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.
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.”
Dr. Keith Vollstedt, a general surgeon at Midlands Clinic P.C. in Dakota Dunes, received his recertification from the American Board of Surgery.
Dr. Vollstedt has been practicing general surgery since 1992 and has a strong, professional interest in bariatric, general, thoracic, laparoscopic and trauma surgery.
He received his original certification in 1993. The Board, an independent, non-profit organization, was founded in 1937 to certify surgeons who have met a defined standard of education, training and knowledge.
Dr. Vollstedt is a fellow with the American College of Surgeons and the International College of Surgeons.
Dr. William A. Rizk, a general surgeon at Midlands Clinic P.C. in Dakota Dunes, received his recertification from the American Board of Surgery. His recertification is active until 2020. He received his original certification in 2000.
Read the rest of this article featuring Dr. Rizk here.
Ever since he was a young boy, Gary Carton aspired to be a doctor.
“I’ve known I wanted to be a doctor since I was seven or eight years old because they help people out and are someone everybody seemed to look up to,” said Carlton, general surgeon at Midlands Clinic, Dakota Dunes. “I knew I wanted to have that kind of occupation.”
Fifty-five years later Carlton is living that dream that began as a youth.
Read the rest of this article featuring Dr. Carlton here.
The Siouxland area is blessed with a variety of gifted primary care doctors, but when a patient’s health care needs become more specialized, the physicians and surgeons on Midlands Clinic, P.C. in Dakota Dunes have the skill and experience to pick up where primary care leaves off.
This team of seven board-certified general surgeons, two endocrinologists, a dermatologist and three physician assistants have built a reputation as a diverse practice ready to tackle health problems ranging from diabetes to obesity, rashes, wrinkles, and cancer, all within a compassionate and efficient environment.
When it’s time for surgery, you probably don’t know what questions you should ask – or even much about the person wielding the scapel. Nick Hytrek caught up with Dr. Mike Wolpert, director of trauma at Mercy Medical Center and private practice general surgeon, and did some digging.
1. What made you want to be a eon?
My dad was a primary care physician in Onawa. My intent was to join my father in practice. At the time it was three years residency for general care physicians and with four years of residency you can be a surgeon. With all the automobile accidents on I-29, I figured that would be helpful. My father died three to four months before I graduated from my residency program, and my brother Paul had a general surgery practice in Sioux City so I decided to join him.
Read the other 19 questions with Dr. Wolpert here.