Wound VAC

Vacuum-assisted closure (VAC) is a non-invasive technique whereby negative pressure is delivered in a uniform manner to a wound. This encourages the arterioles to dilate, so improving blood flow, promoting a moist environment and assisting in the proliferation of granulation tissue.

Weight Loss Surgery Education

Information sessions to help you understand the criteria for weight loss surgery and each surgical technique, what to expect during your stay at the hospital, and what lifestyle changes to expect after surgery to achieve and maintain weight loss success.

Wart Removal

A wart is a rough growth caused by one of a number of strains of human papillomavirus (HPV). Warts are unsightly and can impede normal function. Wart removal by a physician is the most effective method for removing warts. A physician may perform cryosurgery using liquid nitrogen, use blistering agents or salicylic acid, apply a variety of topical or injected chemicals to stimulate the immune system’s response, or burn the wart with a laser. Most warts require repeated wart removal treatment over a period of time for permanent removal regardless of the method being used.

Virtual Colonoscopy

Virtual colonoscopy (VC) is a medical imaging procedure which uses x-rays and computers to produce two- and three-dimensional images of the colon (large intestine) from the lowest part, the rectum, all the way to the lower end of the small intestine, and display them on a screen. The procedure is used to diagnose colon and bowel disease, including polyps, diverticulosis and cancer.

Upper GI Endoscopy

Upper endoscopy uses a thin flexible tube with its own lens and light source to allow your physician to examine the lining of the upper part of your gastrointestinal tract. This includes the esophagus, stomach, and first portion of the small intestine.

Testicular Biopsy

A testicular biopsy is a test to remove a small sample of tissue from one or both testicles and examined under a microscope to evaluate a man's ability to father a child. Testicular biopsy is not usually used to detect testicular cancer. When cancer is suspected, an open surgical procedure (orchiectomy) is done to confirm the diagnosis.

Sports Medicine Procedures

The field of medicine concerned with physical fitness and the prevention, diagnosis, and treatment of injuries sustained in sports or exercise.

Skin Grafting

A surgical procedure by which skin or a skin substitute is placed over a burn or nonhealing wound to permanently replace damaged or missing skin.

Skin Biopsies

A skin biopsy is a procedure in which a sample of skin tissue is removed, processed, and examined under a microscope.

Sharp Debridement

The removal of dead or necrotic tissue or foreign material from and around a wound to expose healthy tissue using a sterile scalpel, scissors or both.

Radio Frequency Ablation

Sometimes, individuals suffer from rapid, uncoordinated heartbeats. Radio frequency ablation is recognized as one of the most effective treatments for eliminating fast heartbeats. During the procedure, a catheter is inserted through the groin and guided all the way to the heart. When the catheter reaches the area to be treated, radio frequency energy is delivered to the treatment site. The energy destroys the heart tissue that was causing the rapid impulses of the heart.

Posterior Cervical Foraminotomy

A minimally-invasive procedure performed to enlarge the space through which spinal nerves exit the spinal canal.

Pelvic Organ Prolapse Treatment

Neck and Back Pain Treatment

Treatment options for people suffering from neck and back pain.

Myelogram

A myelogram is a specific x-ray study that allows careful evaluation of the spinal canal and nerve roots. It involves the injection of a dye or contrast material into the spinal canal.

Minor Injury Treatment

Treatment of minor injuries that do not require a trip to the emergency department.

Lumbar Epidural Steroid Injection

An injection of long-lasting steroid in the epidural space – that is the area which surrounds the spinal cord and the nerves coming out of it.

Liver Biopsy

A procedure in which a small needle is inserted into the liver to collect a tissue sample. The tissue is then analyzed in a laboratory to help doctors diagnose a variety of disorders and diseases in the liver. A liver biopsy is most often performed to help identify the cause of jaundice, liver enzymes, an abnormality or unexplained enlargement.

Joint Pain Treatment

Treatment of joint pain caused by conditions such as arthritis, bursitis, gout or injury.  

Joint Injections (Intra-Articular Injection)

A joint injection is a procedure used in the treatment of inflammatory joint conditions.

Joint Aspirations (Arthrocentesis)

A procedure where fluid is drained from a joint and analysis can determine the cause of certain joint pain.

Flexible Sigmoidoscopy

Flexible sigmoidoscopy uses a short, lighted tube to examine the sigmoid colon and rectum.

Fine Needle Aspiration

For a fine needle aspiration biopsy,  a very thin needle is placed into the lump or suspicious area to remove a small sample of fluid and/or tissue. No incision is necessary. A fine needle aspiration biopsy may be performed to help to differentiate a cyst from a lump.

Eye Plaque Implants

Eye plaque implants are used to administer radiation therapy to cancerous tumors in the eye. For this procedure, physicians place a small plaque, that looks like a bottle cap, in the eye directly over the location of the tumor. The plaque delivers a high dose of radiation to the affected area with minimal damage to the surrounding healthy tissue so that vision can be spared. Eye plaque implants can be an outpatient or inpatient procedure, and the implant remains on the patient’s eye for about 48 to 72 hours.

Endovascular Embolization

Endovascular embolization is a procedure that utilizes chemical agents or metallic coils to stop bleeding and treat aneurysms or brain tumors.

Endovascular Brachytherapy

Approved in November 2000 by the FDA, endovascular brachytherapy provides patients with a new and effective option for reopening vascular blockages. The procedure delivers localized radiation to the treatment area, preventing the growth of scar tissue cells.

Endometriosis Treatment

The endometrium is the tissue that lines the uterus. When this tissue grows somewhere else in the body it is called endometriosis. These abnormal growths may cause mild to severe pelvic pain, especially during menstruation. Endometriosis may also be associated with infertility. Treatment for endometriosis can be either medical or surgical. Various oral and injectable hormones are available to help slow the growth of endometriosis. Although significant improvement results from initial treatment in some patients, others have recurring symptoms and persistent disease. Recent studies demonstrate that endometriosis can be managed equally well with laparoscopic removal.

Endometrial Biopsy

An endometrial biopsy is  a procedure in which a sample of tissue is obtained through a tube that is inserted into the uterus.

Endometrial Ablation

A surgical procedure that destroys the lining of the uterus. Unlike a hysterectomy, it does not remove the uterus. Endometrial ablation may stop all menstrual bleeding in some women. However, some women still have light menstrual bleeding or spotting after endometrial ablation. A few women have regular menstrual periods after the procedure. Women who have endometrial ablation still need to use some form of birth control even though, in most cases, pregnancy is not likely after the procedure.

