Advanced Laparoscopic & General Surgery of Nevada

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General Surgery

Colon Cancer Surgery

Adrenal gland Removal


The procedure of removal of an adrenal gland is called an adrenalectomy. There are two adrenal glands in the body on the right and left sides. The adrenal gland may be removed on one side or both sides at the time of surgery depending on the nature of disease.

 

Amputation


Amputation is the removal of a body extremity by trauma, prolonged constriction, or surgery. As a surgical measure, it is used to control pain or a disease process in the affected limb, such as malignancy or gangrene

 

Debridement of Skin Wounds and Ulcers


Debridement is the removal of dead, damaged, or infected tissue that would otherwise impair the healing of a wound.

 

Diagnostic laparoscopy

 

Diagnostic laparoscopy is a procedure that allows a health care provider to look directly at the contents of a patient's abdomen or pelvis.

 

Epigastric Hernia Repair


Epigastric Hernia surgery is typically performed using general anesthesia and can be done on an inpatient or outpatient basis. Special care should be taken to adequately prepare children for the surgery. Surgery is performed by a pediatric general surgeon or a pediatric colon-rectal specialist.

 

Excision of Foreign Body


Successful removal of foreign bodies of the pinna requires appropriate analgesia using local anesthesia or procedural sedation. Local infection and perichondritis frequently complicate these foreign bodies.

 

Excision of Ganglion Cyst


A ganglion cyst is a fluid-filled swelling that develops near a joint or a tendon. The cyst can range from the size of a pea to the size of a golf ball.

 

Excision of Lipoma


Lipoma is a growth of a lump or mass on the skin which is made up of fat cells. Sometimes this lump is misidentified by others as something malignant but in fact it’s a benign, noncancerous, slow-growing tumor.

The surgical removal of a lipoma is done by cutting whole the mass. Once removed, the possibility of recurrence is ruled out. But certain criterion is also followed before surgical intervention is done. When the patient is continuously feeling pain on the lipoma site or tenderness is not easily relieved, the doctor would suggest removal. Once infection or inflammation has developed in the area, this procedure is done. A foul-smelling discharge shall be removed during the surgery. And once the lipoma or lipomas are becoming a hindrance to day to day living, and has become unsightly and is continuing to grow in size, the doctor would consider the surgical removal of its growth.

 

Excision of Pilonidal Cyst


A pilonidal cyst occurs at the bottom of the tailbone (coccyx) and can become infected and filled with pus. Once infected, the technical term is pilonidal abscess. Pilonidal abscesses look like a large pimple at the bottom of the tailbone, just above the crack of the buttocks. It is more common in men than in women. It usually happens in young people up into the fourth decade of life.

 

Excision of Sebacceous Cyst


A surgical excision of a sebaceous cyst is a simple procedure to completely remove the sac and its contents.

 

Excision of Skin Lesion


This is the removal of an abnormal growth on the skin, called a lesion, for medical or cosmetic reasons. Skin lesions can include wartsmoles, cancers, and skin tags.

 

Feeding Tube (G- Tube) Placement

 

A tube which is place in the stomach and is used for delivering food and medicines to patients who cannot take it by mouth.

 

 

Femoral Hernia Repair


Femoral hernia repair is surgery to repair a hernia near the groin or upper thigh. A femoral hernia is tissue that bulges out of a weak spot in the groin. Usually this tissue is part of the intestine.

During surgery to repair the hernia, the tissue is pushed back in. The weakened area is sewn closed or strengthened. This repair can be done with open or laparoscopic surgery.

 

Gastrostomy Tube Placement

 

A gastrostomy feeding tube insertion is the placement of a feeding tube through the skin and the stomach wall, directly into the stomach.

 

Hemorrhoidectomy


Hemorrhoidectomy is surgery to remove hemorrhoids.


Perm Catheter Placement


Permacaths allow for a patient who needs kidney dialysis to avoid multiple catheter insertions. It can also be used to administer caustic medication such as chemotherapy that cause injury to veins.





 

Perm Catheter Removal


Permcath removal Is the removal of a perm catheter. 



