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Robotic Surgery

Ragui Sadek

Aug 4 2020

The advent of technology allowing for minimally invasive surgical procedures has opened a new door into the medical future. We no longer have to fear the presence and pain of large surgical scars as we used to for so many procedures. The invention of particularly effective methods of robotized minimally-invasive surgery such as the “da Vinci” surgical system has revolutionized both the general and bariatric surgery industry. Now more-so than any time before, we are able to help create healthier, brighter futures for our patients with far less scarring and permanent marking.**

What is The “da Vinci” System

The “da Vinci” surgical system enables surgeons to perform delicate and complex operations through a few small “keyhole” incisions. The “da Vinci” system is powered through advanced robotic technology which allows the surgeon’s hand movements to be scaled, filtered, and translated into precise movements of the EndoWrist instruments working inside the patient’s body. It essentially enables the surgeon to manipulate these surgical instruments with a precision unattainable by human hands. One of the instruments which gives the surgeons unparalleled control is a laparoscope. The laparoscope is a thin tube with a tiny camera and light at the end. The camera sends images to a video monitor in the operating room to guide doctors during surgery. With this added measure of insight, robotic surgery has been revolutionized.

Types of “da Vinci” Procedures

The “da Vinci” surgical system has brought minimally invasive surgery to more than 3 million patients worldwide. The “da Vinci” technology is changing the experience of surgery for people around the world. The following procedures are available with “da Vinci” technology at Advanced Surgical:

Hernia Repair
Gastric Bypass
Sleeve Gastrectomy

“Robotic Surgery” Clarification

Despite the “da Vinci” surgical system being referred to within the general term of “robotic surgery”… it is a bit of a misnomer. The robotic surgery term may leave the reader with the impression that the “da Vinci” system is performing the surgery autonomously. This would truly be an impressive spectacle. However, the current “da Vinci” system cannot function on its own in any manner. It is entirely reliant upon the expertise of the surgeon. The “da Vinci” surgical system has not been designed to perform autonomously nor does it have any surgical decision making software. So throughout the entire process, the surgeon will remain in 100% control.

Advanced Surgical & Bariatrics
81 Veronica Avenue, Suite 205,
Somerset, NJ 08873
(732) 640-5316
https://www.bariatricsurgerynewjersey.com

Our location on the map: https://goo.gl/maps/Z4oK7ZV4xGXSm6VHA
Nearby Locations:
Somerset | Hillsborough | Franklin Park | North Brunswick | New Brunswick | Piscataway
08873 | 08844 | 08823 | 08902 | 08901| 08854

Working Hours :
Monday: 9AM-5PM
Tuesday: 10AM-5PM
Wednesday: Closed
Thursday: 9AM-6PM
Friday: 9AM-4PM
Saturday: Closed
Sunday: Closed
Payment: cash, check, credit cards.

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Hernia Repair

Ragui Sadek

Aug 4 2020

Introduction to Hernia Repair

Hernia repair is the most common operation performed worldwide, with over 1 million repairs performed yearly in the United States alone. There are many types of hernias and they can occur at numerous anatomical sites including several different areas of the abdominal wall (umbilical, inguinal, and ventral just to name a few), to areas of the diaphragm, to hernias related to internal anatomy (e.g. internal hernia after gastric bypass surgery).

In addition to anatomic site variation, hernias range from simple first-time occurrences to those that have re-occurred once or several times and thus require a more extensive analysis of why this may have happened and subsequent planning for risk-factor reduction through an individualized plan for subsequent repair.

A hernia is the defect, or hole, through which another structure starts to push through. The hernia is NOT the bulge itself, but rather the gap through which something else is bulging outward or into a space where it does not belong. Hernia meshes are generally similar to mosquito net, but are sterile and more highly engineered to help provide mechanical reinforcement of tissue. Since a hernia is a defect, not an actual structure itself, repairing the hole often requires a patch, or piece of mesh, in order to close the gap and restore the natural integrity of the tissue layers. Sometimes small hernias can be repaired by simply sewing the edges of the hole together, but this only applies to very small hernia defects. For most hernias, a patch is required; experience has shown that repairing a large hernia defect without mesh leads to excessive tension on the tissues, which in turn leads to a guaranteed recurrence of the hernia over time.

