A hernia appears as a lump and occurs when an organ or tissue pushes through an abdominal wall opening. A hernia may be in the inner groin (inguinal), incisional (through an incision site), in the outer groin (femoral), in the belly button (umbilical), or on the upper stomach area (hiatal). There are also possibilities of them occurring anywhere along the abdominal wall and this would be called a ventral hernia. Each type of hernia can be repaired surgically by Dr. Liyanage, our board-certified general surgeon at Advanced Surgical Technology. He employs robotic assisted laparoscopy and laparoscopy, as well as some open procedures. Robotic assisted lapaproscopy and laparoscopy are less invasive, have smaller incisions, and allow for a faster recovery, this is often the preferred method.
Gallbladder removal (Laparoscopic cholecystectomy)
The gallbladder may need to be removed, most often due to gallstones or ongoing pain located in the RUQ. The gallbladder may no longer be functioning as nature intended, and restoring your health and comfort may be best achieved through removing the organ, which produces no long-term health problems. The surgery is performed laparoscopically, with very small instruments for a minimally invasive treatment with a faster recovery than open surgery. This is often single site.
Appendix removal (Laparoscopic appendectomy)
The appendix can become infected and pose a threat to your health and life. An appendectomy is usually an emergency surgery. Laparoscopic surgery can be performed to remove the tiny organ, with a smaller incision and a faster recovery time, this is often performed single site, meaning there is only one small incision made through your umbilicus. If the appendix has ruptured or an abscess has developed, specialized treatments in conjunction with surgery will be performed to restore your health.
A biopsy may be ordered by a physician or specialist. This procedure will involve removing a piece of tissue from a body area to be evaluated in a lab to identify various conditions or diseases.
Colon surgery may be the appropriate way to resolve various health issues, including removing a diseased portion of the colon. This is often seen in patients with severe diverticulitis requiring hospitalizations, cancer, infection, bowel obstruction, and in trauma. These when done as a planned procedure are often done robotically and small incisions are made. This then decreases recovery time. Patients are usually admitted for these procedures and kept in the hospital 3-5 days.
All or part of a thyroid gland may require surgical removal. This surgery, called a “thyroidectomy,” can be performed to treat a thyroid disorder, cancer, non-cancerous thyroid enlargement, or an over-active thyroid gland (hyperthyroidism). A thyroid biopsy is done first to verify the pathology and then the surgical procedure will be scheduled. Patients are kept overnight in the hospital following this surgical procedure.
Hemodialysis Catheter Placement
If you suffer from kidney failure and require regular dialysis treatments, an access port must be placed to allow the treatment to be conducted safely and comfortably. This is often placed as a first line treatment measure. Then a more permanent means of dialysis would be esthablished including an AV fistula or a Peritoneal dialysis catheter placed.
Central venous ports are placed for poor venous access. These are usually necessary for patients receiving chemo and or frequent lab draws. The port placement may be necessary to deliver IV fluids, medication, or other health reasons. These can be inserted in Dr. Liyanages office in one of our sterile procedure rooms.