All posts in general surgery

Weight Loss Surgery – The Ins and Outs

Weight Loss Surgery – The Ins and Outs

Maybe you’ve heard of weight loss surgery before, and maybe you’ve thought it sounds like a pretty sweet deal for losing weight fast. This is not exactly the case. Weight loss surgery is a very comprehensive lifestyle change that takes time, effort, and discipline. Weight loss surgery, also known as bariatric surgery, is valuable for those who need it and are committed to being successful post-surgery. We will dive into weight loss surgery and the entire process in this blog below.

More

Robotic Surgery: Why Do Our Surgeons Love This?

Robotic Surgery: Why Do Our Surgeons Love This?

With Dr. Mark Abraham

Robotic surgery is becoming more common in Siouxland and across the nation, but what is it exactly? Why should you be aware of this as an option of surgery? We sat down with our very own general surgeon, Dr. Abraham, and asked him why he prefers this method of surgery.

More

COVID-19 Response and Screening

COVID-19 Response and Screening

With COVID-19 officially being classified a pandemic, we as a healthcare facility need to act appropriately and carefully to protect our compromised patients, staff, and every person for that matter. Effective immediately, Midlands Clinic kindly asks that all patients experiencing flu like symptoms or who have traveled overseas or to infected areas in the last 14 days call our clinic at 605-217-5500 to receive instruction on how to move forward with any appointments.

More

Telehealth Virtual Visits

Right now, during the outbreak of COVID-19, we need your help to protect our ability to take care of you, your family and the patients who need us the most. We are continuing to explore ways to practice social distancing at our office and will continue to update you of these practices. One of those practices being implemented is telehealth visits.

Midlands Clinic now offers virtual visits!  If you have an upcoming appointment, our providers may be able to continue your care via a secure virtual visit. We will use a platform called Doxy.me. Doxy.me is a secure site that allows you to have a video appointment with your provider through your desktop, tablet, or smartphone. It is extremely simple and easy to use for both clinicians and patients.

If you have an upcoming appointment, a representative from our office may reach out to you and offer a virtual or telehealth visit if they feel this is a good alternative for you.
If you need an appointment or would like to reschedule your appointment, you may call us at 605-217-5500, Opt. 8, to see if you would be a candidate for a virtual or telehealth visit.

For more information on accessing your virtual appointment, click the link below.
How to access your telehealth appointment

More

Midlands doctor recognized for surgery on tornado victim

Midlands doctor recognized for surgery on tornado victim

This October, Dr. Paul Johnson was recognized at a ceremony in Lincoln, Neb., for performing multiple surgeries on John Dunning, who survived a tornado in fall 2013 near Wayne, Neb.

Johnson, a general surgeon at Midlands Clinic and Mercy Medical Center – Sioux City, said of Dunning’s condition upon arrival, “I was amazed at the amount of injuries he had to the skin. It looked like he’d gotten sandblasted [from all the debris that assaulted his skin]. That was in addition to the large lacerations that he had and the fractures that he had.”

According to Johnson, Dunning required 38 procedures to treat his many injuries, including a tracheostomy and a feeding tube. Those procedures were completed slowly, over the period of several weeks, before Dunning was transferred to Madonna Rehabilitation Center, where he began a rigorous physical therapy regimen.

Madonna honored Dunning and three others with a GOAL award, and during the ceremony, the efforts of Johnson and other doctors were celebrated with a luncheon.

More

Single Site: The Scarless, Painless Surgery (KMEG)

Single Site: The Scarless, Painless Surgery (KMEG)

Single Site Surgery has become a new advancement in the medical world.

It’s the newest trend in minimally invasive surgery: the single incision laparoscopic procedure.

“All of our instruments go through this one sleeve into the abdominal cavity as opposed to three or four separate sleeves with traditional laparoscopic surgery. So this would require a slightly less than a one inch incision to place this and then our instruments would go through these ports and all go through one incision,” said Dr. William Rizk, General Surgeon at Midlands Clinic.

