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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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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.
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Blog Posts are Below:
Tag Archives: Laparoscopic appendectomy
Surgery For The Appendix
Appendix Surgery or Appendectomy involves the removal of appendix after the occurrence of appendicitis. Let’s find out about when you need an appendix surgery, what the procedure involves, and where to get best surgeons for appendectomy.
Why do People Get an Appendix Surgery?
Appendicitis is a serious medical condition that requires an appendix surgery. It occurs due to the infection in the appendix because of growing bacteria or clogging of the stool in the appendix. The infection causes inflammation and severe pain that is only treatable with the removal of the appendix. In the case of an accident or serious injury that causes the trauma and appendicitis, appendectomy is the only surgical option available. Peritonitis is a serious condition resulting from the inflammation of the appendix and can cause the appendix to rupture.
Procedure for Appendix Surgery
First, the surgeon will administer the patient with certain antibiotics to prevent the overgrowth of bacteria. The dose of antibiotics will depend upon the degree of the damage. In the case of sepsis, the patient would have a single dose of injectable antibiotic. If the appendix has ruptured already, the surgery will start without administering the antibiotics.
The patient will undergo general anesthesia before the surgery. For the surgery, there are two common methods; open surgery and laparoscopic surgery.
Open Surgery for the Appendix Removal
The surgeon will sterilize the skin with a germ-killing solution first. In rare cases, the surgeons do need to shave the skin in the appendix area. The surgeon will then cut the skin deeply (2-3 inches) to open the portion of lower abdomen to expose the appendix. If there is some mass growing on the appendix, the surgeon will make incisions on the mass as well.
Beneath the skin, the surgeon will make incision through the layer of protective tissues and abdominal walls to reach the appendix. Once the surgeon identifies the location of the appendix, he/she will carefully cut the appendix and remove it out of the patient’s body. After that, the surgeon will stitch the peritoneum layer, which he/she had previously ruptured for the removal of the appendix. The surgeon will stitch the skin of the lower abdomen.
Minimal Invasive Laparoscopy
Laparoscopy is the recent trend in surgical procedures, which involves cutting certain a part of an organ or removing if entirely. This process involves making three small incisions (of ¼ or ½ inches) to expose and remove the appendix instead of opening a larger portion of the stomach or lower abdomen. This surgery also uses a small camera or laparoscope, which is a mini tv-like monitor to show the appendix and the surgery procedure in an enlarged view. To remove the appendix laparoscopically, our surgeons have special instruments that can easily perform the surgery without any deep incisions.
Advantages of Laparoscopic Appendectomy
Laparoscopic appendectomy has several benefits over the open surgery appendectomy.
- The surgeon will make only a few stitches on the patient’s body. This means the post-operative pain significantly reduces in this procedure as compared to an open surgery.
- The recovery is also quicker.
- The patient achieves the normal functioning of the bowel quickly.
- The hospital stay is lesser for laparoscopic surgery.
- Laparoscopic surgery gives better cosmetic results. The stitch marks do not look horrible.
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Are you having problems with your appendix? Call us at 212-988-1136 to book an appointment. We have NYC’s best surgeons for laparoscopic appendix surgery. For more information visit our main website.
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