Colposcopy

An examination of the vagina and cervix using a magnifying instrument called a colposcope or an endoscope, primarily to identify areas of cervical dysplasia in women with abnormal Pap smears.

Colonoscopy

A colonoscopy is  a procedure that allows the physician to view the entire length of the large intestine and can often help identify abnormal growths, inflamed tissue, ulcers and bleeding. It involves inserting a colonoscope, a long, flexible, lighted tube, in through the rectum, up into the colon. The colonoscope allows the physician to see the lining of the colon, remove tissue for further examination and possibly treat some problems that are detected.

Carotid Endarterectomy

This surgical procedure removes plaque and clots from the carotid arteries located in the neck. These arteries supply the brain with blood from the heart. Endarterectomy may help prevent a stroke from occurring.

Brachytherapy

During brachytherapy (also known as internal radiation or implant radiation),  radiation is given inside the body as close to the cancer as possible. Substances that produce radiation, called radioisotopes, may be swallowed, injected or implanted directly into the tumor. Some of the radioactive implants are called "seeds" or "capsules."

Adrenalectomy

An adrenalectomy is the removal of one adrenal gland, the removal of both adrenal glands or partial removal of one or both adrenal glands. This is often performed when an adrenal tumor or malignancy is present.

Laparoscopic adrenalectomy uses a thin, telescope-like instrument called a laparoscope, which is inserted through a small incision in the skin. The laparoscope is connected to a tiny video camera which projects a view of the operative site onto video monitors located in the operating room.

Microcannular Tumescent Liposuction

A special type of liposuction that combines dual wavelength laser technology and surgery for optimal results and minimal recovery time.

Urinary Incontinence Treatment

Loss of bladder control is not a disease. Rather, it is a sign that a problem may exist. Regular leakage of urine can occur with certain movements, during pregnancy or times of stress. When leakage of urine becomes frequent or severe enough to become a social or hygienic problem, it is called urinary incontinence. Leakage of urine that cannot be controlled should prompt the patient to see a doctor. Proper diagnosis and treatment may correct the problem and ease the symptoms of urinary incontinence.

Vertical Sleeve Gastrectomy

This procedure generates weight loss solely through gastric restriction (reduced stomach volume). The stomach is restricted by stapling and dividing it vertically and removing more than 85% of it. This part of the procedure is not reversible. The stomach that remains is shaped like a very slim banana and measures from 1-5 ounces, depending on the surgeon performing the procedure. The nerves to the stomach and the outlet valve (pylorus) remain intact with the idea of preserving the functions of the stomach while drastically reducing the volume.

Revisional Weight Loss Surgery

Patients who have had weight loss surgery in the past may require other procedures to correct the complications or undo the ill effects of their original operation. These types of operations are called revisional weight loss surgical procedures.

Plastic Vaginal Rejuvenation (Vaginoplasty)

Vaginal rejuvenation is used to restore vaginal tone and appearance, largely by removing excess tissue and tightening supportive structures. The rejuvenation procedure is intended to reduce or undo effects of age and childbearing.

Uterine Fibroid Removal (Myomectomy)

Surgical procedure done to remove fibroids from the uterus while leaving the uterus intact.

Infertility Treatment

Infertility is defined by the American Society for Reproductive Medicine (ASRM) as a disease of the reproductive system that impairs the body's ability to perform the basic function of reproduction. Types of treatments for women may include: ovulation medications, intrauterine insemination, surgery, or assisted reproductive technology (ART). There also is a range of treatment options currently available for male factor infertility. Treatment may include: assisted reproductive technologies (ART), drug therapy, or surgery.

Cesarean Birth

Cesarean delivery (also called a cesarean section or C-section) is the surgical delivery of a baby by an incision through the mother's abdomen and uterus. This procedure is performed when it is determined to be a safer method than a vaginal delivery for the mother, baby, or both.

Vertical Banded Gastroplasty

Vertical Banded Gastroplasty (VBG) is a purely restrictive procedure. In this procedure the upper stomach near the esophagus is stapled vertically for about 2-1/2 inches (6 cm) to create a smaller stomach pouch. The outlet from the pouch is restricted by a band or ring that slows the emptying of the food and thus creates the feeling of fullness.

Vasectomy

A permanent sterilization procedure for men. The operation, usually done in a doctor's office, requires cutting and sealing the vas deferens,the two tubes that carry sperm out of the testicles.

Lobectomy

During a lobectomy, an entire lobe of the lung is removed in order to eliminate the tumor and any cancerous tissue around it.

Laparoscopic Surgery

Laparoscopic surgery (also known as minimally invasive surgery) is performed through multiple small incisions (1/4" to 1/2" long) using specially designed surgical instruments and viewed through a laparoscope, or surgical telescope.

Lap Adjustable Gastric Banding

The lap adjustable gastric band is the least invasive of all operations to reduce the size of the stomach. Sometimes referred to as "banding," the procedure uses an adjustable silicon ring, or Lap Band, which is placed around the stomach and tightened or loosened to control food capacity and appetite.

Bile Duct Bypass

This procedure is done if the pancreas has blocked the main bile duct. A new connector to the bowel may need to be created to avoid jaundice.

Laceration Repair

A type of injury in which in the skin is torn irregularly, cut or punctured (an open wound), or where blunt force trauma causes a contusion (a closed wound). Treatment includes cleaning the wound and closing it with sutures (stitches), glue, bandages or staples, depending on the severity.

Varicocele Treatment

Varicose veins in the scrotum. The resulting swollen vessels surrounding the testicles create a pool of stagnant blood, which elevates the scrotal temperature. A major cause of male infertility. Treatment options include embolization (insertion of a tiny metal coil to block the flow of blood to the vein) or surgery. 

Undescended Testis Treatment

Also known as cryptoorchidism. A term used to describe testis, which, at birth has not descended into the scrotum as normal. Treatment may include surgery or hormone therapy.

Voiding Dysfunction Treatment

Voiding dysfunction refers to the inability to empty the bladder normally. Types of voiding dysfunction include: Incontinence, Overactive Bladder, Urgency-Frequency, Non-Obstructive Urinary Retention, and Mechanical Obstructions. Treatment may include behavior changes, medicine, therapy, or surgery.

