Peoria Surgical Group

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100 services for Peoria Surgical Group

Mole Excision

$500

Office Based Procedures

What is included

--------- Pricing Disclaimer ---------- The surgeon, anesthesiologist and facility fees are all included into one affordable low price. Not every patient is eligible for the convenient pricing package. Your surgeon will make this determination. We have partnered with M-Lend to provide patient-friendly payment plans that fit your needs. FAQs: What is included in the listed price? The surgeons fees including consultation and uncomplicated follow-up care. The duration of postoperative care is different for each surgical procedure. What happens if I have complications? Expenses or fees resulting from complications subsequent to the surgery and discharge from the facility are not included. Will I receive a bill from anyone else? Possibly. If there is a need to send pathology, our price does not include any pathology fees. All diagnostic testing including lab, x-ray, and EKG are not included in the listed price. How long is the quoted price valid? Quotes are valid for 60 days. Who do I pay? All payments are made to Peoria Surgical Group and we take care of paying the facility and anesthesiologist. What methods of payments are acceptable? Cash, cashier’s check, and credit card. Can payments be made? Payment in full is required prior to the day of surgery. No payment arrangements can be made. These discounted prices are otherwise not available.

Skin Biopsy

$500

Office Based Procedures Additional skin biopsy - $200

What is included

Hemorrhoid Banding

$800

Office Based Procedures

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Skin Abscess Drainage

$400

Office Based Procedures

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Perirectal Abscess Drainage

$1200

Office Based Procedures

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Hemorrhoidectomy for thrombosis

$1200

Office Based Procedures

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Suture of Laceration—Simple

$500

Office Based Procedures

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Pilonidal Cyst—Drainage

$1000

Office Based Procedures

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Skin Cyst (Simple) - Removal

$800

Office Based Procedures

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Lipoma Removal

$1000

Office Based Procedures Removal of Skin Mass—Lipoma / Cyst (price varies with size)

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Mole Excision - Surgery Center

$1553

Surgery Center Procedures

What is included

Skin Biopsy - Surgery Center

$1553

Surgery Center Procedures Additional skin biopsy: $375

What is included

Hemorrhoid Banding - Surgery Center

$1695

Surgery Center Procedures

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Skin Abscess Drainage - Surgery Center

$1240

Surgery Center Procedures

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Perirectal Abscess Drainage - Surgery Center

$2685

Surgery Center Procedures

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hemorrhoidectomy

$2974

Surgery Center Procedures

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THD—Procedure for Hemorrhoids

$3,225

Surgery Center Procedures

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Sphincterotomy - Anal Fissure

$2804

Surgery Center Procedures

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Fistulotomy - Anal Fistula

$3205

Surgery Center Procedures

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Botox for Fissure - Anal Fissure

$2804

Surgery Center Procedures

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Laparoscopic Cholecystectomy

$5,635

Surgery Center Procedures Surgical removal of the gallbladder.

What is included

Laparoscopic Cholecystectomy with Grams

$5860

Surgery Center Procedures

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Laparoscopic Inguinal Hernia

$4914

Surgery Center Procedures

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inguinal hernia repair - Open

$4694

Surgery Center Procedures

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Laparoscopic Umbilical Hernia Repair

$5634

Surgery Center Procedures

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Umbilical Hernia Repair - Open

$3944

Surgery Center Procedures

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Colon Surgery - Benign Conditions

Peoria Surgical’s colon and rectal surgeons are experts in the surgical and non-surgical treatment of colon and rectal problems. Our surgeons completed advanced training in the treatment of these problems in addition to their full training in general surgery. These specialized physicians treat both benign and malignant conditions. Our Colon and Rectal Surgeons have over 30 years combined experience caring for patients with these sensitive issues. Peoria Surgical Group is the only group in the region with multiple board certified Colon and Rectal Surgeons.

Rectum Surgery - Benign Conditions

Anorectal Surgery

Many conditions can cause symptoms in the anorectal area: Hemorrhoids – Rubber Banding, Injection, Sclerotherapy, Infrared Coagulation, Ultrasound, Ligation, Stapled Hemorrhoidopexy, Excision – http://www.fascrs.org/patients/conditions/hemorrhoids/expanded_version/ Fissure – Botox Injection, Sphincterotomy, Topical Treatments – https://www.fascrs.org/patients/disease-condition/anal-fissure Fistula – Fistulotomy, Flap Procedures, Plug Procedures, Setons, Ligation of Internal Fistula Tract – http://www.fascrs.org/patients/conditions/anal_abscess_fistula/

Colon Cancer Surgery

We understand the very delicate nature of dealing with this difficult disease process. Our surgeons are dedicated to ensuring all patients in the region have access to the best care possible. We work in close collaboration with cancer specialists in other fields (e.g. medical oncology, radiation oncology, gastroenterology, radiology, pathology) and are committed to treating our patients according to the highest of standards. ASCRS website – www.fascrs.org/patients/ American Cancer Society – http://www.cancer.org/Cancer/ColonandRectumCancer/index?ssSourceSiteId=null American College of Surgeons Patient Education – https://www.facs.org/education/patient-education Donate to Colorectal Cancer Research – https://www.fascrs.org/donate-ascrs-research-foundation

Rectal Cancer Surgery

Hereditary Cancer Syndromes - Surgery and Care

Some types of colorectal cancer can run in the family. Having a care team that understands this can be of great benefit in ensuring that not only the patient, but their family too, receives the best of care.Conditions – Familial Adenomatous Polyposis, Hereditary Nonpolyposis Colon Cancer (HNPCC) For more information regarding treatments and screenings, visit: https://www.fascrs.org/patients/treatments-screening

Polyps Surgery

Left untreated, colorectal polyps have the potential to become a bigger problem. Our surgeons provide the widest range of treatment options available to help keep your colon and rectum free of polyps. We have the largest experience of any surgeons outside of Chicago and St. Louis in Transanal Endoscopic Microsurgery. We were also the first surgeons outside of those cities to provide this advanced procedure in Illinois. Endoscopic Resection, Transanal Resection, TEM (Transanal Endoscopic Microsurgery) – only available at PSG. For more information regarding polys of the colon and rectum, visit: https://www.fascrs.org/patients/disease-condition/polyps-colon-and-rectum

Endoscopy

Investigating the colon, rectum, and anus can be accomplished in a variety of ways for a variety of reasons. Only a Colorectal Surgeon has the ability to fully investigate and surgically treat many of these conditions through a procedure called an endoscopy.

Inflammatory Bowel Disease - Surgery

Crohn’s Disease and Ulcerative Colitis can be very difficult to manage and treat. Our surgeons work very closely with leading gastroenterologists in the area to help patients reach their treatment goals. We are well trained in the most advance surgical procedures, including sphincter-sparing restorative procedures that allow these patients to live without the need for a colostomy or ileostomy. For more information regarding Crohn’s Disease, visit: https://www.fascrs.org/patients/disease-condition/crohns-disease-0

Fecal Incontinence

Surgical and medical options – https://www.fascrs.org/patients/disease-condition/bowel-incontinence

Constipation/Diarrhea

https://www.fascrs.org/patients/disease-condition/constipation

Colitis

Infectious (Clostridium dificile) – Surgical and medical options including bacteriotheapy.

Abdominal Aortic Aneurysm (AAA) Surgery

Definition/Overview An Abdominal Aortic Aneurysm (AAA) is an enlargement or weakened bulging area of the aorta (the main artery that caries blood away from the heart). As it enlarges, it can rupture and cause death. Depending on the patient’s general health, the size of the aneurysm and the rate of growth, surgery may be recommended. Procedure The traditional method of repairing an abdominal aortic aneurysm is open repair, which is performed under general anesthesia. The surgeon begins with a large incision to the abdomen. Blood flow is temporarily stopped above and below the aneurysm. The aneurysm is opened and repaired by sewing a synthetic tube known as a graft in the bed of the enlarged aorta. After the procedure, you will be monitored closely in the intensive care unit (ICU). You may have a tube in your throat until you are stable enough to breathe on your own. After this tube is removed, you will be asked to cough and take deep breaths. Though this will be painful, it is crucial so as not to develop pneumonia. You will be given pain medication as needed. When your physician determines you are ready, you will be moved to a post-surgical nursing unit where you will gradually start walking and taking in solid foods. You may be in the hospital for 4 to 7 days, but depending on your circumstances, recovery may be 6 weeks to 3 months.

