Fixation Burst Strength of Ventral Hernia Repairs:

Strategies for Lowering the Rate of Bile Duct Injuries in Laparoscopic Cholecystectomy

REDUCING COMPLICATION RATES

Published in JSLS in October 2003

Dr, G. Kevin Gillian, MD

Laparoscopic cholecystectomy is the modern “gold standard” for gallbladder extraction, but its level of difficulty and morbidity are often underappreciated by referring physicians and patients. The surgical community is quick to point to the humanistic benefit patients derive from a successful laparoscopic cholecystectomy, but quietly fears the consequences of the infrequent, but devastating, bile duct injury (BDI). These complications reached an incidence of 0.4% to 0.8% during early experiences with laparoscopic cholecystectomy [1].

A Practice devoted to Minimally Invasive Surgery and Laparoscopy.

The Virginia Hernia Institute is a division of the surgical practice of G. Kevin Gillian, M.D, F.A.C.S.  He is a Board Certified General Surgeon with unique Fellowship Training in Laparoscopic and Minimally Invasive Surgery. Althought this is a "private" practice the Institute participates in ongoing  surgical research, educational video production, surgeon education as well as national and international presentations and surgical preceptorships. He and his partner Dr David Weintritt have established Surgical Specialists of Northern Virginia to provide state of the art surgical care to patients in the Northern Virginia, Southern Maryland and D.C. Metro Area.

Please take a moment to browse through the site to learn more about the practice. If you have any questions or comments please feel free to contact the office. We look forward to hearing from you.

Learn more about the Virginia Hernia Institute staff:

1. G. Kevin Gillian, MD - Curriculum Vitae
2. Renee Lukashefski Gonzalez, RN, BSN - Sclerotherapy
3. Virginia Hospital Center - Heartburn Center

Services

A broad spectrum of surgical services are available in this practice but the major focus is on providing state of the art surgery via minimally invasive and less painful techniques.  Quite a few of our procedures can be done conveniently and privately under local anesthesia in the office.  Below is a list of some of the procedures provided for our patients.  This list is meant to be informative and usefull but it is not a complete list.  Please call the office is you have any questions about your particular problem.

Hospital Procedures

All of the following procedures are performed laparoscopically at a hospital with incisions that are typically 0.5 -1cm in size.  Many are done as outpatient surgery so that you can go home the same day.

• Adrenalectomy -adrenal gland removal
• Appendectomy
• Cholecystectomy - gallbladder removal
• Colon Surgery
  
  • Diverticulitis treatment
  • Cancer removal

• Exploration for chronic abdominal pain
• Hernia Surgery
  • Incisional
  • Inguinal Hernia
    • Bilateral
    • Recurrent
    • Unilateral
    • Femoral
    • Groin
  • Hiatal
  • Parastomal- colostomy or ileostomy hernia
  • Sport
  • Umbilical
  • Ventral

• Gastrectomy -removal of stomach tumors
• Heller Myotomy- treatement of Achalasia
• Lysis of Adhesions- treatment for  abdominal pain and bowel obstruction.
• Nissen Fundoplication - treatement of esophageal reflux
• Splenectomy-removal of spleen

Office Based Surgery

• Removal of Skin Lesions
  • Benign and Malignant
• Cyst removal
• Lipoma removal
• Varicose Vein Surgery
  • Closure® procedure
  • Sclerotherapy