Urological Malignancies Treatment

Urological malignancies are cancers affecting any area of the urinary system (kidneys, urethra, bladder, etc.)  in males and females, and the reproductive system in males (testes, prostate, epididymis, etc.). Treatment options may include chemotherapy, radiation and/or surgery.

Benign Prostatic Hyperplasia (BPH) Treatment

A noncancerous condition related to aging in men whereby the prostate gland swells, usually to a size that reduces the urine flow and prevents the bladder from emptying completely, causing frequent and difficult urination. Treatment may include behavior changes and medications to help with mild symptoms. For moderate cases of BPH, microwave thermal therapy, laser therapies, transurethral needle ablation and other minimally invasive therapies can be used to destroy overgrown tissue.

Incontinence Treatment

Urinary incontinence, an inability to control urination, is common in patients of all ages. Simple therapies, such as diet modification, avoiding liquids before bedtime, or changing medications can immediately improve urinary incontinence. However, when an infection or serious illness inhibits a patient's ability to control bladder function, more aggressive treatment may be needed. Non-invasive outpatient procedures, biofeedback, medications and surgery are among several options.

Testicular Torsion Treatment

In testicular torsion the spermatic cord that provides the blood supply to a testicle is twisted, cutting off the blood supply. Prolonged testicular torsion will result in the death of the testicle and surrounding tissues. Treatment is a simple and minimally invasive surgical procedure. 

Surgery and Treatment for Erectile Dysfunction (ED)

Erectile dysfunction (ED or male impotence) is a sexual dysfunction characterized by the inability to develop or maintain an erection of the penis. Medicine can be an effective treatment option. Or vascular reconstructive surgery can be used to improve the blood supply to the penis.

Hydrocele Treatment

An accumulation of fluid in any sac-like cavity or duct - specifically in the tunica vaginalis testis or along the spermatic cord. The condition is caused by inflammation of the epididymis or testis or by lymphatic or venous obstruction of the cord. The fluid accumulation will often go away on its own, but when intervention is needed, surgical removal is the most effective form of treatment.

Kidney Stone Disease Treatment

A kidney stone, or "urinary stone," develops when crystals from salt and mineral substances form in the urine. These crystals can combine and grow to form a stone. Kidney stones can usually be treated without surgery. If your kidney stone doesn’t pass through your urinary system on its own, your doctor may refer you to a urologist, who can remove stones when they become a problem.

Chordee Treatment

Chordee is a condition in which the head of the penis curves downward (that is, in a ventral direction) or upward, at the junction of the head and shaft of the penis. The principal treatment of chordee is surgery in infancy.

Microsurgery

Surgery utilizing a microscope to enable doctors to operate on very small areas. Microsurgery is used to target a specific area and to protect as much of the surrounding healthy tissue as possible.

Brow Lifts

Also known as a forehead lift, a brow lift minimizes the creases that develop across the forehead, or those that occur high on the bridge of the nose; improves what are commonly referred to as frown lines; and repositions a low or sagging brow.

Intraoperative Monitoring (IOM) of Nerves

Intraoperative monitoring is used to localize neural structures, for example to locate cranial nerves during skull base surgery; to test function of these structures; and for early detection of intraoperative injury, allowing for immediate corrective measures.

Cervical Foraminotomy

An operation to enlarge the space where a spinal nerve root exits the cervical spinal canal to relieve the symptoms of a "pinched nerve."

Discectomy and Microdiscectomy

A procedure that removes the part of the herniated disc that is pinching or putting pressure on the nerve roots, thereby relieving the pain and numbness and allowing recovery of any weakness that may have developed.

Artificial Cervical Disc Replacement (PCM)

The Artificial Cervical Disc is designed as a replacement for a damaged or diseased spinal disc.

Needle Localizations

A special examination for localizing questionable masses that cannot be felt but are seen on mammogram films. The radiologist places a needle with a wire into the area of abnormality. The needle remains in the breast once it is in the area of interest.  The patient then goes to the operating room for the biopsy procedure. The needle is used as a guide by the surgeon to ensure that the correct area of abnormality is removed.

Gastrointestinal Procedures

Prodedures to diagnosis and/or treat conditions affecting the gastrointestinal (GI) tract, which is the part of the digestive tract where the body processes food and eliminates waste. It includes the esophagus, stomach, liver, small and large intestines, and rectum.

Treatment of Foot Infections (Surgical & Non-Surgical)

Treatment options for both minor and severe infections of the feet.

Tendon/Nerve Repair

Various treatments or procedures to repair damage to the tendons and/or nerves.

Spine Surgery

Spinal problems can often be corrected with therapeutic techniques. However, if surgery is necessary,  treatments may include:

• Innovative fixation (or spinal stabilization) techniques called Kyphoplasty and Vertebroplasty. These procedures use cement to help stabilize spines that have weakened due to fractures or deformities.
•  
  Minimally-invasive surgery for herniated discs.
• Reconstructive spinal surgery for patients with spinal deformities or complex injuries.

Rotator Cuff Repair

The rotator cuff is a group of four tendons and the related muscles that stabilize the shoulder and allow you to raise and rotate your arm. Surgery may be used to treat a rotator cuff disorder if the injury is very severe or if nonsurgical treatment has failed to improve shoulder strength and movement sufficiently.

Percutaneous Discectomy

Percutaneous means "through the skin" or using a very small incision. Discectomy is the surgical removal of herniated disc material that presses on a nerve root or the spinal cord.

Spine Stabilization

Most neck and lower back pain is caused by spinal instability, a condition that emerges when the ligaments and muscles that support the spine have become so weak that they no longer support the spine properly and allow it to move in abnormal ways. Spine stabilization limits the mobility of the spine to reduce pain.

Knee Ligament Repair

Knee ligament repair is a treatment for a complete tear of a knee ligament that results in instability in the knee. The surgery involves reattaching the torn ends of the ligament or replacing the ligament with a piece of healthy tendon. A tendon from the kneecap or hamstring, for example, is grafted into place to hold the knee joint together. The tendon graft may come from the person (autograft) or from a cadaver (allograft).

Joint Replacement

Surgeons perform joint replacement surgeries for knees, hips and shoulders. Following joint replacement surgery, most patients are able to resume previous daily activities with vastly improved comfort levels and ease of movement.

Surface replacement surgery is sometimes recommended for younger, more physically active patients. Other alternatives to total joint replacement include Osteotomy, Arthroplasty and Arthrodesis.

