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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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Appendicitis is one of the most common factors responsible for abdominal pain, which can lead to surgery. More than 5 percent of people in the US experience appendicitis at some point. However, the pain most often occurs in people aged between 10 and 30.
Appendicitis is the inflammation of a 3.5-inch long appendix tube that protrudes from the large intestine. The condition calls for an immediate treatment, most probably surgery to remove the appendix.
Leaving an inflamed appendix untreated will cause the tube to burst. Thus, the inflamed appendix may start spilling infectious bacteria into the abdominal cavity. And, it may prove fatal sometimes.
Usually, the first sign of appendicitis is a sudden pain that begins in the upper abdomen and radiates to the lower right portion of the abdomen. The pain may become excruciating when you cough or walk.
The inflamed appendix may cause you to lose appetite, or you may feel nausea or vomiting as soon as the pain begins. Abdominal bloating and low-grade fever, usually 99 – 102 Fahrenheit, may also serve as signs of the inflammation of appendix.
The other symptoms of appendicitis include severe cramps, dull or sharp pain in the back, rectum, or the lower or upper abdomen.
While the root cause of appendicitis remains unknown in most of the cases, doctors believe that inflammation occurs when the appendix is blocked. The obstruction in the lining may occur due to hardened stool, intestinal worms, enlarged lymphoid follicles or cancer.
The blockage in the appendix results in an infection, which may multiply the bacteria. Thus, it leads to the swelling and formation of pus in the appendix, thereby causing inflammation. You may also feel severe pain in the abdominal region, and if not treated timely, the appendix may rupture.
The symptoms of appendicitis are often confused with that of the gallbladder diseases, bladder or urine infection, intestinal infection, gastritis, and ovary problems. This makes the diagnosis of appendicitis tricky. Your doctor may conduct these tests for diagnosing the inflammation in the appendix.
The standard treatment for all appendicitis is appendectomy, i.e., the removal of appendicitis. The doctor may either perform open surgery or a laparoscopic surgery depending on the severity of the problem.
During the open surgery, the doctor makes an incision, which is usually 2 to 4 inches long. Doctors perform this type of surgery when the appendix has ruptured, and an excess abscess or puss has formed around it. Thus, the doctor drains the fluid and cleans the abdominal cavity.
Once the infection is under control, the doctor may perform minimally invasive or laparoscopic surgery. The surgeon will use some incisions to insert surgical instruments and a video camera into the abdominal region to remove the appendix.
Do not neglect the pain that you experience in your abdomen. It may be a sign of an inflamed appendix. If you do not go for a treatment promptly, it may cause your appendix to rupture. Contact Lenox Hill Surgeons in NYC today and book an appointment with the experts of minimally invasive surgery.
The pancreas being a key organ of the endocrine and digestive systems of the body is indispensable for the smooth functioning of the human body. Hence, a diseased condition of the pancreas, like a tumor, abscess or malignancy that causes pancreatitis and makes the dysfunctional organ calls for pancreatic surgery. There are different methods, or kinds of pancreas surgery and the type that a patient will have to opt for will depend upon whether his or her pancreatitis is chronic or acute.
More often than not, the condition or syndrome can be treated and managed without going for invasive intervention or surgery. Nevertheless, if an infection or degeneration of the pancreatic tissues becomes longstanding and acute, surgery is the only treatment option.
The most common pancreatic surgery procedures include minimally invasive pancreatic resection, spleen-preserving pancreatectomy, ‘The Whipple’, and Enucleation of pancreatic tumor.’ Minimally invasive pancreatic resection surgery is conducted laparoscopically giving the interventional radiologist or gastroenterologist good access to the abdomen via tiny keyhole notches. This surgical method is appropriate for patients having pancreatic cysts.
Spleen-preserving pancreatectomy is conducted laparoscopically where the pancreas is excised, but the spleen is kept intact for preserving its immunological functionality as well as minimize the risks of complications and infections in the future. The traditional pancreatectomy method entails the removal of the spleen along with the metastatic pancreas for reversing the spread of cancer. Nevertheless, if the surgery is carried out for a benign condition like pancreatic tumor or cyst, then spleen resection is not necessary.
