• Laparoscopic Sleeve Gastrectomy

  • Laparoscopic Cholecystectomy

  • Laparoscopic Hernia Repair

Types of Procedures

All of Dr. Arif Ahmad’s general surgery procedures are performed laparoscopically. Laparoscopic general surgery procedures require shorter hospital stay, less bleeding, less down time, and result in fewer complications than open surgery.

All general surgery procedures performed by Dr. Ahmad and his team are performed under general anesthesia. This means that patients will “sleep” and feel no pain during the surgery.

Most general surgery procedures must be performed due to illness or injury. Dr. Arif Ahmad has over 30 years of experience as a general surgeon and has performed a wide range of general surgery procedures for patients with a variety of conditions.

Laparoscopic Organ Removal

Laparoscopic Cholecystectomy, Laparoscopic Appendectomy, laparoscopic colon resection, and laparoscopic splenectomy are similarly performed procedures. The biggest differences are in the organ being removed, length of time the general surgery procedures take, and recovery time recommended by the general surgeon.

  • A Laparoscopic cholecystectomy is laparoscopic removal of the gallbladder. This is one of the most common general surgery procedures in the USA.
  • A Laparoscopic appendectomy is laparoscopic removal of the appendix. This is also one of the most commonly performed general surgery procedures.
  • A laparoscopic colon resection is a procedure where a general surgeon removes part of the colon and reconnects cut colon ends.
  • A laparoscopic splenectomy is removal of the spleen.

During each of these general surgery procedures, the general surgeon will make three or four small incisions in the abdomen. Small tubes, called ports, are inserted into the incisions. A lighted camera and tiny surgical tools are then inserted through the ports.

Carbon dioxide gas is used to inflate the abdomen for the general surgeon to better view the general surgery field. The general surgeon then removes the gallbladder, appendix, colon section, or spleen. During colon resection surgery, the cut ends of the colon are then rejoined. Incisions are then stitched or glued together.

All these general surgery procedures take from one to two hours. A laparoscopic cholecystectomy is normally performed on an outpatient basis, while laparoscopic appendectomy patients may remain in the hospital from 24 to 36 hours after the general surgery procedure.  Laparoscopic colon resection patients normally return home after eight to ten days, and laparoscopic splenectomy patients are usually home two to four days after surgery.

Laparoscopic Heller Myotomy for Achalasia

Laparoscopic Heller myotomy is a relatively simple and minimally invasive general surgery procedure that involves cutting of the sphincter muscles joining the stomach to the esophagus. This opens the valve between the stomach and esophagus, making swallowing easier.

Patients with achalasia have difficulty swallowing (dysphagia), chronic cough, chest pain, and chronic regurgitation. During a Laparoscopic Heller Myotomy for Achalasia, the general surgeon will make five small incisions in the abdomen through which to insert tubes that will hold surgical instruments and a camera.

Prior to cutting of the muscle, the upper stomach and lower esophagus are marked to identify the lower muscle that will be cut. The general surgeon will then perform a Dor fundoplication, where part of the stomach is wrapped around part of the esophagus. This covers the area where the muscle was cut and prevents reflux.

The surgical area is then cleaned and incisions are stitched or glued. The entire procedure takes from two to four hours, and the patient is generally discharged two days after the procedure.

Laparoscopic Nissen Fundoplication

Nissen fundoplications are general surgery procedures where a general surgeon wraps part of the stomach around the lower part of the esophagus.These types of general surgery procedures are performed on those with chronic heartburn who cannot or do not wish to rely on medication for symptom relief.

A general surgeon can typically perform the procedure in about two hours, and patients are generally discharged one to two days afterwards.

Laparoscopic Hernia Repair

Laparoscopic hernia repair fixes openings or tears in the wall of the abdomen. The abdomen may also be reinforced using a mesh or screen patch. Where a patch is not used, as with hiatal hernias, the area is reinforced using stomach tissue.

A skilled general surgeon will typically complete the procedure within two to four hours. Most patients return home the same day, but some may require a hospital stay of up to two days.

Laparoscopic Adrenalectomy

Laparoscopic adrenalectomy is performed by a general surgeon to remove adrenal gland tumors. Like other laparoscopic procedures, the surgery begins by the general surgeon making several small incisions, in this case, near the patient’s belly button. Tubes holding surgical tools and a camera are then inserted through the incisions.

The general surgeon will then cut the adrenal glands and remove them via a plastic bag inserted into the abdomen. Blood vessels are cauterized, and then incisions are closed.

These types of general surgery procedures can last anywhere from 1.5 – 3.5 hours. Your general surgeon will typically release you within two to three days.

Why Laparoscopic Surgery

Laparoscopic surgery has several advantages over traditional open general surgery procedures. The biggest advantage is that there is less scarring and less bleeding than with traditional general surgery procedures.

With laparoscopic surgery, a general surgeon only needs to make a few small incisions through which to insert the laparoscope (camera) and surgical tools. Traditional surgery requires incisions six to twelve inches long.

Less cutting also means less pain. Many patients report over-the-counter pain medication sufficient following laparoscopic general surgery procedures. Additionally, laparoscopic general surgery procedures cause less bleeding. This results in fewer complications and less downtime for the patient. Patients are usually back to normal activities in approximately half the time they would have been had they had a traditional open surgery.

Candidates for Laparoscopic General Surgery Procedures

Not all patients are a candidate for laparoscopic surgery; however, most are. Some severely ill patients or patients who have undergone certain other types of general surgery procedures may not qualify for laparoscopic surgery. Contact Dr. Arif Ahmad for your initial consultation to find out if you may be a candidate for one of these laparoscopic general surgery procedures.

Laparoscopic General Surgery Procedures Risks

Although laparoscopic general surgery procedures carry less risk than open general surgery procedures, all surgery does carry risk. Please check with your general surgeon and primary care physician for an accurate health assessment and to find out the risks of your prescribed general surgery procedure.

Preparing for Surgery

Because all the general surgery procedures described above are performed under general anesthesia, your general surgeon will recommend not eating or drinking anything after midnight. This is because anesthesia can cause some nausea following surgery, which will be lessened with an empty stomach.

Bring loose and comfortable clothing to the hospital. Remove any jewelry before your surgery, preferably before you arrive at the hospital. Most importantly, follow your general surgeon’s instructions for any medication which may need to be taken prior to the day of the surgery.

Conclusion

Dr. Arif Ahmad is a world-renowned general surgeon with over 30 years of experience performing general surgery procedures. With his compassionate care, he has performed thousands of general surgery procedures on cancer patients and patients with many other types of illnesses and injuries. His track record is impeccable, and he is a pioneer in the field of laparoscopic abdominal general surgery procedures.

Laparoscopic surgery offers many advantages over traditional open surgery, but not all patients are candidates. Most procedures are relatively simple, and patients are back to normal activities sooner than with other types of general surgery procedures, with less pain and scarring.

For more information about general surgery procedures or to speak with a general surgeon about your prescribed surgery, call Dr. Arif Ahmad at 631-689-0220. Or, contact the office via our website.

Alternatively, you may fill out our initial consultation form online, and a member of our staff will respond as soon as possible to schedule your appointment.


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