Choose Aiken Surgical Associates

Total Page：16

File Type：pdf, Size：1020Kb

Choose Aiken Surgical Associates Aiken Surgical Associates is dedicated to providing the best possible surgical care through a broad spectrum of procedures for adults and children. Our Surgical Procedures Endoscopic Procedures Robotic Procedures Meet Our Esophagogastroduodenoscopy Cholecystectomy Esophageal Food Dis-impaction Hiatal Hernia Repair Board-Certified Surgeons Esophageal Dilation Inguinal Hernia Repair Colonoscopy Ventral/Umbilical Hernia Repair Flexible Sigmoidoscopy Anoscopy & Hemorrhoid Banding Skin & Soft Tissue Procedures Frank Y. Chase, Peg Tube Placement/Removal Incision & Drainage of Abscesses MD, FACS pH Probe Placement Lipoma Excision TIF® Procedure Pilonidal Cyst Excision Lymph Node Biopsy Laparoscopic Procedures Punch Biopsy Diagnostic Laparoscopy Abnormal Nevus/Skin CA Excision Appendectomy Removal Foreign Body Cholecystectomy Sebaceous Cyst Excision Wayne T. Frei, Cholangiogram Skin Grafting MD, FACS Colon Resection for Colon Disease Temporal Artery Biopsy & Cancers Skin Wound Debridement Hiatal Hernia Repair Diabetic Foot Surgery Inguinal Hernia Repair Ingrown Nail Removal Lysis of Adhesions for Small Laceration Suturing Bowel Obstruction Amputations Nissen Fundoplication Peritoneal Dialysis Catheter Thoracic Procedures Lorenzo Sampson, Small Bowel Resection Chest Tube Placement MD, FACS Ventral/Umbilical Hernia Repair Tracheostomy Open Abdominal Procedures Trauma Procedures All Laparoscopic Procedures Blunt Trauma Distal Pancreatectomy Penetrating Trauma Exploratory Laparotomy Gastrectomy Vascular Procedures Omentectomy Central Venous Access Hours of Operation Splenectomy Chemo-Port Insertion/Removal Hemodialysis Access Monday - Thursday: 8 a.m. – 5 p.m. Endocrine Procedures -Arteriovenous Fistula Friday: 8 a.m. – 12 p.m. Adrenalectomy -Arteriovenous Graft Thyroidectomy Inferior Vena Cava Filter Parathyroidectomy Perma-Cath Insertion/Removal Breast /Breast Cancer Procedures Fine Needle Aspiration & Core Needle Biopsy U/S-Guided Mammotome & Please contact us at 803-648-1318 should you have any Stereotactic Biopsy questions or wish to discuss a surgical procedure. Lumpectomy & Open Biopsy Wire-Localized Lumpectomy Mastectomy – Simple, Partial, & Radical / Modified Mastectomy Sentinel Node Biopsy & Axillary Lymph Node Dissection.

Copy Link

Recommended publications

Proper Preop Makes for Easier Toenail Surgery
April 15, 2007 • www.familypracticenews.com Skin Disorders 25 Proper Preop Makes for Easier Toenail Surgery BY JEFF EVANS sia using a digital block or a distal approach to take ef- Senior Writer fect. Premedication with NSAIDs, codeine, or dextro- propoxyphene also may be appropriate, he said. WASHINGTON — Proper early management of in- To cut away the offending section of nail, an English grown toenails may help to decrease the risk of recur- anvil nail splitter is inserted under the nail plate and the rence whether or not surgery is necessary, Dr. C. Ralph cut is made all the way to the proximal nail fold. The hy- Daniel III said at the annual meeting of the American pertrophic, granulated tissue should be cut away as well. Academy of Dermatology. Many ingrown toenails are recurrent, so Dr. Daniel per- “An ingrown nail is primarily acting as a foreign-body forms a chemical matricectomy in nearly all patients after reaction. That rigid spicule penetrates soft surrounding tis- making sure that the surgical field is dry and bloodless. sue” and produces swelling, granulation tissue, and some- The proximal nail fold can be flared back to expose more times a secondary infection, said Dr. Daniel of the de- of the proximal matrix if necessary. Dr. Daniel inserts a Cal- partments of dermatology at the University of Mississippi, giswab coated with 88% phenol or 10% sodium hydroxide Jackson, and the University of Alabama, Birmingham. and applies the chemical for 30 seconds to the portion of For the early management of stage I ingrown toenails the nail matrix that needs to be destroyed.
