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Bruce E. Freedman, M.D., F.A.C.S.
Breast Surgery
Bowel Surgery
Cancer Surgery
Endocrine Surgery
Laparoscopic Surgery
Reflux Surgery
Hernia Surgery

Laparoscopic surgery is a way of operating on the abdomen through small incisions and use of a camera.  Carbon dioxide is used to expand the abdominal cavity and create a working space.  The type of surgery that can be done laparoscopically is enormous.  Depending on many factors, not all patients are good candidates.  Previous surgery with sufficient scar tissue may preclude entrance into the abdominal cavity. Extensive inflammation, such as one has with diverticulitis, may make laparoscopy unfeasible.

Certain entities, however, are ideal for laparoscopy.  Gallbladder surgery was the initial operation to become popular, with excellent results.  Correction of severe gastroesophageal reflux or large hiatal hernias is treated very well by this modality.  Splenectomies for certain hematological disease can be safely addressed in this manner. Removal of benign or cancerous adrenal tumors, likewise, is accessible with this technology.  How much and what procedures can be done laparoscopically are often dependent upon your surgeons experience and expertise.

With all laparoscopic surgery, the patient, should be aware of the potential to convert to traditional or open approach.  This is done for the patientís safety.  In most cases the surgery can be completed laparoscopically and afford the patient a quicker and a less painful recovery.

 
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