Surgery › NuHealth - Nassau Health Care Corporation

Surgery

When medical treatments fail or emergencies occur, NuHealth’s board-certified surgical staff at Nassau University Medical Center is ready to intervene. Our attending surgeons practice in all of the major surgical disciplines and are highly experienced at emergency and trauma surgery as well as both routine and complex non-emergent surgery. And if you or a loved one need a highly specialized surgical procedure, our clinical relationship with North Shore-LIJ Health System ensures a smooth transfer and the seamless transmission of all of your medical records.

Whenever possible, we use minimally-invasive surgical techniques, using small “keyhole” incisions, specialized scopes and surgical instruments to reduce the risks and recovery time associated with open surgery. And NuHealth’s surgeons will work closely with your medical doctor or specialist and, most importantly, with you and your family. We’ll take time to fully explain all treatment options before we decide on your personalized treatment plan.

Above all, the members of the Department of Surgery at Nassau University Medical Center understand that surgery is a frightening experience for patients and loved ones alike. Our goal is to provide outstanding surgical treatment while ensuring the best possible patient experience.

  • Twelve fully-equipped operating suites at Nassau University Medical Center
  • State-of-the-art anesthesiology and operating room management provided by North American Partners in Anesthesia (NAPA), a recognized leader found in top hospitals throughout the Northeast.
  • Post-surgical care managed by NuHealth’s hospitalists…specialized physicians whose sole responsibility is ensuring your care and safety during your stay at Nassau University Medical Center
  • Nassau County’s only hyperbaric chamber, a facility that plays a critical role in the treatment of non-healing wounds

Contact Information

Appointments: (516) 486-6862

Except:

Bariatric & Laparoscopic Surgery (516) 572-4848
Hyperbaric & Wound Management (516) 572-5201
Neurosurgery (516) 296-3876
Pediatric Surgery (516) 572-6355

Administration:

Chairman's Office (516) 572-6703
Chair – Glenn Faust, MD
Administrator
Anne Salvo, RN
(516) 572-6703
Residency Coordinator
Wendy Narcisse
(516) 572-6243
Bariatric (weight loss) Surgery (516) 572-6703
Breast Surgery (516) 572-6703
Colorectal Surgery (516) 572-6703
Ear, Nose and Throat Surgery (516) 572-6703
Hand Surgery (516) 572-6703
Hyperbaric Medicine (516) 572-5201
Laparoscopic (Minimally-Invasive) Surgery (516) 572-6703
Neurosurgery (516) 572-6703
Pediatric Surgery (516) 572-6703
Plastic Surgery (516) 572-6703
Thoracic Surgery (516) 572-6703
Urology Surgery (516) 572-6703
Vascular Surgery (516) 572-6703
Wound Management (516) 572-5201
 

Bariatric (Weight Loss) Surgery

NuHealth is now a Center of Excellence site for Bariatric Surgery

Excessive weight is one of the leading risk factors for the development of diabetes, hypertension and cardiovascular disease. Fortunately, significant weight loss usually improves or eliminates these conditions. When those and other methods have failed, however, NuHealth’s bariatric surgeons at Nassau University Medical Center can help you achieve substantial weight loss through a variety of procedures, including the two most popular methods:

  • Roux en Y Gastric Bypass (pronounced "Roo-N-Why")
  • Adjustable Gastric Banding (also known as the LAP-Band procedure)

NuHealth’s bariatric surgeons are also experienced with a number of less common procedures, including:

  • Biliary Pancreatic Diversion
  • Gastric Sleeve Resection

Long-term studies show that patients who undergo bariatric surgery can achieve percentage losses ranging from 25% to 80% of excess body weight, recovery from diabetes, improvement in cardiovascular risk factors, and a reduction in mortality of nearly half.

How does bariatric surgery work?
Weight loss surgeries work by restricting the amount of food that you eat and/or altering your body’s ability to absorb food. Overeating is curbed because exceeding the capacity of the stomach, or eating foods that are high in fat causes nausea and vomiting. The two most common procedures are described below:

Roux en Y Gastric Bypass – Click to see illustration »

Gastric bypass can be performed as an open or minimally invasive (laparoscopic) procedure. The surgeon creates a small stomach pouch and bypasses a part of the intestine, restricting both the amount of food you eat and the opportunity for food to be absorbed.

