General Surgery
 
 


Abdominal Surgery

 

Surgery of the abdomen and its contents is at the core of general surgical practice. Surgical treatment of the esophagus, stomach, small intestine, colon, rectum, spleen, gallbladder, liver, bile ducts, pancreas, adrenal glands and aorta are all in the scope of their expertise. Diseases of these organs requiring surgical treatment are many, but are usually due to pain, bleeding, infection, blockage, injury or cancer.

Please follow these links to WebMD information: Bowel ObstructionDiverticulitis; Appendicitis; Gallstones; Crohn's disease

 

Breast Disease

 

Breast disease, especially breast cancer, is a common problem.  Mammograms and breast ultrasound are being used more frequently to detect abnormalities. The goal is to provide early and accurate diagnosis, followed by a clear treatment plan that the surgeon can monitor and control, ensuring the highest quality care for patients.

In the case of breast cancer, your care will be coordinated with other physicians to help direct your treatment. Referrals will be provided to cancer physicians (oncologists) and radiation doctors when appropriate. Efforts may be combined with plastic surgeons when breast reconstruction is part of the treatment plan. 


Related Links:
Breast Cancer,  Breast Pain ; Mastitis; Fibrocystic Disease; Mammography; Breast self-exam

 

Colorectal Surgery

 

This is another large segment of the surgical  practice. Colorectal disorders which require surgical treatment include colon cancer and polyps, colonic bleeding, diverticular disease, volvulus (twisting) of the colon, ischemic (gangrenous) colitis, inflammatory bowel disease (Crohn's and Ulcerative Colitis), hemorrhoids, perianal abscess and fistula, anal fissure, rectal prolapse and others. Sometimes the problem may be successfully treated non-surgically. It is common to work with a gastroenterologist (intestinal doctor) in treating these diseases.

Related Links:
Ulcerative Colitis;     Crohn's Disease;   Crohn's DiseasePilonidal Cyst;  Anal Fissure; Hemorrhoids;           Fistula-in-ano

 

Endocrine (Gland) Surgery

 

Endocrine glands include the thyroid, parathyroid, pancreas and adrenal. These organs produce hormones which have important effects in regulating body functions. Surgical treatment of these glands may be for cancer or because a gland is producing too much of a certain hormone.


Related Links: Thyroid; Parathyroid; Adrenal

 

Endoscopy Surgery

 

Endoscopy is the practice of using a flexible lighted camera to enter the intestinal tract from above (to look at the esophagus, stomach and small intestine) and below (to look at the colon and rectum).  These procedures may be used to investigate abdominal pain or bleeding, examine for ulcers and esophageal reflux, check for and remove polyps, or to discover and biopsy cancers.

The procedures are usually done with sedation but do not require full anesthesia. All the area hospitals have their own endoscopy areas, which adds to your convenience.

A hernia is a separation or opening in the abdominal wall muscles which is not supposed to be there. This is an extremely common condition. The hernia may exist in many different locations, but most are in the groin (inguinal or femoral), under the belly-button (umbilical) or arising through an old incision (ventral or incisional). Hernias cause pain and can be disabling. In addition, intestine can sometimes become trapped within the hernia which can be a surgical emergency.

Hernias may be fixed in many different ways. Sometimes a laparoscopic approach works well, and sometimes the traditional ways are more appropriate.

Sometimes mesh (plastic) is used to provide strength and reinforcement to the repair. Hernias are a problem that we see often, and are expert at fixing.

Related Links: Inguinal Hernia (or groin hernia);     Umbilical Hernia (or belly-button hernia);   Incisional Hernia;      Hiatal Hernia

Colorectal Surgery

 

Colorectal disorders which require surgical treatment include colon cancer and polyps, diverticular disease, volvulus (twisting) of the colon, ischemic (gangrenous) colitis, inflammatory bowel disease (Chrohn's and Ulcerative colitis), perianal abcess and fistula, anal fissure, rectal prolpse, and others. Sometimes the problem may be successfully treated non-surgically. It is work best to work with a gastroenterologist (intestinal doctor) in treating these disorders.


Related Links: Endoscopy; Colonoscopy; Colon Polyps; Colorectal Cancer Screening; Esophageal Reflux or GERD;

Hiatal HerniaHelicobacter pylori

 

Minimal Access - Laparoscopic Surgery

 

Laparoscopic surgery allows the surgeon to perform a procedure using small incisions, visualizing the site through a small telescope-like instrument: the laparoscope. The benefit to the patient is that smaller incisions heal with less discomfort. This usually results in a shorter hospital stay, and less time away from normal activities.

Physicians often perform laparoscopic surgery for:: Appendix, Esophagus, Gallbladder surgery, Hernias (groin and abdominal wall), Liver, Pancreas, Small intestine, Stomach, Surgery to relieve reflux (heartburn) disease, Surgery of the Spleen and Adrenal glands

Some of these procedures may be performed on an outpatient basis (hernias, gallbladders)

Related Links: Laparoscopic gallbladder;   Laparoscopic hernia repair

 

Skin Disease

 

Skin cancers such as melanoma, squamous cell carcinoma and basal cell carcinoma are common problems, particularly in older people. The latter two can usually be dealt with by surgical excision alone. Melanoma is a more serious skin cancer which can be fatal if not removed in the early stages. Moles which have very dark pigmentation, are growing, bleeding or changing should be examined and excised.

We also treat all sorts of "lumps and bumps", usually in the office under local anesthesia. Lipomas (fatty tumors) and cysts are extremely common skin disorders curable by excision. Chronic skin infections may also sometimes be treated surgically (hidradenitis suppurativa). Rare, severe skin infections with dead tissue are treated by radical operations with subsequent skin grafting (necrotizing fasciitis).

Related Links: Skin Cancer; Melanoma; Hidradenitis suppurativa; Sebaceous cyst

 

Trauma

 

Our surgeon provides trauma care on a 24-hour basis for Memorial Medical Center. He is trained in emergency care of accident victims including emergency surgery for life threatening chest and abdominal trauma. He will direct and coordinate the care of all severely injured patients in the initial stage of resuscitation, and often throughout the hospitalization. This may include car and motorcycle accidents, falls, gunshot and stab wounds, burns, assault and occupational injuries.

 

Vascular and Wound Care

 

Vascular surgery is the practice of treating diseases of the circulatory system – arteries and veins. Treatment may or may not include surgery. Sometimes a minimally invasive procedure can be done. Types of procedures typically performed are bypass surgery for blocked arteries, repair of aneurysms (dilated arteries), removal or chemical treatment of varicose veins, and others.

In addition, treatment of wounds and skin infections is a large part of the practice. These may include diabetic ulcers, gangrene, venous ulcers, and wounds from injuries. In addition to expertise in dressing care, we may provide surgical treatment such as debridement (cleaning), skin grafting, arterial bypass or amputation.

Related Links:Abdominal Aortic Aneurysm; Peripheral Arterial Disease;  Diabetic Ulcers; Venous Ulcers; Amputation;
AV Fistula