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CJS > General Surgery

General Surgery Somerville & Hillsborough, NJ

Dr. Buch performs general and vascular surgeries at Somerset Medical Center or Somerset Ambulatory Surgical Center www.sasctr.com. While some general, vascular and endovascular procedures may require a short hospital stay, most laparoscopic surgery procedures are performed same day. Below is a list of common surgeries Dr. Buch performs.

General surgery includes but is not limited to:

  • Appendectomy – Now a laparoscopic procedure usually performed as an emergency with patients going home sooner due to the minimally invasive procedure.
  • Breast surgery – Performing biopsies for diagnosis and treatment of breast cancer and masses for more than 25 years, Dr. Buch continually advocates minimally invasive and breast-sparing procedures whenever possible.
  • Cholecystectomy – Removal of the gallbladder; gallstones. Dr. Buch was instrumental in bringing minimally invasive laparoscopic gall bladder removal to the region, as well as teaching many area surgeons the laparoscopic technique.
  • Colectomy – All colon resections are performed by Dr. Buch laparascopically, whenever possible (while about 80 percent of hospitals in the US still perform open repair of colon resection). Laparoscopic repair allows for quicker return to normal function; and is performed for colon cancers, diverticulitis, Chrohn’s disease and more.
  • Hemorrhoidectomy – Removal of hemorrhoids is a standard same day procedure
  • Inguinal Hernia – Dr. Buch brought minimally invasive laparoscopic groin hernia repair to Somerset Medical Center many years ago, and has performed most laparoscopic repairs in the region. Open repairs are performed when indicated.
  • Umbilical hernia – Depending on size of the hernia, laparoscopic or open repair of an umbilical hernia is removal of a sac (pouch) formed from the inner lining of the abdominal cavity that pushes through a hole in the abdominal wall.
  • Melanoma and other skin cancer excision – Surgical treatments may include the removal of cancerous tissues (such as tumors, polyps, or lymph nodes) and management of reoccurring cancerous cells.
  • Pilonidal cystectomy – procedure in which Dr. Buch opens or removes a cyst near the tailbone
  • Sentinel Node Biopsy – to prevent spread of breast cancers and melanoma is now more minimally invasive
  • Thyroidectomy – Having performed thyroid surgery for more than 25 years, Dr. Buch asserts that open thyroid surgery continues to be the safest and best treatment for thyroid nodules and cancer.
  • Vascular Access for Hemodialyis – arteriovenous (AV) fistula, AV graft is a connection between artery and vein that is performed to allow more ease of hemodialysis. It is a minimally invasive procedure with small incision.
  • Vascular Access Procedure – Insertion of Mediport for chemotherapy access; catheters for hemodialysis; essential lines for delivery of antibiotics.
  • Wound Care – Dr. Buch is only one of two physicians in Central New Jersey who is board certified in Wound Care. Click here to access our Wound Care Center tab.

Vascular surgeries and services:

  • Aneurysms – may include endovascular or open repair of abdominal aortic aneurysm or popliteal artery (aneurysm at artery behind the knee) to prevent life-threatening rupture.
  • Carotid Artery Stenosis – Carotid artery surgery is a procedure to restore proper blood flow to the brain. You have one of these arteries on each side of your neck. Blood flow in this artery can become partly or totally blocked by fatty material called plaque. Such a blockage can reduce the blood supply to your brain and may cause a stroke. Carotid artery surgery (endarterctomy) can prevent stroke.
  • Dialysis Access and Creation/Insertion and Maintenance – AV (arteriovenous) fistulas and AV grafts are surgical procedures to create a direct access for the dialysis specialist to withdraw and reinfuse blood for dialyisis.
  • Peripheral Arterial Disease treatments – Restoring blood flow with a vascular procedure provides good relief of symptoms. Procedures include but not limited to: Balloon angioplasty and/or stenting; Atherectomy is a procedure that utilizes a catheter with a sharp blade to remove plaque from a blood vessel. A surgical bypass reroutes blood flow around the blood vessel blockage by creating a new pathway for blood flow using a graft or patient’s vein.
  • Renal Artery Stenosis – Disease of the arteries that supply blood to the kidneys – a condition known as renal artery stenosis – is less common than the more familiar form of atherosclerosis, peripheral arterial disease, but is equally serious. Treatments my include renal angioplasty or stenting.
  • Varicose Vein treatments – Modern advancements in medical treatment have made the goal of restoring proper venous blood flow by eliminating varicose veins even safer and more effective. Treatment methods vary from collapsing the veins from the inside – endovenous vein ablation (heat) – or physically removing the vein, to different methods of sclerotherapy. All treatment methods can be performed separately or in conjunction to offer the best results.

See the VASCULAR CENTER for all our Vascular testing services.

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