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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
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Tag Archives: Benefits
Gallbladder and Gallstone Surgery – NYC General Surgeon
Gallstone and Gallbladder Surgery: Steps, Benefits, Side-Effects, Precautions & Prognosis
Gallstone 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.
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).
- 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.
- 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.
- 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
As 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
- https://www.hon.ch/HONselect/Selection/E04.html
- https://www.healthline.com/health/gallbladder-removal-open#outlook
- https://www.healthline.com/health/gallbladder-removal-laparoscopic#follow–up
- https://www.uofmhealth.org/health-library/hw106860
- https://www.webmd.com/digestive-disorders/surgery-for-gallstones#1
- https://www.sages.org/publications/patient-information/patient-information-for-laparoscopic-gallbladder-removal-cholecystectomy-from-sages/
- https://www.everydayhealth.com/gallbladder/surgery-what-expect/
Laparoscopic appendectomy – NYC General Surgeon
Laparoscopic appendectomy: Steps, Benefits, Side-Effects, Precautions & Prognosis
The procedure of surgically removing the narrow, elongated tube attached to the colon-known as an appendix when it becomes diseased, inflamed or infected (appendicitis) is called appendectomy. It is normally carried out on an emergency basis as swollen appendicitis could burst if not excised, causing the clogged stool and bacteria to spread. It would eventually infect other gastrointestinal organs and lead to peritonitis-a life-threatening condition. A ruptured appendix could also create an abdominal abscess which is also a grave condition that could endanger your life.
Steps
Generally, two kinds of appendectomy are carried out to do away with appendicitis:
- The traditional ‘open appendectomy’
- Laparoscopic appendectomy (a more advanced form of surgery)
Open appendectomy is more suitable for patients whose appendices have split open and also for those who have undergone abdominal surgery before.
A laparoscopic appendectomy, on the other hand, involves accessing the appendix via three tiny incisions or openings made in the lower abdomen. A cannula filled with carbon dioxide (a slender and small tube) is inserted through the openings for inflating the abdomen following which a laparoscope is slotted in.
A high-resolution camera fixed at the head of the laparoscope transmits the image to a display screen. The displayed images will clearly show the precise location of the appendix which in turn will help the surgeon to channelize the surgical instruments for ligation (of the appendix) and excising it. Keyhole surgery usually resorts if the patient happens to be overweight and aged.
Benefits
The specific benefits of laparoscopic appendectomy vary from one patient to another, depending upon his or her condition. Nevertheless, the common benefits entail:
- Short stay in the hospital
- Reduced postoperative pain
- Faster restoration of normal bowel function
- Speedier return to a normal lifestyle
Side Effects
The associated risk factors or complications are more or less the same for both laparoscopic appendectomy and open appendectomy. Following are some common side effects:
- Bleeding from the operated site
- Seepage from the colonic edge, especially at the juncture from where it was ligatured and removed
- Clotting of the blood vessels in the deeper venous layer and the clots getting transported to the lungs causing pulmonary embolism which could turn fatal
- Increased likelihood of the urinary bladder, ureter, large and small intestines suffering injury
- Heightened risk of infection
Precautions
Once you’re through with the surgery, you’ll need to abide by the surgeon’s instructions to stay safe and secure. Your surgeon will generally list the following instructions and precautions:
- Walking from the day following the surgery to minimize chances of muscle soreness and blood clots
- Taking the prescribed medications on time and completing the medicine course
- Cleaning the incisions regularly to prevent infection risks
- Watching out for symptoms of infection diarrhea, abdominal cramps, and inflammation in the incisions and reporting the same to your physician immediately
Prognosis
Most patients convalesce from appendicitis within 4-5 weeks of the conduction of laparoscopic appendectomy. Nevertheless, a very slim chance of getting infected is always present.
Concluding Remarks
Laparoscopic appendectomy is generally resorted to when there is imminent risk of the inflamed appendix bursting open. The risks related to leaving appendicitis untreated are remarkably grave and could endanger the affected individual’s life. For complete information on laparoscopic appendix surgery of the appendix, you can contact our general surgeon and make an appointment with him for possible surgery.
