Colon & Rectal Surgical Specialists of New York
OVERVIEW
Colon & Rectal Surgical Specialists of New York (CRSSNY) is a leading medical practice specializing in the diagnosis and treatment of conditions related to the colon, rectum, and anus. With a team of board-certified colorectal surgeons, CRSSNY is committed to providing patients with the highest quality care using state-of-the-art technology and minimally invasive techniques. Established in 2002, the practice has expanded to multiple locations, serving patients from various regions. CRSSNY's expert team of specialists is dedicated to offering personalized care and ensuring a comfortable experience for patients throughout their treatment journey.
HISTORY
CRSSNY was established in 2002 with the mission of providing specialized care for patients with colon and rectal disorders. Over the years, the practice has grown and evolved, incorporating advanced surgical techniques and state-of-the-art technology to ensure the best possible outcomes for patients. The team of board-certified specialists at CRSSNY has grown to include Dr. Dean P. Pappas, Dr. Frank Caliendo, Dr. Sarah Bibi Soleh, Dr. Mala M. Balakumar, and Dr. Cesar Sanz. Each of these doctors has undergone extensive medical training to diagnose and treat colorectal issues. As a result of their expertise and dedication to patient care, CRSSNY has earned a reputation for excellence and prestige in the field of colorectal surgery.
SERVICES
CRSSNY offers diagnosis, treatment and surgical procedures for a wide range of colorectal conditions, including:
Anal Abscess and Fistula
Anal abscess and fistula are common conditions treated at Colon & Rectal Surgical Specialists of New York (CRSSNY). An anal abscess is an infection of the anal glands, which causes them to become clogged and results in a pus-filled cavity near the anus or rectum. An anal fistula, on the other hand, is a small tunnel that forms under the skin, connecting a previously infected anal gland to the skin on the buttocks outside the anus. This usually occurs as a result of a previous abscess.
Symptoms of an anal abscess include pain, swelling around the anus, fatigue, fever, and chills. In the case of a fistula, symptoms may include irritation of the skin around the anus, drainage of pus (which often relieves the pain), fever, and general discomfort. It is important to note that not all abscesses develop into fistulas, with only about 50% of cases progressing to this stage. Treatment for these conditions should be sought from a specialist, such as those at CRSSNY, to ensure proper care and management.
Anal Cancer
Anal cancer is a relatively rare but serious condition that the specialists at Colon & Rectal Surgical Specialists of New York (CRSSNY) are experienced in diagnosing and treating. This type of cancer affects the tissues of the anus, with approximately 7,000 cases diagnosed in the United States each year. The risk of anal cancer increases with age, and it is more common in women than in men.
Early detection is crucial for the best prognosis, as it allows for more effective treatment before the cancer spreads to the lymph nodes. Symptoms of anal cancer can include rectal bleeding, rectal itching, pain or pressure in the anal area, changes in bowel movements, abnormal anal discharge, swollen lymph nodes in the anal area or groin, and a lump or mass near the anus. It is important to note that these symptoms can also be indicative of other conditions, such as anal ulcers, anal fissures, hemorrhoids, and inflammatory bowel disease.
The skilled surgeons at CRSSNY utilize the latest techniques and technology to diagnose and treat anal cancer, providing compassionate care and patient education throughout the process. If you are experiencing symptoms of anal cancer or have received a diagnosis, contact the experts at CRSSNY's Garden City, NY, practice for comprehensive care and support.
Anal Fissures
An anal fissure is a small tear in the lining of the anus that can cause pain and bleeding. CRSSNY offers various treatment options, including medication, Botox injections, and surgery.
Colonoscopies
A colonoscopy is a diagnostic procedure performed by the colorectal specialists at Colon & Rectal Surgical Specialists of New York (CRSSNY) to examine the colon and rectum for abnormalities, such as polyps, cancer, or inflammation. This procedure is essential for early detection and prevention of colorectal cancer, as well as for diagnosing other colorectal conditions.
During a colonoscopy, a long, flexible tube called a colonoscope, equipped with a camera at the end, is inserted into the rectum. The camera allows the colorectal specialist to visualize the entire colon and rectum, identify any abnormalities, and take tissue samples or remove polyps if necessary.
To ensure patient comfort, CRSSNY administers anesthesia before the procedure, which is overseen by a board-certified anesthesiologist. The patient should not feel or remember any part of the exam. The colonoscopy takes place in one of CRSSNY's soundproof suites, providing a private and comfortable environment for the patient.
If the colorectal specialist discovers a polyp during the colonoscopy, they may decide to remove it, as polyps can develop into cancer. If other abnormalities, such as large polyps or tumors, are detected, the specialist will perform a biopsy. The biopsy involves examining the abnormal tissue or polyp under a microscope to check for cancerous cells.
Colonoscopies play a crucial role in detecting and treating diseases such as colon cancer before they become life-threatening. CRSSNY's team of board-certified colorectal specialists is dedicated to providing comfortable, private exams for their patients across their five office locations throughout Long Island and Queens.