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Acid Reflux

Ragui Sadek

Aug 4 2020

Gastroesophageal Reflux Disease (GERD) Treatment in New Jersey

When acid reflux becomes a constant hassle in your life or worse, causing you pain, get checked out by the best GERD doctors in the tri-state area of NJ, NY and PA. Not only is advanced acid reflux uncomfortable, but it also can lead to more serious complications that are much more difficult to treat, such as Barrett’s esophagus. Get lifestyle recommendations, help losing weight and if necessary, effective long-term treatment. Call a GERD specialist today to find out your options. Advanced Surgical & Bariatrics of NJ, PA has five offices and a sterling reputation.

What is gastroesophageal reflux disease (GERD)?

Gastroesophageal reflux disease, shortened to the common term GERD, is a condition that causes stomach acid to flow backward, out of your stomach, through your esophagus to your throat. Eventually, the backwash irritates your esophageal lining, which causes pain and burning sensations. A patient diagnosed with GERD, presents with a weakened sphincter muscle, which fails to close tightly, thereby allowing, food and stomach acids to flow back into the esophagus (reflux). The esophageal lining can become inflamed or irritated due to these acids, causing the burning chest pain, sour taste, or cough that patients suffer from.

For many people, acid reflux happens only once in a while, caused by particular foods. These instances of GERD cause no permanent damage. Others, however, have to search for the best GERD doctor near me. In New York City, northern New Jersey and eastern Pennsylvania, top GERD doctors are available at Advanced Surgical & Bariatrics of NJ, PA.

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Esophageal Disorders

Ragui Sadek

Aug 4 2020

Esophagus function

The esophagus is the tube that carries food and liquids from the mouth into the stomach. It is made of layers of muscles that contract and relax sending food downward. There is a ring of muscles at each end of the esophagus, called sphincters. These sphincters open to allow food to move food into the esophagus, close to prevent food from coming back into the mouth and control the release of food into the stomach.

Upon swallowing, the upper esophageal sphincter opens and the esophageal muscles contract to push food downward. The lower sphincter opens temporarily to allow food to pass into the stomach. Then the sphincter closes to prevent food and stomach acid from flowing backward up the esophagus.

The primary esophageal diseases and disorders

Cancer
GERD and Barrett’s esophagus
Hiatal Hernia and
Achalasia

GERD, Barrett’s Esophagus, Esophageal Cancer and Hiatal Hernia

GERD is gastroesophageal reflux. It is a common chronic disease where the stomach contents back up into the esophagus. The anatomical barriers that keep stomach acid from flowing upward are the lower esophageal sphincter and the diaphragm. Symptoms are heartburn, chest pain, and hoarseness.

A Hiatal Hernia is where the opening of the diaphragm is too large and the upper part of the stomach slides into the chest causing GERD. A hiatal hernia can be seen on an X-ray.

When GERD constantly irritates the esophagus, it can damage the lining of the esophagus and result in Barrett’s esophagus, a precancerous condition. About 8% of people with GERD go on to develop Barrett’s esophagus.

Esophageal cancer accounts for 4% of cancer deaths in the U.S. There are two types – either adenocarcinoma or squamous cell carcinoma. Squamous cell carcinoma symptoms include difficulty swallowing, chest pain, weight loss and painful swallowing. Squamous cell carcinoma is associated with alcohol and tobacco consumptions, some chemicals and vitamin deficiencies. Adenocarcinoma of the esophagus is primarily caused by Barrett’s esophagus.

Achalasia is a rare disease of the esophagus where people have difficulty swallowing because their throat muscles don’t relax and allow food to pay into the stomach. It is believed to be caused by a malfunction of the nerves in the esophagus.

In GERD and Achalasia, the problem is a malfunction of the esophageal sphincters.

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General Surgery

Ragui Sadek

Aug 4 2020

The laparoscopic procedures our facility performs use minimally invasive techniques that once required much larger incisions. With the use of several technological advances including cameras and specialized surgical instruments, laparoscopic surgery can reduce post operative pain and in many patients reduce recovery periods.** Almost every procedure could be done laparoscopically.

