Benefits of Robotic Surgery

Technology is changing the way we do practically everything now, and the medical world isn’t immune. The da Vinci robot is changing the way surgeons are performing operations and is providing benefits to both patients and doctors.

While the surgeon sits at a modified computer console, he/she can control the instruments and camera. Placing their fingers into the master controls, the surgeon operates the arms of the da Vinci robot while simultaneously looking through a stereoscopic high-definition monitor that gives a better, more detailed 3-D view of the operating site than the human eye can provide. Every movement he makes with the master controls is replicated precisely by the robot. The robot’s “hands” have a high degree of dexterity, allowing surgeons the ability to operate in very tight spaces in the body that would otherwise only be accessible through open (long incision) surgery.

Using the da Vinci robot allows surgeons to perform a growing number of surgical procedures. Since these surgeries can be done through very small incisions, patients experience many benefits compared to open surgery, including:

  • Less trauma on the body
  • Shorter hospitalization
  • Reduced pain and discomfort
  • Faster recovery time and return to normal activities
  • Smaller incisions, resulting in reduced risk of infection
  • Reduced blood loss and transfusions
  • Minimal scarring

The surgical team supervises the robot at the patient’s bedside. Unlike traditional surgery where the surgeon stands over the patient sometimes for hours, a surgeon using the da Vinci system is seated, substantially decreasing surgeon fatigue. Add in the greater visualization abilities, enhanced dexterity, and greater precision and there are major advantages for both patients and surgeons using robotic surgery alike.

Dr. Tsuda and Dr. Ryan at VIPSurg are expert robotic surgeons. Call 702-487-6000 to schedule a consultation.




Bariatric Surgery: Busting the Myths and Misconceptions

Weight-loss surgery is a potentially life-saving procedure that helps you lose a substantial amount of weight by shrinking the size of your stomach and reducing food intake. Gastric bypass, lap band, and gastric sleeve are the three most recognizable names in bariatric surgery, but there are also a variety of other options thanks to continued medical advancements. Still, there remains a significant portion of the morbidly obese population who are unwilling to consider treatment for a variety of reasons; unfortunately, their reasons are often based on misconceptions or myths related to bariatric procedures.

Let’s bust 3 common weight-loss surgery myths:

Myth: Most bariatric surgery patients regain most if not all of their lost weight.Truth Vs Myth Bowling Facts Investigating Busting Untruth

Truth: Although some weight-loss surgery patients regain weight after their procedure, it’s not the norm. According to the American Society for Metabolic and Bariatric Surgery, up to 50% of patients may regain a small amount of weight in the years after surgery, but it usually only amounts to 5% of weight lost. Most patients embrace the life-changing effects of weight-loss surgery by improving their diets and habits.

Myth: The risks of weight-loss surgery outweigh the risks of obesity.

Truth: Weight-loss surgery is a quite safe procedure. Studies show that bariatric surgery patients reduce their mortality rates by up to 89% compared with severely obese people who avoid treatment.

Obesity is a disease linked with a number of serious health conditions including heart disease, stroke, diabetes, high blood pressure, and cancer. The National Institutes of Health lists obesity as the second leading cause of preventable death in the United States.

Myth: Weight-loss surgery is nothing more than a cop out for people who are too lazy to diet and exercise.

Truth: Those affected by severe obesity are resistant to long-term weight loss by diet and exercise. The National Institutes of Health Experts Panel recognizes that sustained weight loss is nearly impossible for those affected by severe obesity and may only be achievable through bariatric surgery. Diet, exercise, and lifestyle changes are part of treatment, but in order to shed the necessary amount of weight to make a life-changing, healthful impact, bariatric surgery may be the best option.

If you are struggling with severe obesity and are considering surgery, schedule a consultation at VIPSurg. Our team of experts will look at your personal situation and help find the right treatment for you.




5 Common Signs and Symptoms of a Hernia

Hernias are caused when fatty tissue or internal organs squeeze through weak muscle walls and connective tissue. A hernia can occur in any part of the body, but the most common areas are the inner groin (inguinal hernia), outer groin (femoral hernia), near the navel (umbilical hernia), upper abdomen (hiatal hernia), or at the site of a recent surgical scar (incisional hernia) They can be mildly to extremely painful, and they sometimes go away when you press on them or lie down. They are aggravated by coughing or sneezing. If a hernia doesn’t resolve itself, you may require surgery.

