Surgical Services

With one of the busiest surgical programs in the Carolinas, surgeons at Forsyth Medical Center and Medical Park Hospital perform more than 56,000 procedures a year and offer a full range of surgical care, including expertise in the latest minimally invasive techniques.

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Many of the procedures that Forsyth Medical Center's general surgeons perform are conducted using laparoscopic technology and remote-control manipulation of instruments where the surgical field is viewed through an endoscope or similar device for a clear, precise view.

Four recently upgraded operating suites include digital cameras, digital monitors and digital processors including the ability for voice command for some technology. These suites emphasize Forsyth Medical Center's Committment to offer both our surgeons and our patients the very best technology.

Angiogram (Heart Catheterization) Anterior Cruciate Ligament (ACL) Repair Appendectomy Artificial Cervical Disc Replacement (PCM) Balloon Sinuplasty Bile Duct Bypass Biopsy Bladder Repair Carotid Endarterectomy Colon Resections (Colectomy) Colonoscopy Colostomy/Ilestomy Common Bile Duct Exploration Cystoscopy da Vinci Robotic Prostate Surgery Endometrial Ablation Endometrial Biopsy Endometriosis Treatment Endoscopic Retrograde Cholangiogram with Stone Removal Endovascular Stenting Fine Needle Aspiration Flexible Sigmoidoscopy Foot and Ankle Surgery Gallbladder Removal (Cholecystectomy) Gastrointestinal Procedures Hand Surgery Heart Catheterization Heart Failure Treatment Hysterectomy Infertility Treatment Joint Injections (Intra-Articular Injection) Joint Replacement Knee Ligament Repair Laparoscopic Surgery Laproscopic Nissen Fundoplication Laser-Based Therapies Lumbar Epidural Steroid Injection Lumpectomy Lymph Node Dissection Mastectomy Minor Surgical Procedures Myelogram Neck and Back Pain Treatment Needle Localizations Nucleoplasty Optic Nerve Decompression Pediatric Surgery Sigmoidoscopy Sinus Endoscopy Skin Grafting
Skin Grafting

A surgical procedure by which skin or a skin substitute is placed over a burn or nonhealing wound to permanently replace damaged or missing skin.

Neck and Back Pain Treatment

Treatment options for people suffering from neck and back pain.

Myelogram

A myelogram is a specific x-ray study that allows careful evaluation of the spinal canal and nerve roots. It involves the injection of a dye or contrast material into the spinal canal.

Lumbar Epidural Steroid Injection

An injection of long-lasting steroid in the epidural space – that is the area which surrounds the spinal cord and the nerves coming out of it.

Joint Injections (Intra-Articular Injection)

A joint injection is a procedure used in the treatment of inflammatory joint conditions.

 

Flexible Sigmoidoscopy

Flexible sigmoidoscopy uses a short, lighted tube to examine the sigmoid colon and rectum.

Fine Needle Aspiration

For a fine needle aspiration biopsy,  a very thin needle is placed into the lump or suspicious area to remove a small sample of fluid and/or tissue. No incision is necessary. A fine needle aspiration biopsy may be performed to help to differentiate a cyst from a lump.

Endometriosis Treatment

The endometrium is the tissue that lines the uterus. When this tissue grows somewhere else in the body it is called endometriosis. These abnormal growths may cause mild to severe pelvic pain, especially during menstruation. Endometriosis may also be associated with infertility. Treatment for endometriosis can be either medical or surgical. Various oral and injectable hormones are available to help slow the growth of endometriosis. Although significant improvement results from initial treatment in some patients, others have recurring symptoms and persistent disease. Recent studies demonstrate that endometriosis can be managed equally well with laparoscopic removal.

Endometrial Biopsy

An endometrial biopsy is  a procedure in which a sample of tissue is obtained through a tube that is inserted into the uterus.

Endometrial Ablation

A surgical procedure that destroys the lining of the uterus. Unlike a hysterectomy, it does not remove the uterus. Endometrial ablation may stop all menstrual bleeding in some women. However, some women still have light menstrual bleeding or spotting after endometrial ablation. A few women have regular menstrual periods after the procedure. Women who have endometrial ablation still need to use some form of birth control even though, in most cases, pregnancy is not likely after the procedure.

Colonoscopy

A colonoscopy is  a procedure that allows the physician to view the entire length of the large intestine and can often help identify abnormal growths, inflamed tissue, ulcers and bleeding. It involves inserting a colonoscope, a long, flexible, lighted tube, in through the rectum, up into the colon. The colonoscope allows the physician to see the lining of the colon, remove tissue for further examination and possibly treat some problems that are detected.

