reasons for surgical intervention:
1. Splenic Rupture
A ruptured spleen is often the result of trauma, such as a car accident or a severe fall. A ruptured spleen can cause internal bleeding and is a medical emergency. Surgery may be required to remove or repair the spleen, depending on the extent of the injury.
2. Splenomegaly (Enlarged Spleen)
Splenomegaly is a condition where the spleen becomes enlarged, often due to infections, liver disease, blood disorders, or certain cancers. An enlarged spleen may cause pain, fatigue, and an increased risk of rupture. If the spleen is severely enlarged and causes symptoms, a splenectomy may be recommended.
3. Hematologic Disorders
Certain blood disorders, such as idiopathic thrombocytopenic purpura (ITP), thalassemia, and hereditary spherocytosis, affect the function of the spleen. In some cases, removing the spleen can help manage these disorders by improving blood cell counts or reducing symptoms.
4. Spleen Cysts and Tumors
Although rare, cysts and tumors can develop in the spleen. These growths may be benign or malignant, and large or symptomatic cysts or tumors may require surgical removal. A partial splenectomy may be performed if only a part of the spleen is affected.
5. Sickle Cell Disease
In patients with sickle cell disease, the spleen may become damaged over time due to the abnormal shape of red blood cells. This can lead to a condition known as autosplenectomy, where the spleen shrinks and loses function. In some cases, surgical removal of the damaged spleen may be necessary to prevent further complications.
Types of Spleen Surgery
The type of surgery performed on the spleen depends on the underlying condition and the extent of damage. Here are the primary types of splenic surgery:
- Splenectomy: A splenectomy is the complete removal of the spleen. It is commonly performed in cases of trauma, certain blood disorders, and when the spleen is severely enlarged or damaged. After a splenectomy, the body can still function without the spleen, but patients may need vaccinations and preventive measures to reduce the risk of infections.
- Partial Splenectomy: In some cases, only part of the spleen is removed, allowing the patient to retain some splenic function. This is often considered for patients with localized cysts, tumors, or partial trauma. A partial splenectomy preserves some immune function and reduces the risk of infection.
- Splenic Artery Embolization: Splenic artery embolization is a less invasive procedure that involves blocking the blood supply to the spleen, causing part of it to shrink. This technique can be used to treat splenic trauma or reduce spleen size in certain hematologic conditions, and may be performed as an alternative to full splenectomy.
- Laparoscopic Splenectomy: Laparoscopic splenectomy is a minimally invasive technique used to remove the spleen through small incisions. Using a laparoscope (a thin tube with a camera) and specialized instruments, the surgeon can perform the splenectomy with minimal trauma to surrounding tissues. Laparoscopic splenectomy is often preferred due to its faster recovery time and reduced post-operative pain.
Benefits of Minimally Invasive Spleen Surgery
When possible, minimally invasive spleen surgery, such as laparoscopic splenectomy, is preferred over traditional open surgery. Minimally invasive surgery offers several benefits:
- Reduced Pain: Smaller incisions mean less trauma to the body, leading to less post-operative pain.
- Faster Recovery: Patients who undergo laparoscopic procedures often experience a quicker recovery and shorter hospital stay.
- Lower Risk of Infection: The risk of infection is reduced due to smaller incisions and less tissue disruption.
- Minimal Scarring: Small incisions result in less visible scarring, which can improve physical and psychological recovery.
Recovery and Post-Operative Care
Recovery from spleen surgery depends on the type of procedure performed and the individual’s overall health. Here’s what patients can generally expect during the recovery period:
- Hospital Stay: After a laparoscopic splenectomy, most patients can go home within a few days. However, open surgery may require a longer hospital stay for observation and pain management.
- Pain Management: Pain is common after spleen surgery, especially with open procedures. Pain management techniques include prescribed medications and following post-operative care instructions.
- Physical Activity: Light physical activity, such as walking, is encouraged after surgery to prevent blood clots and improve circulation. However, strenuous activities and heavy lifting should be avoided for several weeks to prevent complications.
- Risk of Infection: Since the spleen plays an important role in the immune system, patients who undergo a splenectomy have a higher risk of infection. It’s essential for these patients to receive vaccinations and may require preventive antibiotics.
- Dietary Adjustments: There are usually no specific dietary restrictions after spleen surgery, but following a balanced diet can support healing and recovery.
