Below is a description of the conditions and diseases we treat.

Diseases of the Biliary System

Biliary disease affects the bile ducts, gallbladder and other structures involved in the production and transportation of bile. Bile drains from the liver through bile ducts to the first part of the small intestine and eventually back to the bile ducts and liver. If any duct in this system becomes diseased or blocked, a number of serious diseases may result. Below is a list of diseases that we can diagnose and treat.

• Gallstones

• Gallbladder cancer

• Gallbladder polyps

• Cholecystitis (inflammation of the gallbladder)

• Gangrene or abscesses of the gallbladder

Hernia

A hernia happens when an internal organ pushes through a weak spot in your muscle or tissue. There are several types of hernias that we can diagnose and treat.

• Inguinal hernia

• Femoral hernia

• Umbilical hernia

• Hiatal (hiatus) hernia

• Incisional hernia

• Epigastric hernia

• Diaphragmatic hernia

• Spigelian hernia

Management of Vascular Diseases

Vascular disease refers to an abnormality of the blood vessels (veins or arteries). We are involved in treating all parts of the vascular system apart from the heart and the brain. Treatments aimed at reducing vascular damage can slow down and sometimes reverse vascular disease. When these kinds of efforts are not sufficient, surgery may be required to correct abnormalities. We manage these conditions by referring patients to the appropriate specialists overseas for revascularization treatment. If the condition requires amputation, we can perform this surgery.

Excision of Skin Growths and Lesions

Skin growths and lesions can often be benign but can result in pain and other functional issues. If the growth is malignant, timely removal is very important. We can remove and treat several types of skin growths and lesions, including skin cancer, atypical moles, cysts, and more. We also can remove subcutaneous growths that form under the skin.

Minimally Invasive Surgery

In minimally invasive surgery is performed by operating through tiny incisions. Tubes are inserted into the incisions and tiny instruments, such as video cameras and cutting tools, are slipped through them. This allows the surgeons to perform procedures with minimal injury to the body. Some procedures are able to be performed through one small incision that can be hidden in the umbilical area. The result is more rapid recovery and a faster return to normal living. Many of these procedures may be performed on an outpatient basis or require a short hospital stay. Some of the common operations we perform are:

• Laparoscopic Cholecystectomy

• Laparoscopic Hernia Repairs

• Laparoscopic Colo-Rectal procedures

• Laparoscopic Explorative Surgery

• Laparoscopic Appendectomy

• Laparoscopic Thoracoscopy

Disease of the Appendix

Port-a-cath Insertion

Peritoneal Dialysis Catheter Insertion

Biopsy

Wound Care Managment

Trauma Surgery

When the appendix is infected/inflammed it is called appendicitis. The appendix is a thin pouch that is attached to the large intestine. An Appendectomy is an emergency procedure to remove the appendix as it has the potential to rupture. This prevents the dangerous complications of appendicitis such as peritonitis. There are two kinds of appendectomy surgeries: laparoscopic and open. Your surgeon will determine the best type for you.

A Porta-Catheter is a device placed completely under the skin on either side of the chest. The port is a small, round piece that is connected to a catheter that is guided into a large vein that empties into the heart. A porta-catheter may stay in place for weeks or months and helps avoid the need for repeated needles sticks. It is most often placed to deliver chemotherapy treatments but can also be recommended for patients who require frequent infusions and have a history of difficulty or inability to start an IV.

If you require peritoneal dialysis you will need a peritoneal dialysis catheter insertion. The catheter is placed as an access for the removal of waste and toxins from your body.  A PD catheter, the only type of dialysis access used for PD, is placed through your abdomen and into the peritoneal space through the peritoneal membrane—the thin membrane that lines your abdominal wall. PD catheter placement is typically performed as a minimally invasive procedure.

A biopsy is a procedure to remove a piece of tissue or a sample of cells from your body so that it can be tested in a laboratory. You may undergo a biopsy if you're experiencing certain signs and symptoms or if your health care provider has identified an area of concern. A biopsy can determine if you have a disease or condition. Some types of biopsies we perform are: endocscopic biopsy, skin biopsy, and surgical biopsy.

Trauma surgery involves treating injuries sustained from motor vehicle/motorcycle collisions, falls, work/sports related accidents, gunshot wounds, stabbings, crush injuries, pedestrians struck by an auto, etc. Some procedures that a trauma surgeon performs include:

• Exploratory laparotomy

• Emergency thoracotomy

• Resuscitation

• Chest wall surgery (Surgical rib fixation)

• Splenectomy

• Liver repair

• Intestine repair and/or removal

• Stomach repair

Wound care involves every stage of wound management. This includes diagnosing wound type, considering factors that affect wound healing, and the proper treatments for wound management. Once the wound is diagnosed and all factors are considered, we can decide the best treatment options. Some of the wounds we treat are:

• Venous Ulcers

• Pressure Ulcers

• Arterial Ulcers

• Necrotizing Infections

• Surgical Postoperative Wounds

• Diabetic Ulcers

• Skin Tears

• Deep Tissue Injury

• Moisture-associated Skin Damage

• Infectious Wounds

• Traumatic Wounds

• Compromised Skin Grafts and Flaps

• Gangrene