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General surgery

The board-certified general surgeons at Novant Health Salem Surgical Associates offer a wide variety of procedures to treat everything from hernias to appendicitis to stomach and endocrine problems. On this page, you will find an overview of some of our more common procedures. You can discuss any of these procedures, or any procedure you do not see listed here, with a surgeon at Novant Health Salem Surgical Associates with our without a referral. Please call one of our offices to schedule a consultation. In emergency situations, we try our best to accommodate requests for same-day or next-day appointments.

Appendectomy

An appendectomy is a surgery to remove the appendix, which is a tube that branches off the large intestine. If the appendix becomes inflamed (a condition called appendicitis), it could rupture and cause a severe infection. For this reason, an appendectomy is often recommended. An appendectomy is normally performed under general anesthesia and might or might not require a hospital stay. Click here to learn more about the appendectomy procedure and recovery from it.

Cholecystectomy

A cholecystectomy is the surgical removal of the gallbladder. The gallbladder is located under the liver, and stores and concentrates bile, a substance used to break down fat so your body can digest it. The gallbladder might need to be removed if it contains gallstones, is inflamed or infected, or is cancerous. Gallbladder removal surgery might be performed as an inpatient or outpatient procedure. To learn more about the cholecystectomy procedure, click here.

Excisions of lesions & masses

If you have a lesion or mass in the body or on the skin, surgical removal is often recommended. Depending on the location of the excision, the procedure can be relatively simple and require limited recovery time, or could be more involved. Your surgeon will discuss the specifics of your procedure as well as your expected recovery, and you will have many opportunities to ask questions before your procedure is performed.

Gastric procedures

If you are suffering from stomach cancer, severe acid reflux or peptic ulcers that do not respond to other treatments, a gastric procedure might be necessary. Acid reflux surgery involves making the top of the stomach tighter so it is more difficult for acid to escape. Gastric resection involves surgically removing all or part of the stomach as a way to eliminate cancer cells or ulcers.

Hernia treatment

A hernia occurs when a section of intestine bulges out through a weakness in the abdominal muscles. A soft bulge can be seen under the skin. A hernia that occurs around the belly button is called an umbilical hernia. A hernia around the groin in usually either an inguinal hernia or a femoral hernia. A hiatal hernia happens when part of the stomach protrudes into the chest through an opening in the diaphragm, the muscle that separates the chest from the abdomen. A spigelian hernia most often occurs in the lower abdomen. Some hernias do not cause problems or even discomfort, while others can lead to bigger medical issues. Similarly, some hernias will resolve themselves, while others will require surgery. The type of surgery you need will depend on the location of your hernia and your specific symptoms. The hernia surgeons at Novant Health Salem Surgical Associates are available to assess your hernia and discuss your treatment options.

Splenectomy

The spleen is an organ that filters blood. Certain conditions including malaria, mononucleosis and certain cancers might cause the spleen to become enlarged or rupture. In some of these cases, removing all or part of the spleen in a procedure called a splenectomy is recommended. The surgeons at Novant Health Salem Surgical Associates will review your specific case and determine if surgery is recommended for you.

Tube or catheter placement

Tubes and catheters can give doctors and surgeons access to veins and organs without unnecessary needle sticks or repetitive invasive procedures. The surgeons at Novant Health Salem Surgical Associates both place and remove these devices, including: portacaths, Tenckhoff caths, Port-A-Grams, JJ tubes, feeding tubes and chest tubes. The catheter or tube being placed or removed will determine whether this is an inpatient or outpatient procedure. If a tube or catheter has been recommended to you and you would like to discuss your options, please call one of our offices to schedule a consultation.

Ulcer repair

Ulcers are sores found in the stomach or upper small intestine. Many are caused by the presence of bacteria, and some can be very painful. Some ulcers can be treated with medicine, while others will require surgical treatment. If you have been suffering from pain caused by ulcers, the surgeons at Novant Health Salem Surgical Associates can evaluate your condition and help you understand if surgery could help you.

Wound care

In some cases, surgical methods such as vacuum dressings can promote wound healing. In other cases, a surgical procedure might be needed to investigate why a wound is not healing. If you have a chronic wound, the surgeons at Novant Health Salem Surgical Associates are here to discuss options for treatment.

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