General Surgery

Common Surgical Procedures

General Surgery is a medical specialty involving a general surgeon who has specialized knowledge and has received extensive training in specific surgical procedures, pre-surgical patient consultation, and post-operative management. It can be used for routine procedures in the doctor's office as well as complicated operations requiring a medical team in the hospital.

General surgical procedures are numerous and are applied in different areas of the body. Some of the more common problems treated by a general surgeon are: thyroid tumors, breast tumors, gallbladder disease, colon tumors, appendicitis, and hernias.
 

Gallbladder Disease

Cholecystectomy is a surgical procedure to remove your gallbladder. It is a pear-shaped organ that sits just below your liver on the upper right side of your abdomen. Your gallbladder collects and stores bile, a digestive fluid produced in your liver. A cholecystectomy may be necessary if you experience pain from gallstones that block the flow of bile.

Cholecystectomy is a common surgery, and it carries only a small risk of complications. In most cases, you can go home the same day of your surgery.

Cholecystectomy is most commonly performed by inserting a tiny video camera and special surgical tools through four or five small incisions to see inside your abdomen and remove the gallbladder. Doctors call this a laparoscopic cholecystectomy. In some cases, one large incision may be used to remove the gallbladder, and this is called an open cholecystectomy.

Hernias

At Lone Star Surgery we specialize in treating a variety of different issues associated with hernias, including:

  • Inguinal Hernia
  • Ventral Hernia
  • Hiatal Hernia

Inguinal Hernia

An inguinal hernia occurs when soft tissue, usually part of the intestine, protrudes through a weak point or tear in your abdominal wall. The resulting bulge can be painful, especially when you cough, bend over or lift a heavy object. Not necessarily dangerous by itself, an inguinal hernia doesn't get better or go away on its own. Inguinal hernia repair is a common surgical procedure and may be performed one of two ways.

Herniorrhaphy is an 'open' hernia repair; the surgeon makes an incision in your groin and pushes the protruding intestine back into your abdomen. Then the surgeon repairs the weakened or torn muscle by sewing it together. Often the weak area is also reinforced and supported with a synthetic mesh, a procedure called hernioplasty. After the operation, you'll be encouraged to move about as soon as possible, but it may be as long as 4-6 weeks before you're able to fully resume your normal activities.

Laparoscopic surgery is when your surgeon uses several small incisions rather than one large one. A fiber-optic tube with a tiny camera is inserted into your abdomen through one incision, and miniature instruments are inserted through the other incisions. Your surgeon performs the operation using the video camera as a guide. In laparoscopic surgery, synthetic mesh is always used to repair the hernia (hernioplasty).

Ventral Hernia

A ventral hernia is normally described as a hernia, or protrusion of an organ inside the abdomen such as the intestine or the bowel. In normal circumstances, the surrounding muscles and body tissues keep an organ inside the cavity, but in the case of a ventral hernia, the protruded organ comes out through the cavity and pushes the abdominal wall. The protrusion is visible from the outside in the form of a bulge in the abdomen.

Herniorrhaphy

A herniorrhaphy is a surgical procedure that requires a large incision be made so that the protruding organs are placed back in their proper positions and the abdominal muscles reinforced.

Laparoscopic Ventral Hernia Repair is a surgical procedure that requires a small incision be made through which the camera and instruments are inserted and used for the operation.

Hiatal Hernia

A hiatal hernia occurs when part of your stomach pushes upward through your diaphragm. Your diaphragm normally has a small opening (hiatus) that allows your food tube (esophagus) to pass through on its way to connect to your stomach. The stomach can push up through this opening and cause a hiatal hernia. In most cases, a small hiatal hernia doesn't cause problems, and you may never know you have a hiatal hernia unless your doctor discovers it when checking for other conditions. But a large hiatal hernia can allow food and acid to back up into your esophagus, leading to heartburn and chest pain.

An operation for a hiatal hernia may include pulling you stomach down into your abdomen and making the opening in your diaphragm smaller, reconstructing a weak esophageal spincter, or removal of the hernia sac. In some cases, this is done using a single incision in your chest wall (thoracotomy) or abdomen (laparotomy).

Thyroid Disease

A thyroidectomy is the removal of all or part of the thyroid gland. Your thyroid is a butterfly-shaped gland located at the base of your neck. It produces hormones that regulate every aspect of your metabolism, from your heart rate to how quickly you burn calories.

Thyroidectomy is used to treat thyroid disorders, such as cancer, noncancerous enlargement of the thyroid (goiter) and overactive thyroid (hyperthyroidism). How much of your thyroid gland is removed during a thyroidectomy depends on the reason for surgery.

The surgeon makes a small incision in the front of your neck, and all or part of the thyroid gland is removed, depending on the reason for surgery. If you're having thyroidectomy as a result of thyroid cancer, the surgeon may also examine and remove lymph nodes around your thyroid. Thyroidectomy usually takes several hours.

Skin Cancers

Skin cancer, the abnormal growth of skin cells, most often develops on skin exposed to the sun. But this common form of cancer can also occur on areas of your skin not ordinarily exposed to sunlight.

Treatment for skin cancer and the precancerous skin lesions known as actinic keratoses varies, depending on the size, type, depth and location of the lesions. Small skin cancers limited to the surface of the skin may not require treatment beyond an initial skin biopsy that removes the entire growth.

Excisional surgery may be appropriate for any type of skin cancer. The surgeon cuts out (excises) the cancerous tissue and a surrounding margin of healthy skin. A wide excision, removing extra normal skin around the tumor, may be recommended in some cases.

Curettage is when the surgeon scrapes away layers of cancer cells using a circular blade. An electric needle destroys any remaining cancer cells. This simple, quick procedure is common in treating small or thin basal cell cancers.

Hemorrhoidal Disease

A pain-free cure for Hemorrhoidal Disease is now available with Ultroid. It uses a breakthrough technology to painlessly and permanently eliminate HD without anesthesia or painful cutting, burning or banding.

HD (hemorrhoidal disease) is one of the fastest growing diseases in the world. 75% of people in the U.S. will have symptoms of HD at some point in their lifetime but most will not seek treatment until the pain is unbearable. You don't have to suffer with HD any longer. A pain-free cure for HD is now available with Ultroid. It uses a breakthrough technology to painlessly and permanently eliminate HD without anesthesia or painful cutting, burning or banding. Best of all, it's done in about ten minutes in your physician's office. You will feel immediate relief and return to your daily activities right away.

Common causes of HD:

  • Pregnancy & Childbirth
  • Constipation and Diarrhea
  • Prolonged Toilet Sitting
  • Poor Diet
  • Straining

HD is very common but rarely discussed. If you have any spotting on toilet tissue or itching 'back there', or think you might have HD, talk to your doctor about it and see how Ultroid can help you.