General Surgery: North Florida Surgeons: Baptist Jacksonville Division evaluates and treats a full range of complex surgical problems involving all regions of the body. No matter what the need, our six general surgeons collaborate with each other and work with your referring physicians with the goal of giving each patient comprehensive, seamless care.
General Surgery services include treatment of benign and cancerous conditions of the abdominal organs (gallbladder, liver, pancreas, spleen, adrenal glands), the gastrointestinal tract (esophagus, stomach, small intestine, appendix, colon, rectum, anus), skin and soft tissue (melanoma, cysts, lipomas), and breast and hernia operations. Many of our general surgeons use a minimally invasive approach for certain procedures. In addition to the complicated operations that we do, we often evaluate and remove common skin lesions such as cysts or lipomas, what some people would call “lumps and bumps.”
Laparoscopic Surgery: Often called minimally invasive surgery (MIS), band-aid surgery or keyhole surgery, laparoscopic surgery is an innovative surgical technique in which abdominal operations are performed through small incisions, often less than a centimeter long. The same operation is done but with a smaller incision.
There are a number of advantages to laparoscopic surgery including reduced pain, a lower rate of complications and a shorter recovery time. You’ll also love that there’s no large scar after your surgery. Your surgeon will discuss with you whether or not you may be a candidate for laparoscopy or if you will need a traditional open incision.
Examples of operations that can be done laparoscopically include:
Inguinal Hernia (groin)
Gastroesophageal Reflux Disease (GERD)
(http://www.sages.org/publication/id/PI01/): Hiatal Hernia Repair
Bariatric Surgery: Gastric Bypass, Sleeve Gastrectomy, Lap Band
Hepatobiliary: Gallbladder removal (Lap cholecystectomy)
(http://www.sages.org/publication/id/PI11/): Liver biopsy
Right, Left, Sigmoid, Rectum (http://www.sages.org/publication/id/PI09/)
Adrenal gland removal (Adrenalectomy)
(http://www.sages.org/publication/id/PI02/): evaluate for abdominal pain, perform biopsies
Robotic Surgery: We use the da Vinci Surgical System at Baptist Medical Center Jacksonville. This allows us to do many different minimally invasive operations. Your surgeon is 100% in control of the robot, but the robotic system allows precise movements, with enhanced 3D vision and improved dexterity. Your surgeon will discuss whether the best surgical approach will be open, laparoscopic, or robotic assisted.
Bariatric Surgery: Commonly called weight loss surgery, Bariatric Surgery includes a variety of procedures performed on people struggling with morbid obesity. Bariatric Surgery is truly life changing considering obesity can cause some serious health risks for those living with it.
When it comes to bariatrics, you’d be hard pressed to find a more passionate, talented and results-oriented team than the surgeons of North Florida Surgeons: Baptist Jacksonville Division that work with the Baptist Center for Bariatrics. They’ll help determine if Bariatric Surgery is right for you. If it is, they’ll be by your side before and after surgery as well. Our aim is to help you live the happiest, healthiest life possible as soon as possible.
Our doctors perform various bariatric operations including Gastric Bypass, Gastric Banding and Sleeve Gastectomy. Read the descriptions below to learn more.
Gastric Bypass: This is the most studied weight loss operation and is very effective. This procedure reduces caloric intake by making the stomach smaller and decreases the amount of calories that are absorbed by bypassing a segment of the intestines.
Sleeve Gastectomy: This bariatric procedure reduces the stomach to 20% of its’ original size and reduces the hormone that makes you feel hungry. Many patients choose this operation because it is lower risk than a Gastric Bypass and patients often have excellent weight loss that is frequently more than with Gastric Banding.
Gastric Band/Lap-Band: While other Bariatric operations can be done with a very low rate of complications, the Gastric Band has the lowest risk because there is no division of the bowel. The band is placed around the top portion of the stomach, reducing the intake of food.
Anti-reflux Surgery: Patients with Gatroesophageal Reflux Disease (GERD), heartburn and swallowing disorders are often treated with medications. For patients who still have symptoms despite medications, have side effects from the medications, want to be off the medications or have complications of GERD (such as Barrett’s esophagus), Anti-Reflux Surgery may be indicated.
Anti-Reflux Surgery is often performed to correct a hiatal hernia, or loosening of the muscles at the bottom of the esophagus. Sometimes patients have a large hiatal hernia, also known as a paraesophageal hernia, or achalasia, an esophageal disorder. Our specialists in minimally invasive surgery can perform operations to fix these conditions that are almost always done laparoscopically so patients have a short hospital stay.
For patients that don’t have a hiatal hernia or have only a small one, they may be a candidate for a minimally invasive placement of an anti-reflux device called Linx. Linx may have less long term side effects than traditional anti-reflux surgery.
