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Surgical explanations:

Endovascular surgery is a form of minimally invasive surgery designed to access many regions of the body through major blood vessels. Endovascular surgery is a less invasive procedure used to treat problems affecting the blood vessels, such as an aneurysm, which is the swelling of the blood vessel. An alternative to open surgery, endovascular surgery offers many advantages, including a shorter recovery period, less discomfort, local or regional anesthesia instead of general anesthesia, smaller incisions, less stress on the heart and fewer risks for patients with other medical conditions. This procedure may benefit patients who need surgery but are at a high-risk of complications because of other conditions.

Colorectal surgery deals with disorders of the colon, rectum or anus. Colorectal surgical disorders include:

Laparoscopic surgeries are surgical procedures in which a small incision is made, usually in the navel, through which a viewing tube (laparoscope) is inserted. The viewing tube has a small camera on the eyepiece. This allows the surgeon to examine the abdominal and pelvic organs on a video monitor connected to the tube. Other small incisions may be made to insert instruments to perform procedures. Laparoscopy can be done for diagnosis or for certain operative procedures and is less invasive than regular open abdominal surgery (laparotomy).

Laparoscopy is done in the hospital under anesthesia. For diagnosis and biopsy, local anesthesia is sometimes used. In operative procedures, such as abdominal surgery, general anesthesia is required.

During a procedure, carbon dioxide gas is pumped through the navel to expand the abdomen to allow the surgeon a better view of the internal organs. The laparoscope is then inserted through an incision to look at the internal organs on a video monitor.

Surgery Specialists of Hot Springs performs the following surgeries laparoscopically:

  • Hernia surgeries
  • Appendectomy
  • Gall bladder surgery
  • Colon resection
  • Gastric sleeve resection
  • Nissen fundoplication (for reflux and hiatal hernia)
  • Splenectomy
  • Liver biopsies
  • LapBand
  • Adhesiolysis
  • Peritoneal dialysis catheter placement

Additional small incisions are sometimes made to insert other instruments that are used to lift the tubes and ovaries for examination or to perform surgical procedures.

SILS (Single Incision Laparoscopic Surgery) is a technique used to perform various surgeries like appendectomy, cholecystectomy , nephrectomy, adrenalectomy, Nissen fundoplication, hernia repair, splenectomy, colon resection and more. The entire surgery is performed through the navel, so it does not leave any visible scar. In most cases, patients should benefit from less post-operative pain, less blood loss, faster recovery time, fewer complications, and better cosmetic results.

Breast Surgery (mastectomy): Mastectomy is the surgical removal of the breast for the treatment or prevention of breast cancer. Surgery that removes the breast tissue, nipple, an ellipse of skin, and some axillary or underarm lymph nodes, but leaves the chest muscle intact, is usually called a modified radical mastectomy. This is the most common type of mastectomy.

In a simple mastectomy, only the breast tissue, nipple, and a small piece of overlying skin is removed. If a few of the axillary lymph nodes closest to the breast are also taken out, the surgery may be called an extended simple mastectomy.

Bariatric Surgery:  Our physicians perform two types of bariatric (or weight loss) surgery:  the gastric sleeve and lapband (www.lapband.com) procedures. For more information, click here.

Endocrine surgery is a surgical procedure that is performed to achieve a hormonal or anti-hormonal effect in the body. The most common type of endocrine surgery is thyroidectomy. Most thyroidectomies are minimally invasive and are performed through a 1.5-inch incision. This is called minimally invasive thyroid surgery. Additional endocrine procedures include parathyroidectomy, adrenalectomy and pancreatectomy.

Liver Surgery (Liver resection): Liver surgery or liver resection is the surgical removal of a portion of the liver. This procedure is typically done to remove tumors that are located in the resected portion of the liver. The goal of liver resection is to completely remove the tumor and the appropriate surrounding liver tissue without leaving any tumor behind. In patients with cancer of the liver, liver resection is limited to patients with one or two small (3cm or less) tumors and excellent liver function, ideally without associated cirrhosis.

Fistula Placement:  Arteriovenous (AV) graft for hemodialysis – An arteriovenous (AV) graft is created by connecting a vein to an artery using a soft plastic tube. After the graft has healed, hemodialysis is performed by placing two needles; one in the arterial side and one in the venous side of the graft. The graft allows for increased blood flow. Grafts tend to need attention and upkeep.

Arteriovenous (AV) fistula for hemodialysis: A fistula used for hemodialysis is a direct connection of an artery to a vein. Once the fistula is created it is a natural part of the body. This is the preferred type of access because once the fistula properly matures and gets bigger and stronger; it provides an access with good blood flow that can last for decades. After the fistula is surgically created, it can take weeks to months before it matures and is ready to be used for hemodialysis. People with kidney disease can do exercises including squeezing a rubber ball to strengthen the fistula before use.

