Surgery Archives - Page 2 of 2

Wound Care and Nutrition

Posted on January 7, 2016 by Andrew Rubin

The nutritional status of a patient plays a large role in their body’s ability undergo wound healing. It requires a higher than normal level of energy and nutrients if it is going to be successful. The body requires an additional 35 calories per kilogram of body weight to help a chronic wound to heal. This will include eating a well-balanced diet that includes protein, grains, fruits, vegetables, and dairy.
For proper wound healing, a well-balanced diet should include 1.5 grams of protein for every kilogram of body weight. A kilogram is equal to 2.2 pounds. Keeping hydrated is also very important, eight glasses of water per day should be the minimum and more if the person sweats profusely, has a wound that is draining, or if vomiting and or diarrhea are present. Meals should include meats, eggs, milk, cheese, nuts, seeds, yogurt and dried beans. In some people who have difficulty obtaining proper caloric intake from their daily meals, high protein and high calorie shakes can be used as supplements. Two amino acids, found in foods having protein and that have been identified as having potential to help wound healing are arginine and glutamine.
People with diabetes often have difficulty with wound healing, and this is due to poor circulation, nerve damage which leads to the constant breakdown of healthy tissue components needed to heal, and a higher than normal level of sugar in the blood which can lead to higher rates of infection and causes fluids to be drained from the body. It is therefore very important for a person with diabetes to keep tight control of their disease.
Wound healing also requires additional levels of vitamins and minerals, however care must be taken too not take in more that the daily recommended amounts because this can have a negative effect on the body..
It is important to consult with a physician about how to eat successfully when trying to heal a wound and also a nutritionist who specializes in wound care.
If you have a chronic or non-healing wound, you may be a candidate for Flushing Hospital Medical Center’s outpatient Wound Care Center. To schedule an appointment or speak with a clinician, please call 718-670-4542

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Does a larger waist size indicate a shorter life expectancy?

Posted on August 3, 2015 by Sage Robinson

Weight and body mass index (BMI) are used to calculate whether a person is normal, overweight or obese. Recent studies conclude that waist measurements might also indicate health risks.

Data analyzed from 11 studies involving 650,386 adults, most in their early 60s over a nine year span concluded that people with the largest waist sizes were most likely to die at a younger age from cardiovascular disease, respiratory disease, or cancer than those with smaller waists.

Men whose waists measured 43 inches or more were 52 percent more likely to increase their risk of death than men with 35-inch waists; women with 37-inch or larger waists had an 80 percent higher mortality risk than those with waists of 28 inches or less. The chances of dying prematurely increased 9 percent for women and 7 percent for men for every two-inch increase in waist size. Compared with those who had the smallest waists, men with the largest waists had a life expectancy that was three years shorter; for women, five years shorter. The elevated likelihood of dying early applied across the board, affecting even people with normal BMIs.

According to the Journal of the American College of Cardiology, this “obesity paradox” is because BMI does not distinguish between fat and muscle it is a flawed measure of heart risk. Waist size provides a far more accurate way to predict a patient’s chances of dying at an early age from a heart attack or other causes. BMI measurements are still important, but other considerations such as body shape and fat distribution should also be factored in.

Do you know your waist circumference? Here’s how to measure it:

Locate your hip bone on your abdomen.

Wrap a measuring tape around your body at this level. It should be snug but not pressing into your bare skin.

The tape should be parallel to the floor. Relax, exhale and read the measurement.

Being physically active, eating well and watching portions can make a positive impact on your waist and overall health. Discuss your health risks and goals with your medical provider.

The Eyes Have It: What are Cataracts?

Posted on June 8, 2015 by Sage Robinson

A cataract is defined as the clouding of the lens of the eye. The lens of the eye is made up of water and protein. When the lens is healthy, the proteins are arranged in a very precise pattern allowing light to pass through to the retina in a clear manner. As we age, these proteins may begin to clump together and cause the lens to become cloudy which leads to blurry and dim vision. They are commonly found in people as they get older, and can start when people are in their forties but become noticeable after the age of sixty. Besides aging other factors that can contribute to cataract formation are diabetes, smoking and alcohol abuse.