Hand Surgery

Surgery to address conditions and injuries of the hand.

Foot and Ankle Surgery

Surgical procedures to treat problems with the foot and ankle.

Endovascular Stenting

Endovascular stenting is a minimally invasive procedure that uses advanced technology and instrumentation to treat such disorders of the circulatory system as blockage or damage to blood vessels caused by the build up of plaque (fatty deposits, calcium deposits, and scar tissue) in the arteries, a condition called atherosclerosis (hardening of the arteries). The doctor may recommend the placement of an endovascular stent, a small wire-mesh tube that surgeons call a scaffold, in an affected artery. The procedure may be done in conjunction with cleaning or repairing the artery.

Embolization

Embolization is the insertion of a substance through a catheter into a blood vessel to stop hemorrhaging or excessive bleeding.

Aneurysm Coiling

Aneurysm coiling is a less invasive alternative to surgical clipping. It is similar to the cerebral angiogram but instead of simply taking pictures as the contrast medium (dye) is injected into the artery, the aneurysm is treated from the catheter inside the blood vessel by the insertion of coils into the aneurysm’s sac. The coils are packed into the aneurysm. They promote blood clotting within the aneurysm. Both coils and clotting fill the aneurysm closing it off and preventing blood from entering.

Blood Transfusion

The process of transferring blood or blood-based products from one person into the circulatory system of another. Blood transfusions can be life-saving in some situations, such as massive blood loss due to trauma, or can be used to replace blood lost during surgery.

Laminectomy

Surgical removal of the bony arches on one or more vertebrae in the spine.

Anterior Cervical Corpectomy

A surgical procedure performed in the front of the neck that involves removal of a part of the vertebral body to relieve pressure on the spinal cord or nerve roots.

Craniotomy

A craniotomy is a type of surgery available for critically ill stroke patients. It is performed in the brain itself to remove blood clots and treat brain swelling related to strokes.

Transjugular Intrahepatic Portosystemic Shunt (TIPS)

This procedure, also called TIPS, is performed using only a local anesthetic and a sedative. A long needle is inserted by way of the jugular vein in the neck, advanced into a hepatic vein and then into a large branch of the portal vein in the liver. Using an inflatable balloon-tipped catheter tube, the section between the portal vein branch and the hepatic vein is widened and then kept open (stented) with a cylindrical wire-mesh stent.

Minor Surgical Procedures

Minor surgical procedures are those that can be done in the physician's office with local anesthesia.

Open or Operative Shunts

Operations devised to preserve the flow of blood through the portal vein to the liver while decompressing varices in the stomach and esophagus by means of surrounding veins.

Heller Myotomy

A Heller myotomy is a surgical procedure to treat achalasia, a condition in which the patient has problems swallowing food. When food arrives at the end of the esophagus, the muscular valve known as the lower esophageal sphincter (LES) fails to relax to allow food into the stomach. To treat achalasia, the muscle around the gastroesophageal junction must be cut to limit its ability to block the passage of food. A Heller myotomy procedure can be performed through a large incision or through several small incisions using laparoscopic instruments.

Choledocojejunostomy

This procedure creates a new "joint" or connection between the common bile duct and a portion of the small bowel to provide drainage for the bile duct due to obstruction from a stone, tumor or other disorder.

Antrectomy

This is the removal of the last 1/3 of the stomach. It is the part of the stomach that produces gastrin (a hormone that helps produce stomach acid). When this procedure is done to cure ulcer disease, it is usually combined with a vagotomy.

Parathyroidectomy

Surgery to remove the parathyroid gland. Most parathyroid surgery is done for hyperparathyroidism. This is most commonly done for a single enlarged parathyroid gland that no longer responds to the body's usual feedback control mechanism. The gland becomes enlarged and secretes too much hormone. In this situation, typically that enlarged gland is removed.

Vagotomy

This surgical procedure consists of cutting one or more of the nerves to the stomach. It is performed to treat ulcers. The medications for ulcer disease are very good and are usually sufficient. However, occassionally surgery is still needed. It is usually combined with some type of drainage procedure so that the stomach will empty well after the nerves to it are divided.

Pyloroplasty

This procedure is often performed in conjunction with a vagotomy and is done to open the pylorus (the muscle valve between the stomach and the duodenum). This procedure helps the stomach contents empty better after the vagotomy.

Whipple Procedure (Pancreaticoduodenostomy)

A surgical procedure in which the head of the pancreas, the gallbladder, part of the stomach, part of the small intestine, and the bile duct are removed. Enough of the pancreas is left to produce digestive juices and insulin.

Pelvic Floor Repair

Surgical repair of the pelvic floor, which refers to the pelvic diaphragm, the sphincter mechanism of the lower urinary tract, the upper and lower vaginal supports, and the internal and external anal sphincters. It is a network of muscles, ligaments and other tissues that hold up the pelvic organs (vagina, rectum, uterus and bladder). When this system is torn or weakens, the organs may shift, bulge and push outward or against each other. As a result, women may suffer from urinary or fecal incontinence or obstruction, vaginal prolapse, vaginal pain, sexual dysfunction, and other problems.

Thoracotomy

Surgery to remove all or part of a lung involves making a cut on one side of your chest (thorax) during a procedure called a thoracotomy. Surgery that uses this approach avoids areas in the chest that contain the heart and the spinal cord. After the cut is made between the ribs, all or part of the lung is removed depending on the location, size, and type of lung cancer that is present.

Ultrasonic Aspirator Surgery

High frequency sound waves break up tumors; then an aspirator vacuums the tumor fragments.

Tonsillectomy / Adenoidectomy

Tonsils are lymph nodes found in the back of the mouth. Adenoids are also tonsils but they are higher up, in the back of the nose. The most common reason for tonsillectomy (removal of the tonsils) and adenoidectomy (removal of the adenoids) is to remove enlarged tonsils and adenoids which block breathing passages. 

Total (Simple) Mastectomy

A surgeon removes the whole breast. Some of the lymph nodes under the arm may also be removed.

Transforaminal Lumbar Interbody Fusion (TLIF)

A form of spine surgery in which the lumbar spine is approached through an incision in the back. The name of the procedure is derived from: transforaminal (through the foramen), lumbar (lower back), interbody (implants or bone graft placed between two vertebral bodies) and fusion (spinal stabilization). A spinal fusion procedure such as a TLIF may be recommended as a surgical treatment option for patients with a condition causing spinal instability in their lower back.

