Traditional vs Robotic Surgery

Posted on May 28, 2025 by Patrick Hercules

When a patient requires a surgical procedure, a healthcare provider and surgical team determine the most appropriate surgical method based on the patient’s condition. Two types of surgical methods that can be used are traditional and robotic.

Traditional, or open surgery, is a surgical technique that involves cutting the skin and tissues to provide the surgeon with a complete view of the structures or organs involved, such as the removal of the gallbladder or kidneys.

Robotic surgery is a minimally invasive surgical technique in which a surgeon performs a surgical procedure using a robotic device. The device features a robotic arm that can hold small surgical instruments and is more dexterous than a human hand.

There are several advantages of traditional surgery, including:

The effectiveness in treating a wide range of medical conditions
It allows for direct visualization and manipulation of organs and tissues
It can be performed quickly in emergencies
Many surgeons are highly trained and experienced in traditional surgical techniques

Traditional surgery can also have its disadvantages, including:

It can be invasive and cause pain, scarring, and longer recovery times
It can have a higher risk of infection and other complications
It can be expensive, especially if multiple procedures are needed

Robotic surgery can have several advantages, including:

It is more precise and accurate than traditional surgery
It is less invasive
It reduces blood loss
It has a faster recovery time
It creates fewer scars
It gives the surgeon a better range of motion
It gives the surgeon a better view of the surgical site, leading to more accurate and effective surgeries

The disadvantages of robotic surgery include:

It can cost more than traditional surgery
It gives the surgeon limited tactile feedback
There can be technical difficulties

Both traditional and robotic surgery have advantages and disadvantages. It all depends on the patient’s needs and what the healthcare provider and surgical team deem as the best course of action for that patient.

For more information about robotic surgery or to learn more about other surgical options at Flushing Hospital Medical Center, call (718) 670-5000 to make an appointment.

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.

Bariatric Surgery- What is Revision Surgery?

Posted on May 9, 2025 by Patrick Hercules

Bariatric or gastric bypass surgery involves making changes to the digestive system to help lose weight. It is done when diet and exercise haven’t worked or when you are at risk of serious health problems due to your weight.

Bariatric revision surgery is a broad term used to describe follow-up procedures required for all patients who previously had weight-loss surgery. These procedures are intended to make a patient’s initial weight-loss procedure more effective, to minimize unpleasant side effects, or to reverse the original surgery.

A patient may be a candidate for bariatric revision surgery for one or more of the following reasons:

Insufficient weight loss
Complications
Side effects
Weight regain
Malnutrition

Surgeons can revise an initial bariatric surgery in several ways, depending on the problems that stem from the initial surgery. The surgeons then repair, convert, or reverse that procedure.

The bariatric revision surgical procedure options that are used for the three most common types of bariatric surgery include:

Sleeve gastronomy
Gastric bypass surgery
Gastric band surgery

Bariatric revision surgery is performed to improve a patient’s health or quality of life. The procedure may encourage greater weight loss in patients whose previous surgeries didn’t lead to the expected loss of excess body weight. It may also address complications from the prior bariatric procedure, such as an ulcer or stricture, and reduce or eliminate unwanted side effects, such as swallowing difficulties or GERD.

For more information about the Bariatric Surgery Services at Flushing Hospital or procedures performed by our doctors, please call 718-408-6977 or 718-670-8908.

Robotics: Gastric Bypass

Posted on February 19, 2025 by Patrick Hercules

Gastric bypass or “Roux-en-Y” is a metabolic and weight-loss procedure that works by modifying your digestive system so that you consume and absorb fewer calories. It modifies your stomach and also your small intestines.

Similar to other bariatric surgery operations, gastric bypass is recommended for people who have clinically severe obesity. It has been shown to help relieve a long list of obesity-related health conditions, including:

Type 2 diabetes
Hypertension
Obstructive sleep apnea
GERD (chronic acid reflux)
Heart disease
Hyperglycemia
Fatty liver disease
Hyperlipidemia
Osteoarthrosis

The Roux-en-Y procedure gets its name from how it changes your digestive system. “Roux-en-Y” means “in the shape of a Y”. The procedure divides your stomach and small intestine, connecting each new segment to form a “Y” shape. This procedure reduces the functional part of your stomach to a small pouch, separating it from the rest with surgical staples, and restricting the amount of food your stomach can hold. Then, it connects the new stomach pouch to a lower segment of your small intestine. This means that when food goes through your digestive system, it will now bypass most of your stomach and the first part of your small intestine, causing your digestive system to not absorb all of the nutrients or calories in your food.