References
- https://www.sages.org/publications/patient-information/patient-information-for-laparoscopic-appendectomy-from-sages/
- https://www.healthline.com/health/appendectomy#recovery
- https://www.hopkinsmedicine.org/healthlibrary/test_procedures/gastroenterology/appendectomy_92,P07686
- https://www.everydayhealth.com/appendicitis/guide/appendectomy/
- https://www.findatopdoc.com/Healthy-Living/Everything-You-Need-to-Know-About-an-Appendectomy
- https://www.cochrane.org/CD006437/COLOCA_determining-optimal-method-securely-closing-base-appendix-during-keyhole-surgery-after-removal
- https://www.healthpages.org/surgical-care/what-kind-surgeon/
- https://www.cochrane.org/CD006437/COLOCA_determining-optimal-method-securely-closing-base-appendix-during-keyhole-surgery-after-removal
Stomach Surgery: Gastric Bypass by NYC Top Surgeon
Stomach Surgery (Gastric Bypass): Steps, Benefits, Side-Effects, Precautions & Prognosis
Gastric bypass is a type of surgical process chiefly carried out for treating a series of lifestyle conditions like type 2 diabetes, hypertension, obesity, and sleep apnea. These conditions more often than not occur concomitantly. The surgery is performed using a laparoscope (an elongated & slim tube featuring a high-resolution camera with intense light at the top) that is popped inside a slit made in the belly.
The laparoscope allows the surgeon to view the entire abdomen to restructure the small intestine to enable food to bypass the duodenum. This rearrangement leads to the body absorbing and assimilating fewer nutrients and calories, thereby enabling you to shed excess flab as well as stay fit and trim in the long run.
Steps
Stomach surgery is conducted in two distinct manners namely, open surgery and laparoscopy or laparoscopic surgery. In open surgery, the surgeon uses a scalpel for cutting open the stomach while in laparoscopy numerous small cuts are made in the abdomen. The end objective of both the types of surgery is to clearly view the digestive organs and the gastrointestinal tract and carry out the operation effectively.
The bypass surgery involves two necessary steps:
1. The surgeon makes use of staples for sectioning the stomach into two halves: a larger bottom-half and a smaller upper half. The goal is to decrease the stomach’s size-the eventually reduced the volume of the upper section (known as pouch where the swallowed food will settle) will make you consume less, thereby letting you slim down.
2. The bypass surgery is performed in the 2nd step. The surgeon creates a notch in the pouch and links the jejunum (the initial part of the small intestine) with the opening. So, whatever you take will pass directly from the stomach’s upper pocket to the small intestine via this aperture, ultimately making you take in lesser calories.
On the whole, laparoscopy is preferred over general surgery as the former is less painful, involves shorter hospitalization and faster recuperation, and risks of infections are also lower.
Benefits
- The Roux-en-Y gastric bypass (the medical term for gastric surgery) results in considerable weight loss provided you fully abide by the instructions
- A good proportion of patients can maintain the postoperative bodyweight even 15-16 years after the surgery
- Optimal use of stored or available energy
- Feeling of fullness after taking a small meal and diminished appetite
Side effects
Like any other surgical procedure, gastric bypass is not without its complications and side effects. The following complications have been observed:
- Gastrointestinal/intra-abdominal hemorrhage
- Venous thromboembolism
- Increased risk of intra-abdominal infections like blisters and peritonitis
- Bowel obstruction
- A hernia
- Dumping of contents into the jejunum more frequently, especially when excessive foods or sugary foods are eaten
- Nutritional deficiencies (deficiency of calcium, iron, zinc, and folate as well as vitamins A, B1, and B12)
Precautions
There are certain precautions you’ll need to take once you’re released from the hospital following your surgery:
- Taking the prescribed medications on a regular basis
- Taking multivitamins, vitamin D, calcium, and vitamin B12 every day
- Taking balanced diets with limited consumption of calories
- Exercising daily for at least half an hour
- Remaining socially active
- Regular follow-up with the surgeon
Prognosis
Majority of individuals who opt for gastric surgery can lose 65% of their excess bodyweight. About 85% of those who undergo gastric bypass are successful in maintaining 50% of the excess weight they lost initially.
Concluding Remarks
Though gastric surgery is a practical solution for getting rid of inordinate bodyweight, the procedure can never be a panacea for obesity. If you wish to keep your weight under check post surgery and lead a fulfilling, healthy life, you’ll need to make lifestyle changes as well as heed dietary and exercise guidelines. To know more about stomach surgery as well as to fix an appointment with our bariatric surgeon, you can send us an email or contact us via phone.
References
- https://bariatric.surgery.ucsf.edu/conditions–procedures/laparoscopic-gastric-bypass.aspx
- https://medlineplus.gov/ency/article/007199.htm
- https://asmbs.org/patients/bariatric-surgery-procedures
- https://www.healthline.com/health/laparoscopy
- https://obesitynewstoday.com/gastric-bypass-success-rate/
- https://www.ucsfhealth.org/education/life_after_bariatric_surgery/
- https://www.acefitness.org/education-and-resources/lifestyle/blog/896/after-gastric-bypass-surgery-are-there-specific-exercise-precautions-i-should-take