Angioplasty

Definition/Overview Angioplasty is a minimally invasive procedure performed to open blocked arteries. It is used when blood flow in one or more of your coronary arteries is restricted. This restriction, if left untreated, can lead to chest pain, possible heart attack or stroke. Procedure Angioplasty takes 1 to 2 hours and is performed at a hospital or surgical center. Though you will be awake during the procedure, you will receive medication to help you relax. The site where the catheter will be inserted is numbed, and imaging techniques are used to guide a balloon- tipped catheter into the artery to be treated. Once there, the balloon on the end of the catheter is inflated to break down the plaque and/or push it against the artery wall. Then the balloon is deflated. This is repeated several times until satisfactory results are achieved. At this point, the catheters are removed and blood flows freely through the artery. During the procedure, the IV sedative may make you relaxed and sleepy. You may feel slight pressure when the catheter is inserted and mild discomfort when the balloon is inflated. This should lessen as the balloon is deflated. You will remain in recovery for several hours during which time your catheter site will be checked for bleeding or swelling, and your vitals will be monitored. Your physician may prescribe medication prevent blood clots. After you return home, you will be instructed not to lift heavy objects or exercise strenuously for 24 hours. You should avoid smoking on a permanent basis.

Angioplasty with Vascular Stenting

Definition/Overview This procedure is performed to widen a narrowed or blocked artery. Angioplasty takes 1 to 2 hours and is performed at a hospital or surgical center. Though you will be awake during the procedure, you will receive medication to help you relax. Procedure The site where the catheter will be inserted is numbed, and imaging techniques are used to guide a balloon- tipped catheter into the artery to be treated. Once there, the balloon on the end of the catheter is inflated to break down the plaque and/or push it against the artery wall. Then the balloon is deflated. This is repeated several times until satisfactory results are achieved. Then a small, wire mesh tube (stent) is permanently placed in the newly opened artery to allow it to remain open. One of two types of stents will be used: a bare stent (wire mesh) or covered stent (with an additional artificial wall). The catheters are removed and blood flows freely through the artery. During the procedure, the IV sedative may make you relaxed and sleepy. You may feel slight pressure when the catheter is inserted and mild discomfort when the balloon is inflated. This should lessen as the balloon is deflated. You will remain in recovery for several hours during which time your catheter site will be checked for bleeding or swelling, and your vitals will be monitored. Your physician may prescribe medication prevent blood clots. After you return home, you will be instructed not to lift heavy objects or exercise strenuously for 24 hours. You should avoid smoking on a permanent basis. If you have an MRI after your stent placement, make sure you notify the technician that you have a stent.

Carotid Endarterectomy

Definition/Overview Endarterectomy is the surgical removal of plaque from an artery that has become narrowed or blocked. This procedure is commonly recommended for those who have had a transient ischemic attack (TIA) or a stroke resulting from a narrowing of more than 70% of the carotid artery. Procedure During this inpatient procedure, you will either be given general anesthesia or your surgeon will numb the area over the artery and you will remain awake for the surgeon to monitor your brain function (due to the decreased blood supply). Through a small incision in the neck, the affected carotid artery is exposed and opened to allow your surgeon to remove the plaque causing the narrowing. During the repair, blood flow is redirected around the narrowed area using a shunt. If necessary, a vein patch or synthetic patch may be sewn to the carotid artery opening to widen the artery. After the shunt is removed, the artery and incision are closed. This procedure is typically completed in about 1 to 2 hours. Patients with uncomplicated cases are usually discharged from the hospital 48 hours after surgery.

Femoral Endarterectomy

A Femoral endarterectomy is the surgical removal of fatty deposits, called plaque, from the walls of arteries other than those of the heart and brain. The surgery is performed when plaque blocks an artery and obstructs the flow of blood and oxygen to other parts of the body, most commonly the legs but also the arms, kidneys, or intestines. The peripheral arteries most often treated with endarterectomy are those that supply the legs, especially the aortoiliac arteries in the pelvic area. Other arteries that may be treated with endarterectomy include the femoral arteries in the groin, the renal arteries that supply the kidneys, and the superior mesenteric arteries that supply the intestines.

Endarterectomy Surgery

Endarterectomy surgery is performed to treat advanced peripheral arterial disease (PAD). PAD most often occurs as a result of atherosclerosis, a condition characterized by the gradual build up of fats, cholesterol, cellular waste, calcium, and other substances on the inner walls of large and medium-sized arteries. Plaque, the hardened, waxy substance that results from this build up, can cause narrowing (stenosis) of an artery and block the flow of blood and oxygen. Peripheral endarterectomies are performed to reopen blocked arteries and to restore blood flow in the body (revascularization), helping to prevent heart attack, stroke, the amputation of a limb, organ failure, or death.

Endovascular Aneurysm Repair (EVAR)

Definition/Overview An Abdominal Aortic Aneurysm (AAA) is an enlargement or weakened bulging area of the aorta (the main artery that caries blood away from the heart). As it enlarges, it can rupture and cause death. Depending on the patient’s general health, the size of the aneurysm and the rate of growth, surgery may be recommended. Procedure The traditional method of repairing an Abdominal Aortic Aneurysm begins with a large incision to the abdomen. However, a newer — yet widely accepted — procedure involves the placement of a stent graft. Using a small groin incision and possibly a small abdominal incision, catheters loaded with the tube graft are passed through the groin arteries into the abdomen. The stent graft is deployed under X-ray guidance. The tube graft occludes the aneurysm at the top of the normal aorta and at the bottom of the normal aorta. Following the procedure, the patient may or may not be taken to the intensive care unit (ICU) or a post anesthesia care unit (PACU). Vitals are monitored and you will eventually be transferred to a regular nursing care unit. You will be given pain medication if you have not had an epidural during surgery to alleviate postoperative pain. Gradually you will be encouraged to walk and take in solid food as tolerated. The initial recovery time is usually 2 to 3 days, with patients returning to normal activities within weeks. Long-term follow up with serial CT scans is required.

Peripheral Artery Bypass

Definition/Overview This procedure, sometimes referred to as a peripheral vascular bypass or a lower extremity bypass, is performed to treat Peripheral Artery Disease, when the buildup of plaque in an artery has blocked the normal flow of blood that carries oxygen and other nutrients to the lower extremities. Procedure This is an open procedure requiring general anesthesia. The surgeon makes an incision to expose the affected artery above the blockage, and another to expose it below the blockage. The arteries are blocked off with vascular clamps, and the surgeon creates a new path for blood to flow around the blocked or narrowed artery. The new path — or bypass — is created from either another blood vessel from the patient’s leg or from a synthetic (manmade) graft, which is sutured (stitched) into an opening in the side of one artery then into the other. The clamps are removed and the flow of blood is observed to make sure that it bypasses the blocked portion of the affected artery. Recovery instructions will depend on the area where the bypass was performed. The approximate hospital stay is two to four days, and the patient will be given specific instructions on activity restrictions and lifestyle modifications

Wound Care

The skin is a barrier to the outside world protecting the body from infection, radiation, and extremes of temperature. There are many types of wounds that can damage the skin including abrasions, lacerations, rupture injuries, punctures, and penetrating wounds. Many wounds are superficial requiring local first aid including cleansing and dressing. Some wounds are more severe and need medical attention to prevent infection and loss of function, due to damage to underlying structures like bone, muscle, tendon, arteries and nerves. The purpose of medical care for wounds is to prevent complications. While important, cosmetic results are not the primary consideration for wound repair. Animal and human bites should always be seen by a medical professional because of the high rate of infection. Please call 911 if you have either one of these conditions and need immediate help. Most wounds can be treated at home with routine first aid including thorough washing and dressing to prevent infection. You may be required to visit our offices at Peoria Surgical Group to meet with a physician or physicians assistant to set a plan of action for your wound care. Some of the following are reasons medical care should be obtained for a wound: If the wound is due to significant force or trauma and other injures are be present. If bleeding cannot be stopped even with persistent pressure and elevation. If there is concern that wound requires repair with sutures (stitches). The size and location of the wound are important considerations. Most facial wounds may need to be repaired for cosmetic reasons, especially if they involve the lip or eye. If the wound is caused by an animal bite. At least 50% of dog bites, 80% of cat bites, and 100% of human bites become infected. There is also a need to consider rabies immunizations if appropriate. If the wound is very dirty and cannot be easily cleaned. If there is evidence of infection including redness, swelling, increased pain, and pus at the wound. If tetanus immunizations are not up to date, then a booster is needed within 48 hours. If the patient has never been immunized, the initial tetanus prevention with immunoglobulin should be given immediately.