[Show full text]
Nail Problems
Nail Problems Components of the Nail Congenital Disorders Racket nails, characterized by a broad short thumb nail, is the commonest congenital nail defect, dominantly inherited and seen in 1% of the population. The basic abnormality is shortness of the underlying terminal phalanx. In the yellow nail syndrome, the nail changes begin in adult life, against a background of hypoplasia of the lymphatic system. Peripheral edema is usually present and pleural effusions may occur. The nails grow very slowly and become thickened and greenish-yellow; their surface is smooth but they are over curved from side to side. Acquired Nail Changes Beau's Lines Transverse lines or grooves in nail. Causes include any severe systemic illness or medications (chemotherapy), which affects growth of the nail matrix. Clinically: The grooves or lines move distally; the distance from the nail fold lets one assess the time of trauma. Onycholysis Separation of nail from nail bed. Causes include psoriasis, dermatitis, fungal infections; medications (photo-onycholysis from tetracyclines or psoralens), thyroid disease; rarely inherited. Idiopathic onycholysis is most common among women; painless separation of nail without apparent cause. Typically, the distal third separates and underlying nail bed becomes darker and thickened. Therapy: Cut nail very short to reduce leverage encouraging separation, apply antifungal solution. Usually self-limited process. Ingrown Nail Penetration of nail plate into tissue of lateral nail fold. Almost always involves great toes. Causes include congenital malformation of nail (pincer nail), improper trimming, and tightly fitting shoes. Clinically: Distorted nail with swelling, pain, and granulation tissue along the lateral nail fold. Therapy: Mild cases: Eliminate pressure, trim nail; topical antiseptics as foot soaks or on small piece of cotton wool pushed under affected nail.
[Show full text]
High Resolution Anoscopy Overview
High Resolution Anoscopy Overview Naomi Jay, RN, NP, PhD University of California San Francisco Email: [email protected] Disclosures No Disclosures Definition of HRA Examination of the anus, anal canal and perianus using a colposcope with 5% acetic acid and Lugol’s solution. Basic Principles • Office-based procedure • Adapted from gynecologic colposcopy. • Validated for anal canal. • Similar terminology and descriptors. may be unfamiliar to non-gyn providers. • Comparable to vaginal and vulvar colposcopy. • Clinicians familiar with cervical colposcopy may be surprised by the difficult transition. Anal SCJ & AnTZ • Original vs. current SCJ less relevant. • TZ features less common, therefore more difficult to appreciate. • SCJ more subtle, difficult to see in entirety requires more manipulation & acetic acid. • Larger area of metaplastic changes overlying columnar epithelium compared to endocervix. • Most lesions found in the AnTZ. Atypical Metaplasia • Atypical metaplasia may indicate the presence of HSIL. • Radiate over distal rectum from SCJ. • Thin, may wipe off. • Features to look for indicating potential lesions: • Atypical clustered glands (ACG) • Lacy metaplastic borders (LM) • Epithelial Honeycombing (EH) Lugol’s. Staining • More utility in anus compared to cervix. • Adjunctive to help define borders, distinguish between possible LSIL/HSIL. • Most HSIL will be Lugol’s negative • LSIL may be Lugol’s partial or negative • Applied focally with small cotton swabs to better define an acetowhite lesion. •NOT a short cut to determine presence or absence of lesions, acetic acid is used first and is applied frequently. Anal vs. Cervical Characteristics • Punctation & Mosaic rarely “fine” mostly “coarse”. • Mosaic pattern mostly associated with HSIL. • Atypical vessels may be HSIL or cancer • Epithelial honeycombing & lacy metaplasia unique anal descriptors.
[Show full text]
Proper Preop Makes for Easier Toenail Surgery
20 Dermatologic Surgery S KIN & ALLERGY N EWS • April 2007 Proper Preop Makes for Easier Toenail Surgery BY JEFF EVANS produces swelling, granulation tissue, and tor or a 1- to 2-mm curette. has served as a speaker, consultant, and in- Senior Writer sometimes a secondary infection, said Dr. He also uses a technique for early-stage vestigator for the company. Daniel of the departments of dermatol- ingrown toenails in which dental floss is in- A procedure that uses an acrylic-affixed WASHINGTON — Proper early man- ogy at the University of Mississippi, Jack- serted under the ingrown nail corner with- gutter splint has been reported to be suc- agement of ingrown toenails may help to son, and the University of Alabama, Birm- out anesthesia and is kept there to separate cessful for avoiding surgery, Dr. Daniel decrease the risk of recurrence whether or ingham. the nail edge from adjacent soft tissue (J. said. A plastic gutter tube is set under the not surgery is necessary, Dr. C. Ralph For the early management of stage I in- Am. Acad. Dermatol. 2004;50:939-40). ingrown part of the nail and acrylic is Daniel III said at the annual meeting of the grown toenails in which some granula- Dr. Daniel formerly was on the board of sculpted and allowed to polymerize American Academy of Dermatology. tion tissue but no infection is present, Dr. directors for Doak Dermatologics, a sub- around the ingrown part of the nail and “An ingrown nail is primarily acting as Daniel has trained his nurse to push wisps sidiary of Bradley Pharmaceuticals Inc., hold the gutter tube in place.