Adjustable Gastric Band – Click to see illustration »

Usually performed as minimally invasive surgery, gastric banding entails placing a band around the upper part of the stomach. This band compartmentalizes the stomach into a small upper pouch and a larger lower part. You feel full earlier as the upper pouch is small. Thus it works by only restricting the amount of food you eat. As the name suggests, your surgeon can adjust the band via a port placed under the skin to ensure proper weight loss.

Is bariatric surgery right for me?
The U.S. National Institutes of Health recommends bariatric surgery for obese people with a body mass index (BMI) of at least 40, and for people with BMI 35 and serious coexisting medical conditions such as diabetes. Any surgical procedure carries some degree of risk that should be factored into your decision making, but the overall risk of remaining morbidly obese generally outweighs the surgical risks. Still, bariatric surgery is not a “magic pill” – to achieve significant, permanent weight loss you must be prepared to exercise and follow a restricted diet (the level of restriction varies with the type of surgical procedure) for the rest of your life. If you can’t make that kind of commitment, you probably won’t lose the weight you desire, and you may be putting yourself at additional risk for serious, even deadly, complications.

Which type of weight loss surgery is best?
Ultimately, the right bariatric procedure for you is the one that will help you to safely achieve your weight loss goals. While many believe gastric bypass enables faster and more significant weight loss, it is also irreversible and often requires a longer recovery period both in and out of the hospital. What’s more, gastric bypass surgery patients must be even more careful about adhering to a strict diet than those who undergo gastric banding (although both typically require a high-protein, low-fat and nearly alcohol-free diet) . As a result of these factors, the LAP-BAND® and other gastric banding procedures have increased in popularity. But recent studies have shown that successful weight loss is more dependent on the individual’s willingness to exercise and follow a healthy nutritional plan. Your bariatric surgeon and others in the Zaki Hossain Center will explain the details and help you select the procedure that makes the most sense for you.

Post Surgery
The care you receive following surgery is just as important as the skill and expertise of the surgeon. At the Zaki Hossain Center, every aspect of your recovery and ongoing weight loss is managed by a team of physicians, nurses, nutritionists, psychotherapists, exercise consultants and others. These caring professionals work together to you help you adjust to the lifestyle changes associated with bariatric surgery and monitor your health as you progress toward your weight loss goals. They are almost as invested in your success as you!

To make an appointment to discuss bariatric surgery, call (516) 486-6862.

Clinical Staff
George Angus, MD
Venkatesh Sasthakonar, MD

Breast Surgery

Working closely with physicians and other professionals in NuHealth’s Breast Center, the breast surgeons at Nassau University Medical Center are ready to provide state-of-the-art surgical treatments for benign and malignant conditions of the breast. We will be with you every step of the way, working as part of a multidisciplinary team whose overriding goal is your physical and emotional wellbeing. Most important, we help you understand what’s happening, evaluate your options, and choose the course of action that’s right for you.

If you do require breast surgery, NuHealth’s Breast Center team will provide both preoperative testing and post-operative care management. Many procedures can be performed in our ambulatory surgery units, allowing you to return home the same day. We will also help you consult with NuHealth’s plastic surgeons, who can provide many of the most advanced reconstructive procedures available today.

To make an appointment with a breast surgeon at Nassau University Medical Center, contact the NuHealth Breast Center at 516-486-6862.

Clinical Staff
Edwin Gonzalez, MD

Colorectal Surgery

NuHealth’s colorectal surgeons at Nassau University Medical Center offer comprehensive diagnostic and therapeutic interventions specifically related to diseases of the colon, rectum and anus, including:

  • Abscesses
  • Anal Fissures
  • Cancers of the Colon, Rectum snd Anus.
  • Crohn’s Disease
  • Diverticulitis
  • Fecal Incontinence
  • Fistulas
  • Hemorrhoids
  • Inflammatory Bowel Diseases
  • Ulcerative Colitis