And Dr. William Rizk says that makes the cosmetic effect dramatically better.

“Some people refer to it as a scarless surgery because the way we make our incision in the belly button, really hides the incision surprisingly well.”

Dr. Rizk says those who have undergone this procedure experience less pain.

“This is the actual sleeve that goes, creates a tube that goes into the body and then we tighten it up against the muscle wall.”

And Midlands Clinic in Sioux City is the only surgical group performing single incision on gallbladders.

“I personally have done over 120 of these procedures. We’ve had great success. As with any laparoscopic surgery, the recovery is rapid. Most patients are back to work in one to two weeks similarly with a single incision, patients have a very rapid recovery, a return to work in one to two weeks and are very happy with their cosmetic appearance after the surgery,” said Dr. Rizk.

Siouxland News – KMEG 14 and FOX 44

Read the full story HERE.

More

Midlands Clinic doctors implement ERAS protocol

Midlands Clinic doctors implement ERAS protocol

This article was originally published in the Sioux City Journal.

For the past year, Drs. Lawrence Volz and Robert Anderson at Midlands Clinic in Dakota Dunes have been implementing a new protocol that significantly improves outcomes for patients undergoing colon surgery.

The protocol, Enhanced Recovery After Surgery (ERAS), is a multi-step program that starts several days before the operation and helps prepare patients for surgery. ERAS also involves multiple changes in the way these patients are managed from the operating room to the nursing unit after surgery until they are seen in follow-up in the surgeon’s office.

ERAS protocols are designed to achieve early recovery after surgical procedures by maintaining preoperative organ function and reducing the profound stress response following surgery. The key elements of ERAS protocols include preoperative counseling, optimization of nutrition, minimizing narcotics pain medication, early feeding and mobilization.

“These protocols have been going on in Europe for 10 years or longer,” said Dr. Lawrence Volz, a general surgeon at Midlands Clinic since June 2006. “By following the protocol, surgeons there found that patients experienced less complications, mortality is less, the length of stay in the hospital is less, and patient satisfaction is better. All outcomes are improved, saving hospitals money and improving the outcomes for patients.”

Click here to read the rest of the story.

More

To Help Patient Recovery Times, Local Surgeon Introduces New, Pre-Operative Drink

To Help Patient Recovery Times, Local Surgeon Introduces New, Pre-Operative Drink

Photo Courtesy of KCAU-TV.

Midlands Clinic surgeon, Dr. Lawrence Volz, has introduced a new pre-operative drink to his patients, and has seen some great results. This drink, Clearfast®, is the first U.S. patented and American Society of Anesthesiologist approved pre-operative beverage. 

According to Dr. Volz, “This beverage will satisfy pre-operative cravings, reduce anxiety and prepare the patient to heal after the surgical procedure is completed.”

Watch the video below, or visit the KCAU website for the full story.

Clearfast will become pre-surgery protocol at Midlands Clinic. For more on that, please click here.

What do you think about this new pre-operative drink? Let us know in the comments below. We would love to hear from you.

More

Clearfast to become Protocol at Midlands Clinic

Clearfast to become Protocol at Midlands Clinic

South Dakota clinic selects BevMD’s pre-operative beverage to introduce as an approved alternative to fasting for pre-surgical patient

May 22, 2014 San DiegoDr. Lawrence Volz, of Midlands Clinic in South Dakota, recently selected BevMD’s Clearfast® to become a part of physicians’ routine in preparing all pre-operative surgical patients. Clearfast® is the first U.S. patented and American Society of Anesthesiologist approved pre-operative beverage designed and patented by anesthesiologist M. Lou Marsh, M.D. This beverage is intended to become an alternative to traditional fasting for surgical patients at Midlands Clinic.

In August of 2013 Duke University Medical Center introduced Clearfast to its Enhanced Recovery After Surgery Program (ERAS) and now the procedure is catching on. “We are introducing this product to patients at Midlands Clinic to increase the Enhanced Recovery After Surgery (ERAS) of our patients,” said Dr. Volz. “This beverage will satisfy pre-operative cravings, reduce anxiety and prepare the patient to heal after the surgical procedure is completed.”