Gastric bypass surgery requirements are similar to those of other bariatric procedures. A qualified healthcare provider must recommend you for surgery. You may be a candidate for gastric bypass surgery if you:

Have been diagnosed with class III obesity
Have a BMI of at least 35 with at least one obesity-related condition
Have obesity-related type 2 diabetes

Most Roux-en-Y surgical procedures today are laparoscopic, a minimally invasive surgical technique. However, sometimes they are done with robotic assistance.

There are many potential advantages of robotic-assisted surgery over other types of surgery including:

Robot-assisted surgery provides the surgeon with 3D images of inside your abdomen that create a clearer picture for them to reference as they operate compared to the 2D images used during laparoscopic surgery
Under the surgeon’s direction, the robot can move more freely and with more versatility than a human hand
You’ll have a few tiny scars rather than one large incision scar (as with open surgery)
You’re more likely to experience less pain and less bleeding after surgery compared to open surgery
You’re more likely to have a quicker recovery time than with open surgery

To learn more about the robotic surgical procedures at Flushing Hospital Medical Center or to schedule an appointment, call (718) 670-5000.

Robotic Gynecological Surgery

Posted on November 14, 2024 by Patrick Hercules

Endometriosis is an often painful condition in which tissue that is similar to the inner lining of the uterus grows outside the uterus. It often affects the ovaries, fallopian tubes, and the tissue lining the pelvis. Rarely, endometriosis growths may be found beyond the area where pelvic organs are located.

Endometriosis tissue acts as the lining inside the uterus, it thickens, breaks down, and bleeds with each menstrual cycle. But it grows in places where it doesn’t belong, and it doesn’t leave the body. When endometriosis involves the ovaries, cysts called endometriomas may form. Surrounding tissue can become irritated and form scar tissue. Bands of fibrous tissue called adhesions also may form. These can cause pelvic tissues and organs to stick to each other.

The main symptom of endometriosis is pelvic pain. This pain can be intense or mild. Symptoms often feel worse just before and during your period due to inflammation brought on by the hormonal changes that occur at the time. Other symptoms of endometriosis include:

Excruciating menstrual cramps
Abdominal pain or back pain during your period or in between periods
Heavy bleeding during periods, or spotting between periods
Pain during sex
Infertility
Pain when pooping or peeing
Stomach problems like diarrhea, constipation, or bloating

You can have no symptoms of endometriosis. The seriousness of your pain may not be a sign of the number or extent of endometriosis growth in your body. You could have a small amount of tissue with bad pain. Or you could have little to no pain and have lots of endometriosis tissue. Women often find out they have the condition when they can’t get pregnant or after they have an unrelated surgery.

The exact cause of endometriosis isn’t clear. But some possible causes include:

Retrograde menstruation
Transformed peritoneal cells
Embryonic cell changes
Surgical scar complication
Endometrial cell transport
Immune system condition

Factors that raise the risk of endometriosis include:

Never giving birth
Starting your period at an early age
Going through menopause at an older age
Short menstrual cycles (less than 27 days)
Heavy menstrual periods that last longer than seven days
Having higher levels of estrogen in your body or greater lifetime exposure to estrogen your body produces
Low body mass index
One or more relatives with endometriosis, such as a mother, aunt, or sister

Any health condition that prevents blood from flowing out of the body during menstrual periods also can be a risk factor for endometriosis. So can conditions of the reproductive tract.

To diagnose endometriosis, your doctor will likely start by giving you a physical exam. You’ll be asked to describe your symptoms, including where and when you feel pain. Tests to check for clues of endometriosis include:

A pelvic exam
Ultrasound
MRI
Laparoscopy

Treatment for endometriosis often involves medicine or surgery. The approach you and your healthcare team choose will depend on how serious your symptoms are and whether you hope to become pregnant. Medicine is typically recommended first. If it doesn’t help enough, surgery becomes an option. Treatments for endometriosis include:

Pain medicines
Hormone therapy
Fertility treatment
Conservative therapy
Hysterectomy with removal of the ovaries

Surgery options may include robotic surgery. Long recovery times of up to six weeks and large incisions made recovery very difficult, but with advances in gynecologic surgery, especially robotic-assisted surgery, women can expect a much shorter recovery from pelvic surgery.