Thyroidectomy

Total thyroidectomy: Your surgeon will remove the entire gland and sometimes the lymph nodes surrounding the gland. All thyroidectomies are done under great care to avoid injury to vital structures in the surrounding area.

Subtotal (near-total) thyroidectomy: Your surgeon will remove one complete lobe, the isthmus, and part of the other lobe. This may be done for nodules limited to one lobe of the thyroid gland.

Surgery to Treat Heartburn/Reflux

Heartburn is caused by a condition known as gastroesophageal reflux, which is the backup of stomach acids into the esophagus. Gastroesophageal reflux may occur frequently when the valve-like mechanism between the esophagus and stomach does not fulfill its function of keeping the stomach acids in place. Several surgical options are available to treat this condition.

Spectroscopy

Spectroscopy is a type of MRI which is used to study structures of chemical compounds.

Sigmoidoscopy

Examination of the rectum and lower part of the colon (sigmoid colon) using a flexible viewing tube passed through the rectum.

Septoplasty

Septoplasty is a corrective surgical procedure done to straighten the nasal septum, the partition between the two nasal cavities. Ideally, the septum should run down the center of the nose. When it deviates into one of the cavities, it narrows that cavity and impedes airflow.

Segmental or Wedge Resection

Segmental or wedge resection surgery removes only a small part of the lung.

Rhinoplasty

A cosmetic procedure used to enhance or change the appearance of the nose.

Pilonidal Cystectomy

A procedure in which the doctor removes a certain type of cyst from the buttock cleft area near the tailbone.

Paracentesis

Paracentesis is a procedure to remove fluid that has accumulated in the abdominal cavity (peritoneal fluid), a condition called ascites. Ascites may be caused by infection, inflammation, abdominal injury, or other conditions, such as cirrhosis or cancer. The fluid is removed using a needle inserted through the abdominal wall and sent to a lab for analysis to determine the cause of the fluid buildup. Paracentesis also may be done to drain the fluid as a comfort measure in people with cancer or chronic cirrhosis.

Pancreatectomy

This operation removes the whole pancreas, part of the stomach, part of the small intestine, the common bile duct, the gallbladder, the spleen, and nearby lymph nodes.

Otoplasty

A cosmetic surgery to change the appearance of a person's external ears. Otoplasty can take many forms, such as bringing the ears closer to the head (often called ear pinning), reducing the size of very big ears, or reshaping various bends in the cartilage.

Nucleoplasty

Nucleoplasty is a new, minimally-invasive procedure that offers relief to those with contained lumbar disc herniation or pain.

Myringotomy with Tubes

Myringotomy is a surgical process where small incisions are made in a patient's eardrum to remove fluid buildup, a common cause of ear infections, especially in young people.

Lymph Node Dissection

A lymph node dissection, also called lymphadenectomy, is surgery to remove lymph nodes. This may be done to examine lymph nodes for cancer cells. The removal and examination of the cancerous lymph nodes will help determine the exact stage and grade of the cancer and may reduce the spread of the disease.

Liposuction

A cosmetic surgery procedure in which excess fat is removed from a specific area by suction.

Liver Resection

Liver resection is the surgical removal of part of the liver. This operation is for liver cancer and some benign masses, and for certain cases of metastatic cancer. More than half of your liver can be removed as long as the rest is healthy. During a liver resection, the part of your liver that contains cancer is removed, along with some healthy liver tissue on either side. Frequently your gallbladder, which is attached to the liver, is also taken out.

Laproscopic Nissen Fundoplication

Laparoscopic Nissen Fundoplication is a surgical procedure that alleviates GERD symptoms when lifestyle changes or anti-reflux medications have not controlled symptoms.

Inguinal Hernia Repair

Laparoscopic inguinal hernia repair involves making an incision below the belly-button. A special ballooned instrument is then inserted in the space between the abdominal muscles and the lining of the abdomen. Two smaller incisions allow a passage for other specialized surgical instruments. The contents of the hernia are reduced and the defect is repaired by inserting a piece of mesh to patch the hernia defect.

Gastrectomy

A laparoscopic gastrectomy procedure is performed to treat recurrent ulcer disease, to remove a chronic gastric ulcer, to stop hemorrhage in a perforated ulcer or to remove cancer.

Facelifts

A facelift, also known as rhytidectomy, is a surgical procedure to remove excess skin and tighten the remaining skin to return the face to a more youthful presentation.

Esophagogastro- duodenoscopy (EGD)

Esophagogastroduodenoscopy (EGD) is an examination of the lining of the esophagus, stomach, and upper duodenum with a small camera (flexible endoscope) which is inserted down the throat.

Endoscopic Retrograde Cholangiogram with Stone Removal

This is an x-ray and procedure to remove stones in the common bile duct.

Common Bile Duct Exploration

A common bile duct exploration is sometimes performed when a stone is found blocking the common bile duct. Tubes, catheters and x-ray guidance are used in this procedure.

Blepharoplasty (Eyelid Lift)

A functional or cosmetic surgical procedure intended to reshape the upper eyelid or lower eyelid by the removal and/or repositioning of excess tissue as well as by reinforcement of surrounding muscles and tendons.

Breast Reduction and Augmentation

Surgeons offer a variety of breast surgery options to patients who are unhappy with the shape, size or appearance of their breasts.

Breast Reconstruction Surgery

A type of surgery for women who have had a breast removed (mastectomy). The surgery rebuilds the breast so that it is about the same size and shape as it was before. The nipple and areola (the darker area around the nipple) can also be added. Most women who have had a mastectomy can have reconstruction. Women who have had a lumpectomy may not need reconstruction. Breast reconstruction is done by a plastic surgeon.

Bladder Repair

Surgery to repair  bladder prolapse (cystocele), or other bladder-related conditions. 

Balloon Sinuplasty

A type of endoscopic surgery in which a catheter-based device clears blocked sinuses, restoring normal sinus drainage and function, and preserving normal anatomy and mucosal tissue.

Anterior Cruciate Ligament (ACL) Repair

Repair of the ligament, located in the center of the knee, that controls rotation and forward movement of the tibia (shin bone).

Treatment of Aortic Dissection

Thoracic Aneurysm Repair

Laser-Based Therapies

Surgical Dermatological Procedures

Surgical procedures to address conditions of the skin.