Appendectomy

Definition/Overview An appendectomy is the surgical removal of the appendix. The procedure is normally performed in an emergency situation, when a patient is suffering from acute appendicitis. Appendicitis is an inflammation of the appendix. If left untreated, an inflamed appendix could eventually burst, or perforate, leaking infectious material into the abdominal cavity, eventually causing sepsis. Procedure: Once the diagnosis of appendicitis has been made (usually based upon a physical exam, blood and urine tests, and possibly an X-ray, ultrasound or CT scan), antibiotics are administered prior to surgery. Appendectomies can be performed using an open method, or laparoscopically. In an open appendectomy, a two to three inch incision is made through the layers of the abdominal wall near the appendix. After examining the surrounding area, the appendix is removed by cutting it from the colon and sewing over the hole. The incision is then closed. This procedure is performed while the patient is under general anesthesia, and the hospital stay is usually one or two days. If the appendix has been perforated, the surgeon may insert a drain to release fluid from the abscess before removing the appendix. In this case, antibiotics must be administered after the surgery and the patient may remain in the hospital for a longer period of time. The laparoscopic technique involves making a series of small incisions in the abdomen. One incision is for insertion of a laparoscope, a thin telescopic instrument attached to a video camera that allows the surgeon to inspect the abdomen and appendix. Special instruments are inserted in the other incisions, and the appendix can be removed through one of the small incisions. This approach generally results in less post-operative pain for the patient and a quicker recovery time. Laparoscopic surgery also enables the surgeon to make a clear diagnosis in case appendicitis is in doubt. General surgery, despite its name, is a surgical subspecialty that primarily focuses on abdominal organs and the intestines including esophagus, stomach, colon, liver, gallbladder and bile ducts, and often the thyroid gland (depending on the availability of head and neck surgery specialists). This encompasses a wide range of procedures including appendectomies and hernia repair to lung volume reduction surgery and thyroidectomy. This website includes a basic explanation of many commonly-performed general surgeries. These procedure overviews describe the typical situation; however, every patient and each surgery is unique. Your physician or nurse can provide additional details on your individual circumstances

Gallbladder Removal

Definition/Overview A cholecystectomy is the surgical removal of the gallbladder. Although it is occasionally performed for gallbladder cancer (which is very rare), it is most often used to treat symptomatic gallstones. Procedure In an open cholecystectomy, the patient is given general anesthesia and the gallbladder is removed through a 4 to 7 inch incision. Patients usually remain in the hospital overnight and recovery may take several weeks at home. A laparoscopic cholecystectomy involves making several smaller incisions in the abdomen and inserting a laparoscope — a thin, lighted instrument with a camera on the end — into the abdominal cavity. The surgeon is able to view images on a video monitor, and performs the operation by manipulating the surgical instruments through the other incisions. The gallbladder is removed through one of the incisions. This procedure is also done under general anesthesia. However, it generally involves less pain, quicker healing time and fewer complications. Most patients are discharged the same day, and can return to a normal routine in about a week. Your surgeon will determine if you are best suited for the open or laparoscopic technique.

Hernia Surgery

Hernia repair refers to a surgical operation for the correction of a hernia (a bulging of internal organs or tissues through a defect in the wall of a body cavity). Hernias can occur in many places, including the abdomen, groin, diaphragm, brain, and at the site of a previous operation. There are many different approaches to the surgical repair of hernias.

da Vinci® Surgery System

Thanks to a breakthrough surgical technology, there is a new category of minimally invasive surgery for which you may be a candidate. It is an effective, minimally invasive alternative to both open surgery and laparoscopy. Through the use of the da Vinci® Surgical System, surgeons are now able to offer a minimally invasive option for complex surgical procedures. Find out more at: http://www.davincisurgery.com

Liver Resection

Definition/Overview A liver resection is the surgical removal of a portion of the liver, and is usually performed in order to extract various types of liver tumors. The liver is the only organ with the ability to regenerate itself. Up to 75% of the liver can be removed as long as the remaining tissue is healthy. Procedure: A liver resection is performed under general anesthesia. An incision is made in your abdomen below the rib cage. The surgeon will cut the section of the liver to be removed from the supporting veins, arteries and bile ducts. The incision is then closed using staples or stitches. The hospital recovery time for a liver resection can be up to a week or more. You will experience some discomfort during recovery, and your physician will prescribe pain medication during your recovery.

Pancreatic Surgery

Definition/Overview A pancreatectomy is the surgical removal of the pancreas. It is the most effective treatment for cancer of the pancreas, and can also be performed due to injury or trauma to the pancreas, or chronic pancreatitis (continued inflammation of the pancreas that can result in permanent damage to the organ). Procedure: The surgical procedure you are having will determine the length of your hospital stay as well as your recovery period. All of the following procedures require general anesthesia. Central Pancreatectomy This procedure is performed if there is a benign tumor in the neck of the pancreas. Since this is a difficult area of the pancreas to reach, the goal is to remove any tumors in the area while preserving as much of the pancreas as possible, as well as avoiding complications such as diabetes and malabsorption of nutrients. Distal Pancreatectomy This procedure is performed if there is a tumor present in the body or tail of the pancreas. The bottom half of the pancreas is removed and the cut edge is sutured to prevent leakage of pancreatic juice. In some cases, distal pancreatectomy is performed in conjunction with a splenectomy. The spleen is removed with the pancreas since the blood supply to the spleen is associated directly with that of the pancreas. Subtotal and Total Pancreatectomy Pancreatectomy is a procedure to remove part or the entire pancreas. A partial removal is called a subtotal pancreatectomy; a removal of the entire organ is called a total pancreatectomy.

Pancreatic Resections

Definition/Overview A pancreatic resection is performed on patients who have pancreatic cancer in which the tumor is localized and only if they meet a certain criteria, such as the stage and classification of the cancer. Procedure: The surgical procedure you are having will determine the length of your hospital stay as well as your recovery period. All of the following procedures require general anesthesia.

Pancreatectomy

Central Pancreatectomy This procedure is performed if there is a benign tumor in the neck of the pancreas. Since this is a difficult area of the pancreas to reach, the goal is to remove any tumors in the area while preserving as much of the pancreas as possible, as well as avoiding complications such as diabetes and malabsorption of nutrients. Distal Pancreatectomy This procedure is performed if there is a tumor present in the body or tail of the pancreas. The bottom half of the pancreas is removed and the cut edge is sutured to prevent leakage of pancreatic juice. In some cases, distal pancreatectomy is performed in conjunction with a splenectomy. The spleen is removed with the pancreas since the blood supply to the spleen is associated directly with that of the pancreas. Whipple Procedure Also known as a pancreatoduodenectomy, this procedure involves removing the head of the pancreas, most of the duodenum (part of the small intestine); a portion of the bile duct and in some cases a portion of the stomach.

