CHRONIC ABDOMINAL PAIN
The surgical scope of this practice literally runs from the esophagus to the colon and all the structures in between. Dr. Gillian has personally taught courses involving laparoscopic surgery on nearly every organ in the abdomen and every hernia type. Consequently we are comfortable with the surgical evaluation of any intra bdominal organ or structure particularly when chronic pain is an issue. The technical expertise we have allows us to do this safely and typically in an outpatient setting
We are often asked to see patients that were originally evaluated in Primary Care, Pain Management, Ob/Gyn, Urology and even other General Surgical practices for their pain but without resolution. The lack of improvement prior to seeing us is not typically due to a lack of effort on the part of the patient or clinician. In fact, the patient typically brings us a pile of notes and imaging studies to review. The typical limiting factors are often the comfort level of the prior physician with evaluating the patients complaints surgically or being confident that they can fix the issue when found. This often required division of scar tissue or working in areas where the anatomy has been altered by prior surgery.