Surgical Procedures We Perform

Other Procedures

Breast Biopsy In a needle biopsy, a needle is inserted into the lump. Fluid and tissue samples are taken for pathological studies. There is no incision in this procedure.

In an open biopsy, the lump is removed through an incision. Some surrounding tissue may also be removed. The tissue sample will then be examined by a pathologist. Local or general anesthesia is used for this procedure.

In a stereotactic biopsy, a patient lies in the prone position with one breast passing through a hole in the table. After mammographic images of the breast have been taken to localize the area to be biopsied, the skin is anaesthetized with a local anesthetic. A small nick is made in the skin to allow for passage of a needle into the breast. Several core biopsies are then taken.

Hernia Repair
A hernia develops when the outer layers of the abdominal wall weaken (or have a defect), bulge, and tear. The hole in this outer layer allows the inner lining of the abdomen to protrude and form a sac.

Laparoscopic Hernia Surgery is usually performed under general anesthesia. A telescope is attached to a camera is placed through a small opening under the belly button. Two more small cuts are made in the lower abdomen. The hernia defect is covered with a mesh and secured with stitches, staples, titanium tacks, or tissue glue.

Open Repair Surgery is the more traditional approach to Hernia treatment. Although there are many approaches, in a typical surgery, the protruding tissue is returned to the abdominal cavity and the sac that has been formed is removed. The surgeon repairs the hole in the abdominal wall by sewing strong surrounding muscle over the defect. Mesh may be used in place of sewing.

Laparoscopic Cholecystectomy
Laparoscopic Cholecystectomy is the surgical removal of the gallbladder, a small, pear-shaped organ that lies on the underside of the liver, in the upper right portion of the abdomen.

The surgeon creates four very small incisions and will insert a special instrument called the laparoscope through one of the incisions. A laparoscope is a long, rigid tube that is attached to a tiny video camera and a light. Once the laparoscope has been inserted, the surgeon then guides the laparoscope while watching the view it provides on a video monitor.

The surgeon will use an electrocautery device to cut free the gallbladder. Once the gallbladder has been cut free, the surgeon collapses the organ and removes it through the incision at the navel.

Dr. Schilperoort, MD