Services
Depending on the history, imaging findings, and laboratory markers, additional imaging of the gallbladder and biliary tree with MRI may be needed.
The treatment is laparoscopic removal of the gallbladder, a routine operation that requires a one-day hospital stay.
Groin hernia is a common condition in which swelling occurs in the groin area. Treatment is surgical and is preferred in early stages.
The options are open or laparoscopic repair. Open repair is possible under regional anesthesia (spinal) under conditions. The laparoscopic operation allows the simultaneous exploration for a contralateral inguinal hernia that is not clinically evident, and the simultaneous repair of both hernias.
Both open and laparoscopic surgery are reliable. Laparoscopic surgery is generally preferable, due to its superiority over open surgery in terms of early and late postoperative pain.
The operation requires a 1-day hospital stay.
Gastroesophageal reflux disease (GERD) is a condition in which stomach contents flow back into the esophagus. It is often due to a smaller or larger hiatal hernia; i.e., a prolapse of the stomach into the chest.
The range of symptoms and signs is wide and includes:
Heartburn
Regurgitation
Avoid lying down after a meal
Weakness, often due to anemia
Night or morning cough
Chronic bronchitis
Dysphagia
Management of GERD depends on the presence of a large hiatal hernia. In this case, the guidelines recommend surgical repair. If a large hiatal hernia is not present and the patient is satisfied with chronic medication, surgery is usually not recommended.
The surgery consists of the so-called laparoscopic fundoplication; i.e., release of the fundus of the stomach from its ligaments, and wrapping around the esophagus. The guidelines recommend a partial wrap of 270 degrees, which we apply, rather than a full wrap.
The length of postoperative stay is 1-2 days.
Diverticulosis of the colon is a common condition in which pouch-like protrusions form in the wall of the colon. These protrusions can promote the growth of microorganisms, ultimately leading to inflammation in the affected section of the colon (diverticulitis).
It often needs to be distinguished from colon cancer through a colonoscopy.
Treatment depends on the presence and severity of inflammation, any complications associated with the condition, and the frequency of the episodes of diverticulitis.
When treatment is deemed necessary, it involves the laparoscopic removal of a section of the colon.
The incidence of colon cancer is increasing worldwide. Therefore, the guidelines recommend a screening colonoscopy every 5 years in the general population over the age of 50 (modified according to genetic background and family history of gastrointestinal diseases).
The prognosis is highly dependent on the stage of the cancer. For this reason, the medical community strongly recommends screening with a colonoscopy.
Symptoms and signs often appear late, and include:
Blood in the stool
Weakness, often due to anemia
Weight loss
Abdominal pain
Bloating
Depending on the stage, location and other characteristics of the cancer, and patient characteristics, the treatment consists of:
Pre-operative chemotherapy/radiotherapy and surgery
Initial surgery and post-operative chemo-/radiotherapy
Surgery only
The surgery is performed open or laparoscopically, with similar oncological results, based on current scientific data. Laparoscopic surgery offers additional advantages, including:
Less postoperative pain
Faster recovery, with possible possibility to start chemotherapy sooner
Lower risk of minor postoperative complications
Lower risk of postoperative hernia
Both laparoscopic and open treatment are acceptable options. In laparoscopic surgery, the part of the bowel bearing the cancer is removed along with the regional lymph nodes through small incisions. In open surgery, the same procedure is followed, but a vertical incision of sufficient length in the middle of the abdomen is required.
The length of postoperative stay is usually less than one week.
It is a condition in which a part of the rectum (the last part of the large intestine) protrudes through the anus. In the early stages it resembles hemorrhoids, while in advanced stages there is a massive prolapse of a large length of the rectum that requires frequent reduction.
It occurs more often in thin people with mental burden.
Treatment consists of laparoscopic resection and fixation of the rectum to the pelvic wall.
The length of postoperative stay is 1-2 days.
