Procedures

Laparoscopic surgery

Minimally invasive surgery, also called laparoscopic surgery, is surgery using several quarter-inch to half-inch incisions to gain access to the organs of the abdomen. These incisions are made to allow Dr. Paracha to place a camera and instruments into the abdomen to perform your surgery.

The benefits of laparoscopic surgery are less pain, quicker recovery and return to normal activity, shorter hospital stay and a less noticeable scar.

Gallbladder removal

The gallbladder is a pear shaped organ located below the liver. It stores bile which is a yellow-brown digestive enzyme produced by the liver.

Laparoscopic cholecystectomy – This is surgery to remove your gallbladder. When performed laparoscopically, the surgeon makes a few incisions in your abdomen, inserts a tiny camera into one incision to visualize your gallbladder, and removes the gallbladder through another incision. It is minimally invasive and reduces the chance of infection, post-operative pain, and recovery time.

A few of the many reasons your gallbladder may need to be removed are:

• Cholecystitis – inflammation of the gallbladder

• Cholelithiasis or Gallstones – substances in the bile that become solid

• Choledocholithiasis – gallstones in the common bile duct

A laparoscopic procedure can be converted to an open procedure in the rare occurrence of extensive inflammation, adhesions or retained bile duct stones.

Appendix removal

The appendix is a thin pouch that is attached to your large intestine on the right side of your body.

Laparoscopic appendectomy – This is surgery to remove your appendix. When performed laparoscopically, the surgeon makes a few incisions in your abdomen, inserts a tiny camera into one incision to visualize your appendix, and removes the appendix through another incision. It is minimally invasive and reduces the chance of infection, post-operative pain, and recovery time.

Your appendix may need to be removed because it is swollen or infected.

If you have appendicitis, there is a serious risk your appendix may burst or rupture. This can happen as soon as 48 to 72 hours after you have symptoms. It can cause a severe, life-threatening infection called peritonitis in your belly. Seek medical attention immediately if you have appendicitis symptoms.

Hernia Repair

A hernia occurs when a piece of skin or organ tissue (like an intestine) bulges through an opening or weakness of muscle or connective tissue. This weakness can be present at birth or develop later in life. If your surgeon determines that your hernia requires treatment, surgery may be performed.

There are several types of hernias:

• Epigastric – occurs around the area near the belly button

• Paraumbilical – occurs near the belly button

• Umbilical – occurs at the belly button

• Incisional – occurs through an incision or scar in the abdomen

• Spigelian – also known as lateral ventral hernia, occurs in the middle and lower abdomen in the spigelian fascia of the abdominal wall

• Femoral – occurs in the upper thigh/outer groin

• Inguinal – occurs in the inner groin

• Hiatal – occurs inside the abdomen along the upper stomach or diaphragm

Laparoscopic repair of a hernia - The surgeon makes a few incisions in your abdomen, inserts a tiny camera into one incision to visualize your abdomen and repairs the hernia through another incision. It is minimally invasive and reduces the chance of infection, post-operative pain, and recovery time.

Surgical mesh is often used to strengthen the hernia repair and reduce the rate of recurrence. Most surgical mesh devices are constructed from synthetic materials or animal tissue. Discuss with your surgeon which type of mesh is recommended for your particular type of hernia repair.

Colon surgery - Bowel resection

The colon is also known as the large bowel or large intestine. The rectum is the last part of the colon. It is an organ that is part of the digestive system in the human body. 

Laparoscopic colectomy – Also known as bowel resection, this is surgery where the surgeon will detach the large intestine from the surrounding organs and tissue. They will cut and remove the damaged or diseased part of the bowel which could be caused by diverticulitis, inflammatory bowel disease (ulcerative colitis or Crohn’s disease), cancer or stricture of the colon. The healthy ends of the intestine will be connected with tiny staples or sutures.

In some bowel resections, the surgeon will need to do a colostomy. This creates an opening in the skin, or stoma, for feces to pass into a bag. Your surgeon will perform a colostomy if there’s an issue that may keep the two ends of the intestine from healing properly. Some stomas are temporary. If you are a candidate for a colostomy reversal, after 6 to 12 weeks, you will have a second surgery for a reversal.

The advantages of this minimally invasive type of procedure are reduction of post-operative pain, recovery time, and may result in a faster return to solid food diet and return of bowel function.

A colectomy may also be performed by an open procedure. The type of surgery you’ll get depends on your condition. The location and size of the diseased or damaged colon are also factors. In some cases, your surgeon may need to change from a laparoscopic to open surgery during the procedure.

Colostomy

In some bowel resections, the surgeon will need to do a colostomy. A piece of the colon is diverted to an artificial opening in the abdominal wall. This creates an opening in the skin, or stoma, for feces to pass into a bag. Your surgeon will perform a colostomy if there’s an issue that may keep the two ends of the intestine from healing properly, inflammatory bowel disease, ruptured diverticulum, ischemia or traumatic injury. Some stomas are permanent, and some are temporary. If you are a candidate for a colostomy reversal, after a period of healing, you will have a second surgery for a reversal.

Colostomy reversal

If you are healthy enough to have another surgery, have enough healthy colon and rectum to support bowel function and your bowel and anal sphincters are healthy and capable of controlling stool normally you may be a candidate for a colostomy reversal. During this surgery, the surgeon will make an incision in your abdomen and reattach the ends of the large intestine that were cut during the initial surgery. ​​​​​​​

Ileostomy

There are two types of ileostomy - an end or a loop.

An end ileostomy normally involves removing the whole of the colon (large intestine) through a cut in your abdomen. The end of the small intestine (ileum) is brought out of the abdomen through a smaller cut and stitched on to the skin to form a stoma.  In a loop ileostomy, a loop of the small bowel is bought out through the abdomen and cut before being sutured down.

Ileostomy reversal

Some Ileostomies are permanent, and some are temporary. If you are a candidate for an ileostomy reversal, or closure, surgery will be performed to close your temporary ileostomy.

Wound care

Coming soon.

Mass removal: Colon, Stomach, Intestine

Coming soon.

Spleen removal

Coming soon.

Abscess care

Coming soon.

Open and complex abdominal surgery

Coming soon.

Trauma

Coming soon.

Port a Cath

Coming soon.

Tracheostomy

Coming soon.

PEG insertion

Coming soon.