Painless removal of polyps from the stomach or large intestine by use of a biopsy forceps or snare.

Insertion of lighted scope from the rectum to the beginning of the large intestine.

Insertion of a lighted scope through the mouth advanced all the way to the first intestine after the stomach.

A balloon is inserted during the EGD which is then inflated to a specific size to dilate or open the esophagus (for patients who have difficulty swallowing).

Removal of a small amount of breast tissue that is then sent to a pathologist. The incision is closed with suture, and usually doesn’t require a drain.

Insertion of a rigid lighted scope through trocars (small devices that allows passage of equipment into the abdomen resulting in a very small incision). The patient’s abdomen is inflated with carbon dioxide to make it easier for the surgeon to see.

A pilonidal cyst is a cyst at the bottom of the tailbone (coccyx) that can become infected and filled with pus. Once infected, the technical term is pilonidal abscess. Pilonidal abscesses looks like a large pimple at the bottom of the tailbone, just above the crack of the buttocks. It is more common in men than in women. It usually happens in young people up into the fourth decade of life.
The surgeon makes an opening in the skin allowing drainage of infected material, and sometimes total removal of the infected area.

Insertion of a rigid lighted scope through trocars (small devices that allows passage of equipment into the abdomen resulting in a very small incision). The patient’s abdomen is inflated with carbon dioxide to make it easier for the surgeon to see.
Removal of the gallbladder through approximately three small opening with trocars.

Hernias are the weakening of the abdominal muscle either caused by lifting something heavy or having a previous surgery. The underlying tissue pushes it's way through the opening causing pain or sometimes decreased blood flow to that tissue.
Insertion of a rigid lighted scope through trocars (small devices that allows passage of equipment into the abdomen resulting in a very small incision). The patient’s abdomen is inflated with carbon dioxide to make it easier for the surgeon to see.
The defect is repaired with a plastic mesh that is placed over that hole and secured in place.
Hiatal hernias are repaired by the pulling of the stomach back through the diaphragm and the opening is sutured so to prevent re-occurrence.

The weakening of the umbilicus (belly button) causing the belly button to push out. It is typically repaired by closing the defect with suture.

The dilation and curettage procedure is called a D&C. The D stands for dilation, which means enlarging. Curettage (the C) means scraping. Together, this procedure involves expanding or enlarging the entrance of a woman's uterus so that a thin, sharp instrument can scrape or suction away the lining of the uterus and take tissue samples.

Tubal ligation, commonly known as “getting your tubes tied,” is a surgical sterilization technique for women. This procedure closes the fallopian tubes, and stops the egg from traveling to the uterus from the ovary. It also prevents sperm from reaching the fallopian tube to fertilize an egg. In a tubal ligation, fallopian tubes are cut, burned, or blocked with rings, bands or clips. The surgery is effective immediately. Tubal ligations are 99.5% effective as birth control.

Correction of what is commonly referred to as a bunion deformity requires re-balancing of the soft tissues around the great toe joint in combination with realignment of the bony structure of the 1st metatarsal and great toe. There are dozens of procedures to choose from based on the specific deformity present. Rivertown Surgery Center is equipped for all of the latest procedures in this area. Typically, the patient will be fitted with a surgical shoe to be worn for 3-6 weeks post-operatively. Most cases do not require crutches or strict non-weight bearing. Internal fixation is utilized to avoid exposed pins and to allow for earlier return to activity.

There are two basic procedures for the correction of a hammertoe which is a contracture of the joints within the toe. This contracture often leads to pain and skin irritation (corns). If the deformity is flexible, an arthroplasty is performed which involves removing a small piece of the joint to reduce the contracture. In more severe cases, the joint may be fused in a straight position using a state-of-the-art LDA screw. Immediate weight bearing is permitted with a surgical.

The small joints of the foot are subject to great stress over a lifetime. This can result in arthritis with bone spurs and loss of cartilage. The pain associated with these problems can often be minimized by removing degenerative bone and sometimes by fusion. Advances in arthroscopic surgery have helped to minimize recovery times.

Heel pain is most frequently caused by inflammation of the plantar fascia, a large ligament of the heel and arch. If all conservative care has failed, a plantar fascial release can be performed through a small (7 mm) percutaneous incision using the KobyGard procedure. Patients generally are back in a soft shoe in 72 hours and may resume activity within just a few days.