Gastrojejunostomy

This procedure is used if there is an obstruction (such as a tumor) preventing the stomach from emptying. A new connection between the stomach and small bowel is made. This may be done in combination with a vagotomy and/or a partial gastrectomy.

Corneal Implants

Corneal implants are small acrylic disks or rings that are inserted just under the surface of the cornea to reshape the curvature and correct refraction. The implant is similar to a contact lens but eliminates the need for daily care.

Endotracheal Intubations

Endotracheal intubation is a procedure by which a tube is inserted through the mouth down into the trachea (the large airway from the mouth to the lungs). Before surgery, this is often done under deep sedation. In emergency situations, the patient is often unconscious at the time of this procedure.

Thyroid Surgery

Surgery to remove portions or all of the thyroid gland, or polyps growing on the thyroid gland.

Somnoplasty

A surgical treatment to stop snoring.

Sinus Surgery

Sinuses are air cavities within the facial bones, lined by mucous membranes similar to those in other parts of the airways. Certain sinus conditions may require surgery.

Parotid Surgery

The parotid gland is a salivary gland that manufactures saliva and transports it via a small duct into the oral cavity. Reasons for a parotidectomy (removal of the parotid gland) include, but are not limited exclusively, to benign and/or malignant growths in the parotid gland itself, as well as chronic infection, and retained stones that may form in the parotid gland.

Mole Removal and Treatment

Moles that display abnormal traits should be removed to ensure they are not pre-cancerous or cancerous. A dermatologist is able to determine if a mole is irregular and needs to be removed. Moles may also be removed for aesthetic purposes.

Mohs Micrographic Surgery

Mohs micrographic surgery has the highest cure rate for basal cell and squamous cell carcinomas. Mohs surgery is unique in its precision.  Instead of removing the whole clinically visible tumor and a large area of normal-appearing skin around it, the Mohs surgeon removes the minimum amount of healthy tissue and totally removes the cancer.  Thin layers of tissue are removed and examined under a microscope for malignant (cancerous) cells.  When all areas of tissue are tumor-free, surgery is complete.

Pediatric Surgery

Pediatric surgery is the treatment of disease, injury or other disorders in children by direct physical intervention, usually with instruments. Surgery involves the cutting into the skin or other organ to accomplish restoring the body to a healthful state.

Valve Replacement and Repair

Valve replacement is appropriate for valves that have become too tight with calcium deposits or no longer close properly. These problems may be the result of an infection or a valve that was abnormal at birth and has degenerated over time. There are two general types of replacement valves available: Mechanical valves (allow blood to travel in one direction and prevent it from going backwards) and bioprosthetic valves (made from animal tissue). Sometimes valves can be repaired instead of replaced, but only a surgeon can make that determination.

Stenting

Stenting places a tiny, expandable coil (stent) inside a blood vessel at the site of a blockage. The stent is expanded to open up the blockage.

Peripheral Stent Placement

Peripheral stenting is one common treatment option for treating Peripheral Arterial Disease (PAD). A small incision is made in the patient's groin or arm, and a catheter is inserted. A stent is then inserted through the catheter. The doctor navigates the stent to the site of vessel narrowing. The stent is then expanded, and blood flows more easily through the blood vessel.

Pacemaker Implantation

A pacemaker insertion is the implantation of a small electronic device in the chest (just below the collarbone) to help regulate electrical problems with the heart. When a problem develops, such as a slow heart rate, a pacemaker may be recommended to ensure that the heartbeat does not slow to a dangerously low rate.

Off-Pump Heart Surgery

Off-pump heart surgery is done without the use of the heart-lung machine and without stopping the heart. This may reduce neurological complications and improve recovery.

Mitral Valve Prolapse Repair

The mitral valve is the "inflow valve" for the left side of the heart. Occasionally, the mitral valve is abnormal from birth. More often, the mitral valve becomes abnormal with age. It may also occur as a result of coronary artery disease.

Using advanced surgical technology, physicians can perform this procedure less invasively than traditional methods. Surgeons are able to treat some patients by using small incisions on the side of the chest to reach the heart in between the patient's ribs.

Minimally Invasive Heart Surgery

Most heart operations are performed by making an incision through the sternum or breastbone. However, surgeons are able to treat some patients by using small incisions on the side of the chest to reach the heart between the patient's ribs.

A special device called a Heartport is used during the operation. It is mainly used for patients with atrial septal defects (ASD), but it may also be used for some patients who require a valve surgery revision. Minimally invasive heart surgeries are also applied to bypass surgery without the use of the heart-lung machine and without stopping the heart. This may prove to be less traumatic for some patients.

Intracoronary Stent Placement

After a blocked artery is opened using a tiny balloon (angioplasty), a small wire-mesh tube is placed in the artery to keep it open.

Heart Failure Treatment

Heart failure is a serious form of heart disease, but it can be monitored and treated in an attempt to improve heart function and reduce symptoms. The proper treatment for heart failure depends on what area of your heart is affected, and can include medicine and/or surgery.

Heart Bypass Surgery

Heart bypass surgery, or coronary artery bypass grafting, is a routine procedure that uses veins or arteries from other parts of the body to provide new paths for blood to reach the heart. The most common vessels used in bypass surgery come from the inside of the leg (saphenous vein) or the internal mammary artery from the underside of the breastbone. This vein is used to bypass the blockage in the coronary artery, thus restoring the blood flow to the heart.

Heart and Vascular Surgery

A variety of surgery options to treat conditions impacting the cardiovascular system (heart and/or blood vessels). Can range from heart bypass surgery to valve replacement and repair, stenting to aneurysm repair.

Endoscopic Vein Harvesting

Endoscopic vein harvesting is an advanced endoscopic technique, which involves just one or two small incisions and allows for easier recovery, less scarring and a smaller risk of infection.

Directional Coronary Atherectomy

Directional Coronary Atherectomy is a non-surgical technique that is used to widen and open the narrowing in the coronary artery.

Usually, the decision to proceed with DCA is made directly after a coronary angiogram while a patient is the catheterization lab. DCA can be preferable to other procedures, such as balloon angioplasty. Some of the factors that determine angioplasty versus atherectomy are the location and shape of the blockage, the size of the artery, and whether clots are present in the artery.

Coronary Artery Stent Placement

A therapeutic procedure similar to PTCA; however, instead of a balloon being solely used to compress the plaque into the artery wall, a thin metal expandable cylinder is inserted with the balloon. The balloon is inflated, causing the stent to expand so that the struts embed themselves in the artery wall, thereby allowing the vessels to remain open and provide optimal blood flow to the rest of the heart. This procedure often results in better long-term results than PTCA alone.