We perform a variety of diagnostic procedures, including endorectal and endoanal ultrasound, examination under anesthesia, anoscopy, rigid and flexible sigmoidoscopy and colonoscopy, which is offered as a screening test for colon and rectal cancer. Many of these can be performed without anesthesia, and those that do are generally ambulatory procedures, requiring no overnight hospital stay. Procedures performed by the Division of Colorectal Surgery at Nassau University Medical Center include:

  • Therapeutic colonoscopy ( including dilation of strictures, removal of polyps, control of bleeding and stent placement)
  • Surgical management of benign and malignant anal and colorectal diseases
  • Open abdominal surgery
  • Minimally invasive (laparoscopic) abdominal surgery
  • Sphincter-sparing anorectal surgery
  • Surgical management of inflammatory bowel diseases
  • Sphincter repair procedures for incontinence

Clinical Staff
Elizabeth Cirincione, MD

Ear, Nose & Throat (Otolaryngology) Surgery

From simple removal of tonsils to complex procedures involving the tiny bones of the middle ear, NuHealth’s Ear, Nose & Throat (ENT) surgeons work alone or as part of a multidisciplinary team at Nassau University Medical Center. Also known as otolaryngologists, NuHealth’s ENT surgeons provide medical evaluation and surgical treatment for children and adults in emergencies and in both outpatient and inpatient settings. Our ENT specialists manage a wide variety of conditions involving the ear, nose, throat, head and neck, including:

  • Adenoiditis
  • Breathing Problems
  • Chronic Ear Infection
  • Chronic Nasal Obstruction
  • Deviated Nasal Septum
  • Hearing Loss
  • Hoarseness of Voice
  • Infections
  • Sinus Infection
  • Speech Problems
  • Swollen Adenoids
  • Throat (Larynx) Cancer
  • Tonsillitis

NuHealth’s ENT surgeons often work closely with other specialists in multidisciplinary teams to treat complex problems involving head and neck areas, including trauma, head and neck surgery, and plastic and reconstructive surgery. Together with our colleagues in ophthalmology, neurosurgery, chest surgery, pediatrics and other areas, we work closely with patients and families to not only provide treatment, but ease the concerns of both.

To make an appointment with an Ear, Nose & Throat surgeon at Nassau University Medical Center, call (516) 486-6862

If you are a physician seeking a consultation with an otolaryngolist, please call (516) 486-6862.

Clinical Staff
Dhiru Shah, MD
Berman Dean, MD

Hand Surgery

Our hands are marvels of engineering…a complex network of bones, ligaments, muscles, nerves and blood vessels, equally able to make a fist, manipulate tiny objects or offer a loving touch. Any injury or disease can impair the use of your hands, causing pain, hardship and lost work time. Practicing at Nassau University Medical Center, NuHealth’s board-certified hand surgeons specialize in the diagnosis and treatment of all problems of the hand, wrist and forearm, including:

  • Arthritis
  • Carpal Tunnel Syndrome
  • Congenital Limb Differences (Birth Defects)
  • Fractures of the Hand, Wrist, and Forearm
  • Nerve and Tendon Injuries
  • Sports Injuries of the Hand and Wrist
  • Tennis Elbow
  • Trigger Finger
  • Wrist Pain

In addition to performing surgical procedures, NuHealth’s hand surgeons often recommend non-surgical treatments, including medication, splints, injections and other therapies.

To make an appointment with a NuHealth hand specialist at Nassau University Medical Center, please call (516) 486-6862.

Clinical Staff
Roger Simpson, MD

Hyperbaric Medicine

As the tri-state area's first Level I Trauma Center with a multiplace hyperbaric oxygen chamber, Nassau University Medical Center has long been a regional leader in the use of Hyperbaric Oxygen Treatment (HBOT) to treat hard-to-heal wounds (see Wound Management), diving accidents and other problems, including:

  • Diabetic Lower Extremity Ulcers
  • Bone Infections (osteomyelitis)
  • Crush Injuries
  • Necrotizing Infections
  • Acute Arterial Insufficiency
  • Carbon Monoxide Poisoning
  • Complications following Radiation Therapy
  • Decompression Illness (“the bends”)
  • Gas Gangrene
  • Compromised Flaps and Grafts

What’s more, HBO therapy is being found useful in treating more and more conditions every year, and is currently being evaluated for its effectiveness in the treatment of heart attacks and strokes.