Cysts

Cyst Gastrostomy This procedure involves the internal drainage of the non-cancerous growth’s contents into the stomach. Cyst Entrostomy This procedure involves the internal drainage of the non-cancerous growth’s contents into the intestines.

Panendoscopy

Definition/Overview A panendoscopy is a procedure that a physician uses to examine the lining of the esophagus, stomach and duodenum (the first part of the small intestine). A panendoscope is a long, flexible tube that is passed through the mouth and back of the throat into the upper digestive tract. This procedure is commonly performed since many problems of the upper digestive tract can’t be diagnosed with an X-ray. Procedure: You will be given medication to make you relaxed and sleepy, and the back of your throat may be sprayed with a local anesthetic. The panendoscope will be inserted through your mouth and each part of the esophagus, stomach and duodenum. This procedure is performed on an outpatient basis. Your throat may be sore for a few hours, and you may feel fullness in your abdomen because of the air that was introduced to examine your stomach.

Splenectomy

Definition/Overview The spleen is an organ located in the upper left part of the abdomen near the stomach, and is the largest lymphatic organ in the body. The spleen filters and serves as a reservoir for blood and destroys aged blood cells. Procedure: Splenectomies can be performed using an open method, or laparoscopically. Splenectomies can also be complete or partial. A complete splenectomy is the removal of an enlarged or ruptured spleen. This procedure is performed under general anesthesia. If the spleen is enlarged or ruptured, the surgeon makes a cut in the abdomen and ties the splenic artery off to prevent blood loss and reduce the spleen’s size. He then detaches the ligaments holding the spleen and removes, and sends tissue samples for analysis. In a partial splenectomy, the surgeon removes only a portion of the spleen. In some cases, this can reduce the pain of an enlarged spleen and reduce the incidence of infection. Laparoscopic splenectomy is the removal of the spleen using several small incisions. The surgeon inserts a thin, lighted scope with a camera on the end into one of the incisions, and the surgical instruments in another. Laparoscopic splenectomy reduces pain, scarring and length of hospital stay. Your physician can evaluate your particular case and determine if you are a candidate for laparoscopic surgery. Hospitalization time for a splenectomy is about a week if the procedure is done through an abdominal incision. If it is done laparoscopically, hospital time may be reduced.

Hiatal hernia repair

Definition/Overview A hiatal hernia occurs when the normal opening in the diaphragm is too large. If left untreated, the stomach or other abdominal contents may bulge, or herniate, into the chest. This can cause heartburn, pulmonary aspiration due to the displacement of a lung by the hernia, or GERD (gastroesophageal reflux). There are two types of hiatal hernias — sliding and para-espohageal hernias. In a sliding hiatal hernia, part of the stomach moves up through an opening (hiatus) in the diaphragm. This is the most common type of hernia. A para-esophageal hernia occurs when the stomach twists upon itself and moves into the chest along the esophagus. Patients may have difficulty swallowing or have reflux symptoms. Procedure: Sliding hiatal hernias may not require treatment unless symptoms become problematic. Treatments generally include making changes to lifestyle and eating habits, and if necessary, taking antacids, acid reducers or acid blockers. A hiatal hernia may lead to GERD, in which case it will be treated with prescription medication, and if necessary, surgery. Para-esophageal hernias require a surgical procedure involving moving the herniated area of the stomach back into the abdominal cavity. In an open hiatal hernia repair a cut is made in the stomach area while the patient is under general anesthesia. The esophageal hiatus (the opening in the diaphragm through which the esophagus passes from the chest into the abdomen) is tightened, making it smaller so the stomach can no longer bulge through. The esophagus is then attached to the diaphragm. In some cases, this procedure can be performed laparoscopically, using a thin, hollow tube with a camera on the end. Surgical tools are sent through the laparoscope to repair the hernia. This procedure results in fewer and smaller incisions, less pain and scarring, and a shorter hospital stay.

Herniorrhaphy

Definition/Overview A hernia is a tear or weak spot in the abdominal wall. It occurs when an organ or tissue squeezes through a hole or a weak spot in a surrounding muscle or connective tissue called fascia. Hernias are classified as inguinal, incisional, femoral and umbilical. Procedure: A herniorrhaphy is performed for individuals who are suffering pain or other symptoms of a hernia. Although the surgery performed to correct inguinal, incisional, femoral and umbilical hernias each differ slightly, the basic procedure is very similar. In an open hernia repair, a single, long incision is made in the groin. If the hernia is bulging out of the abdominal wall, it is pushed back into place. If it is going down the inguinal canal, the hernia sac is either pushed back or tied off and removed. In some smaller hernias, the weak spot in the muscle wall is repaired by sewing the healthy muscle tissue together. In some cases, mesh patches of synthetic material are sewn over the weakened area in the abdominal wall after the hernia is pushed back into place, decreasing the risk of hernia reoccurrence. In a laparoscopic procedure, a thin, lighted tube with a camera is inserted thorough a small incision made under the patient’s belly button. Two other small incisions are made in the lower abdomen where the instruments are inserted. By viewing a TV monitor, the surgeon pulls the hernial sac back into the abdominal cavity, exposing the defect. He then covers the weakened portion with a mesh patch. The open hernia repair is performed while the patient is under general anesthesia, but the laparoscopic may be performed either under general anesthesia or, in some cases, regional anesthesia combined with a sedative.

LINX®

Reflux Management System - Minimally Invasive - Short procedure - No alteration to the stomach - Resume normal activity in days - No special diet FAQs: HOW IS LINX® IMPLANTED? LINX® is implanted using a surgical technique called laparoscopy. This technique uses small incisions in the abdominal wall to access the area around the esophagus where the device will be placed. WHEN CAN I START EATING NORMALLY AGAIN? Patients are encouraged to return to a normal diet as quickly as tolerated. This helps the body adapt to LINX®. WHEN CAN I RETURN TO NORMAL PHYSICAL ACTIVITIES? Patients are generally able to return to non-strenuous activity within a couple of days. WILL I BE ABLE TO BELCH OR VOMIT WITH LINX® Patients who have received LINX® have reported the ability to belch and vomit. HOW LONG WITH LINX® LAST? LINX® is designed to be a lifelong implant. The cases and wires are constructed of titanium, which has a long history of use in permanent medical implants. LINX® uses permanent magnets that are designed not to wear out. CAN I GO THROUGH AIRPORT SECURITY? LINX® should not affect airport security. All patients will be provided with an implant card to have available in the event an issue arises. WILL I BE ABLE TO FEEL LINX® AFTER IT HAS BEEN IMPLANTED? A small number of patients have reported sensations in the area of LINX®. It is not known if this is the device or the result of surgery in the area. These sensations have gone away over time. CAN I HAVE AN MRI? There are two versions of the LINX device. One is safe in MRI scanning machines up to 0.7T, the other is safe to 1.5T. You should discuss the MRI scanning options with your doctor prior to deciding on treatment with LINX®.

