We have established that having a hernia does not necessarily require surgical repair. However, we also know that surgery is the only way to repair a hernia. When they find out about a hernia, many patients wonder whether it needs to be repaired urgently or ever. This decision is often a personal one that needs to be made with the patient’s loved ones and their medical team.
Posted in: Hernia Surgery
Robotic assisted surgery is one of the largest steps forward in modern surgical history and has the potential to have even greater benefits in the future. Robotic surgery has made procedures that were once too complex to be performed open or laparoscopically, routine. Further, the visualization and dexterity improvements that robotic surgery brings to the operating table have allowed surgeons to be more productive and less fatigued in the OR.
However, with all its benefits, robotic surgery is not appropriate in every case. When we screen patients for surgery, we consider first the safety and second the effectiveness of the procedure. Robotic surgery often offers the best of both worlds, especially when complexity is involved.
Hernias are a very common condition, but only a small fraction of those who develop hernias get them repaired. There are two reasons for this…First, many hernias are asymptomatic, meaning they show no bulge and do not cause any pain. Therefore, patients may never know they exist. Other times, a hernia may be known, but for some reason or other, the patient ultimately decides not to have it repaired.
The question posed in this blog touches on both circumstances. A patient who discovers they have a hernia from an incidental exam has likely been living with that hernia for quite a while. Indeed, many hernias go unnoticed and undiagnosed for years, decades or even the remainder of the patient’s life. Asymptomatic hernias, as they are known, do not warrant treatment, in most cases, because we simply do not know they exist, but also because the risk of strangulation is very low. Ultimately, if the potential hernia does not cause any interference in lifestyle, there would be no reason to repair.
Posted in: Hernia Surgery
With the advent of surgical mesh to cover a hernia defect, the tension-free method of repairing a hernia has become the gold standard. However, a small proportion of patients do not wish to have a mesh repair. These patients elect to have their hernia fixed without a mesh. For that reason, it is important to quickly discuss the pros and cons of the two options available to patients when repairing a hernia.
Posted in: Hernia Surgery
Gallstones are very common in the general population and gallbladder surgery is one of the most frequently performed general surgical procedures in the United States. When gallstones become symptomatic, causing what is often referred to as a gallstone “attack,” the most reliable form of treatment is removal of the entire gallbladder.
When patients first start experiencing gallstone pain, they are usually referred to an imaging center for a comprehensive abdominal ultrasound, both to confirm the presence of a gallstone or gallbladder disease and rule out any other abdominal conditions. The report we receive from the imaging typically states the size of the gallstone. So, what exactly does the size of the stone tell us?
Posted in: Gallbladder Surgery
Dr. Lublin’s patients may have the option to choose a hospital setting or a surgery center for their gastric banding procedure, since weight loss surgery can be performed in an outpatient setting. There are, however, some considerations to make when evaluating each medical setting.
Outpatient surgical centers are very convenient – the intake and discharge process is relatively quick and the outpatient center itself is usually very comfortable and welcoming. Since the procedures performed in an outpatient clinic are not emergencies, the staff is often more relaxed and better able to accommodate special needs. The recovery setting is quieter and well decorated and you may receive more individualized attention because of the lower volume of patients.
Posted in: Weight Loss Surgery
One of the hardest things to do – bariatric patient or not – is to maintain proper diet and exercise when you take a trip either for business or pleasure. As we get into the spring and summer travel season, many of us will be taking trips that not only take us away from our home, but our healthy routine too. In order to ensure that we maintain our progress and don’t let our hard work fall by the wayside, there are a few tips to follow.
One of the most important decisions that a prospective bariatric patient can make, is choosing which weight loss surgeon is best for them. The key is to understand that there is no “best” surgeon for everyone. Rather, the surgeon that best addresses the patient’s needs is probably the right surgeon. Choosing a surgeon should be a thorough and thoughtful process and the particulars of each program can vary significantly; even if the procedures are largely the same.
The Body Mass Index, commonly referred to as the BMI, is probably the quickest and easiest determinant of whether or not a patient may qualify for weight loss surgery. BMI is useful as a guide to surgeons and patients alike, measuring weight vs. height and ultimately determining whether a patient is overweight or obese. While BMI is undoubtedly a good first step in the qualification process, its usefulness does not extend much further.
One of the recurring themes of your post-surgical lifestyle change will revolve around protein. Protein is present throughout your body and plays an important role both immediately after surgery and over the long-term. As a weight loss surgery patient you will undoubtedly hear about the importance of meeting your protein requirements each and every day.