[Show full text]
Ingrown Nail/Paronychia Referral Guide: Podiatry Referral Page 1 of 1 Diagnosis/Definition
Ingrown Nail/Paronychia Referral Guide: Podiatry Referral Page 1 of 1 Diagnosis/Definition: Redness, warmth, tenderness and exudate coming from the areas adjacent to the nail plate. Initial Diagnosis and Management: History and physical examination. In chronic infection appropriate radiographic (foot or toe series to rule out distal phalanx osteomyelitis) and laboratory evaluation (CBC and ESR). Ongoing Management and Objectives: Primary care should consist of Epsom salt soaks, or soapy water, and antibiotics for ten days. If Epsom salt soaks and antibiotics are ineffective, the primary care provider has the following options: Reevaluate and refer to podiatry. Perform temporary avulsion/I&D. Perform permanent avulsion followed by chemical cautery (89% Phenol or 10% NaOH application – 3 applications maintained for 30 second intervals, alcohol dilution between each application). Aftercare for all of the above is continued soaks, daily tip cleaning and bandage application. Indications for Specialty Care Referral: After the reevaluation at the end of the antibiotic period the primary care provider can refer the patient to Podiatry for avulsion/ surgical care if they do not feel comfortable performing the procedure themselves. The patient should be given a prescription for antibiotics renewal and orders to continue soaks until avulsion can be performed. Test(s) to Prepare for Consult: Test(s) Consultant May Need To Do: Criteria for Return to Primary Care: After completion of the surgical procedure, patients will be returned to the primary care provider for follow-up. Revision History: Created Revised Disclaimer: Adherence to these guidelines will not ensure successful treatment in every situation. Further, these guidelines should not be considered inclusive of all accepted methods of care or exclusive of other methods of care reasonably directed to obtaining the same results.
[Show full text]
Lower Gastrointestinal Tract
Lower Gastrointestinal Tract Hemorrhoids—Office Management and Review for Gastroenterologists Mitchel Guttenplan, MD, FACS 1 and Robert A Ganz, MD, FASGE 2 1. Medical Director, CRH Medical Corp; 2. Minnesota Gastroenterology, Chief of Gastroenterology, Abbott-Northwestern Hospital, Associate Professor of Medicine, University of Minnesota Abstract symptomatic hemorrhoids and anal fissures are very common problems. This article provides a review of the anatomy and physiology of the anorectum along with a discussion of the diagnosis and treatment of hemorrhoids and the commonly associated matters of anal sphincter spasm and fissures. The various office treatment modalities for hemorrhoids are discussed, as are the specifics of rubber band ligation (rBL), and a strategy for the office treatment of these problems by the gastroenterologist is given. The crh o’regan system™ is a technology available to the gastroenterologist that provides a safe, effective, and efficient option for the non-surgical treatment of hemorrhoids in the office setting. Keywords hemorrhoids, anal fissure, rubber band ligation, crh o’regan system™ Disclosure: Mitchel guttenplan is Medical Director of crh Medical Products corporation, the manufacturer of the crh o’regan system™. robert A ganz is a consultant to and holds equity in crh Medical Products corporation. Received: 2 november 2011 Accepted: 30 november 2011 Citation: Touchgastroentorology.com ; December, 2011. Correspondence: Mitchel guttenplan, MD, fAcs, 3000 old Alabama rd, suite 119 #183, Alpharetta, gA 30022-8555, us. e: [email protected] Diseases of the anorectum, including hemorrhoids and anal fissures, are experience also makes it clear that hemorrhoid sufferers frequently very common. The care of these entities is typically left to general and have additional anorectal issues that may both confuse the diagnosis colorectal surgeons.