Carotid Stent Placement

Carotid artery stenting is a procedure in which a vascular surgeon inserts a slender, metal-mesh tube, called a stent, which expands inside your carotid artery to increase blood flow in areas blocked by plaque.

Cardioverter Defibrillator Implantation

An implantable cardioverter defibrillator (ICD) insertion is the implantation of an electronic device (just below the collarbone) used to help regulate electrical problems with the heart. An ICD monitors the heart's electrical activity and responds with either anti-tachycardia pacing (ATP) or shock therapy to prevent sudden cardiac arrest. An ICD can also record and store information about your heart rhythm and therapies delivered by the ICD for your physician to review.

Heart Catheterization

A doctor inserts a thin plastic tube (catheter) into an artery or vein in the arm or leg. From there it can be advanced into the chambers of the heart or into the coronary arteries.

Atrial Septal Defect Repair

The wall that separates the right and left sides of the heart is known as the septum. When a hole, or septal defect, forms in the wall of the upper chambers of the heart, it is known as an atrial septal defect. This defect causes a disruption in the normal flow of blood through the heart and can cause major complications later in life. Most people with this condition have few, if any, symptoms.

Using advanced surgical technology, physicians can perform this repair procedure using less invasive techniques versus using traditional methods. Most heart operations are performed with an incision made through the sternum or breastbone. However, surgeons are able to treat some patients by using small incisions on the side of the chest to reach the heart between the patient's ribs.

Angiogram (Heart Catheterization)

Also called an "arteriogram" or "heart catheterization," an angiogram is an x-ray of the arteries and veins to detect blockage or narrowing of the vessels.

Abdominal Aortic Aneurysm Repair

Surgical repair of an abdominal aortic aneurysm, which involves a widening, stretching or ballooning of the aorta in the heart. The exact cause is unknown, but risks include hardening of the arteries and high blood pressure.

Stereotactic Radiosurgery

A type of external radiation therapy that uses special equipment to position the patient and precisely give a single large dose of radiation to a tumor. It is used to treat brain tumors and other brain disorders that cannot be treated by regular surgery. It is also being studied in the treatment of other types of cancer. Also called stereotaxic radiosurgery, radiosurgery and radiation surgery.

da Vinci Robotic Gynecologic Surgery

With the da Vinci system, surgeons can perform gynecologic surgery by manipulating long hand-held surgical instruments inserted into the abdomen through small incisions. This procedure is less invasive and often results in a shorter recovery time.

Surgical Cancer Treatments

For certain types of cancer, surgical removal of the tumor is the easiest, most effective method of treatment. In many cases it is just the tumor, or a part of the tumor, that is removed. However, it might be necessary to remove an entire diseased organ, such as a lung or kidney.

Surgical Tumor Removal

For certain types of cancer, surgical removal of the tumor is the easiest, most effective method of treatment. In many cases it is just the tumor, or a part of the tumor, that is removed. However, it might be necessary to remove an entire diseased organ, such as a lung or kidney.

Lumpectomy

A type of breast-conserving surgery that may be used as a part of a treatment plan for breast cancer. During a lumpectomy, the cancerous lump and a portion of the breast tissue around the cancerous lump are removed. However, the breast itself remains intact.

Intraocular Brachytherapy

Brachytherapy is a radiation procedure that places radioactive sources, or seeds, directly in or near the tumor. We also offer intraocular brachytherapy, which is a treatment for malignant melanoma of the eye. This can save the affected eye from surgical removal.

da Vinci Robotic Prostate Surgery

This procedure incorporates a state-of-the-art robotic surgical system that helps your surgeon see vital anatomical structures more clearly and to perform a more precise surgical procedure through small incisions. For most patients this procedure offers substantially less pain and a much shorter recovery period.

The surgeon performs the operation by manipulating long hand-held surgical instruments inserted into the abdomen through small incisions.

Ureteroscopy

Ureteroscopy is an examination in which a long, thin scope, a flexible tube and a viewing devise are inserted through the bladder, into the ureter, and then into the kidney if necessary. This procedure is usually performed for the treatment of ureteral and kidney stones. General anesthesia is typically used for this procedure.

Renal, Pelvis and Ureter Surgery

This procedure removes the renal pelvis, kidney and entire ureter, along with the bladder cuff. Renal, pelvis and ureter surgery is used to treat patients who have transitional cell cancer of the upper urinary tract. Unlike a conventional procedure, laparoscopic surgery requires only several small incisions. Through these incisions, a surgeon uses a tiny camera and specialized surgical instruments to remove the diseased organs.

Renal (Kidney) Stone Surgery

Some kidney stones pass out of the body without any intervention by a physician. But in cases that cause lasting symptoms or other complications, kidney stones may be treated with various techniques, including shock waves or extracorporeal shock wave lithotripsy (ESWL), ureteroscope, tunnel surgery (also called percutaneous nephrolithotomy).

Corneal Transplant

Corneal transplantation is recommended for patients with severe infection, injury, damage, scarring or eyes that no longer allow light to pass through. Surgery will replace the clear covering of the eye that is damaged and no longer transparent. Corneal transplant is a painless procedure performed while the patient is awake. The damaged cornea is removed and the corneal graft is stitched in place.

Cataract Removal

Cataract removal is a procedure that removes the lens of the eye that has become clouded. Naturally eyes allow light rays to clearly focus on the back of the eye. When a cataract is present the light rays become blocked and the vision becomes cloudy. Cataract removal is performed by making a small incision at the edge of the outer lining of the eye. A special microscope is used. An artificial lens may be placed inside the eye to correct vision without glasses or contact lenses. The incision is closed with fine stitches.

Nephrectomy

Nephrectomy is surgery to remove a kidney.

Cystoscopy

Cystoscopy (also called cystourethroscopy) is an examination in which a scope, a flexible tube and viewing device, is inserted through the urethra to examine the bladder and urinary tract for structural abnormalities or obstructions, such as tumors or stones. Samples of the bladder tissue (called a biopsy) may be removed through the cystoscope for examination under a microscope in the laboratory.

Hysteroscopy

Hysteroscopy is the visual examination of the canal of the cervix and interior of the uterus using a thin, lighted, flexible tube called a hysteroscope. The device is inserted through the vagina.