Hydrocelectomy


Hydrocelectomy, also known as hydrocele repair, is a surgical procedure performed to correct a hydrocele. A hydrocele is an accumulation of peritoneal fluid in a membrane called the tunica vaginalis, which covers the front and sides of the male testes. Hydroceles occur because of defective absorption of tissue fluid or irritation of the membrane leading to overproduction of fluid. In addition to filling the tunic vaginalis, the fluid may also fill a portion of the spermatic duct (epididymis) in the scrotum.

 

Incision and Drainage of Abscess


Abscesses are localized infections of tissue marked by a collection of pus surrounded by inflamed tissue. Abscesses may be found in any area of the body, but most abscesses presenting for urgent attention are found on the extremities, buttocks, breast, perianal area, or from a hair follicle. Abscesses begin when the normal skin barrier is breached, and microorganisms invade the underlying tissues. 

 

Incisional Hernia Repair

 

Incisional hernia repair is a surgical procedure performed to correct an incisional hernia. An incisional hernia, also called a ventral hernia, is a bulge or protrusion that occurs near or directly along a prior abdominal surgical incision. The surgical repair procedure is also known as incisional or ventral herniorrhaphy.

 

Inguinal Hernia Repair

 

Inguinal hernia repair is surgery to repair a hernia in the abdominal wall of your groin. A hernia is tissue that bulges out of a weak spot in the abdominal wall. Your intestines may bulge out through this weakened area.

During hernia repair, this bulging tissue is pushed back in. Your abdominal wall is strengthened and supported with sutures (stitches), and sometimes mesh.

 

Mediport Placement


Mediport catheter is a tube that is inserted in the body to connect a port, which is a small medical appliance that is installed underneath the skin to a vein. They are normally installed in the upper chest below the collar bone to aid in administering of drugs and body fluids.

 

Paraesophageal Hernia Repair


Paraesophageal Hernias can successfully and safely be repaired laparoscopically (with about 5 very small incisions) and through the abdomen (rather than the chest cavity). The laparoscopic repair of large paraesophageal hernias (most of the stomach resides above the diaphragm in the chest cavity) is a complex procedure and should only be attempted by expert laparoscopic surgeons with extensive experience in laparoscopic foregut surgery. 

 


Roux-en-y Gastric Bypass

 

Gastric bypass surgery makes the stomach smaller and causes food to bypass part of the small intestine. You will feel full more quickly than when your stomach was its original size. This reduces the amount of food you can eat at one time. Bypassing part of the intestine reduces how much food and nutrients are absorbed. This leads to weight loss.

 

Skin Grafts


Skin grafting is a type of graft surgery involving the transplantation of skin. The transplanted tissue is called a skin graft.

 

Sphincterotomy

 

Sphincterotomy involves stretching or cutting the internal sphincter, the muscle that restricts and relaxes when stool passes from the body. Cutting the muscle prevents spasm and temporarily weakens the muscles, and this in turn helps the area to heal. The surgeon removes the fissure and any underlying scar tissue.

The surgery can be performed under local anesthesia, which involves injecting the immediate area with a numbing agent similar to that used at the dentist's office, or spinal anesthesia, which numbs the entire lower body.

 

Umbilical Hernia Repair

 

Umbilical hernia can also be repaired using a laparoscope, a thin, lighted tube that lets the doctor see inside your belly. The laparoscope will be inserted through one of the cuts and instruments will be inserted through the other cuts.

 

Ventral Hernia Repair

 

Ventral hernias come by different names and appear for different reasons. But they may be called umbilical hernias (around the belly button), Epigastric hernias (up near the ribs), stomal hernias (around stomas), or the most common, incisional hernia (anywhere through a previous surgery scar). 

Whipple Procedure


The Whipple Procedure is the most commonly performed surgery to remove tumors in the pancreas.  During a Whipple procedure, the surgeon removes the head of the pancreas, the gallbladder, part of the duodenum which is the uppermost portion of the small intestine, and a small portion of the stomach called the pylorus.  The surgeon then will reconnect the remaining pancreas and digestive organs so that pancreatic digestive enzymes, bile, and stomach contents will flow into the small intestine during digestion.