What is Hyperbaric Oxygen Treatment?
Hyperbaric Oxygen Treatments (HBOT) deliver pure oxygen to a patient in an airtight chamber at an atmospheric pressure that is greater than normal. Traditionally associated with the treatment of decompression illness (what divers refer to as “the bends”), HBOT has more recently emerged as a leading therapy in the treatment of problem wounds, infections and trauma. Under high pressure, blood is able to absorb more oxygen which, when carried to damaged or infected tissue, promotes faster healing.

HBOT at Nassau University Medical Center
In operation since 1996, NuHealth’s HBO Chamber is located within the Wound Care Center at Nassau University Medical Center. It is staffed by board-certified physicians as well as nationally-certified nurses and technicians with many years of patient care experience. Our multi-place HBO Chamber can accommodate up to six patients at one time. During treatments, patients, along with a medical attendant, are pressurized and allowed to breathe pure, 100% oxygen. The vast majority of patients are seen on an outpatient basis, and they can read or nap in recliners during the painless 90-minute treatments. Even critically ill patients can be treated, since necessary technical and nursing staff can accompany them in the chamber. There is also a mono-place chamber for patients who prefer lying down in a single chamber.

For an appointment, consultation or further information, please call 1-888-HBO-HEAL (1-888-426-4325).

Clinical Staff
Louis Riina, MD

Minimally-Invasive (Laparoscopic) Surgery

Whenever possible, NuHealth’s surgeons use the latest in laparoscopic (minimally-invasive) surgical techniques when performing surgical procedures at Nassau University Medical Center.

Using small, “keyhole” incisions, specialized instruments and a sophisticated camera on a flexible tube (a laparoscope or endoscope), minimally invasive surgery has many advantages over traditional “open” surgical procedures, including:

  • Less Trauma — Patients who are poor candidates for open surgery may be able to receive vitally important treatments via laparoscopic methods.
  • Shorter Hospital Stays — Often, patients that might require nearly a week in hospital following open surgery can go home in a day or two.
  • Reduced Infections — With fewer opportunities to enter the body, dangerous bacteria are less likely to cause post-operative infections — one of the most common complications of surgery.
  • Faster Healing — Smaller incisions take less time to heal. Surgeries that once required weeks or months of recovery before the patient could resume normal activities may only take days or weeks when performed laparoscopically.

Of course, not all surgery can be performed as minimally invasive procedures, and if complications arise, your surgeon may need to quickly turn a laparascopic procedure into full open surgery. No matter what, NuHealth’s surgical specialists will always attempt to do the procedure that is most likely to result in a positive outcome and the best possible patient experience.

Neurosurgery

When disease or trauma affects the brain or spine, NuHealth’s clinical relationship with the North Shore-LIJ Health System ensures that top neurosurgeons are ready 24/7 to repair the damage. As a Level I Trauma Center, Nassau University Medical Center is no stranger to victims of acute head injury. What’s more, as a designated Stroke Center, our dedicated neurosurgical team has extensive experience using the latest surgical techniques and therapies to help minimize the likelihood of long-term disability.

In addition to emergency treatment of brain and spinal injuries, NuHealth’s neurosurgeons treat the complete spectrum of disorders affecting the central nervous system, either at Nassau University Medical Center or at North Shore University Hospital. Conditions treated include:

  • Acute Brain Injury
  • Brain Tumors
  • Central Nervous System Infections
  • Cerebral Hemorrhages
  • Congenital Brain Abnormalities
  • Degenerative Disorders of the Spine
  • Intracerebral Vascular Abnormalities
  • Stroke

For an appointment with a neurosurgeon at Nassau University Medical Center, please call (516) 296-3876.

Clinical Staff
Elizabeth Fontana, MD, Director of Neurosurgery

Pediatric Surgery

For most parents, about the only thing worse than a child in the hospital is a child in the hospital for surgery. NuHealth’s pediatric surgeons understand just how frightening the experience can be for children and families alike, and when your child undergoes surgery at Nassau University Medical Center, we’ll do everything possible to make the experience as painless as possible for all concerned.

