Dr. Adam P. Lipkin routinely uses laparoscopic surgery to minimize pain and recovery time by using incisions less than an inch in length. Most laparoscopic surgery is done on an outpatient basis. In particular, gallbladder removal (cholecystectomy), appendix removal (appendectomy), and hernia repair are usually amenable to laparoscopic techniques.
The following is a list of conditions most commonly treated by Dr. Lipkin:
Inguinal (groin) hernia
Ventral (abdominal wall) hernia
Gallstones and other gallbladder disease
Colonoscopy (examination of the colon under sedation)
Upper Endoscopy (examination of stomach and esophagus)
Breast lump or abnormal mammogram
Infusaport placement (long term I.V.)
Temporal artery biopsy
Pilonidal Cyst removal
Lymph node biopsy
Laparoscopy (looking inside abdomen with small incisions)
For information on specific surgical conditions and their treatment, Dr. Lipkin suggests
Techniques for pain prevention include minimizing incision length, use of long-acting local anesthetic, and use of specially designed retractors that minimize tension on the muscles. Additionally, laparoscopy is done with humidified air at body temperature to avoid irritation to the abdominal lining (peritoneum). Methods employed for pain control include use of local anesthetic infusion pumps, use of multiple pharmaceutical modalities, and offering patient controlled analgesic whereby a computer allows you safe, immediate i.v. medication (while in the hospital).