There are many potential advantages of robotic-assisted surgery over other types of surgery, including:

Robot-assisted surgery provides the surgeon with 3D images of inside your abdomen and pelvis that create a clearer picture for them to reference as they operate.
Under the surgeon’s direction, the robot can move more freely and with more versatility than a human hand
You’ll have a few tiny scars.
You’re more likely to experience less pain and less bleeding after surgery compared to open surgery.
A shorter hospital stay.

Experienced surgeons use the da Vinci robot to treat women who suffer from troubling gynecologic conditions like endometriosis.

To learn more about the robotic surgical procedures at Flushing Hospital Medical Center or to schedule an appointment, call (718) 670-5000.

Patient Testimonial: Michael Gringas Tells the Flushing Hospital Medical Center Staff, “Of All the Experiences, It Was the Best Experience.”

Posted on September 27, 2024 by Patrick Hercules

“Of all the experiences, it was the best experience”, is what Michael Gringas said after having a rare surgery performed on him at Flushing Hospital Medical Center in July. Mr. Gringas was exiting the shower in his home when he passed out, hitting his face on the bathroom wall. “I knew I was going to pass out”, he said. This was due to a combination of dehydration, not eating, and Crohn’s disease which he suffers from. Unfortunately for Mr. Gringas, he was home alone at the time. When he eventually came to, he immediately called his sister’s house. Thankfully, his nephew answered and rushed to take him to the emergency room, where he received amazing and attentive care from the staff at the hospital. “I was impressed by the ER response time from start to finish. Very happy. I was treated very well by everyone in the ER”, he said.

This isn’t the first time Mr. Gringas had to be admitted to Flushing Hospital Medical Center due to his Crohn’s disease. He’s previously had surgeries performed to treat complications associated with the illness. This time, the surgery was an open surgery which hasn’t been done in 15-20 years at the hospital because it has since been performed endoscopically. The operation although rare and complex, was successful. “The whole process was beyond great”, said Mr. Gringas.

Additionally, Mr. Gringas has been a patient of Flushing Hospital for 33 years, since he was diagnosed with Crohn’s disease in 1991. He is known as a “celebrity patient” at the hospital. Mr. Gringas, a native of Bayside, Queens, says he is a “very fortunate Crohn’s patient”. So he uses his experiences during his 33-year battle with the illness to counsel patients diagnosed with it. He wants to help others navigate their experience with Crohn’s. Reflecting on the last 33 years he says, “It’s been quite a ride over the years.” “There are a lot of great people at Flushing Hospital”, Mr. Gringas said and he would like to thank each doctor, nurse, and hospital staff member whom he has met over the past 33 years.

Bilateral Hernia Robot-Assisted Surgery

Posted on August 15, 2024 by Patrick Hercules

A bilateral hernia is a type of inguinal or groin hernia that occurs on both sides of the abdomen. An inguinal hernia happens when part of the membrane lining the abdominal cavity or intestine protrudes through a weak spot in the abdomen, often along the inguinal canal, which carries the spermatic cord in men.

Some signs and symptoms of a bilateral inguinal hernia include:

A bulge in the area on both sides of your pubic bone, which becomes more obvious when you’re upright, especially if you cough or strain
A burning or aching sensation at the bulge
Pain or discomfort in your groin, especially when bending over, coughing, or lifting
A heavy or dragging sensation in your groin
Weakness or pressure in your groin
Occasionally, pain, and swelling around the testicles when the protruding intestine descends into the scrotum

Some inguinal hernias have no apparent cause. Other causes of hernias can include:

Increased pressure within the abdomen
A preexisting weak spot in the abdominal wall
Straining during bowel movements or urination
Strenuous activity
Pregnancy
Chronic coughing or sneezing

Some risk factors that contribute to developing an inguinal hernia include:

Being male
Being older
Family history
Premature birth and low birth weight
Previous inguinal hernia or hernia repair

A physical exam is usually all that is needed to diagnose an inguinal hernia. Your doctor will check for a bulge in the groin area. They can also ask you to stand and cough or strain because standing and coughing can make a hernia more prominent.