Obalon Balloon System

Want to lose 15-50 lbs? Introducing a New FDA Approved, Non-Surgical Weight Loss The Obalon Balloon System is a swallowable intragastric balloon system indicated for temporary use to facilitate weight loss in adults with obesity (BMI of 30 – 40 kg/m2) who have failed to lose weight through diet and exercise. The System is intended to be used as an adjunct to a moderate intensity diet and behavior modification program. All balloons must be removed 6 months after the first balloon is placed. - Non-Surgical - Fully Reversible - No anesthesia during placement - Each balloon placed in 10 minutes - Proven safety profile Proven weight loss FAQs: How does the Obalon Balloon System work? The Obalon Balloon System helps facilitate weight loss by taking up space in your stomach so you eat less. During treatment you should receive professional nutrition and exercise support to help you make the lifestyle changes that facilitate weight loss. The Obalon Balloon System supports you to help change your eating habits and keep the weight off for the long-term. What commitment is required of me? The Obalon Balloon System can assist with your weight loss efforts, but your weight loss success is also dependent on your readiness to develop new lifestyle skills. The degree of long-term weight loss will depend on your ability to modify your lifestyle and maintain this behavior after the balloons are removed. It is important that you discuss your willingness to accept this commitment with your physician before undergoing the Obalon Balloon System. How much does the Obalon Balloon System cost? The average cost, including 3 balloons, nutritional support and balloon removal, typically ranges from $6,000 to $9,000. Individual pricing may vary based on the physicians within your geography. Many physicians offer financing options to help patients achieve their weight loss goals. Who can get the Obalon Balloon System? You are a candidate for the Obalon Balloon System if you have a body mass index (BMI) from 30 to 40 kg/m2 and are 22 years or older. The program begins with the placement of the Obalon Balloons in your stomach for up to six months. The program should be accompanied with a healthy diet and exercise program during the time you have the balloons and is recommended for six months after the balloons are removed. What weight loss results should I expect? In a large clinical study, the Obalon Balloon System was shown to help adults experience clinically meaningful weight loss. When combined with a diet and exercise program people lost twice as much weight as than with diet and exercise alone. An average of 89% of the total weight lost at 6 months was maintained at 1 year. How long is the treatment? The Obalon Balloon treatment is a 6-month treatment. After the first balloon your doctor will usually have you swallow a second balloon capsule 1 month after the first balloon and a third balloon capsule 2 months after the second balloon. All balloons will be taken out 6 months after the first balloon capsule is swallowed. How is the Obalon Balloon System placed? Placement of the Obalon Balloon System typically takes less than 10 minutes per balloon and does not require sedation. In your physician’s office, you swallow a capsule containing a small balloon and then your physician inflates the balloon. In the clinical study after placement, most patients returned to normal activities with no downtime. How are the balloons removed? At the end of the 6-month treatment period, all three balloons are removed by a brief, approximately 15 minute, outpatient endoscopic procedure which is performed under light, conscious sedation. How many balloons are used during the treatment period? Three (3) lightweight, buoyant balloons are intended to be placed gradually over 3 months to maximize patient tolerability and facilitate progressive weight loss throughout the 6-month treatment period. Optimal weight loss is achieved with 3 balloons. Tho

Lumpectomy

Definition/Overview A lumpectomy is a surgical procedure performed to remove a suspected malignant (cancerous) tumor or lump along with a small portion of the surrounding tissue from the breast. How much of the breast is removed during the procedure is dependent on the size and location of the lump. The characteristics of the specific cancer are also a factor when determining if a lumpectomy is appropriate. Women in the early stages of breast cancer are often considered good candidates for this procedure. Procedure Prior to a lumpectomy, the physician may have performed a fine-needle biopsy of the breast. If the mass cannot be located by touch, a wire-localization procedure will be performed, which involves inserting a fine wire and utilizing ultrasound to confirm the tumor’s location. Either local or general anesthesia may be used, depending on the extent of the surgery. The surgeon will make an incision over the targeted malignancy and remove the tumor, along with a small layer of surrounding tissue. If necessary, the physician will make a separate incision near the underarm to sample or remove axillary lymph nodes, which are tested for cancerous cells. A drainage tube may be inserted during the surgery to remove fluids, and the wound is closed with dissolving stitches. This procedure typically takes 1 to 3 hours. You will spend a short time in recovery, and most patients are able to go home the same day. Depending on the extent of the lumpectomy, many women can usually resume normal activities within 1 to 2 days.

Mastectomy

Definition/Overview A mastectomy is a surgical procedure in which most or all of the breast tissue is removed, in order to treat breast cancer. There are several types: Simple (Total) Mastectomy The removal of all of the breast tissue, but none of the underlying muscle or lymph nodes. Modified Radical Mastectomy The removal of all of the breast tissue and lymph nodes on the same side of the body as the breast. Radical (Halsted) Mastectomy The removal of all of the breast tissue, the underlying muscle, and the lymph nodes on the same side of the body as the breast (rare). Skin-sparing Mastectomy The removal of the breast tissue, but breast skin is kept for immediate breast reconstruction. Procedure This procedure is performed under general anesthesia. The surgeon will make a curved incision (that follows the natural curve of your breast) closes to the area of the tumor. If the tumor can be seen and/or felt, she will remove the tumor as well as the ring of healthy tissue surrounding it. If it cannot be seen or felt, you will have a procedure before the surgery that will locate and mark the tumor by either use of a mammogram or ultrasound. After the tumor has been removed, a drain may be placed to collect excess fluids. The incision will be closed. The actual mastectomy procedure takes approximately two to three hours; however, if you have chosen to have reconstructive surgery at that time, the length of your surgery will increase. Depending on your circumstances, you may be able to return home the same day.

Needle Biopsy

Definition/Overview A needle biopsy is a diagnostic procedure that involves taking a small sample of breast tissue from an area that appears suspicious from a mammogram. Procedure During this procedure, you will be given a local anesthetic to numb the area. The physician will use a special, hollow needle to extract cells from the suspicious area for further diagnosis. This procedure is most often performed on tumors that can be felt through the skin, such as suspicious breast lumps and enlarged lymph nodes. Types of needle biopsies include: Fine-needle Aspiration A long, thin needle is inserted into the suspicious area and a syringe used to draw out fluid and cells for analysis. Core Needle Biopsy A larger needle with a cutting tip is used to draw a column of tissue out of a suspicious area. Stereotactic Biopsy This is performed in order to get tissue from a lump that cannot be felt during the breast exam. The surgeon will use a special type of X-ray imaging to find the lump that the needle must target in order to get an accurate tissue sample. The needle will follow the X-ray to the area and take a tissue sample. Some surgeons will place a small metal chip at the biopsy site after taking the tissue sample so that future mammograms or ultrasounds will indicate where the biopsy was done. You may experience mild discomfort after these procedures, but will be able to resume normal activity within a day or so.

Open Biopsy

Definition/Overview An open biopsy is a procedure in which a surgical incision is made through the skin to expose and remove tissues. The tissue is then examined by a pathologist. In some cases, the lump may be removed along with surrounding tissue. Procedure During this procedure, you will either be given local anesthesia, local anesthesia with sedation, or general anesthesia. This will depend on the patient as well as the size and location of the lump. The surgeon will make an incision and remove the breast tissue sample and lump if necessary. After the sample is taken, the incision is sutured and a dressing is applied. Pain medication may be prescribed, and there may be soreness in the area, but generally patients can resume normal activity within a day or two.

Sentinel Lymph Node Biopsy

Definition/Overview The sentinel lymph node is the first lymph node to which cancer cells are likely to spread from the primary tumor. Cells may appear in the sentinel node before spreading to other lymph nodes. Sentinel node biopsies are used to help determine the stage of cancer. Procedure During a sentinel lymph node biopsy, the surgeon removes one to five sentinel lymph nodes and sends them to a pathologist to determine if cancer cells have spread to them. If cancer is found in these lymph nodes, it is an indication that the disease has metastasized (spread). Before the procedure, the physician will numb the area and inject a blue dye or special tracer substance into the area around the original cancer site. The dye or tracer then moves to the first lymph node (sentinel node) that drains closest to the cancer site. The dye or tracer makes a map pattern of lymphatic fluid that shows where the cancer is likely to spread. That lymph node is removed, cut into thin slices, and viewed under a microscope. If the sentinel node is positive for cancer cells, additional surgery will be done to remove more lymph nodes. This is an outpatient procedure, and you may either be given general anesthesia, or a sedative to help you relax. The procedure itself takes 30 to 60 minutes. The biopsy site may be sore for several days after surgery, but you should be able to resume most activities within a day or two.