Colorectal Cancer Treatment
Colorectal cancer treatment involves the removal of cancerous cells from the colon, rectum, and anus. The primary focus of the treatment is to eliminate cancerous cells and prevent the spread of the disease. Early detection through colorectal cancer screenings plays a crucial role in improving the chances of recovery and survival rates. Treatment options may include surgery, chemotherapy, and the use of advanced technology such as the da Vinci® Xi Robotic Surgical System.
State-of-the-Art Treatment for Colorectal Cancer
The team at Colon & Rectal Surgical Specialists of New York makes every effort to avoid surgery, and most cases of rectum and colon cancer can be treated non-operatively. If surgery is required beyond what can be performed during the screening, the team will work with the patient to schedule colorectal surgery. Treatment for colorectal cancer requires a multidisciplinary approach, involving specialists in medical and radiation oncology, radiology, pathology, and nutrition experts.
Diverticulitis
Diverticulitis treatment aims to alleviate the symptoms and complications associated with diverticular disease, a condition characterized by the formation of bulging pouches (diverticula) in the walls of the lower intestine. Diverticulitis occurs when these pouches become inflamed or infected, causing abdominal pain, fever, and changes in bowel habits. The Colon & Rectal Surgical Specialists of New York provide specialized treatment to relieve symptoms and improve the quality of life for patients suffering from diverticulitis.
For mild cases of diverticulitis, treatment can often be managed at home. The specialists at CRSSNY may recommend a liquid diet consisting of water, broth, juice, or ice pops to help soothe the intestines and antibiotics to combat the infection. A high-fiber diet is also beneficial in improving bowel movements and preventing the recurrence of diverticulitis.
In more severe cases of diverticulitis, colon resection surgery may be necessary to remove the damaged or infected diverticulum tissue. The team at CRSSNY prioritizes exploring alternative methods before recommending invasive solutions, as only a small number of patients require surgery. Their primary goal is to offer discreet and effective care that alleviates symptoms, allowing patients to resume their normal lives free of pain and digestive problems.
To accurately diagnose diverticulitis, the doctors at CRSSNY may perform a variety of diagnostic tests, starting with the least invasive procedures and progressing to more advanced testing as necessary. These tests may include blood tests, urinalysis, stool tests, liver function tests, X-rays, CT scans, and rectal exams. Female patients may undergo additional testing to rule out pregnancy and pelvic disease, both of which can cause abdominal pain, cramping, and bloating.
Hemorrhoid Treatment
Hemorrhoid treatment focuses on providing relief from the symptoms of hemorrhoids and addressing the underlying causes to prevent recurrence. Hemorrhoids, also known as piles, are swollen veins in the network surrounding the anus. They can be either internal (inside the anus) or external (visible on the edge or outside of the anus). External hemorrhoids typically result in itching, burning, and pain.
At Colon & Rectal Surgical Specialists of New York, the Hemorrhoid Treatment Center provides specialized care for patients with hemorrhoidal symptoms. In most cases, hemorrhoids and their symptoms can be treated without surgery. The specialists offer a comfortable, private environment for patients while treating hemorrhoids and other colorectal conditions. Treatment options may include medication, at-home care, and dietary changes. In some cases, surgical intervention may be necessary.
To accelerate recovery and manage symptoms, specialists may recommend at-home treatment and dietary changes. These may include:
- Wiping gently with unscented toilet paper
- Eliminating certain spicy or acidic foods from your diet
- Avoiding scented soaps, detergents, and other chemical agents
- Keeping the anus clean and dry after a bowel movement
- Showering or bathing daily
- Wearing clean, loose-fitting, cotton underwear (avoid wearing nylon)
- Changing out of wet or sweaty clothes immediately
- Increasing fiber and water intake for bouts of constipation
Depending upon the patient's unique needs, a customized treatment plan can be designed to manage symptoms and treat the condition.
Inflammatory Bowel Disease
Inflammatory bowel disease (IBD) includes conditions such as Crohn's disease and ulcerative colitis. CRSSNY provides comprehensive care for patients with IBD, including diagnosis, medication management, and surgical treatment options.
Rectal Prolapse
Rectal prolapse occurs when the rectum protrudes through the anus. CRSSNY offers both conservative and surgical treatment options for rectal prolapse.
Robotic Surgery
Robotic surgery is an advanced form of minimally invasive surgery that utilizes cutting-edge technology to enhance surgical precision and improve patient outcomes. At Colon & Rectal Surgical Specialists of New York, the highly skilled surgeons employ the da Vinci® Xi Robotic Surgical System for various colorectal procedures, offering patients numerous benefits such as reduced scarring, decreased postoperative discomfort, and faster recovery times.
da Vinci Xi Robotic Surgical System
The da Vinci Xi Robotic Surgical System is a state-of-the-art platform that allows surgeons to perform complex procedures with unparalleled accuracy and precision. During robotic-assisted surgery, the surgeon operates from a console equipped with master controls that translate their hand movements into precise, real-time movements of the robotic instruments. The system also provides a high-definition, 3D view of the surgical site, enabling the surgeon to visualize the patient's anatomy with exceptional clarity and detail.
