Procedures
In general, minimally invasive surgery is associated with less pain, a shorter hospital stays and fewer complications.
Laparoscopy — surgery done through one or more small incisions, using small tubes and tiny cameras and surgical instruments — was one of the first types of minimally invasive surgery.
Another type of minimally invasive surgery is robotic surgery, It provides a magnified, 3-D view of the surgical site and helps the surgeon operate with precision, flexibility and control.
Continual innovations in minimally invasive surgery make it beneficial for people with a wide range of conditions. If you need surgery and think you may be a candidate for this approach, talk with your doctor.
Types of minimally invasive surgery
Surgeons perform many minimally invasive surgeries, including:- Anti-reflux surgery & hiatal hernia repair.
- Gastric surgeries including Bariatric surgery for morbid obesity (such like total or subtotal gastrectomy, sleeve gastrectomy and gastric bypass)
- Splenectomy (to remove the spleen)
- Pancreatectomy (for pancreas pathologies)
- Cholecystectomy (removal of gallbladder for stones and other pathologies).
- Liver surgery for different pathologies.
- Colon and rectum surgery
- Ear, nose and throat surgery
- Endovascular surgery to treat or repair an aneurysm
- Heart surgery
- Gynaecologic surgery
- Kidney transplant & Nephrectomy (kidney removal)
- Adrenalectomy to remove one or both adrenal glands
- Urologic surgery
- Neurosurgery
- Orthopaedic surgery
-Thoracic surgery, such as video-assisted thoracoscopic surgery (VATS)
Why it's done
Minimally invasive surgery emerged in the 1980s as a safe and effective technique to meet the surgical needs of many patients. In the last 20 years, many surgeons have come to prefer it to traditional (open) surgery, which requires larger incisions and, usually, a longer hospital stay.Since then, the use of minimally invasive surgery has expanded widely in many surgical specialties, including colon and lung surgery. Talk with your doctor about whether you would be a good candidate for this surgical approach.
Risks
Minimally invasive surgery uses smaller surgical incisions, and it is generally less risky than traditional surgery. But even with minimally invasive surgery, there are risks of complications with anaesthesia, bleeding, and infection.
In general, minimally invasive surgery is associated with less pain, a shorter hospital stays and fewer complications.
Laparoscopy — surgery done through one or more small incisions, using small tubes and tiny cameras and surgical instruments — was one of the first types of minimally invasive surgery.
Another type of minimally invasive surgery is robotic surgery, It provides a magnified, 3-D view of the surgical site and helps the surgeon operate with precision, flexibility and control.
Continual innovations in minimally invasive surgery make it beneficial for people with a wide range of conditions. If you need surgery and think you may be a candidate for this approach, talk with your doctor.
Types of minimally invasive surgery
Surgeons perform many minimally invasive surgeries, including:
- Anti-reflux surgery & hiatal hernia repair.
- Gastric surgeries including Bariatric surgery for morbid obesity (such like total or subtotal gastrectomy, sleeve gastrectomy and gastric bypass)
- Splenectomy (to remove the spleen)
- Pancreatectomy (for pancreas pathologies)
- Cholecystectomy (removal of gallbladder for stones and other pathologies).
- Liver surgery for different pathologies.
- Colon and rectum surgery
- Ear, nose and throat surgery
- Endovascular surgery to treat or repair an aneurysm
- Heart surgery
- Gynaecologic surgery
- Kidney transplant & Nephrectomy (kidney removal)
- Adrenalectomy to remove one or both adrenal glands
- Urologic surgery
- Neurosurgery
- Orthopaedic surgery
-Thoracic surgery, such as video-assisted thoracoscopic surgery (VATS)
Why it's done
Minimally invasive surgery emerged in the 1980s as a safe and effective technique to meet the surgical needs of many patients. In the last 20 years, many surgeons have come to prefer it to traditional (open) surgery, which requires larger incisions and, usually, a longer hospital stay.
