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CJS > Surgery & Services

General & Vascular Surgery Services Hillsborough, NJ

Dr. Buch performs general and vascular surgeries at Somerset Medical Center or Somerset Ambulatory Surgical Center http://www.sasctr.com/about-us. 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. Follow links for more detailed information.

General surgery includes but is not limited to:

  • Appendectomy – Removal of diseased appendix
  • Breast surgery – Removal of tissue, nodules or cysts to evaluate and diagnose conditions from benign breast disease to breast cancer
  • Cholecystectomy – Removal of the gallbladder; gallstones
  • Colectomy – Laparascopic or surgical removal of all or part of the colon for cancer, infection and diverticulitis
  • Hemorrhoidectomy – Removal of hemorrhoids
  • Inguinal Hernia – Repair of a hernia in the groin
  • Umbilical hernia – repair an umbilical hernia which is a sac (pouch) formed from the inner lining of the abdominal cavity that pushes through a hole in the abdominal wall.
  • Minimal Invasive Laparoscopic Surgery – done for many problems including gallstones, appendicitis, inguinal and abdominal hernias, colon problems, and abdominal pain.
  • 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 your surgeon opens or removes a cyst near your tailbone
  • Sentinel Node Biopsy – for breast cancer and melanoma
  • Thyroidectomy – Remove all or part of the thyroid including thryroid nodules
  • Vascular Access for Hemodialyis – arteriovenous (AV) fistula, AV graft
  • Vascular Access Procedure – portal catheter insertion and removal
  • Wound Care – Comprehensive treatment to patients suffering from chronic, nonhealing wounds. Patients are usually treated on an in office basis. Advance care surgery like skin grafting may be required for certain wounds to heal.

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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