NuHealth’s pediatric surgical specialists provide comprehensive care for children with a broad spectrum of conditions requiring elective or emergency treatment, including:

  • Abdominal Wall Defects
  • Acute Appendicitis
  • Alimentary Tract Obstruction
  • Anorectal Anomalies
  • Biliary Tract (gallbladder and liver) Disorders
  • Crohn's Disease
  • Gastroesophageal Reflux
  • Hernias
  • Inflammatory Bowel Diseases
  • Intestinal Polyps
  • Neck Masses
  • Trauma
  • Tumors
  • Ulcerative Colitis
  • Umbilical Hernia
  • Undescended Testes

NuHealth’s pediatric surgeons most often work as part of a multidisciplinary team dedicated to your child’s health. Together with our pediatric nurses, hospitalists and other specialists, they and every other member of the pediatric and surgical staff at Nassau University Medical Center are dedicated to helping you and your child throughout his or her stay and through recovery.

To make an appointment with a pediatric surgeon at Nassau University Medical Center, please call (516) 572-6355.

Clinical Staff
Charles Coren, MD

Plastic Surgery

When trauma, disease or congenital defects cause disfigurement or loss of function, NuHealth’s specialists in plastic and reconstructive surgery help repair and restore body parts to normalcy. Working in the operating rooms, ambulatory surgery suites, Emergency Department and Burn Center at Nassau University Medical Center, our plastic surgeons have a long history of spectacular medical saves — including a number of dramatic limb reattachment surgeries that gained widespread media attention.

Nassau University Medical Center’s role as a Level I Trauma Center brings many of the region’s most severely trauma victims to our doors, ensuring that our specialists in plastic, cosmetic and reconstructive surgery are some of the most highly trained, highly experienced surgeons in the field. We perform a wide range of both emergency and non-emergent procedures in our Nassau University Medical Center practice, including:

  • Breast Reconstruction
  • Burn and Wound Care
  • Cancer Reconstruction
  • Cleft Lip and Palate Repair
  • Facial Paralysis
  • Hand Reconstruction
  • Maxillofacial Surgery
  • Microvascular Surgery
  • Skin and Bone Grafting
  • Skin Lesion Treatment

Above all, NuHealth’s plastic surgery specialists understand the physical and emotional pain caused by the loss of physical attributes due to traumatic injury, congenital deformity, or disease. We are ready to employ the latest advances in the field of reconstructive surgery to restore function and improve your appearance.

For an appointment with a plastic surgeon at Nassau University Medical Center, please call (516) 486-6862.

Clinical Staff
Louis Riina, MD
Roger Simpson, MD

Podiatry

Diabetics are especially prone to foot problems that can quickly become serious…even life threatening. To protect NuHealth’s patients, we include a Doctor of Podiatric Medicine on the multidisciplinary care teams at The Zaki Hossain Center for Hypertension, Diabetes & Vascular Disease. Our podiatrists treat a range of problems that are prevalent among diabetics, including:

  • Infections
  • Diabetic Ulcers (the leading condition requiring foot amputation)
  • Diabetic Neuropathy
  • Peripheral Nerve Damage
  • Peripheral Artery Occlusion
  • Poor wound healing

We offer a comprehensive diabetic foot care program including screenings, preventative medicine, and treatment of diabetes-related foot problems. We also provide special services such as diabetic shoes, custom braces, off-loading devices, and custom foot orthotics.

To make an appointment for a podiatric examination or treatment, please call (516) 486-6862

Clinical Staff
Tara Richman, MD
Robert Stabile, MD

Thoracic Surgery

NuHealth’s thoracic surgeons are experienced specialists whose skills are kept sharp by necessity. Operating at Nassau University Medical Center, our thoracic surgery specialists care for patients arriving from our Level I Trauma Center…many of whom have been victims of massive chest trauma. In addition, NuHealth’s thoracic surgery team provides surgical solutions for patients with diseases of the chest, lungs, heart, esophagus, mediastinum (the space containing everything in the chest but the lungs) and major blood vessels. Among the diseases and conditions NuHealth’s thoracic surgery team are called upon to address are:

  • Chronic Obstructive Pulmonary Disease (COPD)
  • Emphysema
  • Esophageal Cancer
  • Lung Cancer
  • Lung Failure
  • Pulmonary Inflammatory Disease
  • Swallowing Disorders

NuHealth’s thoracic surgeons work closely with physicians in other specialties at Nassau University Medical Center, including cardiology, pulmonary medicine, oncology and other areas of medicine.