Since then, the use of minimally invasive surgery has expanded widely in many surgical specialties, including colon and lung surgery. Talk with your doctor about whether you would be a good candidate for this surgical approach.
Risks
Minimally invasive surgery uses smaller surgical incisions, and it is generally less risky than traditional surgery. But even with minimally invasive surgery, there are risks of complications with anaesthesia, bleeding, and infection.
Surgery results in significant weight loss and leads to the improvement, prevention or resolution of many related diseases including type 2 diabetes, heart disease, hypertension, sleep apnea, and certain cancers.
Studies show bariatric surgery may reduce a patient’s risk of premature death by 30-50%.
Overall, bariatric surgery has complication and mortality rates (4% and 0.1%, respectively) comparable to some of the safest and most commonly performed surgeries including gallbladder surgery, appendectomy and knee replacement.
The weight loss surgeries are performed under General Anesthesia, by laparoscopic surgery (keyhole Surgery) throw small 3 to 5 incisions.
The stay in the hospital might last up to 5 days.
The recovery might take 2 weeks.
All procedures require appropriate patient assessment in order to propose the suitable procedure for each patient.
It leads patient to lose up to ¾ of his excess weight
Dr. Weiss with discuss widely the procedure upon your visit.
In this procedure, the amount of food you can consume, and the number of calories you absorb are limited.
This procedure is preferable for the uncontrolled high blood sugar and high blood level lipids.
It leads patient to lose up to ¾ of his excess weight
Dr. Weiss with discuss widely the procedure upon your visit.
The upper part of the stomach is divided into a tube, similar to the top three quarters of a sleeve, and then joined to a loop of intestine.
It can also be used in patients who have had previous gastric banding or sleeve surgery but have been unsuccessful with weight loss, or who have had band-related complications and have decided on revision.
About 75% of all abdominal hernias are inguinal, Incisional hernias comprise another 10 to 15%, Femoral and unusual hernias account for the remaining 10 to 15%.
Many hernias are asymptomatic, but some becomes incarcerated or strangulated, causing pain, and requiring immediate surgery.
Diagnosis is clinical. Treatment is elective surgical repair.
The hernia repair is performed under local, Spinal or General Anesthesia for open technique and under General Anesthesia for the laparoscopic repair (keyhole Surgery) throw small 3 to 5 incisions.
stay in the hospital might last up to 5 days.
recovery might take 2 weeks.
All procedures require appropriate patient assessment in order to propose the suitable procedure for each patient.
The groin hernias are inguinal & femoral hernia.
Asymptomatic inguinal hernias in men can be observed; if symptoms develop, they can be repaired electively.
An incarcerated or strangulated hernia of any kind requires urgent surgical repair.
Nowadays, the laparoscopic repair is preferable as well as the implementation of synthetic mesh.
Dr. Weiss with discuss widely the procedure upon your visit.
Hernia Repair
Umbilical hernias are most common in infants, but they can affect adults as well. In an infant, an umbilical hernia may be especially evident when the infant cries, causing the bellybutton to protrude. This is a classic sign of an umbilical hernia.
Being overweight or having multiple pregnancies may increase the risk of developing an umbilical hernia and this type of hernia tends to be more common in women.
Complications can occur when the protruding abdominal tissue becomes trapped (incarcerated) and can no longer be pushed back into the abdominal cavity. This reduces the blood supply to the section of trapped intestine and can lead to abdominal pain and tissue damage.
Nowadays, the laparoscopic repair is preferable as well as the implementation of synthetic mesh.
Dr. Weiss with discuss widely the procedure upon your visit.
Many are called incisional hernias because they form at the healed site of past surgical incisions. Here abdominal wall layers have become weak or thin, allowing for abdominal cavity contents to push through.
In a strangulated ventral hernia, intestinal tissue gets tightly caught within an opening in the abdominal wall. This tissue can’t be pushed back into the abdominal cavity, and its blood flow is cut off. This type of ventral hernia is an emergency requiring surgery. Hernias can occur in other places of your body and are named after the location where they occur — for example, a femoral hernia occurs in your upper thigh.
