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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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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 Surgeons, 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
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Tag Archives: Cushing’s Syndrome
Adrenal Surgery: Steps, Benefits, Side-Effects, Precautions & Prognosis
Adrenal Surgery
A pair of small glands, each weighing about four to six grams, located just above the kidneys in the rear of the abdomen is known as the adrenal glands. They secrete a number of hormones which are indispensable to sustaining the regular functions of the human body. Adrenal diseases typically manifest when a local tumor is formed, either benign or malignant, and/or an overactive adrenal gland making increased amounts of any of the adrenalin hormones.
The major adrenal disorders are (too much adrenalin) pheochromocytoma/paraganglioma, (too much cortisol) Cushing’s syndrome, and (too much aldosterone) primary hyperaldosteronism.
The two most followed methods for performing adrenalectomy or surgical removal of the adrenal gland/s are minimally invasive and open operation.
Steps
Doctors used to make a large half to one-foot-long incision in the back, flank, or abdomen to remove any tumor in the adrenal gland in the past. Presently, with the help of minimally invasive surgery, medically known as laparoscopic adrenalectomy or laparoscopically removing the adrenal gland, can be done by making three or four incisions that are as small as a quarter to half an inch.
- The surgery is done under general anesthesia to make the patient unconscious during the entire procedure.
- A narrow tube-shaped instrument called a cannula is put into the upper abdomen or flank right under the ribs of the patient.
- A tiny telescopic device known as a laparoscope connected to a highly sophisticated camera is passed through the cannula. It provides an enlarged view of the internal organs of the patient on a computer monitor.
- Other cannulas are also inserted to allow the doctor to carefully separate the affected adrenal gland/s from the tissues. The operated adrenal gland is placed in a tiny bag after being dissected free and then extracted through any of the incisions made. Removing the entire adrenal gland for safe removal of the tumor is almost always a dire necessity.
- The opened incisions are closed after the removal of the adrenal gland/s.
Note: The laparoscopic procedure cannot be done in a few patients, and open surgery is performed in such exceptional cases.
Benefits
Patients may be discharged one to two days after the surgery and could resume work faster than those recovering from open surgery. Outcomes of operation may vary and depends on the opted procedure and the overall condition of a patient. The most common benefits are as follows:
- Shorter hospital stay
- Less postoperative pain
- Improved cosmetic result
- Faster return to routine activity
- Reduced risk of wound separation or herniation
Complications
Research has observed that a surgeon’s experience is directly associated with the risk potential of any complications that could be caused by surgery of the human adrenal gland/s. As such surgeries are reasonably uncommon, it is crucial to find a doctor who specializes in operative procedures of this vital gland.
Precautions
Patients should not engage in vigorous activities and avoid heavy lifting (anything that weighs more than ten pounds) for a month typically to minimize the odds of developing a hernia at the incision site. They may take a shower two days after the operation, but should not bathe and swim for a week to avoid submerging the incision area in the water.
Prognosis
The overall time for recovery is variable and differs from case to case. After laparoscopic adrenalectomy is performed, a vast majority of the treated patients usually resume their routine activities after a fortnight or a month. The overall recovery holiday after open adrenalectomy is substantially slower and one to one-and-a-half month’s time is generally required for recuperation.
Conclusion
In order to do an adrenal surgery successfully, apart from the procedural skills, one also needs careful judgment as well as a sound understanding of anatomy, relevant hormone physiology, and radiology. There are many technical approaches for such operations and choosing the appropriate one needs proper knowledge of the past medical history of the patient, the anatomy of that particular patient and the lesion, and the surgeon’s skill set as well.
Contact us today to schedule an appointment or undergo a consultation from our experts.
References
Adrenal Gland Disorders: What are They?
The adrenal glands can be found at the top of the kidneys and their primary function is to deal with the release of various hormones. If these glands fail to generate enough of the hormone, or indeed if they produce too much, it can lead to problems. A number of different adrenal gland disorders can stem from this type of issue.
Some of the different types of adrenal gland disorder include Cushing’s Syndrome, Addison’s Disease, and Congenital Adrenal Hyperplasia. The hormones that are released by the adrenal glands are aimed at aiding a range of bodily functions including controlling metabolism, regulating salt and water levels, helping to deal with stress, and maintaining the body during pregnancy.
Signs and symptoms
The signs and symptoms of adrenal gland disorders can vary based on the type of disorder. For instance, with Cushing’s Syndrome the symptoms can include thin arms and legs but fat around the neck and face, raised blood pressure, depression and low mood, and weakness in the muscles or bones. With Addison’s Disease, the symptoms may include weakness and fatigue, loss of weight, nausea, dark patches on the skin, salt cravings, and dizziness. With pituitary tumors, some of the symptoms and signs may include headaches and vision problems, reduced libido, and male impotence. Each type of adrenal gland disorder has its own set of common signs and symptoms.
Likewise, the treatment for these disorders can vary based on the type of disorder you are suffering from. Commonly drugs are used to help control hormone production and for some types of condition you may need to take hormone replacement drugs. Medics will also look at what may be causing the problem, as it is important for the root problem to be addressed wherever possible. In some cases, surgery may be necessary – for instance, for the removal of tumors in the adrenal glands. Once a diagnosis has been made and the underlying cause of the issue has been determined, your doctor will then be able to discuss the treatment options with you more clearly.
Getting expert advice
If you think you may have an adrenal gland problem and you would like to get it checked out by an expert, you can get in touch with us to arrange an appointment with one of the best general surgeons in New York City. Simply call us today and we will be happy to schedule an appointment for you.