General-Surgery-Procedures

In addition to an extensive weight loss program, Ultimate Bariatrics offers many different general surgery procedures. Below is a list of routinely performed general surgeries:

Gall Bladder

Cholecystectomy is the medical term for Gall Bladder removal. The removal of the gall bladder is done to relieve the patient of inflammation due to gall stones or infection.  In most cases, gall bladder removal is done laparoscopically, and as an out-patient procedure. The symptoms associated with a “gall bladder attack” or Cholecystitis, are pain or discomfort in the upper right quadrant of the abdomen. This is usually accompanied by a low-grade fever, diarrhea, vomiting, nausea and granulocytosis. The gallbladder may be tender and distended.  Gall Bladder removal is typically diagnosed by a gall bladder ultrasound or a HIDA scan.

Hernia Repair 

  • Inguinal Hernia is a hernia that presents in the groin. The inguinal hernia can be treated laparopscopically or in a more traditional surgical manner.  An inguinal hernia is tissue that  pushes through the muscle wall in the groin. It may cause a pain or burning sensation. In many cases, the patient may be able to see a bulge in the lower abdomen.  Hernias in the groin can be caused by a variation of factors such as being overweight, lifting, coughing, or straining. Hernias are more prevalent in men, or pregnant women. Inguinal hernias can be diagnosed with a visit to your physician, and are typically relieved by laparoscopic surgery.
  • Hiatal hernia – A hiatal hernia occurs when a small portion of the stomach pushes up past the diaphragm, creating a bulge in the esophagus. If the hernia is small it doesn’t typically cause problems. If the hernia is larger it can allow food and stomach acids to back up into the esophagus, causing heartburn or GERD (Gastroesophageal Reflux Disease). Hiatal hernias are typically diagnosed by performing an EGD (esophagogastroduodenoscopy).  Fort Worth LapBand’s treatment for hernias varies.  For quick relief the patient may take an over the counter antacid. H-2 receptor blockers such as Prevacid may help for smaller hernias.  For those with more persistent symptoms, PPI’s (Proton Pump Inhibitors) may be prescribed. For the more severe symptoms, surgery may be required. There are a few different surgical options such as the TIF (transoral incisionless fundoplication) or Nissen fundoplication. Your surgeon will determine the treatment appropriate for your optimum health.
  • Ventral  and Incisional Hernia -This is a hernia at a past incision site that has not healed completely or properly. This hernia will look like a bulge or lump near an incision site. With the traditional open method, repair to the hernia can be done with sutures at the incision site, or with surgical mesh. There is a smaller recurrence rate when repaired with surgical mesh. Laparoscopic repair is a newer technique, and involves using surgical mesh that is inserted through small incisions to the sides of the hernia. The old incision site is not reopened, which helps prohibit infections or other wound complications. This technique has the potential for shorter recovery times, and less pain.

Removal of adrenal glands

Laparoscopic adrenalectomy is the removal of the adrenal glands located just above the kidneys. Diseases of the adrenal glands are rare with the most common reason for removal being excess hormone production  in  a tumor located within the adrenal glands.  There are many tumors associated with adrenal gland removal, most of which are noncancerous.  Adrenal glands tumors are diagnosed by specialized x-ray techniques such as a CT-scan or MRI. Adrenalectomy is typically performed as a c procedure, unless tumors are larger than 3-4 cm.

Removal of spleen

Laparoscopic splenectomy is the removal or partial removal of the spleen. The purpose of the spleen is to remove old red blood cells and platelets. It also helps recognize and fight certain bacteria. The removal of the spleen can be done for a number of reasons, the most common due to injury, enlargement of the spleen making it fragile and more susceptible to rupture, or some forms of cancer.  To diagnose problems with the spleen, your doctor may order the following tests:

  • Chest x-ray
  • MRI
  • CT-scan
  • EKG

A traditional approach of open splenectomy is normally associated with trauma cases. When the procedure is not an emergent case or considered elective, then the laparoscopic method is preferred.  Your surgeon will determine the best method for your optimum health.

Appendectomy

An appendectomy is the removal of the appendix.  Appendicitis  or inflammation of the appendix is the cause for an appendectomy. Classic symptoms of an inflamed appendix are pain, fever, and vomiting. Diagnosis is done through multiple types of tests including; blood and urine test, x-ray, ultrasounds and/or  CT-scans. Typically the appendix is removed as a laparoscopic procedure. If the appendix has ruptured an open surgical procedure will be needed.

Always discuss with your surgeon, the benefits and risks associated with any of these surgical procedures. To make an appointment for evaluation of your heartburn/acid reflux symptoms, call our office 844-858-5673.

* Results may vary from person to person.

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