[Show full text]
Ingrown Toenails
POST-OP NAIL CARE The day following the procedure, remove the bandage and begin soaking the toe for 10-15 minutes at least once daily. If the bandage does not come off easily, soak in warm water with one (1) tablespoon Epson Salts. As you soak, use a cotton tipped applicator (Q-tip) to clean the nail groove. Also, gently pull the skin edges back from the area where the nail was removed to be sure that any draining is released. After drying the toes, apply a light amount of triple antibiotic ointment (Neosporin) or other topical anesthetic, and light gauze or a bandage (Band-aid). Gauze is best to absorb INGROWN drainage. After a few days, the toe may be Brian Gardner, D.P.M. TOENAILS overly moist and need to dry. Use less triple antibiotic, continue soaking, Podiatrist and dress with light gauze or a Dr. Brian Gardner specializes in bandage (Band-aid). As drying foot and ankle surgery, wound care, occurs, tenderness will usually biomechanics, sports medicine, decrease. Continue soaks until the diabetic foot care, area is no longer draining (usually and general foot care. several weeks, if the nail root was treated with a chemical). facebook.com/UintahBasinHealthcare www.ubh.org 435.725.2025, Roosevelt 435.781.2030, Vernal 250 W 300 N Clinic #2 Suite 203 (Level 2), Roosevelt, Utah 379 N 500 W, Vernal, Utah Nails grow from a root beneath the skin TREATMENT IMPORTANT called the “matrix.” This growth center TREATMENT INFORMATION can vary in size and shape. It may Initially, your doctor may be able to produce a nail which is flat, curved, trim the ingrown toenail.
[Show full text]
Endoscopy Matrix
Endoscopy Matrix CPT Description of Endoscopy Diagnostic Therapeutic Code (Surgical) 31231 Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure) X 31233 Nasal/sinus endoscopy, diagnostic with maxillary sinusoscopy (via X inferior meatus or canine fossa puncture) 31235 Nasal/sinus endoscopy, diagnostic with sphenoid sinusoscopy (via X puncture of sphenoidal face or cannulation of ostium) 31237 Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or X debridement (separate procedure) 31238 Nasal/sinus endoscopy, surgical; with control of hemorrhage X 31239 Nasal/sinus endoscopy, surgical; with dacryocystorhinostomy X 31240 Nasal/sinus endoscopy, surgical; with concha bullosa resection X 31241 Nasal/sinus endoscopy, surgical; with ligation of sphenopalatine artery X 31253 Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior X and posterior), including frontal sinus exploration, with removal of tissue from frontal sinus, when performed 31254 Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial (anterior) X 31255 Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior X and posterior 31256 Nasal/sinus endoscopy, surgical; with maxillary antrostomy X 31257 Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior X and posterior), including sphenoidotomy 31259 Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior X and posterior), including sphenoidotomy, with removal of tissue from the sphenoid sinus 31267 Nasal/sinus endoscopy, surgical; with removal of
[Show full text]
Public Use Data File Documentation
Public Use Data File Documentation Part III - Medical Coding Manual and Short Index National Health Interview Survey, 1995 From the CENTERSFOR DISEASECONTROL AND PREVENTION/NationalCenter for Health Statistics U.S. DEPARTMENTOF HEALTHAND HUMAN SERVICES Centers for Disease Control and Prevention National Center for Health Statistics CDCCENTERS FOR DlSEASE CONTROL AND PREVENTlON Public Use Data File Documentation Part Ill - Medical Coding Manual and Short Index National Health Interview Survey, 1995 U.S. DEPARTMENT OF HEALTHAND HUMAN SERVICES Centers for Disease Control and Prevention National Center for Health Statistics Hyattsville, Maryland October 1997 TABLE OF CONTENTS Page SECTION I. INTRODUCTION AND ORIENTATION GUIDES A. Brief Description of the Health Interview Survey ............. .............. 1 B. Importance of the Medical Coding ...................... .............. 1 C. Codes Used (described briefly) ......................... .............. 2 D. Appendix III ...................................... .............. 2 E, The Short Index .................................... .............. 2 F. Abbreviations and References ......................... .............. 3 G. Training Preliminary to Coding ......................... .............. 4 SECTION II. CLASSES OF CHRONIC AND ACUTE CONDITIONS A. General Rules ................................................... 6 B. When to Assign “1” (Chronic) ........................................ 6 C. Selected Conditions Coded ” 1” Regardless of Onset ......................... 7 D. When to Assign
[Show full text]
Customizable Wallet Cards
reason, we’ll refund your cost. your refund we’ll reason, cost. your refund we’ll reason, cost. your refund we’ll reason, cost. your refund we’ll reason, If you aren’t satisfied, for any any for satisfied, aren’t you If any for satisfied, aren’t you If any for satisfied, aren’t you If any for satisfied, aren’t you If waiting. No waiting. No waiting. No waiting. No apps to download. download. to apps No download. to apps No download. to apps No download. to apps No video required. required. video No required. deo vi No required. deo vi No required. deo vi No ne. li on t bu ne. li on t bu ne. li on t bu ne. li on t bu isit – – isit v s doctor’ a e Lik – isit v s doctor’ a e Lik – isit v s doctor’ a e Lik – isit v s doctor’ a e Lik Fold line Fold Your 24/7 Your 24/7 Your 24/7 Your 24/7 online clinic online clinic online clinic online clinic A visit is just $45.* Insurance is accepted and Insurance is accepted and Insurance is accepted and Insurance is accepted and Insurance is accepted. applies to your deductible. appInsurancelies to your is accepted.deductible. appInsurancelies to your is deductible.accepted. appInsurancelies to your is deductible.accepted. *No*No cost cost if we can’tcan't treat trea you.t you. *No*No cost cost ifif we can’tcan't treat trea tyou. you. *No*No costcost if wewe can’tcan't treat treat you.