For an appointment or consultation with a thoracic surgeon at Nassau University Medical Center, please call (516) 486-6862

Clinical Staff
Leonard Barrett, MD

Urology

When problems arise in the urinary system or male reproductive organs, NuHealth’s urologists provide both medical and surgical solutions. At Nassau University Medical Center, our board-certified urology staff treat both chronic problems and emergencies involving the kidneys, bladder, urethra, penis, testes, prostate and other organs and structures of the urinary and reproductive systems. These include:

  • Benign Prostatic Hyperplasia
  • Bladder Stones
  • Bladder Cancer
  • Cystitis
  • Erectile Dysfunction
  • Interstitial Cystitis
  • Kidney Cancer
  • Nephrolithiasis
  • Prostatitis
  • Prostate Cancer
  • Testicular Cancer
  • Urinary Incontinence
  • Vasectomy

Using a variety of diagnostic imaging technologies, catheters and minimally-invasive surgical techniques, NuHealth’s urology team helps restore health and normal function to hundreds of men each year. Women with urinary system malfunctions are seen by NuHealth’s specialists in urogynecology.

To make an appointment with a urologist at Nassau University Medical Center, please call (516) 486-6862.

Clinical Staff
Daniel McCally, MD
Stanley Ring, MD
Robert Mucciolo, MD

Vascular Surgery

NuHealth’s vascular surgeons help patients at Nassau University Medical Center prevent or treat many of the serious complications of diseases of the arteries and veins, as well as diabetes and associated diseases. Using a variety of non-invasive surgical and open surgical procedures, our vascular surgeons perform procedures on the abdominal and thoracic aorta, carotid arteries and other veins and arteries, helping restore proper blood flow to starving or damaged tissues, and helping to stave off infections and tissue death that leads to amputated limbs. Diagnostic and surgical procedures performed include:

  • Ambulatory Phlebectomy (Varicose Vein Treatment)
  • Angioplasty
  • Balloon Embolectomy
  • Minimally-Invasive Surgery
  • Peripheral Arterial Bypass Surgery
  • Revascularization
  • Thrombectomy

To make an appointment or consult with a vascular surgeon, call (516) 486-6862

Clinical Staff
Glenn Faust, MD
Richard Batista, MD
Paul Scott, MD

Wound Management

When problem wounds become a threat to life and limb, the wound care specialists at NuHealth’s Wound Care & Hyperbaric Oxygen Treatment (HBOT) Center are ready with the latest in sophisticated healing technologies. Nassau University Medical Center is the tri-state area’s first Level I Trauma Center with a multi-disciplinary wound care team and a large, multi-station hyperbaric oxygen chamber. Located within NuHealth’s Zaki Hossain Center for Hypertension, Diabetes & Vascular Disease at Nassau University Medical Center, the Wound Care Center evaluates and treats the entire spectrum of hard-to-heal wounds, providing not only the high tech healing power of HBOT, but wound cleansing, debridement, and daily changing of dressings if needed.

What is Hyperbaric Oxygen Treatment?
Hyperbaric Oxygen treatments (HBOT) deliver pure oxygen to a patient in an airtight chamber at an atmospheric pressure that is greater than normal. Traditionally associated with the treatment of decompression sickness (what divers refer to as “the bends”), HBOT has more recently emerged as a leading therapy in the treatment of problem wounds, infections and trauma. Under high pressure, blood is able to absorb more oxygen which, when carried to damaged or infected tissue, promotes faster healing.

Effective wound management is critically important to patients with diabetes and vascular disease, who are especially prone susceptible to problem wounds due to restricted blood flow and excess blood sugars that can greatly slow the healing process.

To contact a wound care specialist, call (516) 572-5201

Clinical Staff
Louis Riina, MD