Nowadays, the laparoscopic repair is preferable as well as the implementation of synthetic mesh.
Dr. Weiss with discuss widely the procedure upon your visit.
Laparoscopic Repair
Most of the time, a hiatal hernia is small enough not to cause any symptoms and you may never know you have one.
However, if your hiatal hernia is large enough, the opening in the diaphragm increases, allowing more of your stomach and sometimes other organs to slide into your chest.
Sometimes, the hernia squeezes your stomach, causing restriction and discomfort.
The stomach may rotate and twist as well.
This results in the retention of acid, which can easily back up into your esophagus, causing gastroesophageal reflux disease (GERD), heartburn, chest pain, swallowing problems, and breathing problems.
Gastroesophageal reflux disease (GERD) is a common digestive disorder that is caused by gastric acid flowing from the stomach into the esophagus.
Also known as reflux, or heartburn, nearly 44 percent of the population experience recurrent GERD and 18 percent of these individuals use some type of non-prescription medication for their problem.
Symptoms are variant, heartburn, dysphagia, vomiting, chest pain, cough, chronic anemia and weight loss.
In many cases we can find the GERD and the hiatal are combined hernia as one complaint and disease.
You might reach the point you are advised to undergo a surgical repair for hiatal hernia or Hiatal hernia when you have strangulated hernia or uncontrolled acid reflux
The Cid reflux & Hiatal Hernia repair is performed under General Anesthesia, by laparoscopic surgery (keyhole Surgery) throw small 3 to 5 incisions.
The stay in the hospital might last up to 5 days.
The recovery might take 2 weeks.
This procedure requires special assessment & pre-operative assessment.
Dr. Weiss with discuss widely the procedure upon your visit.
Gallbladder disease includes inflammation, infection, stones, or blockage of the gallbladder. (Especially fats). Types of gallbladder disease include:
• Cholecystitis (inflammation of the gallbladder)
• Gallstones
• Chronic acalculous gallbladder disease (in which the natural movements needed to empty the gallbladder do not work well)
• Gangrene or abscesses
• Growths of tissue in the gallbladder
• Congenital defects of the gallbladder
• Sclerosing cholangitis
• Tumors of the gallbladder and bile ducts
The mildest and most common symptom of gallbladder disease is intermittent pain called biliary colic. Typically, a patient experiences a steady gripping or gnawing pain in the upper right abdomen near the rib cage, which can be severe and can radiate to the upper back. Some patients with biliary colic experience the pain behind the breastbone. Nausea or vomiting may occur.
Between 1 percent and 3 percent of people with symptomatic gallstones develop inflammation in the gallbladder (acute cholecystitis), which occurs when stones or sludge block the duct. The symptoms are similar to those of biliary colic but are more persistent and severe. They include pain in the upper right abdomen that is severe and constant and may last for days. Pain frequently increases when drawing a breath. About a third of patients have fever and chills. Nausea and vomiting may occur.
Chronic gallbladder disease involves gallstones and mild inflammation. In such cases, the gallbladder may become scarred and stiff. Symptoms of chronic gallbladder disease include complaints of gas, nausea and abdominal discomfort after meals and chronic diarrhea.
Stones lodged in the common bile duct can cause symptoms that are similar to those produced by stones that lodge in the gallbladder, but they may also cause:
• Jaundice
• Dark urine, lighter stools, or both
• Rapid heartbeat and abrupt blood pressure drop
• Fever, chills, nausea and vomiting, with severe pain in the upper right abdomen
Surgery may be warranted to remove the gallbladder if the patient has gallstones, or the gallbladder is not functioning normally. Most of the time this can be performed laparoscopically (through small incisions).
The stay in hospital might last up to 5 days.
The recovery might take one week.
This procedure requires special assessment & pre-operative assessment.
Fundoplication