Port Placement: A port (or portacath) is a small medical device that is installed under the skin. A catheter connects the port to a vein. Beneath the skin, the port has a septum through which drugs can be injected and blood samples can be drawn, usually with less discomfort for the patient than a typical “needle stick”. Ports are used mostly to treat hematology and oncology patients, but recently ports have been adapted also for hemodialysis patients. They are usually inserted in the upper chest, just below the clavicle or collar bone, leaving the patient’s hands free.  Here are some potential uses for a port:

  • Deliver nutrition patients unable to take adequate food orally for a long period of time.
  • Deliver chemotherapy to cancer patients who must undergo treatment frequently.
  • Deliver coagulation factors in patients with severe hemophilia.
  • Withdraw and/or return blood to the body in patients who require frequent blood tests, and in hemodialysis patients.
  • Deliver antibiotics to patients requiring them for a long time or frequently, such as those with cystic fibrosis and bronchiectasis.
  • Deliver medications to patients with immune disorders.
  • Treatment of alpha 1-antitrypsin deficiency with replacement therapy
  • Deliver radiopaque contrast agents, which enhance contrast in CT imaging.

Colonoscopy: Colonoscopy is a medical procedure where a long, flexible, tubular instrument called the colonoscope is used to view the inner lining of the colon (large intestine) and the rectum. Surgery Specialists of Hot Springs performs colonoscopies at National Park Medical Center. Patients are given a sedative and a pain-killer through an IV.

During a colonoscopy, the patient is asked to lie on his or her left side with his or her knees drawn up towards the abdomen. A thin, well-lubricated colonoscope is inserted into the anus and gently advanced through the colon. The lining of the intestine is examined through the scope. Air may be occasionally pumped through the colonoscope to help clear the path or open the colon. The doctor may press on the abdomen or ask the patient to change his/her position in order to advance the scope through the colon.

The procedure may take anywhere from 30 minutes to two hours depending on how easy it is to advance the scope through the colon.

VNUS Closure is a minimally invasive treatment option for varicose veins. The VNUS Closure procedure offers less pain and less bruising when compared to traditional vein stripping surgery and laser treatment. In VNUS Closure, the surgeon closes the diseased veins by inserting the Closure catheter into a vein and heating the vein wall using temperature-controlled RF energy. Heating the vein wall causes collagen in the wall to shrink and the vein to close. After the vein is sealed shut, blood then naturally reroutes to healthy veins. Call our offices at 623-9300 for a free varicose vein screening or visit www.vnus.com for more information on the procedure.

Gastrointestinal surgeryincludes a range of surgical procedures performed on the organs of the digestive system. These procedures include the repair, removal, or resection of the esophagus, liver, stomach, spleen, pancreas, gallbladder, colon, anus, and rectum. Gastrointestinal surgery is performed for diseases ranging from appendicitis, gastroesophageal reflux disease (GERD), and gastric ulcers to cancers of the stomach, colon, liver, and pancreas, and conditions including ulcerative colitis and Crohn’s disease. Common gastrointestinal surgeries include appendectomy, colectomy and cholecystectomy.

Laparoscopic Reflux Surgery is performed to treat frequent, recurring and sever gastroesophageal reflux disease (or GERD). The procedure involves reinforcing the “valve” between the esophagus and the stomach by wrapping the upper portion of the stomach around the lowest portion of the esophagus. The surgeon uses small incisions (1/4 to 1/2 inch) to enter the abdomen. The laparoscope, which is connected to a tiny video camera, is inserted through the small incision, giving the surgeon a magnified view of the patient’s internal organs on a television screen. The entire operation is performed “inside” after the abdomen is expanded by inflating gas into it.

Wound Care is sometimes required for patients who have wounds that will not heal on their own. Chronic, non-healing wounds are common in diabetic patients and individuals who are bed-ridden, but can occur in almost anyone with compromised blood flow. A non-healing wound is typically defined as a wound which fails to heal within a reasonable period of time by use of typical methods (debridment, dressings and antibiotics). Lack of oxygen (anoxia) to a wound will lead to the accumulation of toxic substances that then causes swelling of cells and further impairment of healing. The lack of oxygen and presence of toxicity causes the wound becomes highly susceptible to infection which further interferes with healing.

Peripheral Vascular Disease repair: Surgery Specialists of Hot Springs offers surgical solutions to peripheral vascular disease. If you have been diagnosed with PVD, or are exhibiting symptoms, call us for an appointment or further information.

Inflammatory Bowel Disease surgery: Based on the patient’s specific symptoms and needs, Surgery Specialists of Hot Springs provides treatment and surgical procedures to treat inflammatory bowel disease. Depending on the case, the surgery may be laparoscopic. For further information, please schedule an appointment or call 623-9300.

Aorta Repair: Surgery Specialists of Hot Springs offers surgical aortic valve repair. This procedure is not ideal for all patients or diagnoses and should be evaluated on a case-by-case basis. If you have been diagnosed with aortic regurgitation, please schedule an appointment for further discussion and evaluation of your case.

Hemorrhoid treatment:Surgery to remove hemorrhoids is referred to as hemorrhoidectomy. During hemorrhoidectomy, the surgeon makes incisions around the anus to remove the hemorrhoids. Local or general anesthesia may be used during this procedure, but it is generally an outpatient procedure and patients typically go home the same day. Other options may be available for hemorrhoid treatment, so be sure to discuss your case with your surgeon prior to a procedure.