Palm Springs Office
(760) 424-8224
Fax: (760) 424-8227
1180 N Indian Canyon Drive, Suite E421
Palm Springs, CA 92262
La Quinta Office
(760) 771-1000
Fax: (760) 771-9001
79430 Highway 111, Suite 102
La Quinta, CA 92253
Hemet Office
(951) 766-1222
Fax: (951) 766-1226
1280 E. Latham Ave.
Hemet, CA 92543
Moreno Valley Office
(760) 424-8224
Fax: (760) 424-8227
24060 Fir Avenue, Suite B
Moreno Valley, CA 92553

 

 

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General Surgery in Palm Springs, Hemet & Moreno Valley, CA

We proudly service all the Coachella Valley & Tri Valley Areas including: Palm Desert, Rancho Mirage, Indian Wells, La Quinta, Cathedral City, Indio, Bermuda Dunes, Desert Hot Springs, San Jacinto, Perris, Sun City, Menifee, & Surrounding Areas

General surgery is a medical specialty that necessitates its practitioners have a broad knowledge of many conditions and the effects they may have on the body. General surgeons are well equipped to diagnose and treat a wide variety of ailments. They receive extensive training after medical school, with hands-on residencies that give general surgeons practical, in-depth experience working on the digestive system, skin, breasts, organs of the abdomen and more.

Medical education is a career-long endeavor for general surgeons as they continually expand their expertise and abilities by keeping up with the latest advances in the field. Whenever possible, general surgeons employ the most minimally invasive techniques available, such as laparoscopy.

This is a surgical procedure used to diagnose and treat problems without making a major incision into the body. During this procedure, a laparoscope (tube) with a camera on the end is inserted through a tiny incision to allow your doctor to closely examine the organs of the area. Surgical instruments can be inserted through additional incisions to treat any identified problems. The length of procedures and the recovery time afterward are considerably shorter than with traditional surgery.

General Surgeries Include:
  • Breast Mass Excision
  • Hidradenitis Excision
  • Hemorrohoid Treatment
  • Hernia Repair
  • Hernia Evaluation & Surgery
  • Colon & Rectal Surgery
  • Reflux Disease Procedure
  • Abdominoperineal Resection
  • Clogged Artery Treatment
  • Laparoscopic Colectomy & Rectal Resections
  • Rectopexy (Rectal Prolapse Surgery)
  • Treatment for Hemorrhoids

 

Some of the areas of general surgery in which we specialize include:

Excision of Breast Mass
There are a few circumstances that would require an excision of breast mass. One common application is to biopsy a suspicious breast lump. During a biopsy procedure, a small amount of breast tissue is removed and tested for issues such as breast cancer. If breast cancer is detected, a “lumpectomy” procedure may be the best course of treatment. During this minimally-invasive procedure, the tumor is removed as well as a small border of healthy tissue to ensure “clean margins.” When a lump is found to be benign, some women will also undergo a lumpectomy procedure strictly as a measure of precaution.

Excision of Hidradenitis
Hidradenitis suppurativa, or simply “hidradenitis,” is a common skin condition that affects the sweat glands or the oil glands (sebaceous glands). Hidradenitis is characterized by the presence of infected abscesses or cysts that are inflamed and painful to the touch. The most common sites for these abscesses are the underarms and the inner thighs. While some cases of hidradenitis can be treated with antibiotics or simple draining, some require a surgical excision procedure. The most effective surgery is often a “wide local excision.” During the procedure, we remove the abscess along with a small amount of healthy tissue. This greatly reduces the chance for reoccurrence. A skin graft may be required if a large area is affected.

 

General Surgery | Hernia Repair | Coachella CA | Palm Springs CA

 

Reflux Disease
Gastroesophageal reflux disease (GERD), commonly known as acid reflux, is a chronic condition classified by frequent occurrences of heartburn. GERD occurs when the liquid content of the stomach regurgitates or refluxes into the esophagus. A high level of acid in the liquid causes inflammation and damage to the lining of the esophagus. The cause of GERD is not known.

The most common symptom of GERD is heartburn. Heartburn occurs when the liquid traveling through the esophagus stimulates the nerve fibers and causes a burning pain in the middle of the chest. Other symptoms may include regurgitation, nausea and trouble swallowing. More severe cases may cause ulcers or asthma.

Heartburn can be a symptom of several conditions, so tests are sometimes used to diagnose GERD, including:

  • Endoscopy
  • Esophageal acid testing
  • Esophageal motility testing
  • Gastric emptying studies
  • Biopsy
  • X-ray

Symptoms of GERD can often be treated through life changes and over-the-counter medication. Surgery may be required for more severe cases.

