Dr. Andrew Averbach and Dr. Isam Hamdallah offer the most advanced minimally invasive surgical treatments available for debilitating gastrointestinal disorders and disease, including reflux, hiatal hernia, heartburn, and more.
Gastroesophageal reflux disease is a widespread condition presenting with heartburn, regurgitation, hoarseness and pain or difficulty with swallowing food. It is a result of dysfunction of the normal valve mechanism at the junction of the esophagus and stomach. It is often associated with hiatal hernia of variable degree. When the stomach is displaced into the chest it can cause nausea, vomiting, pain after eating or progressive inability to swallow food. Surgery designed to correct the valve mechanism is called Fundoplication and is combined with hiatal hernia repair. We perform a partial or Toupet fundoplication which has no significant side-effects as widely done complete Nissen fundoplication.
A minimally invasive approach to a variety of primary abdominal wall hernias (ventral, umbilical, inguinal or groin hernia) has gained wide acceptance in recent years. It allows more controlled repair of the hernia, since a defect in a strong layer of abdominal wall is more visible than with open surgery; this allows detection of obscured multiple hernias as well as shortening the recovery. Certainly as far as ventral incisional hernia is concerned, a laparoscopic approach becomes far superior to open repair and is associated with lowest risk of recurrence and complications.
Laparoscopic surgery for gallstones/chronic cholecystitis/biliary dyskinesia and acute inflammation of the gallbladder due to gallstone disease in the past 20 years became a standard of care with very few open procedures performed. It is a gallbladder surgery that demonstrated and confirmed all the advantages of minimally invasive surgery to the surgical community. Almost every general surgeon is currently trained to perform this surgery.
Upper Endoscopy or Esophagogastroduodenoscopy (EGD) is a diagnostic and therapeutic procedure utilizing flexible fiber optic instrument allowing to view the inside of the esophagus stomach and upper parts of intestine.