TIPPS (Trans-Illuminated Powered Phlebectomy)

Surgery for varicose veins can now be minimally invasive, require less recovery time and cause less pain for the patient. With the development of Trans-Illuminated Powered Phlebectomy (TIPPS) surgery, the doctors can eliminate varicose veins in about 30 minutes.

The doctors perform this procedure using two small metal rods with handles. They insert the first piece into the leg and distribute a saline solution under the skin. The solution acts as local anesthetic and allows for light to travel farther under the skin. Once the area is illuminated, the second piece, which includes a blade and suction device, is inserted under the skin. With the lights off in the operating room it's easy to see the problematic veins, which are removed with the blade. Doctors also outline the veins with a marker ahead of time, giving them a region to work within during the operation.

The TIPP procedure is done on an outpatient basis and results in virtually no scarring. After the procedure, patients can walk out of the hospital, though they are required to wear a compression stocking for a couple of weeks.

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