Here are 5 common signs and symptoms of a hernia:

  1. Visible Lump – often the first indication of a hernia is a visible lump or bulge which left untreated becomes very painful as more tissue is forced through the opening, widening and splitting the muscle, forming a large sac. Sometimes patients notice the bulge before the pain, but often there’s pain before the lump is noticeable to the naked eye.

**It’s very important that you go to your doctor as soon as you notice a lump anywhere as it may signify another health issue.

  1. Pain — ranging from slightly uncomfortable to severely painful, patients report everything from just seeing the bulge with no pain to excruciating pain that cannot be ignored
  2. A Full Feeling — A heavy, bloated, or uncomfortable feeling in your gut is common to those with umbilical or hiatal hernias. A feeling often described as a dragging sensation in the groin may be an inguinal hernia.
  3. Stomach Upset — including indigestion, nausea, and bowel issues may occur with hernias located in the groin or abdominal areas. If a hernia becomes strangulated (or blood supply is cut off), you will experience nausea and vomiting. A strangulated hernia requires immediate emergency medical attention as it is life-threatening to the patient.
  4. Difficulty with Daily Activities — as hernias grow and pain worsens, the quality of your daily life is affected. When common activities such as work, picking up children, and exercise become difficult and uncomfortable, hernia-repair surgery is often the answer.

At VIPSurg, our surgeons are experts in hernia repair using minimally invasive daVinci robotic surgery. Schedule a consultation to learn more.


LINX: A Small Device Getting Big Results

Most of us experience heartburn or indigestion once in a while. Sometimes it comes from overeating; other times it happens from eating or drinking something acidic or spicy which irritates the digestive tract. Frequent heartburn, however, can be a sign of a more serious disorder known as gastroesophageal reflux disease (GERD). GERD is a digestive disorder that affects the lower esophageal sphincter (LES), which is the ring of muscle between the esophagus and stomach. While GERD can often be controlled with diet changes and/or medication, more severe cases require surgery. The LINX device and procedure is changing the lives of people who suffer from chronic GERD.

Doctors believe that some people suffer from GERD due to a condition called hiatal hernia. A hiatal hernia occurs when the upper part of the stomach bulges through the diaphragm muscle which separates the abdomen and chest.

The diaphragm has a small opening (hiatus) through which the esophagus passes before connecting to the stomach. With a hiatal hernia, the stomach pushes up through that opening and into the chest.

A small hiatal hernia usually doesn’t cause problems. You might never even know you have one unless your doctor discovers it when checking for another condition. A large hiatal hernia, however, can allow food and acid to back up into the esophagus, leading to heartburn.

You might think that although heartburn can be very uncomfortable and even quite painful, surgery seems like an aggressive treatment for a common condition. Unfortunately, the long-term effects of GERD can be increasingly serious.

Left untreated, GERD can cause:

  • Esophagitis – inflammation of the esophagus.
  • Esophageal stricture – the esophagus becomes narrow, making it difficult to swallow.
  • Barrett’s esophagus – the cells lining the esophagus change into cells similar to the lining of the intestine. This can develop into cancer.
  • Respiratory problems – it is possible to breathe stomach acid into the lungs, which can cause a range of problems including chest congestion, hoarseness, asthma, laryngitis, and pneumonia.

Fortunately, when changes in lifestyle, diet, and medication don’t help, there is a Actual size.Actual benefits are immeasurable.minimally invasive procedure that is having life-changing results for GERD patients. It’s called LINX. This simple ring of titanium magnets is a small device that brings big results.

LINX is easy to understand and love because it is simple. The beauty of this quarter-sized device is that it does exactly what your failing LES is supposed to do — prevent stomach acid from entering your esophagus.

Why is LINX so great?

  • Unlike other procedures to treat reflux, LINX is implanted around the outside of the LES and requires no alteration to the stomach.
  • LINX preserves normal physiological function so you can belch or vomit as needed. The titanium beads open and close to let food down, and if it needs to come up, it can.
  • Designed for a lifetime. LINX is constructed of titanium, and the permanent magnets mean LINX will be working for you for the long haul.
  • Designed for everyday life. The device will not affect airport security. And you can still have an MRI.
  • LINX is designed to start working the moment the device is implanted.