Bariatric Surgery

Large portion of the stomach is closed off. This leaves a small pouch to hold food, restricting the amount that can be eaten at one time. The small intestine is cut below the duodenum and reattached to the new stomach pouch, leaving a shortened path for food to travel through. Large portion of the stomach is closed off. This leaves a small pouch to hold food, restricting the amount that can be eaten at one time. The small intestine is cut below the duodenum and reattached to the new stomach pouch, leaving a shortened path for food to travel through. “Gold Standard” - Restrictive and malasorptive - 60%-70% excess weight loss (EWL) - Very rapid initial weight loss - Stomach stapling and intestinal re-routing required - Risk of nutrient/vitamin deficiency - Must take vitamin supplements for life - “Dumping Syndrome” can occur - 2-3 day hospital stay

Gastrectomy Sleeve

Staples are used to create a vertical stomach pouch. The rest of the stomach is removed. This restricts the amount of food you can eat at one time. Staples are used to create a vertical stomach pouch. The rest of the stomach is removed. This restricts the amount of food you can eat at one time. - Staples are used to create a vertical stomach pouch. The rest of the stomach is removed. This restricts the amount of food you can eat at one time. - Not enough long term data to measure success

Duodenal Switch

A portion of the stomach is removed. The intestine is cut and the last section of the intestine is reattached to the remaining stomach. Only a very short length of intestine is left that can absorb food. - Mainly malabsorptive - 60%-70% EWL- highest of all procedures - Highest co-morbidity resolution rates - Abdominal bloating and foul-smelling stool or gas may occur - Risk of protein malnutrition, anemia and bone disease - Must take vitamin supplements for life - Procedure may increase the risk of forming gallstones and the need for removal of gallbladder - Possibility of intestinal irritation and ulcers - 3-4 day hospital stay - More Information, visit: American Society for Metabolic & Bariatric Surgery National Heart, Lung, and Blood Institute Obesity Education Initiative Overeaters Anonymous

Bronchoscopy

Bronchoscopy is a technique of visualizing the inside of the airways for diagnostic and therapeutic purposes. An instrument (bronchoscope) is inserted into the airways, usually through the nose or mouth, or occasionally through a tracheostomy. This allows the practitioner to examine the patient’s airways for abnormalities such as foreign bodies, bleeding, tumors, or inflammation. Specimens may be taken from inside the lungs. The construction of bronchoscopes ranges from rigid metal tubes with attached lighting devices to flexible optical fiber instruments with realtime video equipment.

Esophagectomy

Definition/Overview An esophagectomy is a procedure for the treatment of esophageal disorders including esophageal cancer. Procedure In this procedure, which is performed under general anesthesia, the part of the esophagus that contains the cancer and nearby lymph nodes are removed. The surgeon either attaches the esophagus directly to the stomach or replaces the removed part of the esophagus with a piece of intestine. Transhiatal Esophagectomy (THE) In some cases, a transhiatal esophagectomy (THE) may be performed. Incisions are made in the upper abdomen as well and the neck. Part of the esophagus is removed and part of the stomach is cut into a tube shape and is also removed. The stomach portion is then moved upward through the chest and connected to the small piece of the esophagus remaining in the neck. Laparoscopic Esophageal Surgery This procedure is minimally invasive and performed using small incisions through which specialized equipment and cameras are inserted. This surgery is not appropriate for all patients requiring esophageal surgery. Your physician will determine which surgical approach is best suited to your situation.

Aesthetic Services

Esophagoscopy is a technique for screening for esophageal cancer and other disorders. Esophagoscopy has been used by otolaryngologists since 2000 as a diagnostic tool to detect globus, dysphagia, laryngopharyngeal reflux, and gastroesophageal reﬂux disease.

Lobectomy (Lung)

Definition/Overview A lobectomy is the surgical removal of one entire lobe (section) of a lung. The procedure may be performed when an abnormality has been detected in a specific part of the lung. The affected lobe is removed, and the healthy tissue remains. A lobectomy is preformed in early stage NSCLC patients (where cancer has not spread). A lobectomy is normally performed during a thoractomy. Procedure A lobectomy is an inpatient procedure and requires general anesthesia. During the procedure, an incision is made in the chest and the ribs spread apart to allow adequate viewing of the lung. Blood vessels and air tubes that supply the lobe being removed will be tied off with sutures. The lobe is removed and possibly a portion of a rib as well. The surgeon places a drainage tube or tubes in the chest to drain fluid that may build up in the chest. You may be given an epidural catheter in order to administer pain medication. You will normally spend the first day after surgery in the ICU (Intensive Care Unit), followed by a hospital stay of up to a week or more. You may need to receive oxygen in the hospital, and possibly after being discharged. The drainage tube will be removed after a few days or until fluid is no longer present. You will work with a respiratory therapist while in the hospital to aid in recovery, and will be given deep-breathing exercises and coughing techniques to help facilitate lung re-expansion and prevent pneumonia.

Lymphadenectomy

Lymphadenectomy is the surgical removal of one or more groups of lymph nodes. It is almost always performed as part of the surgical management of cancer. In a regional lymph node dissection, some of the lymph nodes in the tumor area are removed; in a radical lymph node dissection, most or all of the lymph nodes in the tumor area are removed. It is usually done because many types of cancer have a marked tendency to produce lymph node metastasis early in their natural history. This is particularly true of melanoma, head and neck cancer, differentiated thyroid cancer, breast cancer, lung cancer, gastric cancer and colorectal cancer.

Thoracoscopy

Definition/Overview A thoracoscopy is a procedure that utilizes an endoscope to examine the pleura, lungs and mediastinum, and to obtain tissue for testing purposes. This procedure is done to assess lung cancer, take a biopsy for study, determine the cause of fluid in the chest cavity, introduce medications or other treatments directly into the lungs, and to treat accumulated fluids in the space around the lungs. This procedure is sometimes done as an alternative to a thoracotomy. Procedure This is an inpatient procedure using general anesthesia. The surgeon will make several, small incisions in your side and insert a thoroscope containing a tiny camera through one of the incisions. The surgical instruments are inserted through the other incisions. The lung to be examined is deflated to create a space between the chest wall and the lung. The patient breathes with the other lung as well as with assistance from a ventilator. Using the camera as a guide, the surgeon takes tissue samples and reinflates the lung. The surgeon closes the incisions except for one in which a chest tube is inserted to drain fluid and air from the incision site. The chest tube will remain for several days, and your hospital stay will typically range from two to five days. Medications for pain are given as needed, and you will have restrictions on lifting and other activities for several weeks.

Wedge Resection

Definition/Overview A wedge resection is the surgical removal of a small portion of the long along with the healthy tissue surrounding the lung. The procedure is performed to remove a lung tumor, or to aid in the diagnosis of lung cancer. Procedure This is an inpatient procedure and you will be given general anesthesia. The surgeon will perform a thoracotomy (an incision to open up one side of the chest), and will remove a wedge-shaped section of the lung. A chest tube may be inserted to allow draining of fluids that may build up in the lung. Your hospital stay will usually be around a week, and you will be given respiratory therapy during that time to aid in recovery, facilitate lung function and prevent pneumonia.

Vnus Closure

Some people hesitate to have their varicose veins evaluated and treated because they are concerned about the pain involved, recovery times, possible scarring and the expense. Fortunately, many of those concerns can be alleviated for most people. One of the most innovative treatments available to treat varicose veins is the minimally invasive VNUS Closure procedure*. Not only are pain and scarring minimized, but recovery times are typically much faster. Patients usually walk out the door shortly after the surgery. In fact, 98% of VNUS Closure patients would recommend the treatment to a friend or family member with similar leg vein problems. As far as the cost is concerned, if an individual has varicose veins severe enough to need surgical treatment, it is usually considered to be a medical condition – in many cases, this means that Medicare or insurance will cover the cost. VNUS Closure is a minimally invasive procedure that uses RF ablation to heat and shrink the vein in a controlled manner. Once the area is numb, a thin catheter (a tube even smaller than a coffee stirrer) is threaded into the damaged or diseased vein using a single needle stick. Proper placement of the catheter is assisted by the use of duplex ultrasound (similar to that which is used for obstetrical ultrasounds). The catheter delivers radiofrequency or microwave energy to the vein wall. This causes the vein to heat up, collapse and seal shut. After the diseased vein is closed, nearby healthy veins take over and empty the blood from your legs. Once normal blood flow is re-established, symptoms quickly improve. The procedure is less painful than some options and usually leaves the patient with little (if any) bruising, scarring or swelling. In addition, most patients can return to normal activities almost immediately. This is just one of many options available to patients today. Fortunately, the vascular specialists of Peoria Vein Center are experienced in many different procedures and can recommend the most appropriate treatment for each patient. Individuals that have a pacemaker, internal defibrillator or other active implanted device should have the vascular surgeon consult with the patient’s cardiologist and the implant’s manufacturer to determine if this procedure is a safe course of action.