Hysterectomy

Hysterectomy is the surgical removal of the uterus. Different portions of the uterus, as well as other organs, may be removed at the same time.

Dilation and Curettage

Dilation and curettage (also called D & C) is  a minor operation in which the cervix is dilated (expanded) so that the cervical canal and uterine lining can be scraped with a curette (spoon-shaped instrument).

Splenectomy

Removal of the spleen, an organ located in the upper left portion of the abdomen, behind the stomach. Its functions are to filter blood, remove bacteria, make blood and store blood.

Laparoscopic surgery to remove the spleen uses a thin, telescope-like instrument called a laparoscope, which is inserted through a small incision. The laparoscope is connected to a tiny video camera which projects a view of the operative site onto video monitors located in the operating room.

Gallbladder Removal (Cholecystectomy)

Removal of the gallbladder (Cholecystectomy) may occur when gallstones develop. They are small hard masses often consisting of cholesterol and bile salts that form in the gallbladder or bile duct. These stones may block the flow of bile out of the gallbladder.

Appendectomy

The appendix is a small, finger-shaped pouch of intestinal tissue located between the small intestine and large intestine. If the appendix becomes infected, it must be surgically removed before a hole develops in the appendix and spreads the infection to the entire abdominal space. An appendectomy is the surgical removal of an infected appendix.

Sinus Endoscopy

Sinus Endoscopy, a treatment for chronic sinus problems, is a minimally invasive procedure that eliminates the need for an external incision. The sinus surgery procedure begins through the nose, removing the thickened and diseased tissue blocking the sinuses. Most of the healthy tissue in the sinuses is undisturbed allowing for a rapid recovery.

Radio Frequency Ablation for Sleep Apnea

Patients who snore and have obstruction of their breathing can be treated with a technique that uses radio waves emitted from an electrode. The radio waves destroy a small amount of tissue at the base of the tongue. The tissue then shrinks to allow the breathing space to open. More than one treatment may be necessary to improve the obstruction. This technique is also used in the nose for a similar tissue reduction of the turbinates to improve the breathing through the nose.

Orbital Decompression

Orbital compression is a condition where the eye is pushed forward by the extra fat in the eye socket. This may not allow the eyelids to close very well and result in redness of the eye, double vision, and irritable, watering eyes. In a few cases the optic nerve, carrying the visual signals to the brain, can be compressed and this leads to failing vision. This condition is associated with Grave's Disease, an overactive function of the thyroid.

The surgical approach is through the nose and is often associated with the ophthalmologist who makes a small eyelid incision to complete the procedure. The ENT surgeon removes the sinuses between the eyes. The lining of the orbit is then slit to allow the fat of the orbit to swell into the space of the ethmoid sinus. Occasionally the optic nerve needs to be decompressed at the same time.

Optic Nerve Decompression

Optic nerve compression occurs when there is increased pressure to the nerve of vision without a discernable cause. Women from their teens through 50s are more likely to have this condition. Surgery involves opening the sinuses through the nose and then carefully drilling the bone over the optic nerve. The lining of the nerve is then slit to allow the nerve to swell and relieve the pressure. Computer-guided surgery is sometimes used to aid in identifying structures in the sinus. This allows for accurate navigation in the nose.

Rectopexy

Rectopexy is a surgery used to treat rectal prolapse. This occurs when the rectum loses its internal support and completely falls outside the body. Rectopexy is the surgical placement of internal sutures to position and secure the rectum correctly.

Hemorrhoid Procedure

In many cases hemorrhoids can be treated without surgery. In certain cases, however, surgery is necessary. In the past, hemorrhoid surgery required several incisions and resulted in significant postoperative pain. PPH (procedure for prolapse and hemorrhoids) has recently been developed as a surgical treatment for the removal of hemorrhoids.

Colostomy/Ilestomy

A colostomy or ilestomy is performed when the large intestine, rectum, or anus is unable to function normally or needs rest from normal functions. This procedure can be performed using laparoscopic surgery. Laparoscopic surgery uses a thin, telescope-like instrument called a laparoscope, which is inserted through a small incision at the belly button. The laparoscope is connected to a tiny video camera which projects a view of the operative site onto video monitors located in the operating room.

Colon Resections (Colectomy)

Laparoscopic intestinal resection surgery (colectomy) uses a thin, telescope-like instrument called a laparoscope, which is inserted through a small incision at the belly button. The laparoscope is connected to a tiny video camera which projects a view of the operative site onto video monitors in the operating room. Anyone with a condition that requires removal of a large part of the intestine, including diverticulitis, Crohn's disease, some colorectal cancers, and rectal prolapse may be a candidate for laparoscopic intestinal surgery.

Biliopancreatic Diversion with Duodenal Switch

This procedure is a variation of Biliopancreatic Diversion (BPD) in which stomach removal is restricted to the outer margin, leaving a sleeve of stomach with the pylorus and the beginning of the duodenum at its end. The duodenum, the first portion of the small intestine, is divided so that pancreatic and bile drainage is bypassed. The near end of the "alimentary limb" is then attached to the beginning of the duodenum, while the "common limb" is created in the same way as in BPD.

Laparoscopic Adjustable Gastric Banding

Laparoscopic adjustable gastric banding (AGB) involves attaching an inflatable band around the top portion of the stomach and tightening it like a belt to form a small pouch that serves as a new, much smaller stomach. After the procedure, the diameter of the band around the stomach can be adjusted by a physician by adding or removing saline (salt water).

Biopsy

A biopsy is a procedure in which tissue samples are removed (with a needle or during surgery) from the body for examination under a microscope; to determine if cancer or other abnormal cells are present.

Prostatectomy

A prostatectomy is a surgical procedure for the partial or complete removal of the prostate.

Roux-En-Y Gastric Bypass

Roux-en-Y gastric bypass (RGB), the most commonly performed bariatric procedure, is both malabsorptive and restrictive. The procedure involves stapling the stomach to create a small pouch that holds less food and then shaping a portion of the small intestine into a "Y." The "Y" portion of intestine is then connected to the stomach pouch so that when food is being digested it travels directly into the lower part of the small intestine, bypassing the first part of the small intestine (called the duodenum) and the first part of the second section of the small intestine (called the jejunum). The effect of bypassing these sections of the intestine is to restrict the amount of calories and nutrients that are absorbed into the body.

Mastectomy

A mastectomy is surgery to remove portions or all of the breast.