South Surgical Group
Dr. David Baer and Dr. James DeLine
GENERAL SURGERY PROCEDURES
The appendix is a small tubular structure coming off the cecum (1st portion of the colon) which is usually located in the right lower quadrant of the abdomen. The most common diagnosis is appendicitis (inflammation of the appendix). Appendectomy is the surgical removal of the appendix. This is often an urgent procedure requiring immediate removal of the inflamed organ. This procedure is done laparoscopically.
A hernia is a weakness or tear in the wall of the abdomen allowing soft tissue and/or intestines to protrude through the weakened area. Hernias can form in various locations. The type of hernia you have depends on its location. The most common type of hernias are Inguinal, Umbilical, Femoral, Incisional and Ventral. A hernia will not heal on its own, in most circumstances, surgery will be required to repair the defect in the abdominal wall. There are three main options to repair a hernia: Minimally Invasive Laparoscopic, the daVinci Platform and Open surgery. Your surgeon will discuss your options and educate you on the best approach to repair your hernia.
Laparoscopic/daVinci Cholecystectomy (gallbladder surgery):
The gallbladder is a small organ that stores and releases bile into the small intestines. The two most common diagnosis for gallbladder disease are cholelithiasis (gallstones) and biliary dyskinesia (malfunctioning of the gallbladder). Surgery to remove the gallbladder is often required to eliminate symptoms. Removal of the gallbladder is usually performed laparoscopically and can be offered as a single site (scarless) surgery using the daVinci Platform.
Melanoma: Is a cancer of the skin and is treated differently than other skin cancers. Surgical treatment may require what's known as a wide local excession with/without skin grafting. Also, a Sentinal Lymph Node Procedure is done for deeper cancers to determine if metastatic spread has occurred.
A pilonidal cyst is a fluid-filled sac in the skin that typically contains hair and skin debris. It is most commonly located at the top of the cleft of the buttock, near the tailbone. A pilonidal cystectomy is the surgical removal of the pilonidal cyst or cyst extending from the sinus. This is an outpatient procedure under general anesthesia.
A surgical excision to removes cysts, lipomas and other skin tumors from the body. These are outpatient procedures often done under local anesthetic.
The spleen is a blood filled organ, next to the stomach in the left upper abdomen. It stores blood cells and helps fight infection by filtering the blood. Some conditions that may require removal of the spleen include: a ruptured spleen or trauma to the spleen, splenomegaly (enlarged spleen), benign cysts or tumors, types of leukemia or lymphoma, certain blood disorders and certain cancers. It is most commonly removed laparoscopically or by daVinci Platform.
The adrenal glands are small, triangular shaped glands located above each kidney. They are endocrine glands that secrete hormones to help regulate blood pressure, blood sugar levels, and metabolism. Common diagnosis include nonfunctional and functional tumors within the gland. These tumors are typically benign and include pheochromocytomas, aldosterone-producing tumors and cortisol-producing tumors. Surgical treatment is most often performed laparoscopically or by the daVinci Platform.
The parathyroid glands are four tiny glands in the neck that control the body's calcium levels. The most common diagnosis is hyperparathyroidism due to one or multiple dysfunctional glands. Treatment often requires surgical intervention to remove one or more of the parathyroid glands.
Partial & Total Thyroidectomy:
The thyroid is a butterfly-shaped gland in your neck that secretes several hormones. Common diagnosis of the thyroid include hypothyroidism, hyperthyroidism, nodules (benign and cancerous) and goiters (enlarged gland). Surgical intervention is required to treat some diseases of the thyroid in which part or all of the thyroid gland is removed through an incision at the neck.
A colectomy is the surgical removal of all or part of your colon. The colon (large bowel/large intestine) is a muscular tube that forms the last part of the digestive tract. The rectum makes up the last 6 inches of the colon. The most common indications for a colectomy includes polyps, diverticulitis, Crohn's disease, ulcerative colitis, volvulus and cancer. There are various types of surgery depending on the location of the colon problem. They are traditionally performed laparoscopically or the with the daVinci.
With a small bowel obstruction, surgery is almost always needed when the intestine is completely blocked or when the blood supply is cut off. You may need a colostomy or an ileostomy after surgery if the bowel is significantly compromised. The diseased part of the intestine is removed, and the remaining part is sewn to an opening in the skin. Stool passes out of the body through the opening and collects in a disposable ostomy bag. In some cases, the colostomy or ileostomy is temporary until you have recovered. When you are better, the ends of the intestine are reattached and the ostomy is repaired.
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A mastectomy refers to the surgical removal of the entire breast. This is primarily used for treatment of breast cancer, but in some cases, it's a preventative treatment option for people with high risk. There are various treatment options including preventative prophylactic mastectomy, partial mastectomy and modified radical mastectomy. Your surgeon will help decide your best surgical option.