• The least invasive, individualized surgical procedures in an integrated medical environment.

  • Abdominal Surgery

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    • Bariatric weight loss

    • Hernias

    • Acid reflux (gastroesophageal reflux disease or GERD)

    • Gallbladder

    • Tumor

    • Colon

    • Small bowel

    • Inflammatory bowel disease

    • Bypass

    Abdominal surgery encompasses any type of surgical procedure involving one or more of the organs located in the abdomen. Surgeries can be performed for weight loss (reducing the entryway into the stomach or making the stomach smaller), repairing hernias, eliminating acid reflux, removing gallbladder or gallstones, extracting benign and cancerous tumors, correcting bowel disorders and bypassing blocked arteries. Gerig surgeons frequently use laparoscopic techniques involving one or several small incisions to promote quicker recovery, shorter hospital stay, less scarring and reduced pain.

  • Endoscopy

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    • Investigate, diagnose and treat

    • Upper endoscopy

    • Lower endoscopy

    • Before and after endoscopy

    an endoscopy is a procedure that involves the use of a tiny camera on the end of a long, flexible tube that is carefully inserted into the body. The tiny camera transmits images to a video monitor, which the doctor watches to guide the flexible tube and search for abnormalities. This procedure enables doctors to investigate and determine the root cause of symptoms, diagnose through the collection of tissue samples (biopsy) to test for diseases and conditions and, sometimes, treat problems by passing special tools through the endoscope.

    An upper endoscopy allows for visual examination of the upper digestive system for conditions that affect the esophagus, stomach, and beginning of the small intestine (duodenum). Through this procedure doctors can evaluate stomach pain, ulcers, gastritis, difficulty swallowing, and digestive tract bleeding.

    A lower endoscopy examines the lower gastrointestinal (GI) tract. Doctors can carefully inspect the rectum, colon, and sigmoid colon in combination with a colonoscopy and a sigmoidoscopy to evaluate changes in bowl habits, identify inflammation, polyps or growths, remove polyps, collect biopsy samples, or diagnose cancer.

    In preparation for an endoscopy your doctor may ask you to fast by not taking certain medications or not eating or drinking four to eight hours beforehand to ensure your stomach is empty. During the procedure you will receive a sedative to relax you and make you more comfortable. Afterwards you may feel mentally alert but your reaction times and judgment may be impaired, so plan for transportation home.

  • Vascular Surgery

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    • Vascular diseases

    • Abdominal aortic aneurysm bypass surgery

    • Peripheral vascular disease bypass surgery

    • Neck carotid artery surgery

    Vascular surgery treats diseases involving the arteries and veins. Some diseases occur only in arteries, such as blood clots and arteriosclerosis, some occur only in the veins, while others affect both arteries and veins. Vascular diseases become more common as people age, with many people not even realizing they suffer from these diseases in their early stages. Other factors, besides age, that increase the chances of vascular disease include family history, illness or injury, pregnancy, prolonged periods of inactivity, lack of exercise, smoking, obesity, hypertension, diabetes and high cholesterol. Vascular procedures performed by Gerig surgeons include abdominal aortic aneurysm, peripheral vascular disease, and carotid arteries.

    The aorta is the large artery that carries blood from the heart to the body. An aneurysm is a localized widening of a blood vessel. Aortic aneurysms often do not produce symptoms, but a rupture can be catastrophic. The traditional surgical approach to repairing a ruptured aneurysm involves cutting out the defective section of the aorta and replacing it with a synthetic graft. Another approach is endovascular grafting, where a tube allows the surgeon to position a graft inside the aneurysm and protect it from expanding.

    Arteries and veins carry blood throughout the body. Peripheral vascular disease occurs when fatty substances build up within the vessels (atherosclerosis, or hardening of the arteries) and reduce or block blood flow. Bypass surgery redirects blood through a grafted blood vessel to bypass the affected blood vessel.

    The two large carotid arteries in the neck supply oxygenated blood to the parts of the brain that control thinking, speech, personality, and sensory and motor functions. Over time, fatty substances and cholesterol can lead to atherosclerosis (hardening of the arteries) on the inside of the vessels, decreasing blood flow to the brain and increasing the risk of stroke. Carotid endarterectomy (CEA) is a surgical procedure to remove the plaque and diseased portions of the artery.