[Show full text]
Procedural Review of Toenail Excision Scott Klosterman, DO, Candace Prince, OSM 4
Osteopathic Family Physician (2012) 4, 18-23 Procedural review of toenail excision Scott Klosterman, DO, Candace Prince, OSM 4 From Spartanburg Regional Family Medicine Residency Program, Spartanburg, SC KEYWORDS: Toenail removal is a common procedure that family physicians routinely perform in the office. This article Toenail removal; highlights the acute and chronic indications for toenail removal and its contraindications, potential compli- Paronychia; cations, and procedural details including digital block anesthesia. A sample consent form and patient Onychomycrosis; educational handout are provided as well as the current diagnostic International Classification of Diseases, Ingrown toenail; 9th revision, and current procedural terminology codes for the clinician to use. Matrixectomy © 2012 Elsevier Inc. All rights reserved. Family physicians are often the primary health care con- a partial or complete matrixectomy (permanent nail removal) tact for patients with toenail problems. Toenail complaints may be necessary for these chronic conditions, and with on- ranging from paronychia to onychomycosis affect every age ychocryptosis because of its high rate of recurrence.2,4,11 Fi- group, and surgical excision of the nail may be an appro- nally, in cases of growths or discoloration beneath the nail, nail priate treatment option. Our purpose is to review the indi- plate removal with biopsy may be needed to rule out malignant cations and procedural details for toenail removal, provide a neoplasms, although biopsy techniques of the nail and nail bed concise patient consent form and educational handout for are outside the scope of this review.2,3 postprocedural care, and review the current International Classification of Diseases, 9th revision (ICD-9) and current procedural terminology (CPT) coding for such procedures.
[Show full text]
Provider Bulletin Prior Authorization Requirement for Gastrointestinal
Medicaid Managed Care Florida Healthy Kids Provider Bulletin August 2020 Prior authorization requirement for gastrointestinal codes done in the outpatient hospital setting (place of service 22) This communication applies to the Medicaid programs for Simply Healthcare Plans, Inc. and Clear Health Alliance as well as the Florida Healthy Kids program for Simply. Prior authorization requirements Effective October 1, 2020, prior authorization (PA) requirements will be required for the below CPT® codes if requested in the outpatient (OP) hospital setting. Prior authorization will be required for place of service 22 (OP hospital) only. No authorization will be required if done in an alternate OP place of service, such as an ancillary surgery center. For services that are scheduled on or after October 1, 2020, providers must contact Simply and CHA to obtain prior authorization for these services requested in the hospital. Providers are strongly encouraged to verify that a prior authorization has been obtained before scheduling and performing services in the outpatient hospital. To request PA, you may use one of the following methods: Web: https://www.availity.com* Fax: 1-866-495-1981 43200 ESOPHAGOSCOPY FLEXIBLE TRANSORAL DIAGNOSTIC 44382 ILEOSCOPY STOMA W/BX SINGLE/MULTIPLE 43202 ESOPHAGOSCOPY FLEXIBLE TRANSORAL WITH BIOPSY 44388 COLONOSCOPY STOMA DX INCLUDING COLLJ SPEC SPX 43215 ESOPHAGOSCOPY FLEXIBLE REMOVAL FOREIGN BODY 45308 PROCTOSGMDSC RIGID RMVL 1 LESION CAUTERY 43220 ESOPHAGOSCOPY FLEX BALLOON DILAT <30 MM DIAM 45330 SIGMOIDOSCOPY
[Show full text]