Our Practice performs a wide range of Minimally invasive general surgery procedures including:

Laparoscopic Anti Reflux Surgery
Laparoscopic Hernia Surgery
Laparoscopic Colon Surgery
Laparoscopic Liver surgery
Laparoscopic spleen surgery
Laparoscopic bowel surgery
Laparoscopic gastric( stomach) surgery
Laparoscopic appendectomy
Laparoscopic cholecystectomy
Laparoscopic Adrenalectomy

Please contact our office if you would like more information on the general surgery procedures we perform.

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Non-Surgical Weight Loss in New Jersey

Ragui Sadek

Aug 4 2020

The most effective non-surgical procedure for losing weight is a non-invasive, reversible procedure. It involves placing a saline-filled balloon in your stomach to make you feel full. It encourages you to eat less at each meal, helping you lose up to 35 pounds within six months. You can repeat this procedure as often as your doctor recommends. At Advanced Surgical & Bariatrics of NJ, PA, your overall health drives the best decisions for weight loss. Call the nearest office to schedule a consultation with a non-surgical weight loss specialist.

The safest, most effective non-surgical weight loss technique involves placing a saline-filled silicone balloon in your stomach. This simple procedure helps you lose the excess weight by reducing the space in your stomach for food. Most people opt for this procedure because they’ve tried dieting and exercising without seeing any significant results.

This non-surgical weight loss procedure, which you can get at one of the weight loss centers of Advanced Surgical & Bariatrics of NJ, PA, (ASBNJ) allows you to shed pounds and become healthier as a result. In fact, of all the non-surgical weight loss options, this one gives you the maximum weight loss. You can lose anywhere from 20 to 35 pounds from this one procedure.

Losing Weight and Reducing Risks

Losing weight has several medical advantages, including reducing your risk of developing potentially life-threatening medical issues such as:

Coronary heart disease
Stroke
High blood pressure
High cholesterol
Non-alcoholic fatty liver disease
Sleep apnea
Type 2 diabetes
Respiratory diseases
Osteoarthritis
GERD

Bariatric doctor Ragui Sadek and our expert team of weight-loss specialists at Advanced Surgical & Bariatrics of NJ, PA stand ready to assess whether you’d make a good candidate for their non-surgical weight loss program. If you have a body mass index (BMI) between 30 and 40, a safe, effective non-surgical weight loss treatment may be a way to get the best results. Most people with a BMI of 40 or more most likely need a weight loss surgery, such as:

Gastric banding
Gastric bypass
Gastric sleeve

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Bariatric Surgery

Ragui Sadek

Aug 4 2020

Bariatric Surgery | Weight Loss Surgery in New Jersey

Obesity is recognized as a chronic, progressive disease that’s not always the result of a lack of discipline. Genetic factors, your environment and psychological makeup play a role in excessive weight gain. Obesity is a serious health issue that comes with a multitude of side effects. But when continued dieting proves fruitless, you may become discouraged. Bariatric surgery by the caring experts at Advanced Surgical and Bariatrics of NJ, PA offers safe, effective solutions for weight loss.

We are proud to offer New Jersey’s best and widest variety of weight loss procedures, all of which we carefully and professionally custom to your individual needs. Dr. Sadek and his team of experienced bariatric surgeons offer every weight loss procedure available today, from non-surgical options like gastric balloons and endo sleeves, to surgical procedures such as lap band, sleeve gastrectomies and much more.

In the United States, there are thousands of men and women who have undergone weight loss surgery and have lost thousands of pounds of excess weight. There are a number of factors that determine which weight loss procedure is right for you. Some of these factors include the amount of weight you need to lose, your insurance and also the recommendation of the Advanced Surgical and Bariatric’s Team.

Bariatric Surgery to Lose Weight

Surgery to help you lose weight is referred to as bariatric surgery. When exercise and diet don’t achieve your desired weight-loss results, turn to bariatric surgery options at Advanced Surgical & Bariatrics of NJ bariatric center. Your doctor may refer you to a bariatric surgeon when obesity threatens your health or when you have an underlying medical condition that’s exacerbated by the extra pounds.