Improving Quality of Life through Spleen Surgery
For many patients with chronic spleen-related conditions, surgery can significantly improve quality of life. Removing or partially removing the spleen can help alleviate symptoms, prevent future health risks, and allow patients to resume their daily activities without discomfort. Patients with hematologic disorders, for example, may experience more stable blood cell counts and reduced symptoms after a splenectomy.
While living without a spleen requires some lifestyle adjustments and preventive health measures, the overall impact on daily life can be positive. Many patients experience long-term relief from symptoms and complications, leading to improved physical and mental well-being.
When to Consider Spleen Surgery
If you have a splenic condition that affects your quality of life or poses a health risk, spleen surgery may be an appropriate option. Consulting with an experienced general surgeon who specializes in splenic conditions can help you understand the benefits, risks, and expected outcomes of surgery. Early intervention can often prevent complications and lead to better outcomes.
For those seeking expert splenic surgery in Manhattan, the team at Lenox Hill Minimally Invasive Surgery provides compassionate, specialized care for a wide range of splenic conditions. Contact us today to schedule a consultation and learn more about the advanced surgical options available to help you achieve optimal health.
Contact Information
LENOX HILL MINIMALLY INVASIVE SURGERY PLLC
117 E 77th Street
New York, NY 10075
646-846-1136
admin@lenoxmis.com
Visit our website for more information: https://lenoxhillminimallyinvasivesurgery.com/
General Surgery For Gastrointestinal Conditions
In this guide, we’ll explore common gastrointestinal conditions that may require surgery, the types of surgeries used to treat them, and the positive impact these procedures can have on patients’ lives.
Gastrointestinal (GI) conditions encompass a wide range of disorders that affect the digestive system, including the stomach, intestines, liver, gallbladder, and pancreas. For many people, these conditions can cause significant discomfort, nutritional deficiencies, and impact overall quality of life. While some gastrointestinal conditions can be managed through lifestyle changes, medications, and other non-surgical treatments, surgery may be the most effective solution in certain cases, especially when conservative treatments have failed to provide relief.
Common Gastrointestinal Conditions Treated with Surgery
There are various GI conditions for which surgery can be a highly effective treatment. Below are some of the most common gastrointestinal disorders that may require surgical management:
1. Gastroesophageal Reflux Disease (GERD)
GERD is a chronic condition where stomach acid frequently flows back into the esophagus, causing discomfort, heartburn, and potential damage to the esophageal lining. For severe cases of GERD that don’t respond to medication and lifestyle changes, a procedure known as fundoplication may be recommended. In this procedure, the top of the stomach is wrapped around the lower esophagus to prevent acid reflux.
2. Gallbladder Disease
Gallbladder disease, particularly gallstones, can lead to severe pain and inflammation. Gallstones can block the bile ducts, causing cholecystitis (inflammation of the gallbladder) and increasing the risk of infection. A cholecystectomy, or gallbladder removal surgery, is often the best treatment to prevent recurrent symptoms and complications from gallstones.
3. Diverticulitis
Diverticulitis occurs when small pouches (diverticula) in the colon become inflamed or infected. For patients with recurrent or severe diverticulitis, surgery may be necessary to remove the affected part of the colon and reduce the risk of future episodes.
4. Crohn’s Disease and Ulcerative Colitis
Crohn’s disease and ulcerative colitis are types of inflammatory bowel disease (IBD) that cause chronic inflammation in the digestive tract. In severe cases where medications are not effective, surgery may be required to remove the diseased sections of the intestines. Bowel resection and colectomy are common surgical procedures used to manage these conditions.
5. Colorectal Cancer
Colorectal cancer is a serious condition that requires prompt treatment. Surgery is often the primary treatment for localized colorectal cancer, with procedures like colon resection or colectomy performed to remove cancerous parts of the colon or rectum. Early detection and surgical intervention can improve outcomes and reduce the risk of cancer spreading.
6. Small Bowel Obstruction
A small bowel obstruction can occur due to adhesions, tumors, hernias, or other factors that block the passage of food and fluids through the intestines. When conservative treatments fail, surgery may be required to remove the blockage and restore normal function.