Esophagitis
Esophagitis is a condition that involves irritation and inflammation of the esophagus, the tube that carries food from the throat to the stomach. This condition can cause pain, difficulty swallowing and bleeding and should be treated as soon as possible.

Esophagitis is often caused by a bacterial, fungal or viral infection in the esophagus such as candida (yeast infection) or herpes, both of which can develop when the immune system is weak. This condition can also be caused by any kind of irritation in the esophagus and is usually a result of GERD, vomiting, surgery, large pills, hernias or swallowing a toxic substance.

Esophagitis can usually be relieved by treating the cause of the condition. This may involve heartburn medication, antibiotics, corticosteroids, endoscopy or surgery to remove part of a damaged esophagus.

Barrett’s Esophagus
Barrett’s esophagus is a rare condition in which the tissue lining in the esophagus changes color and composition as a result of long-term exposure to stomach acid. While most patients with Barrett’s esophagus do not experience any symptoms, this condition most often affects patients with gastroesophageal reflux disease, and as a result may have symptoms such as heartburn, chest pain and difficulty swallowing food. Patients with this condition may have an increased risk of developing esophageal cancer.

  

Reflux Disease | Esophagitis Treatment | Reflux Surgery  | Palm Desert CA | Coachella Valley CA

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 Reflux Disease | Esophagitis Treatment | Reflux Surgery  | Palm Desert CA | Coachella Valley CA

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Treatment for Barrett’s esophagus depends on the severity of the condition and the overall health of the patient, but may include simply monitoring the condition through regular endoscopies, or surgery to remove the esophagus or the damaged cells. Removing damaged cells can often be done using minimally invasive techniques, such as an endoscopy or photodynamic therapy. Your doctor will help decide which treatment option is best for your individual condition. An anti-reflux procedure (fundoplication) may be required to reduce the progression of Barrett’s disease.

Laparoscopic Heller Myotomy for Achalasia
Achalasia is a common condition that causes difficulty swallowing as a result of the lower esophageal sphincter muscles being unable to relax, making it hard for patients to pass food into the stomach. The cause of this condition is unknown, but is believed to involve infections, hereditary factors or abnormalities within the immune system that cause damage to the esophagus.

In addition to having difficulty swallowing, patients with achalasia often experience chest pain, regurgitation and chronic coughing. If left untreated, achalasia may lead to esophagitis, which is inflammation of the esophagus, unwanted weight loss and aspiration pneumonia.

Achalasia can be corrected through a surgical procedure called Heller myotomy, which cuts the sphincter muscles that join the esophagus and stomach. This limits the activity of the muscle and allows food to pass more easily into the stomach, relieving most patients of their symptoms. Since the sphincter muscles can no longer close completely after this procedure, your surgeon may choose to also perform fundoplication to reduce the risk of the patient developing gastroesophageal reflux.

Fundoplication Surgery
Fundoplication, commonly known as reflux surgery, is a surgical procedure used to correct problems of the lower esophageal sphincter (LES) associated with gastroesophageal reflux disease (GERD). It may also be used on patients with esophagitis or to repair a hiatal hernia. This procedure prevents acid from traveling back into the esophagus by strengthening the valve between the esophagus and stomach.

During fundoplication, the fundus (the upper part of the stomach) is wrapped around a band of muscles at the base of the esophagus and sewn into place. This helps strengthen the LES muscles and increases pressure on them, preventing reflux from occurring. The LES muscles are supposed to open when food is present in the esophagus, in order to let it into the stomach, but is supposed to close once the food has entered, serving as a one-way valve. In many people, the valve is not strong enough to stay closed and acid may flow back into the esophagus, causing irritation and inflammation of the lining.

Fundoplication is performed under general anesthesia in an in-patient setting. It is traditionally performed laparoscopically, and typically requires an overnight stay in the hospital.

The information above is intended for informational purposes only. It is not medical advice and is not a substitute for professional medical advice, diagnosis or treatment. If you think you may have a medical emergency, immediately call your doctor or dial 911.

Request an appointment with Premier Surgical Associates to be proactive toward your health and well-being.
Contact our Surgical Office in Palm Springs, CA, for surgical care from our skilled and experienced professionals.
Our Office Hours are Monday – Friday: 8:00AM – 5:00PM

Cancellation Policy
If you are unable to keep an appointment, we ask that you kindly provide us with at least 48 hours notice.
This courtesy, on your part, will make it possible to give your appointment to another patient.


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