For more information about the Linx device see: (http://www.linxforlife.com/)
Surgical Oncology: Cancer Surgery is the surgical removal of an organ or part of an organ that contains a cancer or pre-cancerous area. Cancer can take a toll both physically and emotionally. Our goal is to always take the time to listen to your concerns, answer any questions you or your loved ones have and guide you to a course of action that has the greatest likelihood of success.
We build a treatment plan that is 100% tailored to your needs. We will never begin a new patient relationship with a preconceived idea of what treatment plan will be suggested. We look at your specific situation and only recommend what’s best for you.
Our specialists treat both cancerous and non-cancerous tumors through multidisciplinary management. We can provide solutions for breast cancer, melanomas and other skin cancers, thyroid cancer, cancer of the gastrointestinal tract, including stomach and colorectal cancers, and solid organ cancers such as pancreatic and liver cancer. We work in a multidisciplinary system with colleagues in medical oncology and radiation oncology to develop a treatment plan that may include chemotherapy and radiation should it be necessary depending on an individual’s situation.
Breast Surgery: We often see women, and some men, who feel a breast mass or have an abnormal mammogram. We will work closely with your referring physician, your imaging center, as well as the Hill Breast Center at Baptist Medical Center to accurately diagnose your condition, whether benign or cancerous.
We understand that you are anxious to make sure you don’t have cancer, or if you were told you have cancer you would like to be treated immediately. Here, at North Florida Surgeons: Baptist Jacksonville Division, our surgeons will discuss your treatment options, which may include surgery, chemotherapy, radiation and/or hormone therapy. The good news is, that many patients will be diagnosed in the early stages of breast cancer, when it is very treatable.
We will discuss your care at a multidisciplinary conference at the Hill Breast Center, and our surgeons and the Baptist Breast Care Coordinators will implement this plan. Our surgeons offer breast conservation techniques when possible, as well as sentinel lymph node biopsy, a technique that allows us to take only the important lymph nodes in the armpit, and reduce the chance of arm swelling and other problems. We offer genetic testing through our office for patients that have a significant family history of breast cancer. Our first concern is to give you the best chance of cure that we can, but we also work closely with plastic surgeons to optimize your cosmetic outcome.
Colorectal surgery: This type of surgery addresses conditions of the colon, rectum, and anus typically caused by inflammatory bowel disease (Crohn’s disease and ulcerative colitis), diverticulitis and cancer. We frequently are able to do laparoscopic colon surgery in many of our patients. These are operations that are technically challenging and most General Surgeons use larger incisions to do these operations, with the national average of laparoscopic colon removal being less than 10% of these operations. Because of our minimally invasive approach, many patients are discharged only a few days following the surgery.
Hepatobiliary surgery: This is surgery that focuses on correcting conditions and problems occurring in the liver, gallbladder, and pancreas. Patients with problems with their gallbladder may have upper abdominal pain and nausea. Frequently gallstones or cholecystitis, or gallbladder inflammation, is the cause. Laparoscopic cholecystectomy, or gallbladder removal, is done with small incisions and usually the operation is done as an outpatient procedure.
Hernia Repair: A hernia is an opening or weakness in the abdominal wall muscles that normally hold the abdominal organs in place. Patients often feel a bulge or protrusion and may have discomfort at the site of the hernia. Hernias can be caused by anything that weakens the abdominal wall such as an incision from a previous operation, morbid obesity or pregnancy. Sometimes patients are born with a weakness or opening that only becomes apparent after many years or when they lift something heavy.
Inguinal hernias: This is the most common type of hernia. An inguinal hernia is where abdominal contents protrude through an opening in the lower part of the abdomen, near the groin.
Incisional hernias/Ventral Hernia: This type of hernia is the result of a weakness in the abdominal wall following surgery. Up to 1/3 of patients who have abdominal surgery will develop an Incisional shernia.
Thyroid and Parathyroid Surgery: The thyroid gland is in the front part of the neck and makes thyroid hormone, which is important in your body’s metabolism. There are four parathyroid glands next to the thyroid and these help to control the body’s calcium levels. Thyroid disorders include overactive thyroid, underactive thyroid, thyroid nodules or masses, and thyroid cancer. Many patients with these conditions can be treated medically.
Our surgeons are well trained and experienced in thyroid and parathyroid surgery. The extent of surgery depends on the condition that is being treated. Sometimes only half of the thyroid is removed, while for cancer the entire thyroid gland may be removed. Our surgeons are experienced in using small incisions to minimize scarring. For parathyroid surgery we can often localize the one gland that is causing a problem and remove this with a very small incision.