Healthcare providers recommend surgery for most inguinal hernias. The types of surgeries used to repair inguinal hernias include:

Open surgery
Laparoscopic surgery
Robotic-assisted surgery

Robot-assisted surgery can repair smaller hernias or rebuild your entire abdominal wall. There are many potential advantages of robotic-assisted surgery over other types of surgery including:

Robot-assisted surgery provides the surgeon with 3D images of inside your abdomen that create a clearer picture for them to reference as they operate compared to the 2D images used during laparoscopic surgery
Under the surgeon’s direction, the robot can move more freely and with more versatility than a human hand
You’ll have a few tiny scars rather than one large incision scar (as with open surgery)
You’re more likely to experience less pain and less bleeding after surgery compared to open surgery
You’re more likely to have a quicker recovery time than with open surgery

For more information about robotic surgery or procedures performed by our surgeons, you can call Flushing Hospital’s Department of Surgery at 718-670-3135.

Robot-Assisted Sacrocolpopexy for Pelvic Organ Prolapse

Posted on July 19, 2024 by Patrick Hercules

Pelvic organ prolapse is when one or more pelvic organs slip down into the vagina after the muscles and tissues that support them become weak or damaged.

There are many types of prolapse depending on what organs are involved. They include:

Uterine prolapse
Vaginal prolapse
Cystocele
Rectocele
Enterocele

There are many causes of pelvic organ prolapse. The most common causes include:

Vaginal childbirth.
Surgery on your pelvic organs.
Getting older.
Extreme physical activity or lifting heavy objects.
Increased abdominal pressure from straining during bowel movements or a chronic cough.
Genetics, like being born with weaker pelvic muscles.

There can be many symptoms of pelvic organ prolapse. The most common symptoms include:

Seeing a bulge or lump coming from the vagina.
Feeling like there is a ball stuck inside of the vagina.
A feeling of pressure or heaviness in the pelvis or lower back.
Leaking urine or problems with bowel movements.
Issues inserting tampons or pain during intercourse.

Surgeons can perform a sacrocolpopexy to help relieve these symptoms. A sacrocolpopexy can be done in two ways.

One way is with a thin telescope-like tube with a camera called a laparoscope put through incisions as the surgeon performs the surgery.

The other way, a robotic-assisted sacrocolpopexy, uses special tools like a surgical robot. This procedure uses similar steps but passes robotic controllers through small incisions as the surgeon guides them.

Robotic-assisted sacrocolpopexy has some benefits over other methods as it may lower the risk of complications for some people. Other benefits include:

A shorter hospital stay.
A faster recovery time.

Speak to your healthcare provider to learn which robotic surgery is best for you.

For more information about robotic surgery or procedures performed by our surgeons, please get in touch with Flushing Hospital’s Department of Surgery at 718-670-3135.

What Can You Eat After Bariatric Surgery?

Posted on March 29, 2023 by Jacob Lobosco

After undergoing certain types of bariatric procedures, such as a sleeve gastrectomy or gastric bypass surgery, you won’t be able to go back to eating solid foods right away. Your stomach needs time to recover, and you will need to ease yourself into a new, healthy diet. For this reason, most patients spend the first several weeks after surgery gradually transitioning from a liquid diet to pureed foods, soft foods, and eventually certain solid foods.

Generally, the transition back to solid foods can take approximately eight weeks. The timeline of this period generally occurs as follows:

Week One: During your first week after surgery, you’ll typically only be able to consume a clear liquid diet, which includes:

Water
Coffee or tea (without milk or creamer)
Non-fat broth
Fruit and vegetable juices without pulp
Soda
Sports drinks
Clear nutritional drinks
Jello

Week Two: If you’ve successfully tolerated liquids throughout your first week, you may begin to re-introduce foods that can be pureed, such as scrambled eggs, cream soups, or proteins such as lean ground beef, poultry, or fish. Each meal should only consist of up to six tablespoons of food and be eaten slowly.