Bariatric surgery generally involves making changes to your digestive system that limits either the food you can comfortably eat or the nutrients your body absorbs from that food. Your New Jersey weight-loss specialists perform a range of bariatric weight-loss procedures, such as:

Bariatric sleeve surgery. Also called laparoscopic sleeve gastrectomy, this procedure is often the first step in a bariatric treatment for people with a body mass index (BMI) higher than 35. It reduces the size of your functioning stomach to about the size of a banana. It may be the only procedure you need, as results from gastric sleeve surgery can be remarkable.
Gastric bypass. The American Society for Metabolic and Bariatric Surgery reported that gastric bypass is the gold standard of bariatric weight loss surgery. This bariatric surgery in NJ is designed to create a very small stomach to hold about one ounce of food. A smaller stomach leaves you feeling full faster, leading to a reduced appetite, increased energy and significant weight loss.
Gastric banding surgery. An adjustable gastric band offers an alternative bariatric bypass surgery. It’s much less invasive and flexible enough to slowly introduce you to eating less. An inflatable band with an attached port is inserted laparoscopically and pulled tighter by injecting saline into the port. The process is completely reversible, but it reduces the amount of food you can eat, restricting calorie intake so you lose weight without more invasive surgery.
Bariatric revision surgery. Revisional bariatric weight loss surgery refers to procedures needed when an initial bariatric treatment fails to produce the desired weight loss or you start gaining weight again. While lifestyle habits may need to be addressed, it’s also possible that your body just didn’t take to the first treatment. As a result, you may need to have a second procedure. Advanced Surgical and Bariatrics of NJ, PA has one of the lowest complication rates in the Northeast due to an emphasis on quality care, cutting-edge surgical techniques and superior safety standards.
Non-surgical weight loss. While you’re under twilight sedation, two balloons are inserted endoscopically through your mouth. They’re filled with a saline solution to reduce the space in your stomach. This completely reversible weight-loss procedure carries substantially lower risks and significantly shorter downtime than surgery. You feel full faster, which teaches you how to regulate your caloric intake.

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LINX Reflux Management System

Ragui Sadek

Aug 4 2020

Anatomy of swallowing food

When we swallow our food travels down the esophagus to the stomach. When the food enters the stomach there is a valve or ring of muscle called the lower esophageal sphincter (LES) that closes to keep the food in the stomach.

What is heartburn?

Heartburn is acid reflux that occurs occasionally when you eat spicy or acidic foods, fried or fatty foods, caffeine and alcohol. Eating a large meal or eating before bedtime can cause these symptoms. Smoking and obesity contribute to the problem. More than 60 million Americans experience heartburn at least once a month. Heartburn can be treated with lifestyle changes, and over-the-counter medications that are designed to decrease the production of stomach acid.

Typical heartburn symptoms include:

a burning sensation in the chest that can last for hours
a sensation of pressure or pain that gets worse when you lie down or bend over
an acid taste in the throat
a feeling that food or pills are stuck in your throat or the middle of your chest

What is gastroesophageal reflux (GERD)?

GERD is a chronic and often progressive disease where stomach acid and bile back up into the esophagus, due to a weak LES. The acid irritates the esophagus and causes heartburn.

Persistent heartburn symptoms that occur several times a week, and do not improve with over the counter medications and changes to your diet are GERD. In addition to heartburn, hallmarks of GERD are regurgitation and dysphagia or a sensation that food is stuck in your esophagus.

GERD is a more serious condition that substantially impairs quality of life.

Left untreated, GERD can cause complications including inflammation of the esophagus, pain and a disease called Barrett’s Esophagus (BE), where the lining of the esophagus erodes. BE can lead to esophageal cancer. BE is more common in white men, people older than 50, smokers and obese people.

Surgical Treatment Options for GERD

A laparoscopic Nissen Fundoplication (LNF) is surgery where the top of the stomach is wrapped around the LES to reinforce the sphincter and reduce acid reflux. LNF is the gold standard surgical treatment for GERD. However, it is a long and more invasive surgery, permanently alters the anatomy of the stomach, and is not reversible. Patients say in the hospital for 2-3 days, and recovery can take 4-6 weeks and involve dietary restrictions for a period after surgery.