Some of the symptoms of cataracts include:
• Cloudy or blurred vision
• Colors that appear faded
• Glare from headlights, lamps
• Diminished night vision

Cataracts can be corrected by performing surgery to replace the lens of the eye with an artificial lens. There are two types of procedures that can be performed:

Phacoemulsification – a procedure where a small incision is made to the side of the cornea. The lens is broken up by ultrasound and removed by suction.
Extracapsular surgery – a procedure where a bigger incision is made in the side of the cornea and the lens is removed in one piece.

After both types of surgery a new plastic lens is inserted and allowed to heal. Most people see immediate improvement in their vision. Cataract surgery is one of the most commonly performed procedures done today. Ninety percent of patients who undergo this procedure have their vision restored completely.

Flushing Hospital Medical Center offers a full range of comprehensive medical, diagnostic, and surgical services from annual eye examinations to surgical procedures. For more information or to schedule an appointment with an ophthalmologist, please call Flushing Hospital Medical Center’s Ambulatory Care Center at 718-670-5486 or All City Eye Care Center at 718-380-5070.

Obesity and Arthritis: What is the Relationship?

Posted on April 23, 2015 by Sage Robinson

When asked what health problems are directly attributed to obesity, the most common answers are hypertension, heart health, and diabetes, but obesity has a large affect on another condition – arthritis.

May is Arthritis Awareness Month, and according to the Centers for Disease Control and Prevention (CDC), one out of five Americans has been diagnosed with arthritis, but that number nearly doubles among those considered obese. Obesity not only raises the risk of getting a certain type of arthritis; but for those who already have arthritis, obesity makes the condition worse.

Here’s a look at what fat does to arthritis, as well as some tips to put you on the road to losing weight.

Osteoarthritis (OA) is the most common type of arthritis, affecting approximately 27 million Americans. It is characterized by the breakdown of cartilage – the flexible but tough connective tissue that covers the ends of bones at joints. Age, injury, heredity and lifestyle factors all affect the risk of OA.

OA has a logical link to obesity: The more weight that’s placed on a joint, the more stressed the joint becomes, and the more likely it will wear down and be damaged.
Every pound of excess weight exerts about 4 pounds of extra pressure on the knees. So a person who is 10 pounds overweight has 40 pounds of extra pressure on his knees. If a person is 100 pounds overweight, that is 400 pounds of extra pressure on the knees, causing those who are overweight to be at greater risk of developing arthritis in the first place. Once a person has arthritis, the additional weight causes even more problems on already damaged joints.

Flushing Hospital Medical Center offers nutritional clinics to help those looking to loose weight and avoid developing osteoarthritis, as well as full range of barriatric surgery options performed by doctors using the minimally invasive da Vinci robotic system. Barriatric surgery performed using the robot allows for faster healing time, less scarring, and shorter hospital stays. For more information call 718-670-8908.

For more health and lifestyle tips, please “like” us on Facebook www.facebook.com/flushinghospital and follow us on twitter @FHMC_NYC

What are Gallstones?

Posted on April 8, 2015 by Sage Robinson

Have you ever experienced sudden abdominal pain and wondered if it might be gallstones?

Gallstones form in the gall bladder, located just under the liver, and may cause no signs or symptoms. However, if a gallstone lodges in a bile duct, it could cause a blockage. Gallstone pain may last several minutes to a few hours and symptoms may include:

Sudden and rapidly intensifying pain in the upper right portion of your abdomen
Sudden and rapidly intensifying pain in the center of your abdomen, just below your breastbone
Back pain between your shoulder blades
Pain in your right shoulder

Make an appointment with your doctor if you experience any of these signs or symptoms. Seek immediate care if you are experiencing:

Abdominal pain so intense that you can’t sit still or find a comfortable position
Yellowing of your skin and the whites of your eyes
High fever with chills

Laparoscopic surgery to remove the gallbladder, called a cholecystectomy, is one of the most commonly performed surgical procedures in the United States, and is the treatment of choice for gallstones that cause moderate to severe pain. Symptoms usually do not return after the gallbladder has been removed. In a small number of cases, surgery may be done to prevent complications of gallstones.