After a few weeks, with your doctor’s approval, you may begin to re-introduce soft foods such as ground meat or poultry, rice, and cooked skinless vegetables. These meals should generally consist of no more than half a cup of food.

Week Eight: After about eight weeks of following this diet, you can start to re-introduce a limited number of solid foods into your diet. You should only try one of these foods at a time and anticipate potential issues such as pain, nausea, or vomiting. Limit your daily eating to three meals of approximately one and a half cups of food.

To receive more information about bariatric surgery and schedule a consultation, you can call Flushing Hospital Medical Center’s Comprehensive Bariatric Surgery Center by calling (718) 670-8909.

Tonsillectomy

Posted on July 5, 2018 by Andrew Rubin

The tonsils are two oval-shaped glands located in the back of the throat that help fight infections that enter through the mouth. Since they are part of the immune system, they can be considered to be the body’s first line of defense against harmful bacteria and viruses.
When the tonsils become infected they swell and can cause a sore throat and difficulty breathing. Inflammation of the tonsils is called tonsillitis. It is more common in children, but can happen at any age. The reason for this is that a child’s immune system is not as fully developed as an adult.
To treat tonsillitis, one of the approaches a doctor may consider is surgery. A tonsillectomy is the surgical procedure whereby the tonsils are removed. This procedure is performed on patients who have more than seven cases of tonsillitis in a year, or five cases a year for two consecutive years. Other reasons to perform a tonsillectomy are sleep apnea, loud snoring, tonsil cancer, bleeding tonsils and difficulty breathing.
There are several different forms of tonsillectomy procedures including:
• Cold Knife dissection – surgical removal with a scalpel
• Cauterization – burning away the tonsil material
• Ultrasonic vibration – using sound waves
A tonsillectomy usually takes about a half an hour to perform. It is a relatively common and safe procedure, but with any surgery, there are risks. These risks include a reaction to the anesthesia, swelling, bleeding, pain, fever, and difficulty swallowing for a few days.
If you or your child is experiencing frequent sore throats and your physician is recommends a tonsillectomy, you can schedule an appointment with a surgeon at Flushing Hospital who specializes in this kind of surgery by calling 718-670-5486.

Understanding Hysterectomies

Posted on May 24, 2017 by Xavia Malcolm

A hysterectomy is a surgical procedure that involves removing a woman’s uterus. It is a common operation, in fact, the CDC reports that over 10% of women between the ages of 40-44 have had a hysterectomy and approximately 600,000 procedures are performed annually.

Hysterectomies are used to treat several health conditions, some of which include:

Uterine fibroids
Gynecologic cancer
Endometriosis
Uterine prolapse
Chronic pelvic pain
Adenomyosis

Hysterectomies can be performed utilizing several techniques. Based on the course of treatment that is best for you, your surgeon may recommend one of the following options:

Abdominal hysterectomy
Laparoscopic-assisted abdominal hysterectomy
Vaginal hysterectomy
Laparoscopic-assisted vaginal hysterectomy
Robotic- assisted hysterectomy

Procedures may require the complete or partial removal of the uterus. If a complete removal is required, a total hysterectomy may be performed. In the case where the uterus and surrounding structures such as the fallopian tubes and ovaries need to be removed, a radical hysterectomy is often recommended. Treatment involving the partial removal of the uterus may include a supracervical hysterectomy.

As with all surgical procedures there are risks to consider. However some techniques can offer patients a reduced risk of complications such as pain and bleeding. Laparoscopic and robotic assisted hysterectomies may result in less pain, minimal bleeding, a lower risk in infection and shorter hospital stays.

Flushing Hospital Medical Center’s Department of Obstetrics and Gynecology has a full program to provide total health care to women. Our highly trained specialists utilize the latest techniques and equipment, such as ultrasonography, color Doppler, laser, laparoscopic and robotic surgery, in the diagnoses and treatment of female disorders. Robotic surgeons at Flushing Hospital are board certified or board approved and have performed countless procedures resulting in high rates of success.

Gynecological procedures performed robotically by Flushing Hospital’s team of surgeons include hysterectomy, ovarian cystectomy, salpingo-oophorectomy, sacrocolpopexy, tubal reanastomosis, dermoid cystectomy and more.

For more information or to make an appointment please call, 718-670-8994