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Dr. Adam P. Lipkin routinely uses laparoscopic surgery to minimize pain and recovery time by using incisions less than an inch in length. Most laparoscopic surgery is done on an outpatient basis. In particular, gallbladder removal (cholecystectomy), appendix removal (appendectomy), and hernia repair are usually amenable to laparoscopic techniques.
 
The following is a list of conditions most commonly treated by Dr. Lipkin:
  • Inguinal (groin) hernia
  • Ventral (abdominal wall) hernia
  • Umbilical hernia
  • Gallstones and other gallbladder disease
  • Colonoscopy (examination of the colon under sedation)
  • Upper Endoscopy (examination of stomach and esophagus)
  • Colon Cancer
  • Breast Cancer
  • Breast lump or abnormal mammogram
  • Diverticulitis
  • Bowel obstruction
  • Thyroid tumor
  • Appendicitis
  • Skin lump
  • Infusaport placement (long term I.V.)
  • Temporal artery biopsy
  • Pilonidal Cyst removal
  • Lymph node biopsy
  • Laparoscopy (looking inside abdomen with small incisions)

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    For information on specific surgical conditions and their treatment, Dr. Lipkin suggests www.mayoclinic.com.
     
    Techniques for pain prevention include minimizing incision length, use of long-acting local anesthetic, and use of specially designed retractors that minimize tension on the muscles. Additionally, laparoscopy is done with humidified air at body temperature to avoid irritation to the abdominal lining (peritoneum). Methods employed for pain control include use of local anesthetic infusion pumps, use of multiple pharmaceutical modalities, and offering patient controlled analgesic whereby a computer allows you safe, immediate i.v. medication (while in the hospital).
     
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