Our Services

Breast Surgery

  • Vacuum-Assisted Breast biopsy

    If breast imaging demonstrates areas of concern within the breast tissue, Vacuum-Assisted Breast Biopsy (VABB) can be used to remove a sample of the tissue. Your surgeon inserts a vacuum-powered probe into the lesion. Then, they use gentle suction to pull a sample of the tumor lesion into the probe’s chamber, allowing them to obtain a sample of tissue for diagnosis.

    Localized Excisional Biopsy and Lumpectomy

    Depending on the size of the lesion, wire localization may be needed. Using real-time X-ray imaging a thin wire is inserted through your breast into the lump. During your surgery, the wire shows your surgeon the area to remove.

  • A lumpectomy removes a mass, which can be benign or cancerous, along with some of the surrounding tissue.

    Localized Lumpectomy

    Depending on the size of the lesion, wire localization may be needed. Using real-time X-ray imaging, a thin wire is inserted through your breast into the lump. During your surgery, the wire shows your surgeon the area to remove.

  • You may need a mastectomy to remove all or part of your breast if you have been diagnosed with breast cancer or have been found to have a higher-than-average risk of developing breast cancer in the future.

Colorectal Surgery

  • Colorectal surgery is often the best treatment for many health conditions in your rectum and colon. The skilled surgeons at North Texas Surgical Group use the latest technologies and have a proven record of success.

  • North Texas Surgical Group has extensive experience performing colorectal surgery for conditions such as:

    • Colon cancer

    • Anal fissures/fistulas

    • Crohn’s disease

    • Ulcerative colitis

    • Hemorrhoids

    • Diverticular disease

    • Irritable bowel syndrome

    • Rectal and colon polyps

  • During a resection, your surgeon removes the diseased part of your colon and then reattaches the two healthy ends.

  • A colostomy creates a way for stool to exit your colon waste through an opening in your abdomen. A colostomy may be warranted if a section of the colon has been removed and cannot be joined back together.  This may be temporary and can be followed by another operation to reverse the colostomy later, or it may be permanent. 

Gallbladder Removal

  • Your gallbladder lies beneath your liver on the right side of your body. The liver produces bile, a fluid that digests fats. Bile is stored in your gallbladder until needed during digestion, then travels through the bile ducts to your small intestine.

     

    You may need surgery to remove the gallbladder when you have gallstones, cholecystitis, or biliary dyskinesia.   These conditions don’t improve independently and can lead to severe complications.

     You may be able to manage your symptoms with medication or dietary adjustments. However, they don’t produce long-lasting results. Eventually, you need to have your gallbladder removed. Following cholecystectomy, your liver will send bile directly to the small intestine.

  • Substances dissolved in bile can bind together and turn into hard gallstones. Gallstones usually don’t cause problems until they block the opening to the bile duct. Then, bile backs up in the gallbladder.

     As bile builds up, inflammation and infection develop. That’s when you have cholecystitis. Without treatment, cholecystitis damages the gallbladder and can rupture the organ.

  • Gallstones lead to symptoms such as:

    • Sudden, intense pain in your upper right or mid-abdomen

    • Sudden pain in your back or between your shoulder blades

    • Pain after eating a high-fat or spicy meal

    • Jaundice (yellow eyes and skin)

    • Nausea and vomiting

    • Dark urine

    • Pale stool

    Cholecystitis causes the same pain along with a fever.

  • Though some people may have underlying problems that require open surgery, most can have a minimally invasive procedure called laparoscopic cholecystectomy.

    During a laparoscopy, your surgeon makes four small incisions in your abdomen. Tiny incisions cause less postoperative pain and help you recover faster than you would after open surgery.

     

    The laparoscope holds a video camera that sends high-definition, magnified images from inside your body to a television monitor in the operating room. Your surgeon removes the gallbladder by viewing the monitor while using narrow instruments inserted through the other incisions.

     Sometimes, your surgeon may perform laparoscopy using the da Vinci robotic surgery system. The robotic system allows them to perform more precise surgery because the robotic arm has greater dexterity and a better range of motion than manual instruments.

Hemorrhoid Banding + Excision

  • Hemorrhoids are enlarged blood vessels in your anus that can sometimes cause uncomfortable symptoms, like anal pain and bleeding. Hemorrhoids can be internal or external.

  • The surgeons at North Texas Surgical Group will discuss the following options for  treatment and determine the best treatment for you:  

    • Non operative Treatment  

    • Banding – is a minimally invasive technique that involves tying the base of the hemorrhoid with a rubber band to stop the blood flow to the hemorrhoid. The hemorrhoid will then shrink and fall off within 2-7 days.  

    • Excision – When hemorrhoids are severe, they may require removal, known as a hemorrhoidectomy. This is done under anesthesia and is a surgical procedure that removes the affected tissue attributing to these symptoms. 

Hernia Surgery

  • Hernia surgery is a procedure to repair weak spots in your abdominal wall. These spots allow your intestines or other nearby organs to push through and protrude from the muscle, a condition known as a hernia.

    Types of hernias that may require surgery include:

    • Hiatal hernia (diaphragm)

    • Femoral hernia (upper thigh)

    • Incisional hernia (abdominal weakness after surgery)

    • Umbilical Hernia (in the belly button)

    • Inguinal Hernia (groin)

    • Ventral Hernia (can occur anywhere on the abdomen)

    If you notice a lump or bulge in your abdomen or groin, you might have a hernia. Other symptoms can include pain when standing, lying down, or lifting heavy objects.

