Procedure Descriptions

A bunion is a painful deformity of the bones and joint between the foot and the big toe. Long-term irritation caused by poorly fitting and/or high-heeled shoes, arthritis, or heredity causes the joint to thicken and enlarge. This causes the big toe to angle in toward and over the second toe, the foot bone (metatarsal) to angle out toward the other foot, and the skin to thicken.

Surgical removal of a bunion is usually done while the patient is under general anesthesia and rarely requires a hospital stay. An incision is made along the bones of the big toe into the foot. The deformed joint and bones are repaired, and the bones are stabilized with a pin and/or cast.

A Colonoscopy enables the physician to look inside a patient's entire large intestine. This procedure is used to look for early signs of cancer in the colon and rectum, as well, as diagnose the causes of unexplained bowel habits.

Before the procedure, the patient is usually given a mild sedative. While the patient lies on their left side, the physician will inset a long, flexible, lighted tube into the patient's rectum and slowly guide it into the colon. The tube, called a colonoscope, transmits an image of inside the colon and can inflate the colon with air to help the physician see clearly.

The physician can remove all or part of an abnormality using tiny instruments passed through the scope. If there is bleeding, the physician can pass an instrument through the scope to stop the bleeding or inject medicine.

Esophagogastroduodenoscopy (EGD) or Upper Endoscopy is an examination of the esophagus, stomach, and duodenum. During this procedure, a thin flexible tube, containing a light source and camera, is placed down the patient's throat. The physician is able to examine the patient's upper GI tract from the video output of the camera. Before the EGD procedure, an anesthetic spray is used to numb the back of the throat, and sedation is given for the 15-minute exam.

Endoscopic Carpal Tunnel Surgery
Endoscopic Carpal Tunnel Surgery involves a small incision over the palm of the hand through which a surgeon will insert a small tube with a light and camera. Using that tool they will cut the transverse carpal ligament to releases pressure on the median nerve.
Some surgeons will remove tissue surrounding the nerve, especially if the tissue is swollen or irritated (as is often found in arthritis patients). The surgeon will then usually close the skin and subcutaneous tissues over only the carpal ligament, leaving the carpal tunnel uncovered. Other surgeons reattach the carpal ligament after lengthening it.

Hammertoe Repair
Hammertoe is a bending of one or both joints of a toe. This deformity can put excessive pressure on the toe resulting in pain and discomfort.
Arthroplasty is the most common surgical procedure to correct hammertoe. In this procedure, the surgeon straightens the toe by removing a small section of the bone from the affected joint.
Arthrodesis is another surgical procedure to correct hammertoe and is usually reserved for the more advanced cases. In this procedure, the surgeon fuses a small joint in the toe to straighten it. A pin is typically used to hold the toe in position while the bone is healing.
Other procedures may be necessary in more severe cases, including skin wedging (the removal of wedges of skin), tendon/muscle rebalancing or lengthening, small tendon transfers, or relocation of surrounding joints.

Hernia Repair
A hernia develops when the outer layers of the abdominal wall weaken (or have a defect), bulge, and tear. The hole in this outer layer allows the inner lining of the abdomen to protrude and form a sac.

Laparoscopic Hernia Surgery is usually performed under general anesthesia. A telescope is attached to a camera is placed through a small opening under the belly button. Two more small cuts are made in the lower abdomen. The hernia defect is covered with a mesh and secured with stitches, staples, titanium tacks, or tissue glue.

Open Repair Surgery is the more traditional approach to Hernia treatment. Although there are many approaches, in a typical surgery, the protruding tissue is returned to the abdominal cavity and the sac that has been formed is removed. The surgeon repairs the hole in the abdominal wall by sewing strong surrounding muscle over the defect. Mesh may be used in place of sewing.

Laparoscopic Cholecystectomy
Laparoscopic Cholecystectomy is the surgical removal of the gallbladder, a small, pear-shaped organ that lies on the underside of the liver, in the upper right portion of the abdomen.

The surgeon creates four very small incisions and will insert a special instrument called the laparoscope through one of the incisions. A laparoscope is a long, rigid tube that is attached to a tiny video camera and a light. Once the laparoscope has been inserted, the surgeon then guides the laparoscope while watching the view it provides on a video monitor.

The surgeon will use an electrocautery device to cut free the gallbladder. Once the gallbladder has been cut free, the surgeon collapses the organ and removes it through the incision at the navel.

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