Morton’s neuroma is the most common nerve disorder of the foot. This is a benign enlargement of the nerve between the metatarsals causing pain in the balls of the feet. Rivertown Surgery Center is equipped to perform a cutting edge decompression procedure which eliminates the need to cut the nerve as is traditionally done. This is a nerve sparing procedure with fewer potential complications than traditional open neuroma procedures. This procedure is performed through a small incision hidden in the web space between the toes with 2 or 3 stitches. Patients may bear weight immediately with a 2-3 week recovery period.

The KobyGard system is designed to allow the surgeon to perform surgical releases of soft tissue with the need for large incisions. This system allows for incisions of 5-7mm. As a result of the cannulated blade system, there is minimal soft tissue trauma that means fewer potential complications and shorter recovery times. Rivertown Surgery Center has the area’s most experienced surgeon and staff utilizing the KobyGard system.

Tarsal tunnel syndrome is a condition that is caused by compression of the tibial nerve near the inner aspect of the foot and ankle. This is the largest nerve in the foot and when compressed can result in debilitating pain and numbess. This pathology is similar to carpal tunnel syndrome in the wrist and hand. Decompression of the nerve is performed by releasing the laciniate ligament that forms the roof of the tarsal tunnel. Full recovery can take months but the patient can usually return to work in 2 weeks.

Painful calluses under the balls of the feet are usually caused by metatarsal bone that is “dropped” below the adjacent metatarsals resulting in chronic irritation to the skin. This pressure can be reduced by performing a metatarsal osteotomy to realign the weight bearing surface. Patients can usually weight bear immediately with a surgical shoe or boot.

Skin and soft tissue procedures are quite common in the foot and usually involve removal of skin lesions for biopsy or soft tissue masses such as ganglion cysts, fibromas or tumors. Plastic surgical techniques allow for good cosmesis with minimal scarring.

Arthroscopic and endoscopic procedures allow the surgery access to the small joints of the foot and ankle, or soft tissue planes, with minimal incisions and soft tissue dissection. While only used for a select number of conditions, these procedures can allow for faster recovery and return to activity. Patients may discuss whether these procedures are an option with their foot and ankle surgeon.

Removal of foreskin from around the head of the penis.

Insertion of a lighted scope in the bladder.

The surgeon inserts a synthetic tape under the bladder for support, to help relieve stress incontinence.

Surgical removal of abdominal fluid that has leaked into the testicle. Involves making a incision into the testicle and closing the defect.

Hypospadias repair refers to a group of surgical approaches used to correct or reconstruct parts of the external genitalia and urinary tract related to a displaced meatus, or opening of the urethra. The urethra is the passageway that carries urine from the bladder to the outside of the body. Hypospadias is the medical term for a birth defect in which the urethra opens on the underside of the penis (in boys) or into the vagina (in girls). The word hypospadias comes from two Greek words that mean underneath and rip or tear, because severe forms of hypospadias in boys look like large tears in the skin of the penis.

The use of sound waves in conjunction with x-ray to break apart kidney stones located both in kidneys and ureter.

Insertion of a device in a penis in males that can no longer achieve or maintain an erection that do not respond to medicine or is contraindicated.

Insertion of an ultrasound probe via the rectum, through which a needle guided by ultrasound, is used to take biopsy.

Placement of a temporary tube in the ureter for a patient who is having trouble with kidney stones or blocked ureter, and swelling of kidney by urine.

Placing of a scope through the urethra in males through which a laser fiber is placed. The laser is used to remove excessive prostate tissue by vaporizing of that prostate tissue.

Placing of very small tubes in the bladder and rectum along with electrodes on both sides of anus. This test is used to evaluate how a patient bladder responds to when fluid is added to it.

Varicocele is an abnormal enlargement of the vein that is in the scrotum draining the testicles. The testicular blood vessels originate in the abdomen and course down through the inguinal canal as part of the spermatic cord on their way to the testis. Upward flow of blood in the veins is ensured by small one-way valves that prevent backflow. Defective valves, or compression of the vein by a nearby structure, can cause dilatation of the veins near the testis, leading to the formation of a varicocele.
Laparoscopic is used to reduce scarring and pain to the patient.

Vasectomy is a minor surgical procedure to cut and close off the tubes (vas deferens) that deliver sperm from the testes; it is usually performed as a means of contraception. The procedure typically takes from 15–30 minutes and usually causes few, if any complications and no change in sexual function.

A vasovasostomy is a surgical procedure in which the effects of a vasectomy (male sterilization) are reversed. During a vasectomy, the vas deferens, which are ducts that carry sperm from the testicles to the seminal vesicles, are cut, tied, cauterized (burned or seared), or otherwise interrupted. A vasovasostomy creates an opening between the separated ends of each vas deferens so that the sperm may enter the semen before ejaculation.