Repair of Abdominal Aortic Aneurysm (AAA)

An abdominal aortic aneurysm (AAA) is an abnormal widening of the abdominal portion of the aorta. The exact cause is unknown, however some possible causes include injury, infection, or congenital weakening of the connective tissue in the arterial wall. Possible symptoms are back pain, decrease in the amount of urine and lack of appetite and nausea.

We provide surgical repair or replacement of the section of aorta. The goal of treatment is timely surgical intervention before complications develop. The risk of complications increases as the size of the aneurysm increases. Because surgery for an abdominal aortic aneurysm is risky, it may be put off to wait for the aneurysm to expand to a certain size before operating (that is, when the risk of complications exceeds the risk of surgery).

AAA surgery takes from two to three hours. One of the surgeons makes an incision in the middle of the abdomen. After he locates the aneurysm and clamps the artery to control bleeding, he will remove the section of the aorta that is enlarged and replace it with a graft. This graft will eventually be incorporated by the body's own tissues.

The probable outcome is good when an aneurysm is monitored carefully and if surgical repair is performed before the aorta ruptures. Aortic rupture is life threatening.

Procedures
  A. General Surgery
    1. Laparoscopic Surgery
      a. Exploratory
      b. Appendix
      c. Hernia
      d. Gallbladder
      e. Colon
      f. Hiatal Hernia
    2. Conventional Surgeries
      a. Hernia Repair
      b. Colon
      c. Stomach
      d. Appendix
      e. Thyroid
      f. Soft Tissue Masses and Skin Lesions

  B. Vascular Surgery
    1. Repair of abdominal aortic aneurysm (AAA)
    2. Bypass surgery of extremities
    3. Carotid endarterectomy (CEA)
    4. Creation of arterio-venous fistulas
    5. Placement of central lines

  C. Varicose Vein Treatment
    1. TIPPS (Trans-Illuminated Powered Phlebectomy)
    2. SEPS (Subfascial Endoscopic Perforator Surgery)
    3. Deep venous thrombosis

  D. Breast Disease Management
    1. Evaluation of breast lumps (solid or cystic)
    2. Cyst aspirations
    3. Fine-needle aspiration of solid breast lump
    4. Stereotactic breast biopsy
    5. Sentinel lymph node biopsy
    6. Conventional biopsy
    7. Lumpectomy
    8. Mastectomy

  E. Gastric Bypass (Bariatric Surgery)

  F. Wound Management and Treatment

  G. Thoracic surgery
    1. Chest tube placement
    2. Removal and biopsy of nodules in lung and mediastinum
    3. Lobectomy

  H. Vascular Laboratory