Are you ready to take back control of your digestive health? LINX is intended for patients diagnosed with Gastroesophageal Reflux Disease (GERD), and who are seeking an alternative to continuous acid suppression therapy. Are you concerned with a lifetime of medication, pharmacy visits, and potential side effects? If this sounds like you, and you live in the Las Vegas area, schedule a consultation at VIP Surg. LINX can change your life.





Tips for Finding the Right Surgeon for You

Almost any surgery can cause serious complications, so you always want to be in good surgical hands. With so many doctors, how do you know which is the right surgeon for you?

One indicator to note is how often surgeons perform a procedure. That can be vital for operations that are relatively new, such as gastric bypass surgery for treating obesity. While many surgeons have started performing the operation, not all are qualified. A September 2009 study found that the risk of serious complications from the most common form of gastric bypass surgery fell by 10 percent for every additional 10 cases per year the surgeon had performed.

However, quantity isn’t the only or even most important measure of quality. A May 2009 study of 81,289 adults who had heart bypass surgery, for example, found that success depended more on how well surgeons and hospitals adhered to various markers of surgical excellence—such as using the appropriate technique during the operation and prescribing the right medications before and afterward—than the number of procedures performed.

Don’t be afraid to question your doctor. Ask your prospective surgeon these questions before going under the knife:

  • Is surgery really necessary? The best way to avoid surgical errors is to avoid surgery entirely, so ask about the effectiveness and safety of alternatives. Compare those with the risks of surgery and the chance that it will help you.
  • Is your board certification up to date? Look for a surgeon who has undergone the necessary training, even after being in clinical practice, to maintain board certification in his or her specialty.
  • What’s your experience? Ask how many operations the surgeon has performed in the past year and how that compares with his or her peers. You don’t have to find the busiest, most experienced surgeon in North America, but it’s important to avoid the doctor who does very few of the procedures, especially in a place that does very few.
  • What are your success, failure, and complication rates? Not all will be able or willing to tell you, but the good ones should be.
  • What’s the hospital’s infection rate? Seventeen states now make that information public, and many hospitals report their rates voluntarily.

doctor-650534_960_720Just remember to worry less about bedside manner and more about the final outcome. If you have to choose between a nice surgeon and a highly skilled surgeon, the skilled surgeon is the better bet.

If you live in the Las Vegas area and are looking for a surgeon who is both compassionate and highly skilled, Dr. Tsuda at VIP Surg is everything you’re searching for. Whether you have general surgery needs or are interested in bariatric surgery, he and his team of experts have the experience and skill for you to have an excellent outcome.

Bariatric Surgery: Impacting High Blood Pressure Through More Than Weight Loss

According to the Centers for Disease Control, about one in three U.S. adults has high blood pressure (hypertension). Risks include family history, advancing age, poor diet, consuming excessive amounts of alcohol, and being overweight or obese.

Lifestyle changes are a big part of controlling high blood pressure. The main tenets include:

  • Following a healthy diet, which may include reducing salt. The DASH (Dietary Approaches to Stop Hypertension) diet is often recommended. In addition to lowering salt intake, DASH is replete with fruits, vegetables, and low-fat or nonfat dairy. The diet emphasizes whole grains and is rich in potassium, magnesium, calcium and fiber.
  • Exercising regularly.
  • Maintaining a healthy weight.
  • Keeping stress levels at bay. (Stress can cause us to engage in unhealthy blood pressure-raising behaviors.)
  • Drinking only moderate amounts of alcohol.
  • Taking your medications as prescribed.

There are many types of prescription medications that can help control blood pressure and reduce the risk of heart attack or stroke. These medications may need to be taken for life to maintain their effect.

New research is showing, however, that bariatric surgery can allow obese people taking a lot of antihypertensive medications to cut way back on them. Study subjects’ blood pressure was maintained in the normal range with only one agent or even without drugs.