sclerotherapy

Sclerotherapy is typically used to treat spider veins or small varicose veins.* During this procedure, a solution is injected into the vein using tiny needles. This solution (sclerosant) causes damage to the inside of the vein, which causes the vein to close. In time, the vein is absorbed into the body. The procedure usually takes place in our comfortable Vein Center facility using a local anesthetic. Using a series of tiny injections, a saline solution or other solution is injected into the vein. Or, in some cases, a tiny catheter may be inserted into the vein to allow the use of a foam sclerosant – if a catheter and foam are used, they will be guided by the use of duplex ultrasound. Some patients experience a feeling of minor burning and discomfort during the procedure. Repeat injections may be necessary to achieve the desired results. Depending on the size and number of veins being treated, the procedure is usually completed in 5 to 30 minutes. Before leaving the office, patients put on medical-grade compression stockings or elastic bandages as directed by their physician. Most patients are able to walk immediately after the procedure, but should refrain from strenuous exercise for approximately one week after treatment.

Topical Laser Treatment

Topical Laser Treatment is usually the best option to minimize or eliminate tiny spider veins of the legs.* More women than men get spider veins, especially women taking birth control pills or hormone replacement therapy. This a cosmetic issue that is treated with a laser carefully focused on the problem areas. The tiny spider veins coagulate and shrink. Most patients notice an improvement in about a month. Typically, the main side effects are bruising and skin discoloration.

Mini-phlebectomy

A mini-phlebectomy is an in-office procedure which is performed under local anesthesia. The procedure removes bulging varicose veins through very small incisions that usually require no stitches and virtually leave no scars. A mini-phlebectomy is used for the veins that are too large to be closed down with sclerotherapy. Usually, this procedure is very well tolerated and causes only minor discomfort while providing excellent cosmetic results. A patient can return to his /her daily activities (except for vigorous exercises) immediately following the procedure. A mini-phlebectomy is often performed in conjunction with a Laser Treatment.

Vein Ligation

Vein Ligation is a procedure that has been used for many years to eliminate larger varicose veins. This surgery is performed on an outpatient basis using regional or general anesthesia – most patients are able to go home later in the day. Typically, individuals are able to return to work in a few days (depending on their occupation), and get back to recreational activities in a few weeks. During the procedure, the surgeon makes several small incisions over the diseased vein and it is tied off (ligated). This option usually offers good long-term results, but can leave some scarring where the incisions were made. Although vein ligation can be performed for cosmetic reasons, it is usually done for patients that have large, bleeding, problematic (aching, swelling) or damaged veins; or open sores resulting from varicose veins. In some cases, sclerotherapy is recommended as a follow-up to vein ligation to treat smaller varicose veins. A qualified vascular surgeon can help determine the best procedure for each individual’s varicose veins. However, in general, the following people are not appropriate candidates for vein ligation: Pregnant women (although pregnancy can aggravate varicose veins, they should not be treated during pregnancy) Older adults with medical conditions that predispose them to risks associated with surgery Individuals with poor circulation in the arteries of the legs Those that have lymphedema, skin infections or blood clotting disorders

Vein Stripping

Vein Stripping continues to be an effective option for removing damaged varicose veins. When performed by a qualified vascular surgeon, it typically eliminates the diseased vein and improves symptoms. Using regional or general anesthesia, this procedure is done on an outpatient basis. During the surgery, the physician makes several small incisions – one at the groin, one at the knee and possibly a few others over the diseased vein. A special instrument is used to grasp the vein and pull it out. Blood then automatically reroutes to nearby healthy veins. This treatment option can be moderately painful and requires a recovery period of 5-10 days. However, it is a procedure that has been performed for many years and is usually effective. Some patients have expressed concern that they may need this vein as a graft for a heart bypass operation in the future. Because the vein is diseased, it would not serve as an adequate graft anyway. Therefore, it is important to remove the bad vein and resolve the problems it causes. Like vein ligation, stripping can be performed for cosmetic reasons, it is usually done for patients that have large, bleeding, problematic (aching, swelling) or damaged veins; or open sores resulting from varicose veins. In some cases, sclerotherapy is recommended as a follow-up to vein ligation to treat smaller varicose veins. An experienced vascular surgeon can help determine the best procedure for each individual’s varicose veins. However, in general, the following people are not appropriate candidates for vein stripping: Pregnant women (although pregnancy can aggravate varicose veins, they should not be treated during pregnancy) Older adults with medical conditions that predispose them to risks associated with surgery Individuals with poor circulation in the arteries of the legs Those that have lymphedema, skin infections or blood clotting disorders

Colon cancer

Bariatric Weight Loss Center

Springfield Clinic Bariatric Weight Loss Center was developed to provide you with comprehensive and compassionate care throughout your weight loss journey. We understand everyone’s journey is different. We combine evidence-based treatment with an individualized approach.

Your comprehensive care team will include:

Registered Dietitians
Physical Therapists
Mental Health Therapist
Nurses
Bariatrician
Surgeon
Insurance Specialist
And, YOU

The foundation of treatment begins with education on lifestyle modification and behavior change. Additionally, you may be a candidate for other treatment options including:

Surgical Treatment

Duodenal-Jejunal Bypass with a Gastric Sleeve
Duodenal Switch
Gastric Bypass
Gastric Sleeve
Single Anastomosis Duodeno–Ileal Bypass with Sleeve Gastrectomy (SADI-S)
One-Anastomosis Gastric Bypass (OAGB)

Bone Health Center

The Bone Health Center at Springfield Clinic focuses on fragility fractures and osteoporosis. Our goal is to identify at-risk patients, support early diagnosis and provide appropriate medical management. Support from the Bone Health Center along with healthy lifestyle changes will improve the quality of life of our patients.

Breast Cancer Center

Springfield Clinic’s Breast Cancer Center is your team of dedicated physicians and staff who will be with you every step of your journey.

We understand that a cancer diagnosis is a frightening, confusing, life-changing event, not only for you, but for your loved ones. This diagnosis also begins a journey of many steps. Springfield Clinic’s Breast Cancer Center is here to quickly and thoroughly provide a map for your care.

“We are on your side. We are part of your team. We are here to make your journey as smooth as possible; we will do everything we can to ensure that’s the case. Everyone is as invested in this process as much as you are.” – Dr. Tam Mai

OUR TEAM APPROACH

Our multidisciplinary, comprehensive care approach is specifically designed for your convenience and expediency of your treatment. A team of experienced physicians from multiple specialties will collaborate on a care plan specific to your unique needs.

Cancer Prevention and Genetics

Springfield Clinic's Cancer Prevention and Genetics focuses on the prevention of cancer from a lifestyle perspective and identifies people at high risk for hereditary cancers related to genetic mutations.

Our services include a comprehensive examination focusing on cancer screening and cancer prevention education. We order cancer screenings such as mammograms and breast MRI as needed. We perform genetic risk assessments based on personal and family history and genetic testing for hereditary cancer syndromes (such as hereditary breast and ovarian cancer syndrome and lynch syndrome) for people who meet the National Cancer Comprehensive Network Guidelines and for whom genetic testing could direct their cancer treatment.

Clinical Research

Springfield Clinic’s providers have participated in research for over 50 years with more than 450 clinical trials conducted to date. As a result, Springfield Clinic is continually among the top-enrolling sites in numerous multicenter clinical trials, consistently meets study goals, and maintains high patient retention metrics.

