minimall invasive surgery

Diverticulitis: Symptoms and Treatments

Diverticulitis: Symptoms and TreatmentsWhen pouches form in the wall of the colon and become inflamed or infected, it is called diverticulitis. Diverticulitis is a very painful condition that in serious cases can require surgery.

Doctors aren’t sure what causes diverticula in the colon (diverticulosis). Diverticulitis happens when feces get trapped in the pouches (diverticula), allowing bacteria to grow and can lead to inflammation or infection.

Signs and symptoms of diverticulitis include:

  • Pain, which may be constant and persist for several days. Pain is usually felt in the lower left side of the abdomen, but may occur on the right, especially in people of Asian descent.
  • Nausea and vomiting
  • Fever
  • Abdominal tenderness
  • Constipation or, less commonly, diarrhea

Several factors may increase the risk of developing diverticulitis:

  • Aging – The incidence of diverticulitis increases with age.
  • Obesity – Being seriously overweight increases the odds of developing diverticulitis. Morbid obesity may increase your risk of needing more-invasive treatments for diverticulitis.
  • Smoking – People who smoke cigarettes are more likely than nonsmokers to experience diverticulitis.
  • Lack of exercise – Vigorous exercise appears to lower the risk of diverticulitis. * High-fat, low-fiber diet – Although the role of low fiber alone isn’t clear.
  • Certain medications – Several drugs are associated with an increased risk of diverticulitis, including steroids, opiates, and nonsteroidal anti-inflammatory drugs, such as ibuprofen and naproxen.

Diverticulitis is usually diagnosed during an acute attack. Treatment depends on the severity of signs and symptoms.

If symptoms are mild, your doctor is likely to recommend:

  • Antibiotics
  • A liquid diet for a few days while you heal
  • An over-the-counter pain reliever, such as acetaminophen

If you have a severe attack or have other health problems, treatment generally involves:

  • Intravenous antibiotics
  • Insertion of a tube to drain an abscess, if one has formed

You may need surgery to treat diverticulitis if:

  • You have a complication, such as perforation, abscess, fistula, or bowel obstruction
  • You have had multiple episodes of uncomplicated diverticulitis
  • You are immune compromised

If you are experiencing symptoms of diverticulitis or have already been diagnosed with it, contact Dr. Johnson for an appointment. He can advise you of treatment options for your case. Read more online at: http://www.mayoclinic.org/diseases-conditions/diverticulitis/basics/definition/con-20033495

Advertisements

Critical Questions to Ask your Surgeon

Critical Questions to Ask your SurgeonMillions of Americans have surgery each year, and well-informed patients tend to be more satisfied with the outcome of procedures. It is important to ask questions prior to any medical procedure. Ask your doctor to explain the answers clearly and ask for further clarification if you are having trouble understanding an explanation. Consider asking the following:

  • Why is the procedure needed? Ask your doctor to explain why this procedure is being recommended.
  • What are my alternatives? Are medications or nonsurgical treatments options for me?
  • What are the benefits of the surgery, and how long will they last? It is important to know the specific benefits for you. Also ask how long the benefits typically last.
  • What are the risks and possible complications? Surgery always carries some risks, so it is important to weigh the benefits against the risks.
  • What happens if you do not have the operation? If you decide not to have the operation, what will happen?
  • What is the doctor’s experience in doing this procedure? Choose a doctor who is thoroughly trained and experienced in doing the procedure. Ask about his or her experience with the procedure, including the number of times they’ve done it, and their record of successes, as well as complications.
  • Should I get a second opinion? Getting a second opinion can be an important step in ensuring that this option is right for you. (Of course, in the case of emergency surgeries, treatment should happen as quickly as possible. The necessity of getting a second opinion should always be weighed against the severity and urgency of the medical condition.)
  • What can I expect during recovery? You need to know how long you will be hospitalized and what limitations will be placed on you. Knowing ahead of time what to expect will help you to cope and recover more quickly following the surgery.

If you need an experienced General Surgeon, contact Dr. Johnson for a consultation.

Read more online at: http://www.medicinenet.com/surgery_questions/article.htm

Choosing a Surgeon: What’s Best for You?

DrJohnsonChoosing a surgeon is very important considering that in many cases, he or she will literally have your life in their hands. Making sure that you have good communication, trust in the doctor’s ability, and accessibility/availability is key to finding the right surgeon for you.

Communication

No matter how well qualified your doctor may be, you will not have a good experience if you cannot effectively communicate your concerns and get an adequate response. Most patients need a doctor willing and able to spend time discussing their concerns. Do you feel like your doctor answers all your questions? Does he/she provide information in a way that you understand? Do you feel comfortable asking all of the questions you have?

Competency

Ask your doctor how often he/she performs the surgery you are having done. Most often you will not need to find someone who just performs your procedure, but you also don’t want a surgeon who has never performed the procedure you are having. Look for a doctor who regularly performs your surgery. It is okay to ask these questions:

o Do you feel comfortable performing this procedure?

o What is the average complication rate?

o What is your complication rate?

o Can I get a second opinion? o Are you board certified?

Accessibility/Availability

Is your doctor located in a place you can easily get to? Not only will it be more convenient for you, but it can also improve your rehabilitation. Your doctor will be close by to guide you and help if you encounter any problems.

If you call your doctor’s office, do they respond in a timely manner? How are on-call duties shared among your doctor’s practice partners? Will he/she be available or will someone else? Make sure that the surgeon you choose will be available to you in case you have a complication or if the surgery needs to be revised. A busy surgeon is usually a good surgeon, but a surgeon that is too busy to see patients is not an ideal choice. Read more online at: http://www.surgery.com/article/choosing-surgeon

Gallbladder Single Site Robotic Surgery

Those of you who have experienced gallbladder pain know there are few things more excruciating. Patients who have frequent gallbladder pain often opt to undergo gallbladder surgery to avoid another painful episode. Gallstones—crystalline formations made up of cholesterol and other components of bile made by the liver to digest fat, affect nearly 25 million Americans, and studies show that one million new cases of gallbladder stones are diagnosed each year. Thanks to the population’s overindulgence in refined sugars and fatty foods, that number is expected to grow even higher.

Prior to the inception of minimally invasion surgery, gallbladder operations were major procedures that required the surgeon to make a five- to seven-inch incision across the abdomen. It was often six weeks before a patient could resume normal activities, and post surgery required a four day hospital stay.

cholecystectomy-incision-comparison-en

Today, patients have the option of the single site robotic surgery with the da Vinci Robotic System. With da Vinci Single-Site Surgery, your gallbladder is removed through a single small incision in your belly button similar to traditional single-port laparoscopy. Patients who choose da Vinci Single-Site Surgery experience virtually scarless results, and a much higher patient satisfaction than those with other types of gallbladder surgery. The da Vinci System features a magnified 3D high-definition vision system coupled with flexible Single-Site instruments. These features enable your doctor to operate with enhanced vision and precision.

To talk to Dr. Johnson about learning more about a gallbladder single site robotic surgery, email him at vegasrobotdoc@gmail.com or call his clinic at (702) 369-7152.