Services Laparoscopic Gastric Sleeve

Normal Gastrointestinal Anatomy Sleeve Gastrectomy
Normal Gastrectomy Sleeve Gastrectomy
Laparoscopic surgery for obesity is for people who are severely overweight. Laparoscopy involves using a specialized telescope (laparoscope) to view the stomach, which typically allows smaller abdominal incisions. This brochure will explain:
  • What is severe obesity?
  • Medical and surgical treatment options for severe obesity
  • How laparoscopic obesity surgery is performed
  • Expected outcomes of the procedure
  • What can be expected after laparoscopic obesity surgery
Laparoscopic Gallbladder Surgery

Surgical removal of the gallbladder is the time honored and safest treatment of gallbladder disease.
The advantages of performing the procedure Laparoscopically are:
  1. Rather than a five to seven inch incision, the operation requires only four small openings in the abdomen.
  2. Patients usually have minimal post-operative pain.
  3. Patients usually experience faster recovery than open gallbladder surgery patients.
  4. Most patients go home within one day and enjoy a quicker return to normal activities.
Breast Surgery (lumps or cancer only)

The goal of breast cancer surgery is to remove the tumor itself and a portion of the surrounding normal tissue, while conserving as much of the breast as possible.

There are different types of breast cancer surgery. These differ based upon the amount of healthy tissue that is removed with the tumor, the tumor's characteristics, whether the tumor has spread (metastasized), and your personal feelings. Some lymph nodes under the arm are usually removed as part of the operation so they can be tested for the presence of cancer cells. This will help your doctor plan your treatment after surgery.

Types of breast cancer surgery include:
  • Lumpectomy
  • Breast conserving surgery
  • Mastectomy
Colon/ Small Bowel Surgery (both Laparoscopic and Open)

A technique known as minimally invasive laparoscopic colon surgery allows surgeons to perform many common colon procedures through small incisions. Depending on the type of procedure, patients may leave the hospital in a few days and return to normal activities more quickly than patients recovering from open surgery.

In most laparoscopic colon resections, surgeons operate through 4 or 5 small openings (each about a quarter inch) while watching an enlarged image of the patient's internal organs on a television monitor. In some cases, one of the small openings may be lengthened to 2 or 3 inches to complete the procedure. Laparoscopic Anti-reflux Surgery

Patients who do not respond well to lifestyle changes or medications or those who continually require medications to control their symptoms, will have to live with their condition or may undergo a surgical procedure. Surgery is very effective in treating GERD.

There are procedures being tried, known as Intraluminal Endoscopic Procedures, which are alternatives to laparoscopic and open surgery. You will need to discuss with your surgeon and physician whether you are a candidate for any of these procedures. Hernia Repair (both Laparoscopic and Open)

The wall of the abdomen has natural areas of potential weakness. Hernias can develop at these or other areas due to heavy strain on the abdominal wall, aging, injury, an old incision or a weakness present from birth. Anyone can develop a hernia at any age. Most hernias in children are congenital. In adults, a natural weakness or strain from heavy lifting, persistent coughing, difficulty with bowel movements or urination can cause the abdominal wall to weaken or separate.

Laparoscopic Hernia Repair is a technique to fix tears in the abdominal wall (muscle) using small incisions, telescopes and a patch (mesh). If may offer a quicker return to work and normal activities with a decreased pain for some patients.

Upper and/or Lower Endoscopy ( such as screening colonoscopy)

Upper endoscopy is performed to evaluate symptoms of persistent upper abdominal pain, nausea, vomiting, difficulty swallowing or heartburn. It is an excellent method for finding the cause of bleeding from the upper gastrointestinal tract. It can be used to evaluate the esophagus or stomach after major surgery. It is more accurate than X-rays for detecting inflammation, ulcers or tumors of the esophagus, stomach and duodenum. Upper endoscopy can detect early cancer and can distinguish between cancerous and non-cancerous conditions by performing biopsies of suspicious areas. Biopsies are taken by using a specialized instrument to sample tissue. These samples are then sent to the laboratory to be analyzed. A biopsy is taken for many reasons and does not mean that cancer is suspected.

A variety of instruments can be passed through the endoscope that allows the surgeon to treat many abnormalities with little or no discomfort. Your surgeon can stretch narrowed areas, remove polyps, remove swallowed objects, or treat upper gastrointestinal bleeding. Safe and effective control of bleeding has reduced the need for transfusions and surgery in many patients. Port Placement for Chemotherapy

A port (or potacath) is a small medical appliance that is installed beneath the skin. A catheter connects the port to a vein. Under the skin, the port has a septum through which drugs can be injected and blood samples can be drawn many times, usually with less discomfort for the patient than a more typical ”“needle stick”.

Ports are mostly used to treat hematology and oncology patients, but recently ports have been adapted also for hemodialysis patients. The port is usually inserted in the upper chest, just below the clavicle, or collar bone, leaving the patient's hands free. Medical and Surgical Management of Hemorrhoids

Hemorrhoids are enlarged veins within the anus or lower rectum. They can be divided into two kinds, internal and external. Internal hemorrhoids lie inside the anus or lower rectum., beneath the anal or rectal lining. External hemorrhoids lie outside the anal opening. Both kinds can be present at the same time.

Hemorrhoids can usually be treated with dietary or lifestyle changes. However, when hemorrhoids do not respond to home bases remedies, professional medical treatment is necessary. Rubber band legation is probably the most widely used treatment for internal hemorrhoids. External hemorrhoids, and some prolapsed internal hemorrhoids are removed by conventional surgery in a hospital.

Techniques that I offer include: Rubber band ligation, Inrared coagulation treatment, Circular Stapled Hemorrhoidopexy, Harmonic Scalpel Hemorrhoidectomy, and Conventional Hemorrhoidectomy.

Anorectal Surgery

Anorectal disorders are are a group of medical problems that occur at the junction of the anal canal and rectum. Surgeons are specially trained in diagnosing and treating a wide range of disorders of the rectum including: hemorrhoids, abscesses, fistula, fissures, anal itching, and warts.

Here are some of the common anorectal problems that are often treated with surgery:
  • Fissure - a small crack or tear in the lining of the anus. It can be caused by hard bowel movements, diarrhea, or inflammation in the rectal area. Fissures can bleed and cause painful bowel movements.
  • Abscess - an infected gland in the anal canal. The infected area swells and often causes pain.
  • Fistula - a pathway that may form when an anal abscess drains. The pathway must remain after the abscess is gone. Fistulas are usually not painful, but often cause drainage where the pathway meets the skin.
Wound Care

Contact & Hours

(940) 627-0013 Phone
(940) 627-1900 Fax

Office Hours:
Monday 8:00AM - 5PM
Tuesday 8:00AM - 5PM
Wednesday 8:00AM - 5PM
Thursday 8:00AM - 5PM
Friday 8:00AM - Noon


2301 S. FM 51, Suite 500
Decatur, TX 76234 (MAP)

Texas Health Alliance Hospital
10840 Texas Health Trail
Fort Worth, TX 76244 (MAP)

Medical City Surgery Center in Denton
3316 Colorado Boulevard
Denton, TX 76210 (MAP)