  • Minimally Invasive Surgery

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    • Quicker recovery

    • Shorter hospital stay

    • Less scarring

    • Reduced pain

    Surgeons have been successfully using minimally invasive surgery since the late 1980s. In minimally invasive surgery doctors make one or several small incisions (each about the size of a dime), as opposed to traditional “open” surgery that involves a large incision. Then, doctors insert tubes through each of the small incisions. A tiny camera (usually a laparoscope or endoscope) is passed through a tube, allowing the surgical team to view magnified images on video monitors. Specialized instruments pass through the other small incisions to perform the actual procedure.

    Because minimally invasive surgery incisions are much smaller than traditional “open” incisions your body heals faster, allowing for a shorter hospital stay and quicker recovery. And because the incisions are so small there is less scarring and reduced pain.

  • Bariatric Surgery

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    • Adjustable gastric band (lap band)

    • Sleeve gastrectomy (gastric sleeve)

    • Gastric bypass (Roux-en-Y)

    Bariatric surgery is a recommended course of treatment for people suffering from obesity. Many patients experience losing 66 to 80 percent of their excess body weight. In addition to weight loss, bariatric surgery has proven to have a beneficial medical impact on other conditions such as diabetes, hypertension, acid reflux, sleep apnea, polycystic ovary syndrome (PCOS), urinary stress incontinence and low back pain. In addition, patients experience an improved quality of life. There are three basic types of bariatric surgery that your doctor will consider.

    Adjustable gastric band surgery places an adjustable silicone band around where the esophagus attaches to the stomach. Narrowing the entryway into the stomach reduces nutrient intake, which results in safe and effective weight loss. Because this procedure is performed laparoscopically involving several small incisions through which a tiny camera and tools are inserted, it is frequently referred to as “lap band.” Benefits of laparoscopic surgery include quicker recovery time, shorter hospital stay, less scarring and reduced pain. Gastric band is considered one of the safest procedures.

    Sleeve gastrectomy, or gastric sleeve, surgically (and permanently) reduces the size of the stomach by about 15 percent. Although the stomach volume is reduced, it still functions normally so you can continue to enjoy most foods – just in smaller portions. This procedure also removes the portion of the stomach that produce the hormones which stimulate hunger so you will feel less hungry. Like adjustable gastric band surgery (“lap band”), sleeve gastrectomy is performed through a laparoscopic procedure so patients experience the same post-surgery benefits.

    In gastric bypass surgery (or Roux-en-Y) doctors create a small stomach pouch with a stapler device and connect it to the distal small intestine. The upper part of the small intestine is then reattached in a Y-shaped configuration.

  • Surgery for Cancer

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    • Thyroid

    • Parathyroid

    • Breast

    • Lung

    • Esophagus

    • Stomach

    • Intestine

    • Colon

    • Rectum

    • Skin

    • Lymph node

    Cancer surgery is used to diagnose and determine if a growth is benign or malignant, evaluate the size of a tumor, assess whether or not the cancer has spread to the lymph nodes, gauge the cancer’s stage, remove the cancerous tumor as primary treatment, debulk (remove as much of the cancer as possible) in order to make chemotherapy or radiation more effective, and improve quality of life by relieving symptoms or side effects. Traditionally, cancer surgery involves removing the cancer along with nearby healthy tissue to ensure that all is removed. In some cases surgeons will remove some lymph nodes to determine if the cancer has spread. Gerig surgeons are experts in cancers of the thyroid, parathyroid, breast, lung, esophagus, stomach, intestine, colon, rectum, skin and lymph node.

  • Wound Care

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    • Wound care management

    • Hyperbaric oxygen therapy

    • Debridement

    • Revascularization

    While most wounds heal with time and patience, some wounds pose challenging medical problems that require specialized treatment and care. Factors causing slow-to-heal wounds include diabetes, age, and certain vascular conditions. Hyperbaric oxygen therapy involves breathing pure oxygen in a pressurized room, creating oxygen-rich blood that stimulates the release of growth factors and stem cells which promote healing. Debridement removes non-living (necrotic) tissue from pressure ulcers, burns and other wounds to eliminate the possibility of bacterial infection and abscesses. Revascularization restores blood supply to tissue that has been affected by ischemia (a restriction in blood flow resulting in a shortage of oxygen and glucose), saving limbs from possible amputation.