Improved surgical outcomes of patients in the ERAS program have been proven by fewer complications and with a decrease in readmissions post surgery. In addition significantly lower pain and fatigue scores are a benefit as well as patients were able to mobilize earlier than they were normally. Dr. Marsh of BevMD explains that “Clearfast is a cost-effective and practical solution addressing a key element of preoperative care in the ERAS protocol, that is, pre-operative oral carbohydrate loading while eliminating prolonged fasting.”

Bob Oosdyke, President of BevMD stated “Dr. Volz started using Clearfast while learning about ERAS and provided Clearfast to his patients for their benefit. He did his homework and saw the advantages. As a result of having implemented the ERAS program, his surgical costs have declined, readmissions have decreased and patients are clearly benefiting from Dr. Volz approach. He changed the surgical program for the sake of the patient and for that he is to be congratulated for all of his study and foresight.”

Introducing Clearfast as part of ERAS programs produces improvements in patient care and outcomes, shorter lengths of stay for patients and less pre-operative anxiety. Most all patients introduced to Clearfast were tolerating a full oral diet sooner than those who received conventional care, reducing the nausea and anxiety correlated with prolonged fasting. The Midlands Clinic serves healthcare patients in general surgery, endocrinology, dermatology and related specialized healthcare. Dr. Volz, the physician introducing Clearfast to the clinic, is most specified in general surgery, endoscopic procedures and trauma surgery.

About BevMD and Clearfast:

BevMD, a medical beverage company headquartered in San Diego, was created to provide simple, effective patented nutrition solutions for perioperative patients. BevMD’s first product line features Clearfast, a patented pre-op beverage that allows patients to remain nourished and hydrated prior to surgery. BevMD is dedicated to changing the way millions of patients prepare for surgery while supporting the pre-op fasting guidelines of the American Society of Anesthesiologists. For additional information on BevMD and its products, visit www.BevMD.com or call 1 (858) 649-1070.

About Dr. Volz:

Lawrence T. Volz, M.D. received a Bachelor of Arts-Chemistry from the University of San Diego in 1993, a Medical Degree from Creighton University School of Medicine in 1997, a General and Laparoscopic Surgery Residency from Baystate Medical Center in 2002 and was Board Certified in General Surgery, in 2003. He holds licenses in Iowa, Nebraska and South Dakota and has been practicing in Siouxland since 2006. He is affiliated with the following: Fellow-American College of Surgeons, Certified by American Board of Surgery, Member-Society of American Gastrointestinal and Endoscopic Surgeons, American Hernia Society.

For additional information on Dr. Volz, visit www.https://midlandsclinic.com/.

About Midlands Clinic:

For over 13 years, Midlands Clinic has been providing comprehensive multi-specialty services such as General Surgery, Pediatric Surgery, Obesity Surgery, Dermatology, and Endocrinology . The clinics’ physicians, providers and staff are committed to providing high quality, cost-effective healthcare in a friendly and compassionate manner. Midlands Clinic provides a comforting atmosphere and a friendly, experienced staff ready to help its patients with dignity, respect and understanding every step of the way. For additional information on Midlands Clinic, visit www.https://midlandsclinic.com/.

For additional information on BevMD and its products, visit www.BevMD.com or call 1 858-649-1070.

More

Dr. Paul Johnson achieves recertification

Dr. Paul Johnson achieves recertification

Dr. Paul Johnson, a general surgeon at Midlands Clinic P.C. in Dakota Dunes, has received recertification from the American Board of Surgery. His certification is now active until 2026.

The American Board of Surgery is an independent, nonprofit organization founded in 1937.

Johnson, who sees patients at Dakota Dunes, Oakland, Neb. and the Advanced Mercy Wound Care Center at Mercy Medical Center in Sioux City, has a strong professional interest in general, laparoscopic and trauma surgery and wound medicine.

See article on the Sioux City Journal website here: http://bit.ly/1pouSt9

More