     If you have a hiatal hernia, you might not experience pain or a noticeable bulge but may have recurrent heartburn or acid reflux.

  • In some cases, you can treat a hiatal hernia with medications to neutralize stomach acids or reduce acid production. However, the North Texas Surgery providers may recommend surgery for a hiatal hernia if medicine isn’t enough to prevent your symptoms.

     Other types of hernias typically require surgical repair. The providers offer hernia evaluations in the office to determine if you’re a candidate for surgery.

     

    If you notice a hernia bulge that suddenly increases in size, severe pain in the area, or fever, seek immediate medical attention. These symptoms can indicate that your hernia is strangulated and blood isn’t flowing through the tissues.

    A strangulated hernia may be a life-threatening situation that requires emergency surgery.

  • North Texas Surgical Group offers minimally invasive laparoscopic surgery for hernia repair. Minimally invasive surgery requires fewer and smaller incisions to access and repair the hernia so that you can heal faster. The providers can also use open surgery techniques, if necessary, which require longer, deeper incisions.

     

    The surgeons can also use the da Vinci robotic surgery system for hernia surgery. The surgeons use this technology to control specialized robotic arms from a computer console. The arms hold surgical instruments that the surgeons can maneuver with heightened precision.

     

    During hernia surgery, the providers focus on repositioning protruding organs back into their original location and strengthening the weak areas of your abdominal wall with mesh. The surgeons offer both synthetic mesh and biologic mesh options for surgery. 

Infusaport Placement/Removal

  • An infusaport is a type of central venous catheter (CVC) put into one of your veins. This device is implanted under the skin in your upper chest, just below the collar bone, and is about the size of a quarter. A small catheter tube connects to the port and is placed into a large vein in your chest, allowing for direct IV access. A port will protect your veins from  damage from repeated access making it easier to:

    • Collect blood samples

    •   Administer IV medication that must go through a more prominent vein, such as chemotherapy.  

    • Administer IV fluids  

    • Administer blood products  

    • Administer IV contrast for specialized x-ray  

    The North Texas Surgical Group surgeons will discuss the best placement for your infusaport with you. 

Laparoscopic Surgery

  • Laparoscopic surgery is a minimally invasive surgical technique that requires only a few small incisions to access the surgical site.

    During this type of surgery, the surgeons fit a thin, telescopic rod with an attached camera through an incision. The camera sends real-time images of the site to an external monitor. The surgeons can make repairs or remove damaged tissue while watching the monitor using specialized surgical tools. 

  • Laparoscopic surgery is used to diagnose and treat a variety of conditions.  

    North Texas Surgical Group can also perform laparoscopic surgery to address:

    • Tumors

    • Hernias

    • Colorectal cancer

    • Colorectal Disease

    • Gallbladder Disease

    • Gastroesophageal reflux disease (GERD)

    To determine if you’re a candidate for laparoscopic surgery, the provider will perform a comprehensive physical exam and will review your medical history to determine the severity of your condition and ensure laparoscopic surgery is the best treatment for you. Your surgeon may order additional diagnostic testing if further evaluation of your condition is needed. 

  • Because laparoscopic surgery requires only small incisions to access the surgical site, you can expect your incisions to heal quickly.

     

    The minimally invasive techniques the North Texas Surgical Group providers use also cause less trauma to surrounding tissues so that you can recover with less pain, bleeding, and other post-surgical complications.

    In some cases, you can go home the same day as your surgery to start your recovery. If you must remain in the hospital for observation, your stay may be much shorter than after traditional open surgery.

Robotic Surgery

  • Robotic surgery is minimally invasive surgery using a set of robotic arms that your surgeon controls with a computer console.

     

    During robotic surgery, the surgeons completely control the robotic arms. They can perform surgery with a higher level of precision than they might achieve with other surgical techniques.

     

    North Texas Surgical Group uses the advanced Da Vinci robotic surgery system to perform different types of surgery without causing unnecessary trauma to the body. The Da Vinci system allows them to perform complex surgeries with a lower risk of post-surgical complications. 

    You can also expect to heal faster after robotic surgery than you might after traditional open surgery because of the smaller incisions and less invasive nature of the surgical techniques.

  • North Texas Surgical Group uses robotic surgery techniques to treat:

    • Tumors

    • Hernias

    • Colorectal Cancer

    • Colorectal Disease

    • Gallbladder Disease

    Gastroesophageal reflux disease (GERD) 

  • During robotic surgery, the North Texas Surgical Group providers make small incisions over the treatment area. Through an incision, they insert a scope with an attached camera. The camera sends high-definition, 3D images of the surgical site to an external monitor.

     Your surgeon watches the monitor while controlling a set of robotic arms from a computer console. The robotic arms hold specialized surgical instruments to repair or remove damaged tissue or organs.

    Because they can operate on precise areas of your body using robotic technology, surgeons can avoid damage to nearby tissue and reduce your risk for bleeding, infections, pain, and other complications. The smaller incisions also minimize your risk of noticeable scars.

Soft Tissue Surgery

  • Soft tissue surgery is a treatment option for diseases that damage your soft tissues. North Texas Surgical Group offers soft tissue surgeries to treat issues like:

    • Abscesses

    • Lipomas

    • Sebaceous Cysts

    • Pilonidal Cysts

    • Melanoma and other skin cancers