Enucleation process is appropriate for dealing with benign or non-cancerous tumors where these are scraped out carefully instead of expurgating a large pancreatic section.
‘The Whipple’ surgery or ‘pancreaticoduodenectomy’ is the go-to procedure for treating pancreatic cancer and also for dealing with complications or abscesses related to the bile duct, intestine, and pancreas. The surgery where the top of the pancreas, bile duct, gallbladder, and duodenum are removed can be extremely complex and demanding, fraught with risks.
If the surgery is for treating pancreatitis or tumors, then opting for laparoscopic surgery is the best option. In such a case, recuperation is faster necessitating a shorter hospital stay. However, if the surgery is for pancreatic cancer, then the operation lasts for several hours and the patient may have to be in the hospice for at least a week.
Complete recovery might take many weeks and even months. Benefits of going for a major pancreatic surgery are:-
Pancreatic surgeries for dealing with cancer tend to be extremely complicated, and it is no wonder that such operations have a very high mortality rate. Nearly 50% of the patients report grave complications and about 2%-4% expire. The most common risks include:-
Fully recuperating from a complex pancreas surgery takes time and the convalescing process could be exhausting, especially for older patients. You’ll be required to report to your surgeon 1-2 times in a month following your recovery. The doctor will evaluate your progress and may recommend CT or MRI scans, and blood tests to ensure that there is no recurrence of cancerous tumors or lesions.
Dietary and lifestyle changes to have to be made to maintain overall health and also to reduce the risks of relapse.
Pancreatic cancer and all other serious complications of the pancreas are, by and large, regarded as untreatable and hence incurable. Nevertheless, the mortality rates related to pancreatic cancer (post surgery) have steadily declined over the decades.
Living without a pancreas can be a challenge for any individual. If you’re diagnosed with a tumor or inflammation of your pancreas, you can continue to live an almost normal life, provided you opt for an appropriate treatment plan and abide by our physician’s guidelines. If you’ve cancer, then surgical removal of the pancreas is the only option. However, you’ll have to keep your fingers crossed on whether cancer will recur or not.
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.
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.
Like any other surgical procedure, gastric bypass is not without its complications and side effects. The following complications have been observed:
There are certain precautions you’ll need to take once you’re released from the hospital following your surgery:
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.
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.
Here are some brief descriptions about the different types of general surgery we perform:
This is a relatively new specialty dealing with minimal access techniques using cameras and small instruments inserted through 0.3 to 1 cm incisions. Robotic surgery is now evolving from this concept (see below). Gallbladders, appendices, and colons can all be removed with this technique. Hernias are now repaired mostly laparoscopically. Most bariatric surgery is performed laparoscopically. General surgeons that are trained today are expected to be proficient in laparoscopic procedures.
General surgeons treat a wide variety of major and minor colon and rectal diseases including inflammatory bowel diseases (such as ulcerative colitis or Crohn’s disease), diverticulitis, colon and rectal cancer, gastrointestinal bleeding and hemorrhoids.
General surgeons are trained to remove all or part of the thyroid and parathyroid glands in the neck and the adrenal glands just above each kidney in the abdomen. In many communities, they are the only surgeon trained to do this. In communities that have a number of subspecialists, other subspecialty surgeons may assume responsibility for these procedures.
Surgical oncologist refers to a general surgical oncologist (a specialty of a general surgeon), but thoracic surgical oncologists, gynecologist and so forth can all be considered surgeons who specialize in treating cancer patients. The importance of training surgeons who sub-specialize in cancer surgery lies in evidence, supported by a number of clinical trials, that outcomes in surgical cancer care are positively associated to surgeon volume—i.e., the more cancer cases a surgeon treats, the more proficient he or she becomes, and his or her patients experience improved survival rates as a result. This is another controversial point, but it is generally accepted—even as common sense—that a surgeon who performs a given operation more often, will achieve superior results when compared with a surgeon who rarely performs the same procedure. This is particularly true of complex cancer resections such as pancreaticoduodenectomy for pancreatic cancer, and gastrectomy with extended (D2) lymphadenectomy for gastric cancer. Surgical oncology is generally a 2 year fellowship following completion of a general surgery residency (5-7 years).