Within a year, those in a recent trial who had bariatric surgery were more than six times as likely to have cut back on their number of blood pressure (BP) medications by hypertension-867855__340about a third. Half of the surgical patients didn’t need any antihypertensive meds to maintain their BP at healthy levels. On the other hand, all of the “standard-care” patients in the study needed antihypertensive medications to keep BP that low, and half of them needed at least three different ones.

Interestingly, most patients in the gastric-bypass group achieved the primary end point in the first month of the postop period. That seems to indicate that something more is happening beyond just weight loss.

That something is likely to be related, at least in part, to the metabolic changes in the surgery group compared with the control group, which included significant improvements in fasting plasma glucose, HbA1c, LDL cholesterol, triglycerides, and high-sensitivity C-reactive protein in addition to the lowering of blood pressure.

If you live in the Las Vegas area and are wondering if bariatric surgery might be right for you, schedule an appointment at VIP Surg. Dr. Tsuda and his team can help find the right treatment for your unique situation.


Gallbladder Disease and Gallstones

Some people think of their gallbladder as being “expendable”. Not that anybody wants any of their organs to be removed, but since many people live a seemingly normal life after getting their gallbladder removed, many people don’t think their gallbladder plays an important role in their overall health. After all, how important can your gallbladder be if you can do just fine after it’s surgically removed? The gallbladder actually plays a very important role in your body. It is an essential part of the digestive system.

Your gallbladder is most likely to give you trouble if something blocks the flow of bile through the bile ducts. That is usually a gallstone. Gallstones form when substances in bile harden. Rarely, you can also get cancer in your gallbladder. Many gallbladder problems get better with removal of the gallbladder. Fortunately, you can live without a gallbladder. Bile has other ways of reaching your small intestine.

In the United States, about a million new cases of gallstone disease are diagnosed each year, and some 800,000 operations are performed to treat gallstones, making it the most common gastrointestinal disorder requiring hospitalization.

Gallstone disease is the most common disorder affecting the body’s biliary system, the network of organs and ducts that create, transport, store, and release bile. Bile contains cholesterol, water, proteins, bilirubin (a breakdown product from blood cells), bile salts (the chemicals necessary to digest fat), and small amounts of copper or other materials. If the chemical balance of bile contains too much of any of these components, particularly of cholesterol, crystals form and can harden into stones.

In terms of size, gallstones can be as small as a grain of sand or as large as a golf ball. A person can form one large stone in his or her gallbladder, or hundreds! About 10 percent of the population has gallstones, but the vast majority experiences no symptoms and need no treatment. However, in 1 percent to 2 percent of these people, gallstones can cause problems by lodging in bile ducts, stopping the flow of bile or digestive enzymes, and leading to severe abdominal pain, vomiting, inflammation, and even life-threatening infection.

Gallstone attack has some classic symptoms: The most agonizing pain is experienced in the upper right part of the abdomen under the ribs. Usually it appears suddenly, sometimes an hour or two after eating a fatty meal. The pain may get worse quickly, and then last for several hours. Many times, the pain may radiate to the back between the shoulder blades or under the right shoulder. Inhaling deeply, or moving, often makes the pain worse. The primary therapy for gallstones that are causing pain, inflammation, or infection is removal of the gallbladder.

A number of factors put people at higher risk of gallstones:

  • Gender: Women between the ages of 20 and 60 are 3 times more likely to develop gallstones than are men in the same age group. By age 60, 20 percent of American women have gallstones.
  • Age: The incidence of gallstone disease increases with age.Tsuda 11-18
  • Genetics: Family history and ethnicity are critical risk factors in development of gallstones, though no gene responsible for gallstone formation has yet been discovered. African-Americans seem to have lower rates of gallstone disease than American Indians, whites, or Hispanics.
  • Obesity: Obesity is a significant risk factor, particularly for women. Obesity also slows down the emptying of the gallbladder.
  • Location of body fat: Belly fat, that spare tire around the middle, dramatically increases the chance of developing stones.
  • Diabetes: People with diabetes often have high levels of triglycerides in their blood, and these fatty acids tend to increase the risk of gallstones.

Even if you’re not at risk for gallstones, it is wise to maintain a healthy body weight, by among other things, sticking to a diet that is low in fat and cholesterol and high in fiber.

If you are in the Las Vegas area and suffering with gallstones or gallbladder disease, schedule a consultation at VIP Surg.