Good Samaritan Medical Center

General Surgery

General surgery treats several parts of the body including the abdomen, thyroid and parathyroid glands, skin and soft tissue diseases throughout the body, as well as cancerous and non-cancerous conditions. Abdominal surgeries present the highest amount of general surgeries including: laparoscopic abdominal surgery, for the appendix and gallbladder; hernia repairs; surgery on the intestinal (or digestive) tract, including the esophagus, stomach, small intestine, colon and anus; and surgery of the abdomen such as the liver, spleen, and pancreas. General surgeons do not often treat the kidneys and urinary bladder, the male prostate or female reproductive organs.

General surgery also involves other parts of the body such as the thyroid and parathyroid glands in the neck, skin and soft tissue diseases throughout the body; general surgery can be for both cancerous and non-cancerous conditions.

Trauma Care

Another aspect of our general surgery practice is trauma care; this means we take care of anyone that is injured, whether by car accidents, bicycle or motorcycle accidents, trips and falls, skiing or snowboarding accidents, etc. Here is our best advice so we don’t see you in the Emergency Room for traumas: ALWAYS WEAR YOUR SEATBELT when riding in a vehicle; DO NOT DRINK ALCOHOL AND DRIVE; WEAR A HELMET, if there is a helmet for your chosen sport, they have great benefit; if you are able, hire a professional to do anything that requires a ladder, even hanging Christmas lights.

Other conditions we treat include:

Benign and cancer conditions of the skin and muscles

Tumors of the skin and muscles can be a type of cancerous or can be noncancerous abnormal growths. If they are found to be cancer, they are removed with surgery. If they are noncancerous, they may be removed if they are bothersome, or they may be left alone and monitored for growth overtime.

Diseases of liver/liver cancer

Most diseases of the liver are treated by a gastroenterologist (a doctor who specializes in diseases of the liver and digestive tract). Liver cancer sometimes requires surgery to remove the cancer. We also treat traumatic injuries of the liver; most times this does not require surgery.

Learn more about liver cancer.

Diseases of pancreas/pancreas cancer

The pancreas works as part of your digestive system and also controls your body’s amount of sugar and insulin. Pancreatitis is an inflammation of the pancreas, and often requires hospitalization for treatment. Cancer of the pancreas may require surgery to remove the cancer and part of the pancreas.

Learn more about disorders of the pancreas.

Diseases of spleen/ruptured spleen

Diseases of the spleen may cause enlargement or rupture (bursting) of the spleen. This would require surgical removal of the spleen, called “splenectomy”. Sometimes the spleen also needs to be removed following traumatic injury of the spleen, due to bleeding. The spleen is part of your immune system and also works as a filter for your blood, removing old blood cells from the blood stream; however, your body can function without it.

Implanted venous access port

An implanted venous access port is a medical device (also called a “mediport”) that is implanted under the skin, connecting to a vein in the chest or neck; it is typically used for intravenous access for chemotherapy (cancer treatment).

Parathyroid tumors/hyperparathyroid

The parathyroid glands are small glands found in the neck; they help control the body’s use and storage of calcium and Vitamin D. An overactive parathyroid gland (called Hyperparathyroid) causes high levels of calcium in the body, which causes numerous problems. The overactive parathyroid gland is removed with surgery.

Learn more about parathyroid tumors.

Skin infections

Skin infections may require surgery to drain an abscess (collection of pus and infection under the skin) or to remove unhealthy skin and surrounding tissues. A skin infection will usually require antibiotics as well, and depending on the severity, may require treatment in the hospital.

Learn more about skin infections.

Small bowel tumors

A variety of tumors, both malignant (cancerous) and benign (non-cancerous), arise within the small intestine. Malignant tumors include adenocarcinomas, carcinoids, sarcomas, and lymphomas, while benign lesions include adenomas, leiomyomas, lipomas, and hamartomas.

The diagnosis of a small bowel tumor is often made late in the course of the disease, because these are generally rare conditions, and the symptoms are nonspecific (abdominal pain, weight loss, nausea and vomiting, bleeding from the gastrointestinal tract). Early diagnosis requires a high index of suspicion from the doctor.

Surgery for Small Bowel Tumors

Most small bowel tumors will require surgical removal (see exploratory laparotomy surgery below). If it is found to be cancer, you will then be referred to an oncologist, a cancer specialist, to determine if further treatment such as chemotherapy or radiation therapy is necessary.

Thyroid nodules/thyroid cancer

The thyroid is a gland in the front of the neck that helps control your body’s metabolism. Tumors of the thyroid may be a type of cancer or may be noncancerous abnormal growth (called a nodule). A cancer of the thyroid usually requires surgery to remove it. Noncancerous thyroid nodules often do not need surgery, just need monitoring to watch for enlarging tumor.

Learn more about thyroid cancer.

Tumors of adrenal gland

The adrenal glands are found sitting on top of each kidney. Tumors of the adrenal glands may be a type of cancer or may be noncancerous abnormal growth. A cancer of the adrenal gland usually requires surgery to remove it. Noncancerous tumors often do not need surgery, just need monitoring to watch for enlarging tumor.

Learn more about adrenal gland tumors

Tumors of the small intestine

Tumors of the small intestine can be a form of cancer or can be noncancerous abnormal growth. Treatment is usually removal of the tumor, along with the adjacent piece of the small intestine. The small intestine is then reconnected (like 2 ends of a hose).

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