Benefits of Robotic Surgery
Robotic surgery offers several advantages over traditional open and laparoscopic surgery, including:
- Minimal scarring: The use of small incisions and precise movements of the robotic instruments result in less visible scarring.
- Decreased post-operative discomfort: The enhanced precision of robotic surgery minimizes trauma to surrounding tissues, reducing pain and discomfort after the procedure.
- Increased visibility for the surgeon: The high-definition, 3D view provided by the da Vinci Xi system allows the surgeon to see the surgical site with greater clarity and detail.
- A shorter recovery: Patients typically experience a faster recovery time due to the minimally invasive nature of robotic surgery.
- A faster return to normal activity: The reduced impact on the patient's body allows them to resume their daily activities more quickly.
Applications in Colorectal Surgery
At Colon & Rectal Surgical Specialists of New York, robotic surgery is used for various colorectal procedures, such as colon resection and treatment of rectal cancer. By utilizing the da Vinci Xi Robotic Surgical System, the surgeons can perform each step of the surgery with exceptional accuracy, minimizing damage to surrounding healthy tissues and improving patient outcomes.
Transanal Endoscopic Microsurgery (TEM)
Transanal Endoscopic Microsurgery (TEM) is a minimally invasive surgical technique used to treat conditions of the middle and upper rectum. At Colon & Rectal Surgical Specialists of New York, the skilled surgeons employ TEM to remove lesions, tumors, or rectal cancers without the need for abdominal incisions. This advanced approach offers patients numerous benefits, such as no scarring, minimal bleeding, minimized post-operative pain, fast recovery, and same-day surgery.
During a TEM procedure, the surgeon inserts a proctoscope, a special type of endoscope, into the patient's anus. The proctoscope is slowly moved to the areas of concern within the rectum. A small camera attached to the proctoscope provides the surgeon with an up-close view of the surgical site, allowing them to accurately identify and target the affected tissue.
Once the proctoscope has reached the area of concern, the surgeon uses long, thin tools to remove any lesions, tumors, or rectal cancers. TEM is particularly effective for patients with tissues too large for removal through a colonoscopy but small enough to be removed without abdominal surgery.
Benefits of Transanal Endoscopic Microsurgery (TEM)
Transanal Endoscopic Microsurgery offers several advantages over traditional open surgery, including:
- No scarring: Since the procedure is performed through the anus, there are no external incisions, resulting in no visible scarring.
- Minimal bleeding: The use of specialized tools and precise surgical techniques minimizes blood loss during the procedure.
- Minimized post-operative pain: The minimally invasive nature of TEM reduces trauma to surrounding tissues, leading to less pain and discomfort after surgery.
- Fast recovery: Patients typically experience a quicker recovery time due to the less invasive nature of the procedure.
- Same-day surgery: In most cases, TEM can be performed as an outpatient procedure, allowing patients to return home the same day.
At Colon & Rectal Surgical Specialists of New York, the surgeons prioritize patient comfort and safety during all surgical treatments, offering sedation options to maintain comfort. To learn more about Transanal Endoscopic Microsurgery and other minimally invasive colorectal procedures, contact the specialists for an in-depth examination and personalized treatment recommendations.
LOCATIONS
Nesconset
STREET ADDRESS: 61 Southern Blvd
CITY: Nesconset
STATE: NY
POSTAL CODE: 11767
COUNTRY: United States of America
LATITUDE/LONGITUDE: 40.85461109999974, -73.1582047374316
PHONE NUMBER: +1 516-494-3027
Melville
STREET ADDRESS: 510 Broadhollow Rd. Ste 309
CITY: Melville
STATE: NY
POSTAL CODE: 11747
COUNTRY: United States of America
LATITUDE/LONGITUDE: 40.77747493772522, -73.42141765092471
PHONE NUMBER: +1 516-473-0780
Manhasset
STREET ADDRESS: 1155 Northern Blvd 2nd Floor
CITY: Manhasset
STATE: NY
POSTAL CODE: 11030
COUNTRY: United States of America
LATITUDE/LONGITUDE: 40.78600246796117, -73.70803462208906
PHONE NUMBER: +1 516-248-2422
Greenlawn
STREET ADDRESS: 5 Cuba Hill Rd West Entrance
CITY: Greenlawn
STATE: NY
POSTAL CODE: 11740
COUNTRY: United States of America
LATITUDE/LONGITUDE: 40.86684287003057, -73.3664914644178
PHONE NUMBER: +1 516-248-2422
Garden City
STREET ADDRESS: 1100 Franklin Ave Ste 203
CITY: Garden City
STATE: NY
POSTAL CODE: 11530
COUNTRY: United States of America
LATITUDE/LONGITUDE: 40.73152249137768, -73.63666619325343
PHONE NUMBER: +1 516-248-2422
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