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Laparoscopic Surgery

Adrenal Disease

The adrenal glands are located atop each kidney, and are responsible for producing hormones like cortisol, adrenaline, and aldostorone. If the adrenal glands begin to produce excessive amounts of hormones, they can cause high blood pressure, headaches, palpitations, weigh gain, or adrenal tumors.

Laparoscopic adrenalectomies remove the offending glands using half-inch incisions, thin instruments, and a small medical scope that allows the surgeons to see inside the patient during the procedure. At Onslow Surgical Clinic, we employ laparoscopic surgery as a minimally invasive option for treating common types of diseases affecting the adrenal glands including Cushing’s Syndrome, Conn’s Disease, and Pheochromocytoma (a type of adrenal tumor).
A typical laparoscopic adrenalectomy has a short recovery period, and often patients are discharged within 24 to 72 hours of the procedure.


The appendix is a worm-shaped, dormant organ attached to the end of a pouch-like structure of the colon, called the cecum. Though no current function of the appendix is known, it is highly susceptible to sudden inflammation (appendicitis). If left untreated it could burst, spread infection, or even become fatal.

Once infected, the appendix must be removed immediately. The trained surgical team at Onslow Surgical Clinic is experienced with handling emergency appendectomies, removing the appendix and repairing the tissue with the aid of a small surgical camera, through three to four small abdominal incisions.

Patients undergoing the laparoscopic procedure are usually discharged within 24 to 36 hours, compared with a more invasive surgery, which can keep patients in the hospital for three to five days.


The colon is part of the lower digestive tract, found in the large intestine. The colon helps to properly expel waste from the body. Laparoscopy is a less invasive way to effectively treat colorectal ailments such as rectal prolapse, pre-cancerous lesions, diverticular disease, and inflammatory bowel disease.

By creating small incisions and using thinner instruments, surgeons can mobilize and repair areas of the colon without creating much disturbance in the body; Recovery time for patients receiving laparoscopic surgery of the colon takes only days, as compared with weeks with traditional “open” surgery.


The gallbladder is a small, hollow organ located underneath the liver. This organ uses stored bile from the liver to aid in fat digestion. When too much cholesterol or calcium is present inside of the bile, crystalline masses or ‘gallstones’ can develop within the gallbladder.

Laparoscopic surgery of the gallbladder, also called a cholecystectomy, is a procedure that removes the gallbladder and gallstones through several small incisions using a medical camera scope within the abdominal area.

The surgery is performed under anesthesia, and typically lasts one to two hours. Patients undergoing the procedure have the option of a short hospital stay or an outpatient surgery. Normal activities can resume within seven to ten days.

Inguinal Hernia

An inguinal hernia occurs when muscles in the lower abdominal becomes weakened. Many factors including obesity, heavy lifting, straining, or even childbirth can cause a portion of the bowel to bulge out into a passage or opening through the muscles of the abdominal wall, also called the inguinal canal, into the groin area. These bulges usually contain tissue lining the inside of the abdomen as well as fatty tissue from inside the abdomen or a loop of intestine.

Similar to other laparoscopic procedures, hernia repair requires the use of small incisions and a thin medical camera inserted into the abdominal cavity. However, a thin mesh material will be placed over the weakened area to reinforce the abdominal area, and prevent further hernias from occurring.

Laparoscopic hernia surgery is an outpatient procedure. Patients are typically able to go home within the same day as the surgery, and most return to light activity after one to two weeks. On average, full activity can resume after four weeks.


Located in the upper left area of the abdomen, the spleen is a storage organ for both red and white blood cells. The spleen is part of the immune system and filters out old or damaged blood, fights off infections and bacteria, and aids in blood clotting.

Removal of the spleen or splenectomy is required when genetic diseases, anemia, blood disorders, or certain types of cancers are present. Because the spleen plays a crucial role in the immune system, patients undergoing a splenectomy will generally receive a round of immunizations and vaccinations to prevent infections.

The trained medical team at Onslow Surgical Clinic will perform a complete evaluation to ensure compatibility with the laparoscopic procedure. Not all patients can qualify. During a laparoscopic procedure, the surgeon is able to locate the spleen with the aid of a slender surgical camera called a laparoscope. The camera is inserted through one of four tiny incisions in the abdomen. Tools for removing the spleen are inserted through another incision.

Recovery time for a laparoscopic splenectomy takes far less time to heal and recover than traditional open surgery, though a moderate hospital stay may be required for monitoring purposes.

Disease of the Stomach

Laparoscopic surgery of the stomach or ‘gastrectomy’ is typically performed to alleviate ailments such as Gastroesophageal Reflux Disorder (GERD) or Stomach Ulcer Disease (Peptic Ulcers). GERD occurs when the lower esophageal sphincter fails to close properly, allowing stomach contents (reflux) to splash back into the esophagus. Constant reflux could cause several problems such as painful burning, difficulty swallowing, asthma, or herniated stomach. Stomach Ulcer Disease is caused by an overproduction of stomach acids, which can erode the stomach lining and develop into ulcers. Smoking, stress, alcohol, and caffeine can also contribute to higher levels of acid in the stomach. If left untreated, the ulcers can begin to bleed or form a hole in the wall of the stomach.

Gastrectomy, like other laparoscopic procedures, is performed by inserting a small camera into the abdominal cavity via small incisions. The operating surgeon inserts a small plastic bag through one of the incision holes, removes all or a portion of the stomach, places the removed tissue in the bag, and brings it out through the same incision. Any remaining portion of the stomach is then attached to the small intestine.

Patients who receive a laparoscopic gastrectomy tend to see less scar tissue, less post-operative pain, and faster recovery time.