As you may already know, Springfield Clinic is a well-known leader in the Central Illinois medical communities with more than 82 years of experience. We have more than 650 physicians and advanced practice practitioners delivering care in over 80 medical specialties and sub-specialties. Some of the areas we have focused on within Clinical Research have been Cardiology, Oncology, Neurology, Women’s Health, Colon & Rectal, ENT, Bariatrics, Rheumatology, Urology, Ophthalmology, Pulmonary, Gastroenterology, Sleep, Dermatology, Allergy, Nephrology, Endocrinology, Infectious Disease, Plastic, Podiatry, Orthopedic, & Family Medicine/Internal Medicine.

Springfield Clinic has a dedicated clinical research staff that collaborates with providers to offer central Illinois patients an opportunity to participate in clinical trials. These trials may provide promising treatment options that are otherwise not yet available.

Diabetes Learning Center

Being diagnosed with diabetes is becoming more and more common, but that doesn’t make the diagnosis any less overwhelming. As the disease spreads, so does the need for knowledge. Born out of Springfield Clinic’s Endocrinology department, The Diabetes Learning Center (DLC) was created to teach the newly—and not-so newly—diagnosed about their illness and its management.

The DLC works to achieve independence within the disease, educating patients and starting them on the path to self-management and independence. The DLC currently offers a series of four classes for patients. These courses will teach patients how to minimize the long-term effects of diabetes, manage their medications, adapt their lifestyles - including diet, exercise and healthy coping mechanisms - and be proactive in their diagnosis and disease.

Diabetes Wellness Center

The Diabetes Wellness Center (DWC) at Springfield Clinic provides comprehensive and collaborative care to our patients and support to their families.

This program is designed to provide you and your loved ones with information to assist you through your journey with diabetes. We will be by your side every step of the way.

Our program is designed for your medical needs as well as your comfort and convenience. We surround the patient with the medical expertise necessary to address the patient’s disease and specific symptoms and work as a team to determine the patient’s medical needs and make certain each patient receives appropriate care. The DWC offers patients easier access to specialists in the fields of:

endocrinology
diabetes education
dietetics & nutrition
nephrology (kidney diseases)
ophthalmology (eye diseases)
podiatry (foot health)
social work

Immunizations & Flu Shots

Getting your vaccinations is the best way to protect yourself and those you love. Not sure about your vaccination history and status? We want all of our patients to be protected. Talk to your doctor about which vaccines are recommended to protect you and your loved ones.

Flu Shot Clinics

Springfield Clinic will hold in-office and drive-up flu shot clinics based on supply. In addition to the below locations, Springfield Clinic patients can visit the West Side Drive-Up Lab during normal business hours to receive a flu shot. No appointment necessary.

infusion therapy

Patients requiring infusion therapy services will find convenient and comfortable services at Springfield Clinic’s Infusion Center. Specially trained infusion nurses are on staff to provide fast, safe and convenient care to patients requiring infused medication. There’s no waiting, no admitting process and the services are covered by Medicare and most insurance plans.

You don't have to be a Springfield Clinic patient to receive treatment at Springfield Clinic's Infusion Therapy Center. The center is available to all individuals that have been prescribed infusion therapy by a referring physician, even if that physician is not affiliated with Springfield Clinic.

Our staff

Springfield Clinic's Infusion Therapy Center is staffed by registered nurses who provide care that is overseen by an on-site physician. Patients receiving treatments in our infusion therapy center are continually supervised by trained infusion nurses to ensure the highest quality care and favorable patient outcomes. In addition, our full-time biologics coordinator is available to assist patients with pre-certifications and orders, including patient assistance copay programs.

Patient-Centered Medical Home (PCMH)

You and your health care at the center of your medical home team

Patient-centered medical home (PCMH) is not a building or a place: it is an approach to providing comprehensive primary care for children, youth and adults. PCMH is a health care setting that facilitates partnerships between individual patients and their personal physicians along with the patients’ family. In this personal model of health care, a team of health professionals collectively take responsibility for your care, with your primary care physician leading the way.

Your medical home team will make sure you get the care you need in wellness and illness to heal and maintain your health.

What is your role in patient-centered medical home?

Understand that you are a full partner in your own health care.
Learn about your condition and what you can do to stay as healthy as possible.
Commit to following the care plan that you and your medical team have agreed is important to your health.
Learn the value of communication. If you do not understand any part of your care, ask them to explain it in a different way.
Communicate with us if you obtain care from another health professional so we are fully updated on your medical issues and care.

Pediatric Healthy Lifestyle Center

Springfield Clinic’s Pediatric Healthy Lifestyle Center was developed to provide comprehensive, personalized and family-centered care for pediatric weight management. We are here to empower children through early interventions, education and support. This is one of the first weight management programs catered specifically toward the pediatric population, led by board-certified pediatric obesity specialists.

Childhood obesity is a serious health concern in the United States, which affects 1 in 5 children and adolescents, putting them at risk for poor health. -CDC

We are concerned about the hormonal and metabolic issues that can result from obesity, including diabetes, cardiovascular disease, high cholesterol and triglycerides, high blood pressure, fatty liver disease, sleep apnea, polycystic ovarian syndrome in females and low testosterone in males. Especially concerning is the social anxiety, bullying, depression and low self-esteem that can ensue.

Rural Health

Our Rural Health team is dedicated to serving all of our Springfield Clinic communities and ensuring that medical care and services are easily accessible and well coordinated in remote areas. No matter where you live in central Illinois, rest assured that the health care you receive at one of our satellite locations is the same high-quality care you would expect in Springfield.

Score P4

Score P4 is intended to be a safe, effective and supervised program in which physical therapists and athletic trainers will work with participants to focus on Preventing the risk of injury, helping achieve Peak Performance and helping to improve ability and confidence returning to Play. Specifically, this program is for active individuals and athletes returning from injury and targeting returns to their sports or usual recreational activities. Primary goals of the program will be to improve strength, speed, and power, particularly with higher level activity that may not be possible in a typical physical therapy environment or within the potential limitations or visit restrictions of insurance-based care.

Skilled Nursing Facility Program

The Springfield Clinic Skilled Nursing Facility program offers wellness and sick care visits at several local assisted living facilities in the area. Our board-certified adult-gerontology primary care providers care for Springfield Clinic patients under the guidance of their primary care physician. Appointments can be made by speaking with a nurse or manager at the facility where patients reside. Same-day and next-day visits are available as needed.

Sleep Disorders Center & CPAP Shop

The quality and quantity of sleep has a tremendous impact on every aspect of a patient’s overall health and well-being. Sleep disorders such as insomnia, narcolepsy, restless legs syndrome, sleep apnea and snoring are all incredibly common. If you are battling a sleep problem, the Sleep Disorders Center is here to help, providing a complete, comfortable and pain-free sleep testing experience. In addition, the CPAP Shop offers the equipment, supplies and training that patients need to successfully treat their obstructive sleep apnea.

CPAP shop

Sleep patients can now purchase enhancements to make their sleep therapies more comfortable in addition to picking up their prescribed medical equipment. Located in the Sleep Disorders Center and open during regular business hours.

sports medicine

Springfield Clinic Sports Medicine provides a fully-integrated experience for patients who need prevention, evaluation and treatment of sports-related injuries and conditions.

The sports medicine program encompasses a team approach to meeting the needs of the community and provides a full range of medical and physical services to treat athletes of all ages and levels from junior high, high school, collegiate, professional to weekend warriors and fitness enthusiasts. Injuries can range from trauma and fracture management to overuse and preventative care.

As part of Springfield Clinic Orthopedics, the sports medicine specialists will coordinate the athlete’s care, including any imaging (x-ray, MRI, CT, etc), lab work, physical therapy or referrals to appropriate medical or surgical providers.

Sports Medicine at Springfield Clinic gives our physicians direct access to the services needed to better and more efficiently manage injury care. Time is of the essence when dealing with severe sports injuries or the possibility of concussion. Springfield Clinic's Sports Medicine services benefit patients with faster care, greater value and ultimately, better health outcomes.

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