General surgery as the term suggests is characterized by “general and routine procedures” for a variety of conditions. We take pride in the fact that not only are we experts in the field of bariatrics, but experts in general surgery as well! Some of these procedures are listed below:
- Skin Surgery
- Cholecystectomy - Gallbladder Removal
- Esophagogastroduodenoscopy- EGD or Upper Endoscopy
- Appendectomy (laparoscopic and open incision
- Intestinal Surgery – large and small intestine
- Umbilical Hernia Repair
- Inguinal Hernia Repair
Removal of skin tags and other skin lesions.
Skin tags are composed of a core of fibers and ducts, nerve cells, fat cells, and a covering or epidermis. They can appear on any part of the surface of the body (skin), but most typically exist in areas where skin may rub against skin, such as the:
- Axilla (armpits)
- Under the breasts
- Upper chest
- Skin tags are invariably benign – non cancerous – tumors of the skin which cause no symptoms, unless it is repeatedly rubbed or scratched, as may happen with clothing, jewelry, or when shaving. Very large skin tags may burst under pressure.
Surgical removal involves numbing the area with lidocaine, scraping the skin tag away from the skin and burning or cauterizing the underlying skin.
CHOLECYSTECTOMY - GALLBLADDER REMOVAL
Indications for cholecystectomy include inflammation of the gall bladder (cholecystitis), biliary colic with or without gallstones, risk factors for gall bladder cancer, and pancreatitis caused by gall stones.
Cholecystectomy is the recommended treatment the first time a person is admitted to hospital for cholecystitis (inflammation of the gallbladder). Cholecystitis may be acute or chronic, and may or may not involve the presence of gall stones. Risk factors for gall bladder cancer include a “porcelain gallbladder,” or calcium deposits in the wall of the gall bladder, and an abnormal pancreatic duct.
Removing the gallbladder can prevent the relapse of pancreatitis that is caused by gall stones that block the common bile duct. Choleystectomy procedures are done via laparoscopy, robotics, or open incision.
Colonoscopy is a test that allows your doctor to look at the inner lining of your large intestine (rectum and colon). A thin, flexible tube called a colonoscope is used to look at the colon. A colonoscopy helps find ulcers, colon polyps, tumors, and areas of inflammation or bleeding. During a colonoscopy, tissue samples can be collected (biopsy) and abnormal growths can be taken out. Colonoscopy can also be used as a screening test to check for cancer or precancerous growths in the colon or rectum (polyps). This test is performed under monitored anesthesia, also known as twighlight.
Patient should have a routine screening colonoscopy every 5 years after the age of 50.
An Esophagogastroduodenoscopy or EGD or Upper Endoscopy is a common procedure used by doctors to gather information about your stomach, small intestine and your esophagus. The doctor uses a camera that is attached to a small bendable tube to go through the mouth and into the body to look for abnormal growth or anything that is possibly hazardous to the health of the human body.
EGD’s are a common procedure ordered for patients who are experiencing chronic heart burn, reflux, or pain.
Stomach ulcers or existence of a bacterium called Helicobacter Pylorii, abbreviated as H. Pylorii, is a contraindication for certain bariatric procedures. If you test positive for H. Pylorii you will be given a course of antibiotics for approximately 5-7 days until the infection is gone. Bariatric surgery will be delayed until the infection is gone.
Appendectomy (laparoscopic and open incision) is the removal of the appendix. The most common reason is appendicitis (inflammation of the appendix).
The classic symptoms of appendicitis include:
- Dull pain near the navel or the upper or lower abdomen that becomes sharp as it moves to the lower right abdomen; this is usually the first sign, but it only occurs in half of appendicitis cases.
Loss of appetite
- Nausea and/or vomiting soon after abdominal pain begins
- Abdominal swelling
- Temperature of 99 to 102 degrees Farenheit
- Constipation or diarrhea with gas
- Inability to pass gas
In many cases, atypical symptoms appear, including:
- Dull or sharp pain anywhere in the upper or lower abdomen, back, or rectum
- Painful urination
- Vomiting that precedes the abdominal pain
Call Your Doctor about Appendicitis If:
You have pain that matches the symptoms listed above; acute appendicitis is a medical emergency that can be fatal. Prompt surgery is often essential. Do not eat, drink, or use any pain remedies, antacids, laxatives, or heating pads, which can cause an inflamed appendix to rupture.
Intestinal surgery (large and small intestine) is common on patients who experience pain and have been admitted to the hospital. Here are some of the common reasons intestinal surgery may be necessary:
- Ulcer-active Colitis
- Intestinal Obstruction
- Inflammatory Disease of the bowel
- Persistent Fistula (abnormal connection between two organs)
UMBILICAL HERNIA REPAIR
- An umbilical hernia is a sac (pouch) formed from the inner lining of your belly (abdominal cavity) that pushes through a hole in the abdominal wall at the belly button.
- Your surgeon will make a surgical cut under your belly button.
- The hernia will be separated from the tissues around it, and then the contents of the intestine will be gently pushed back into the abdomen.
- Strong stitches will be used to repair the hole or weak spot caused by the umbilical hernia. The stitches will be placed to close the opening in the muscle layer.
- It may also be necessary to lay a piece of mesh over the weak area to make it stronger.
- Umbilical hernias are fairly common in adults. They are seen more in overweight people and in women, especially after pregnancy. They tend to get bigger over time.
Without surgery, there is a risk that some or part of the intestine will get stuck (incarcerated) in the hernia and become impossible to push back in. This is usually painful. If the blood supply to this area is cut off (strangulation), urgent surgery is needed. You may experience nausea or vomiting, and the bulging area may turn blue or a darker color.
INGUINAL HERNIA REPAIR
Inguinal hernia repair is surgery to repair a hernia in the abdominal wall of your groin. During inguinal hernia repair, this bulging tissue is pushed back in. Your abdominal wall is strengthened and supported with sutures (stitches), and sometimes mesh.
Symptoms of an inguinal hernia may include:
- A bulge in the groin or scrotum (men). The bulge may appear gradually over a period of several weeks or months, or it may form suddenly after you have been lifting heavy weights, coughing, bending, straining, or laughing.
- Many hernias flatten when you lie down.
- Groin discomfort or pain. The discomfort may be worse when you bend or lift.
- You may have sudden pain, nausea, and vomiting if part of the intestine becomes trapped (strangulated) in the hernia.
Other symptoms of a hernia include:
- Heaviness, swelling, and a tugging or burning sensation in the area of the hernia, scrotum (men), or inner thigh. Males may have a swollen scrotum, and females may have a bulge in the large fold of skin (labia) surrounding the vagina.
- Discomfort and aching that are relieved only when you lie down. This is often the case as the hernia grows larger.
A hernia repair may be suggested if you have pain or your hernia bothers you during your everyday activities. If your hernia is not causing you problems, you may not need surgery. However, these hernias do not go away on their own and they may get larger. For the repair, an incision will be made near your hernia.
- The hernia will be separated from the tissues around it. The hernia sac will be removed and the intestines will be pushed back into the abdomen.
- The weakened abdominal muscles will be closed with stitches. Often a piece of mesh is also sewn into place to strengthen your abdominal wall. This repairs the weakness in the wall of your abdomen.
Sometimes the intestines can be trapped inside. This can be life threatening. If it happens, you would need emergency surgery right away.
For more information on any of the general surgery procedures offered at Sun Coast Bariatrics, a division of Tampa Bay Surgical Group, LLP, please contact us at 727-289-7137 and a team member will assist you in answering your questions and schedule a consultation between you and our surgeons.