The surgical team at Flushing Hospital Medical Center offers laparoscopic gallbladder removal using the da Vinci robotic system. Using the robot allows for faster healing time, less scarring and shorter hospital stays.

For an appointment with a gastroenterologist, please contact the Ambulatory Care Department at 718-670-5486.

What is a Vertical Sleeve Gastrectomy?

Posted on March 30, 2015 by Sage Robinson

Finding it difficult to lose weight through dieting and exercise? If you are obese, with a body mass index (BMI) of 40 or higher, or at least 100 pounds overweight, you might be considering weight loss surgery, like a vertical sleeve gastrectomy.

During vertical sleeve gastrectomy surgery, the surgeon removes a large portion of your stomach. The new, smaller stomach is about the size and shape of a banana, limiting the amount you can eat by making you feel full after eating small amounts of food.

This surgery is performed under general anesthesia. This type of surgery, called laparoscopic surgery, is usually done using a tiny camera called a laproscope that is placed in your belly. The camera is connected to a video monitor in the operating room that allows the surgeon to see inside your belly and remove most of your stomach.

Vertical sleeve gastrectomy is not a quick fix for obesity. It will greatly change your lifestyle, but you still have work to do. To lose weight and avoid complications from the procedure, you will need to follow strict exercise and eating guidelines given to you by your doctor and dietitian. This procedure cannot be reversed once it has been done.

Your surgeon will ask you to have a complete physical exam, blood and other tests, as well as an ultrasound of your gallbladder to make sure you are healthy enough for surgery. It is also necessary to visit with other health care providers to make sure any medical problems you may have, such as diabetes, high blood pressure, and heart or lung problems, are under control before surgery. Quitting smoking is also required before surgery.

Counseling is recommended prior to surgery to make sure you are emotionally ready for such a major lifestyle change. Classes are available to help you learn what happens during the surgery, what you should expect afterward, and what risks or problems may occur afterward.

Flushing Hospital Medical Center offers a full range of bariatric surgery options performed by doctors using the minimally invasive da Vinci robotic system. Bariatric surgery performed using the robot allows for faster healing time, less scarring, and shorter hospital stays. Please call 718-670-8908 for an appointment.

Flushing Hospital Adds Pediatric Surgery to its List of Services

Posted on October 15, 2012 by Natifia Mullings

When your child needs an operation, it’s important that they receive the very best care available, and that means finding a hospital with surgeons who specialize in operating on children. Flushing Hospital Medical Center is now proud to announce the addition of its Pediatric Surgical Service.

Led by Dr. Steven Stylianos, this team of seven, highly-trained, Board-Certified pediatric surgeons brings many years of experience to Flushing Hospital. Specially trained to work with children and understand their specific needs, the pediatric surgical team’s primary concern is diagnosing conditions that require surgical intervention in children and managing their preoperative, operative, and postoperative surgical issues. They also provide a wide variety of specialized procedures on fetuses, infants, children, adolescents, and young adults.

Using the latest technology and working in Flushing Hospital’s newly renovated and modernized operative suites, the pediatric surgical group provides the latest, most minimally invasive procedures on their patients. Performing most procedures either laparoscopically or thoracoscopically, Flushing Hospital’s pediatric surgical patients benefit by experiencing less pain, shorter recovery time, and fewer complications as a result of this specialized care.

The pediatric surgical group regularly treats patients in Flushing Hospital’s Ambulatory Care Center. They also perform in-patient consultation services and evaluate patients in the Emergency Department.

For more information about Flushing Hospital’s Pediatric Surgical Service or to schedule an appointment, please call 718-670-3007.