Gallbladder: Laparoscopic Cholecystectomy
This procedure is used to treat gallstones or a poorly functioning gallbladder. It is one of the most common procedures I perform. It involves the removal of the gallbladder with the stones inside it via several small, pencil size, holes. We always perform an intra-operative x-ray of the bile ducts (cholangiogram) to clearly identify the anatomy and ensure the safest possible procedure and that small stones, which could cause further symptoms, have not moved into the ducts. Typically patients go home the same day and return to normal work and activities within one week.
Inguinal (groin) Hernias: Laparoscopic Inguinal Hernia Repair
This is another very common procedure. I predominantly use a laparoscopic approach to repair all hernias since it allows the placement of a reinforcing mesh deep inside where it is squeezed between tissue layers and cannot be pushed off the repair thus avoiding recurrent hernias. This also allows for a shorter recovery and return to normal activity. Again this is a day-surgery procedure and most patients plan on a week off from work.
Abdominal and Incisional Hernias: Laparoscopic Ventral Hernia Repair
Hernias of the abdominal wall are common. They can occur at naturally weak areas such as the umbilicus or as a result of incisions from previous surgeries. A laparoscopic approach allows the placement of a large piece of mesh that will cover the defects from the inside and allow for a rapid resumption of activities with less risk of developing a new hernia. Most of these procedures are day-surgery but depending on the extent of needed dissection, a longer hospitalization may be required.
Colon Surgery; Diverticulitis and Colon Cancer: Laparoscopic Colon Resection
A laparoscopic approach to colon surgery allows for the removal of the diseased segment of the colon through significantly smaller incisions than those needed for traditional open procedures. I typically use a Hand Assisted Laparoscopic technique in which the largest incision is only three to four inches long. This allows me to manipulate and remove the tissues with less post-operative pain and a faster return of bowel function. Therefore patients usually spend only about three to four days in the hospital.
Gastroesophageal Reflux Disease (GERD): Laparoscopic Anti-Reflux Surgery
Laparoscopic anti-reflux surgery (Nissen Fundoplication) is a well established and effective alternative to the long term medical management of reflux disease. If medications are not adequately controlling heartburn or changes in eating and sleeping habits are not working, then an operation may be indicated. With this procedure I repair the hiatal hernia that is commonly associated with reflux and then wrap the upper part of the stomach around the lower esophagus to recreate a pressure zone to help keep food and stomach acid in its proper place. It typically requires an overnight hospital stay and a week off from work.
Obesity: Laparoscopic Placement of Adjustable Gastric Band (Lap-Band)
Over recent years significant advancements have been made in the surgical management of morbid obesity. I perform predominantly the Allergan Lap-Band procedure through our comprehensive weight loss program at Memorial Hermann Northeast Hospital (phone 281-540-7319)
Breast; Cancer and Benign Lesions: Biopsy, Lumpectomy, Mastectomy,
The report of an abnormal mammogram can be frightening news, however most radiographic abnormalities are not malignancies. I strive to thoroughly discuss your results to help you understand the options available to reach a definitive diagnosis and treatment plan. I work closely with dedicated breast radiologists to obtain a diagnosis using minimally invasive techniques. If the need arises we then work with plastic surgeons, medical and radiation oncologists to give you state of the art cancer care close to your home.
Appendicitis: Laparoscopic Appendectomy
Spleen: Laparoscopic Splenectomy
Adrenal: Laparoscopic Adrenelectomy
Abdominal Pain, Adhesions and Obstruction: Diagnostic Laparoscopy