Surgical Procedures for Gastrointestinal Conditions
The type of surgical procedure recommended will depend on the specific gastrointestinal condition, its severity, and the patient’s overall health. Here are some of the most common GI surgeries:
- Fundoplication: A procedure primarily used to treat GERD, where the upper part of the stomach is wrapped around the esophagus to strengthen the lower esophageal sphincter and prevent acid reflux.
- Cholecystectomy: Gallbladder removal surgery used to treat gallbladder disease, especially in cases of recurrent gallstones or inflammation.
- Colectomy: A surgical procedure to remove all or part of the colon. It is often performed for conditions like diverticulitis, colorectal cancer, or severe inflammatory bowel disease.
- Resection with Anastomosis: In this procedure, the diseased part of the intestine is removed, and the healthy ends are reconnected, ensuring continuity of the digestive tract. This is common in cases of Crohn’s disease, colon cancer, and small bowel obstructions.
- Ostomy Creation: An ostomy is a surgically created opening in the abdomen to allow waste to exit the body, bypassing the affected area of the digestive tract. Ostomies, such as colostomies and ileostomies, are used when parts of the bowel need to be bypassed due to disease.
- Endoscopic Mucosal Resection (EMR): A minimally invasive procedure that removes abnormal or cancerous tissue from the lining of the digestive tract. It is often used for early-stage cancers or pre-cancerous lesions in the esophagus, stomach, or intestines.
Benefits of Minimally Invasive Surgery for GI Conditions
Advancements in surgical technology have led to the development of minimally invasive techniques, including laparoscopy and robotic-assisted surgery. These approaches allow surgeons to perform complex GI surgeries with smaller incisions and greater precision. Benefits of minimally invasive surgery include:
- Reduced Pain: Smaller incisions cause less trauma to the body, resulting in less post-operative pain.
- Faster Recovery: Patients typically experience shorter hospital stays and quicker return to daily activities.
- Lower Risk of Complications: Minimally invasive techniques reduce the risk of infection and other complications.
- Minimal Scarring: Small incisions lead to less visible scarring, which can improve physical and emotional recovery.
Recovery After Gastrointestinal Surgery
Recovery after gastrointestinal surgery depends on the specific procedure performed and the patient’s overall health. Here’s what most patients can expect during recovery:
- Hospital Stay: Minimally invasive procedures often require a shorter hospital stay, while more extensive surgeries may require longer observation and care.
- Dietary Adjustments: Patients may need to follow a special diet after surgery, starting with liquids and gradually progressing to solid foods. A nutritionist may provide guidance to ensure a balanced diet that supports healing.
- Pain Management: Post-operative pain is managed with prescribed medications, and patients are encouraged to follow their surgeon’s instructions for comfort.
- Physical Activity: Light physical activity, such as walking, is encouraged soon after surgery to promote circulation and prevent blood clots. However, heavy lifting and strenuous activities should be avoided until cleared by the surgeon.
- Follow-Up Care: Regular follow-up appointments are crucial to monitor healing, manage symptoms, and address any complications that may arise.
Improving Quality of Life through GI Surgery
For individuals suffering from chronic GI conditions, surgery can be transformative. Many patients experience significant improvements in their quality of life after successful surgical treatment. By addressing the root cause of pain, discomfort, and other symptoms, surgery can help restore normal digestion, reduce pain, and improve overall physical and mental well-being.
Some success stories include patients who have regained their ability to enjoy food, participate in physical activities, and lead a more comfortable life post-surgery. Early intervention and choosing a skilled surgical team are key to achieving the best possible outcomes.
General Surgery For Gastrointestinal Conditions: Conclusion
If you’re dealing with a gastrointestinal condition that doesn’t respond to medications or other treatments, surgery may be a viable option to improve your quality of life. Consulting with a general surgeon who specializes in GI conditions can help you understand the most effective treatment options based on your unique case and overall health.
For those in Manhattan seeking expert surgical solutions for gastrointestinal conditions, the team at Lenox Hill Minimally Invasive Surgery is here to provide comprehensive, patient-centered care. Contact us today to schedule a consultation and learn how advanced surgical techniques can help you regain control of your health and well-being.
Contact Information
LENOX HILL MINIMALLY INVASIVE SURGERY PLLC
Dr. Valery Dronsky
117 E 77th Street
New York, NY 10075
646-846-1136
dr.dronsky@lenoxmis.com
Visit our website for more information:
www.lenoxhillminimallyinvasivesurgery.com/