Archive for the ‘Surgery’ Category

When to Get Ear Tubes for My Child

December 6, 2010

Sabine Hesse, M.D.
Ear, Nose and Throat (ENT)

Broward Health

Drs. Janke and Naide Perform An Anterior Hip Replacement Using The hana® Table

November 10, 2010

Many individuals have joint pain that hampers everyday activities, either because of arthritis, a fracture or other conditions. If medications and use of aids such as a cane are not helpful, patients, after consultation with their doctor, may find relief from their pain with joint replacement surgery. The goal of joint replacement surgery is to relieve joint pain caused by damage to the cartilage or bone.

At North Broward Medical Center, Drs. Janke and Naide use what is called a hana® table. The hana® table is a specially designed surgical table that allows for hyperextension, adduction and external rotation of the hip to an extent not possible with conventional tables. While utilizing the table, surgeons are able to replace the hip without detachment of the muscles or tendons from the hip or thigh bones.

With the anterior approach, a small four-inch incision is made just below and to the outside of the groin. Two muscles are then pushed aside, giving the surgeons access to the hip socket to perform the replacement. No muscles at any time during the procedure are split or detached. For the patient, that results in a faster recovery, less pain, smaller incision, less blood loss and less scarring.

Click here to learn more and to see an actual video of these doctors perform the procedure live.

Improved Results From New Approach To Hip Repair

September 22, 2010

Dominic Carreira , M.D., Orthopedic SurgeonDominic Carreira, M.D.
Orthopedic Surgeon
Specializing in Hip Arthroscopy, Foot and Ankle

Read the story of a 33-year old female spin instructor who underwent advanced minimally invasive hip surgery. The patient, Tracey Anderson, damaged the cartilage in her hip, resulting in a labral tear. Anderson went through a minimally invasive surgery to remove the damaged cartilage, but the pain didn’t go away.

Dr. Carreira then decided to try a new approach, referred to as advanced hip arthroscopy. Within weeks of the procedure, Anderson was finally pain free and back in the gym. Read more

General Surgeons Play Big Role in Breast Cancer

September 2, 2010

Gary Lehr, MD
Medical Director of Surgical Cancer Services at Broward Health North Broward Medical Center

In our era of micro-management and super specialization, it is a common perception amongst many people that a “super” specialist needs to be involved with patient care when certain problems arise. This is frequently evident when a woman hears the words “you have breast cancer.” The management of a woman with breast cancer almost ALWAYS involves the participation of a surgeon, as well as medical oncologists and radiation oncologists. Some feel that a specialized “breast surgeon” or “surgical oncologist” is necessary for thorough care. However, although somewhat of a misnomer, General Surgeons are a highly trained group of surgical specialists with a wide range of knowledge and expertise, including the comprehensive management of patients with breast cancer. General Surgeons become quite familiar with all aspects of breast cancer care during their five/six year surgical residency. Breast cancer is one of the most common malignancies encountered in private practice by General Surgeons, particularly in South Florida.

General Surgeons usually become involved early on in the management process, either when a lump is discovered, or a mammogram or ultrasound has been determined to be abnormal. Initial biopsy, if indicated, can be done by the General Surgeon. Once a definitive diagnosis of breast cancer has been confirmed, surgical management by the General Surgeon is tailored to the specific patient’s individual circumstances. Options usually exist regarding the extent of resection of the tumor itself, depending on the size of the cancer, location in the breast, and size of the breast. Lumpectomy (removal of the tumor with a small margin of normal tissue), partial mastectomy (removal of a more generous portion of breast tissue, but still leaving the majority of the breast intact), and total mastectomy (removal of the entire breast) may all be viable options. If the cancer has been classified as “invasive”, then sentinel lymph node biopsy is also accomplished at the same surgical setting. This involves locating, and then removing, the first few lymph nodes, usually in the axilla (armpit), that drain the breast. If these are found to be normal on microscopic evaluation, then the rest of the lymph nodes should be normal as well, eliminating the need for a more extensive resection. This, in turn, reduces the likelihood of arm swelling (lymphedema) following surgery.

Subsequent care with medical oncologists or radiation oncologists depends on the eventual staging of the cancer. Sometimes, surgery is all that is required. The General Surgeon is quite familiar with the total care of a woman with breast cancer, and can make recommendations regarding the need for further care. In our practice, we have taken care of countless patients with both benign and malignant breast problems, and take pride in the thoroughness and comprehensive management we give to each patient.

Gary S. Lehr, M.D., FACS, Randy Kimmelman, D.O., Michael Mallis Jr., D.O., Camil Sader, M.D., FACS, and Ron Stricoff, M.D., FACS, are all Board Certified General Surgeons, with years of experience in the management of breast cancer.

Scarless Surgery (SILS)

July 20, 2010

Dr. Camil N. SaderCamil N. Sader, MD, FACS
General Surgeon
Broward Health North Broward Medical Center

A tiny single incision within the depth of the umbilicus is usually all that is required for this new technique. You may have heard of SILS, but it really is fast becoming the treatment of choice for patients undergoing laparoscopic surgery. Having had friends and family members who have undergone a SILSTM procedure, many patients are now asking for SILSTM by name. Performed within the same time it takes a traditional laparoscopic procedure, a single incision often means less pain, less incision related complications, faster return to daily activities, and a significant cosmetic difference. Many ER physicians are no longer relying on “reading” their patient’s scars to determine their surgical history.