Robotic Surgery
Robotic surgery is an advanced form of minimally invasive surgery that uses small incisions to operate within the abdominal cavity. The robotic platform provides enhanced 3D visualization and greater precision, allowing the surgeon to perform more controlled and accurate dissection, which can reduce inflammation, improve pain management, and optimize recovery. Though the DaVinci robot may seem intimidating, it’s simply a tool that helps the surgeon perform the procedure more effectively.
Robotic Hernia Surgery
A hernia is a tear in the abdominal wall leading to protrusion of internal organs. The most common indication for repair includes pain, discomfort, limiting daily activities, or other symptoms. Robotic repair provides a novel minimally invasive approach that reduces pain and improves recovery time. Types of hernias include
Inguinal (groin)/femoral hernias
Ventral hernias
Umbilical hernias
Incisional hernias
Hiatal/Paraesophageal/diaphragmatic Hernias
Emergency General Surgery
Time-sensitive surgical conditions can be potentially life-threatening, requiring prompt surgical intervention. Examples of these conditions include
Acute appendicitis Acute cholecystitis
Biliary obstructions Small bowel perforation
Gastric ulcer perforation Bowel obstruction
Colon Perforation Colon Obstruction
Diverticulitis Bowel Ischemia
Necrotizing Fasciitis
Robotic Colon Surgery
A section of the colon is removed and a new connection is fashioned inside the body. This helps to re-establish continuity of the gastrointestinal tract. The robotic platform provides better visualization and improved anastomosis (connection) technology. Indications for colon surgery include:
Colon and Rectal Cancer
Certain types of Appendiceal cancer
Polyps that are too large to be resected during colonoscopy
Diverticulitis, Acute and Recurrent
Colonic Obstructions
Volvulus or Twisting of the colon
Perforation or rupture
Robotic Gallbladder Surgery
Gallbladder disease can cause acute and chronic pain particularly after meals rich in fats. Robotic cholecystectomy (gallbladder) is performed for a variety of conditions including.
Gallstones
Cholecystitis, Acute and Chronic
Choledocholithiasis
Biliary Pancreatitis
Gallbladder Polyps/Cancer
Biliary Dyskinesia
Laparoscopic Appendectomy
The appendix is finger sac like structure at the base of the cecum. It becomes problematic when the appendix gets obstructed or infected which can lead to perforation. Prompt appendectomy is the main course of treatment. Indications for appendectomy include
Appendicitis
Chron’s disease
Appendiceal neoplasms
Appendix polyps
Colonoscopy
A safe method of examining your Gastroitestinal tract. Guidelines recommend starting screening for colon cancer at age 45. This can be both diagnostic and therapeutic in identifying a variety of conditions such as
Colon Polyps
Colon Cancer
Rectal bleeding or positive blood in the stool
Diverticulosis and Diverticulitis
Diarrhea
Unexplained abdominal pain
Inflammatory bowel disease​
Port Placement
A Port is a device implanted under the skin and has direct access to the venous system. This is performed under fluoroscopic and ultrasound guidance for adequate placement. Indications
Chemotherapy
Fluid infusions
Frequent blood Draws
Deliver medications, antibiotics, coagulation factors, and even chronic pain medications
Soft Tissue Mass Excision
Soft tissue masses are lesions that sit under the skin or disrupt the skin, causing pain and discomfort. These lesions can be benign or malignant and require a physical examination or surgical removal to confirm their etiology. Examples include
Lipomas: fatty tissue deposits
Epidermal inclusion cyst: arises in areas of hair follicles
Ganglion cysts: arise from joints
Pilar cyst: typically occurs in the scalp
Hemorrhoid Treatment
Hemorrhoids are enlarging blood vessels in the anus. They are common and, if untreated, can cause prolonged suffering. Hemorrhoids can be internal or external. Treatment starts with lifestyle modification. Surgery may be needed
Office procedures: Rubber Band ligation
Stapled hemorrhoidopexy
Excisional hemorrhoidectomy
Breast Cancer
Breast cancer is a very common malignancy in women in the United States. Diagnosis starts with a mammogram and a breast examination. This is usually followed by a breast biopsy for identification of breast cancer. Fortunately, most biopsies are benign. We believe in a multidisciplinary approach to breast cancer. Surgical treatment includes
Breast-conserving therapy or lumpectomy with Sentinel lymph node biopsy
Mastectomy with or without reconstruction
Bilateral Mastectomy
Skin Cancer
Skin cancer is the most common type of cancer. The main types of skin cancer are squamous cell carcinoma, basal cell carcinoma, and melanoma. Melanoma is the most aggressive and surgery can be curative
Melanoma Excision with Sentinel Lymph node biopsy
Lymph node excision
Wide local excision
Abscess or Infection
Skin infections are very common and they often require drainage to achieve adequate source control to allow antibiotics to work. The area usually looks red, warm and filled with fluid. Prompt surgical intervention reduces pain and improves outcomes
Diagnostic Laparoscopy
Many conditions require a minimally invasive exploration of the abdomen to identify diseases that are not found on imaging. Such as
Abdominal pain
Scar tissue causing bowel obstructions
Infections
Liver biopsy
Laparoscopic feeding tube placement
Many conditions cause malnutrition, and access to the gastrointestinal tract is needed to optimize nutrition. Feeding tubes are typically placed in the stomach or small bowel