Diagnosis and treatment of breast disease, benign and malignant including examinations, office ultrasound, and office ultrasound guided biopsies. Surgical biopsies including sentinel node biopsies and mastectomies performed. Cosmetic outcomes a priority.
Open colon resections and laparoscopic colon resections. Surgery for hemorrhoids, including hemorrhoidal banding, fistula surgery, fissure surgery and abscess surgery.
Emergency surgical care, laparoscopic appendectomies, trauma care, cellulitis treatment and abscess drainage. Debridement’s of tissue as necessary. Also skin grafts and wound care including Wound Vac Therapy.
Laparoscopic Gallbladder surgery and laparoscopic common duct explorations.
AAfter performing thousands of hernia repairs, the type of repair performed
should be tailored to the individual patient. Open inguinal repairs are
generally performed under local anesthesia with sedation, all are tension
free tissue repairs based on a McVay technique with a relaxing incision to
allow healthy tissue advancement. Generally sufficient strong transervalis
fascia is available and mesh is not necessary. If the tissue is found to be
too weak and thinned out, then a preperitoneal mesh placement is performed,
in a tissue plane away from most nerves avoiding chronic pain. In younger
patients a laparoscopic preperitoneal mesh is performed. This allows mesh
incorporation without rejection and rebuilds the entire inguinal floor.
There is not one repair optimal for everybody.
Diagnosis and treatment of major vascular conditions including carotid disease, claudication and leg ulcers, ischemia and rest pain. Treatments with vein patch endarterectomies bypass surgeries, aneurysm repairs, referrals for balloon angioplasty. Renal dialysis access surgery. Varicose vein treatments and surgery. Insertion of pacemakers with cardiologists. Ultrasound guided PIC line placement.