Most Common Procedures

You will find a partial list of the procedures most commonly performed by Dr. Dupree and Dr. George, included is a short description of each procedure to help further understand the type of surgery being performed. Please keep in mind that this is not a 'complete' list, and you should discuss your specific individual needs at your very first consultation. If you have any questions please message us utilizing our "Contact Us & Directions" page. You may also email our office at: officestaff@shoremis.com

Hernia Surgery

Our group specializes in complex repair and treatment of inguinal or groin hernias, ventral or incisional hernias, chronic groin pain, and revision hernia repairs. Please visit the tab labeled Hernia Surgery for more details.

Reflux and Foregut Surgery

Reflux can be quite debilitating for affected patients. This can either be from a hiatal hernia, or an issue with the lower esophageal sphincter. Please visit the tab labeled Reflux and Foregut Surgery for more information.

Bariatric Surgery

Morbid obesity is now classified technically as an epidemic. New data shows that bariatric surgery can not only eliminate chronic medical problems associated with obesity such as diabetes and high blood pressure, but it has also been proven to extend life expectancy. Please visit the tab labeled Bariatric Surgery for further details on types of surgeries.

Cholecystectomy:

A cholecystectomy is the surgical removal of the gallbladder. Historically this procedure used to be performed with a large incision in the upper part of your abdomen. Currently it is most commonly performed at our practice using laparoscopic minimally invasively techniques. The procedure can also be performed robotically in some circumstances, which has the same benefits of laparoscopic surgery such as early discharge, tiny scars, and faster return to work. These surgeries, once necessitating a hospital stay, are now relatively short outpatient procedures.

Appendectomy:

This surgery entails removal by surgery of the appendix, the small worm-like appendage of the colon (the large bowel). It is unclear what the purpose of this organ is, but speculation suggests that it has a role in replenishing intestinal bacteria. However, similar to a gallbladder, people can live perfectly normal lives without their appendix. An appendectomy is typically performed because of appendicitis, inflammation of the wall of the appendix generally associated with infection. It is also performed due to masses or growths in the appendix as well. There are several approaches to performing an appendectomy, however minimally invasively is our preferred approach using 2-3 small incisions and tiny instruments. This technique allows for faster discharge from the hospital and faster return to work. Please discuss your specific individual options with Dr. Dupree and Dr. George at the time of consultation.

Excision of Tumors, Cysts, Lesions, and Abnormal Structures:

Tumors, Lesions, and Cysts are not always serious conditions, however the possibility of these masses being potentially dangerous always exists. A detailed physical examination, diagnostic studies, biopsy, and possible removal are options that should be discussed with your surgeon at a professional private consultation. Removal of these lesions are almost universally same-day procedures with extremely rapid recovery, typically without the use of general anesthesia.

Colectomy, Hemi-Colectomy, and Other Surgeries involving the Colon:

A colectomy is an operation that removes all or part of the colon (large intestine). This may need to be performed for many reasons including inflammatory bowel disease, cancer of the colon, diverticulitis, polpys of the colon, or even in cases of severe motility disorders. Total or partial colectomy can be performed minimally invasively with either laparoscopic or robotic instruments, with only a short stay in the hospital. In extreme cases of diverticulitis, a partial connection with the skin may need to be performed in order to let the inflammation heal, which would be reconnected after several months.

Lysis of Abdominal Adhesions:

Abdominal adhesions are bands of scar tissue that form between abdominal tissues and organs, causing them to stick together. These can form from any previous surgery, even those with small incisions, although they are extremely common after larger open incisions for surgeries. Typical symptoms caused by abdominal adhesions include crampy abdominal discomfort followed by distention of the abdomen. Symptoms may become intense when the scar tissue causes obstruction of the bowel. In cases of extreme discomfort, an emergency department visit and surgical consultation may be necessary. For those with chronic pain from adhesions, surgical lysis of scar tissue can be an option. This can be performed with small incisions, even in those patients with scar tissue from massive previous incisions.

Bariatric Surgery:

We understand that it may be extremely difficult to lose weight, and a lot of other factors including genetics may make it even harder. We offer gastric sleeve and gastric bypass surgery to those who need additional help with weight loss. Even if you already had bariatric surgery and found yourself regaining weight, we can help. Not only does weight loss improve confidence, but it can literally save your life. Call today to schedule an appointment.

Soft Tissue Abscesses

Abscesses, or collections of pus can be formed for any number of reasons. The most common reason is that a superficial skin infection, or cellulitis, worsened to form an underlying abscess. Antibiotics can only penetrate abscesses so much, and the recommended treatment is an incision and drainage of the abscess. In some instances, this can even be performed by our surgeons in the office. In more complex circumstances, this may need to be performed in an operating room.

Chemotherapy or Infusion Port Access

Some patients with cancers may require chemotherapy, which most of the time needs access via an infusion port. Our surgeons are adept at placing these ports as outpatient surgerys, with access able to be obtained even the day or surgery. Please consult with our surgeons for port placement once your oncology approves chemotherapy. Ports may also need to be placed for other conditions, such as outpatient infusions of medications or IV nutrition.

Other Procedures

We also offer additional procedures such as:

  • Adrenal gland removal
  • Spleen removal
  • Skin cancer evaluation and excision
  • Feeding tube placement