Carotid Endarterectomy

This surgical procedure removes plaque and clots from the carotid arteries located in the neck. These arteries supply the brain with blood from the heart. Endarterectomy may help prevent a stroke from occurring.

 

Infertility Treatment

Infertility is defined by the American Society for Reproductive Medicine (ASRM) as a disease of the reproductive system that impairs the body's ability to perform the basic function of reproduction. Types of treatments for women may include: ovulation medications, intrauterine insemination, surgery, or assisted reproductive technology (ART). There also is a range of treatment options currently available for male factor infertility. Treatment may include: assisted reproductive technologies (ART), drug therapy, or surgery.

Laparoscopic Surgery

Laparoscopic surgery (also known as minimally invasive surgery) is performed through multiple small incisions (1/4" to 1/2" long) using specially designed surgical instruments and viewed through a laparoscope, or surgical telescope.

Bile Duct Bypass

This procedure is done if the pancreas has blocked the main bile duct. A new connector to the bowel may need to be created to avoid jaundice.

 

Artificial Cervical Disc Replacement (PCM)

The Artificial Cervical Disc is designed as a replacement for a damaged or diseased spinal disc.

 

Needle Localizations

A special examination for localizing questionable masses that cannot be felt but are seen on mammogram films. The radiologist places a needle with a wire into the area of abnormality. The needle remains in the breast once it is in the area of interest.  The patient then goes to the operating room for the biopsy procedure. The needle is used as a guide by the surgeon to ensure that the correct area of abnormality is removed.

Gastrointestinal Procedures

Prodedures to diagnosis and/or treat conditions affecting the gastrointestinal (GI) tract, which is the part of the digestive tract where the body processes food and eliminates waste. It includes the esophagus, stomach, liver, small and large intestines, and rectum.

Knee Ligament Repair

Knee ligament repair is a treatment for a complete tear of a knee ligament that results in instability in the knee. The surgery involves reattaching the torn ends of the ligament or replacing the ligament with a piece of healthy tendon. A tendon from the kneecap or hamstring, for example, is grafted into place to hold the knee joint together. The tendon graft may come from the person (autograft) or from a cadaver (allograft).

 

Joint Replacement

Surgeons perform joint replacement surgeries for knees, hips and shoulders. Following joint replacement surgery, most patients are able to resume previous daily activities with vastly improved comfort levels and ease of movement.

 

Surface replacement surgery is sometimes recommended for younger, more physically active patients. Other alternatives to total joint replacement include Osteotomy, Arthroplasty and Arthrodesis.

Hand Surgery

Surgery to address conditions and injuries of the hand.

Foot and Ankle Surgery

Surgical procedures to treat problems with the foot and ankle.

Endovascular Stenting

Endovascular stenting is a minimally invasive procedure that uses advanced technology and instrumentation to treat such disorders of the circulatory system as blockage or damage to blood vessels caused by the build up of plaque (fatty deposits, calcium deposits, and scar tissue) in the arteries, a condition called atherosclerosis (hardening of the arteries). The doctor may recommend the placement of an endovascular stent, a small wire-mesh tube that surgeons call a scaffold, in an affected artery. The procedure may be done in conjunction with cleaning or repairing the artery.

Minor Surgical Procedures

Minor surgical procedures are those that can be done in the physician's office with local anesthesia.

Sigmoidoscopy

Examination of the rectum and lower part of the colon (sigmoid colon) using a flexible viewing tube passed through the rectum.

Nucleoplasty

Nucleoplasty is a new, minimally-invasive procedure that offers relief to those with contained lumbar disc herniation or pain.

 

Lymph Node Dissection

A lymph node dissection, also called lymphadenectomy, is surgery to remove lymph nodes. This may be done to examine lymph nodes for cancer cells. The removal and examination of the cancerous lymph nodes will help determine the exact stage and grade of the cancer and may reduce the spread of the disease.

Laproscopic Nissen Fundoplication

Laparoscopic Nissen Fundoplication is a surgical procedure that alleviates GERD symptoms when lifestyle changes or anti-reflux medications have not controlled symptoms.

Endoscopic Retrograde Cholangiogram with Stone Removal

This is an x-ray and procedure to remove stones in the common bile duct.

Common Bile Duct Exploration

A common bile duct exploration is sometimes performed when a stone is found blocking the common bile duct. Tubes, catheters and x-ray guidance are used in this procedure.

Bladder Repair

Surgery to repair  bladder prolapse (cystocele), or other bladder-related conditions. 

Balloon Sinuplasty

A type of endoscopic surgery in which a catheter-based device clears blocked sinuses, restoring normal sinus drainage and function, and preserving normal anatomy and mucosal tissue.

 

Anterior Cruciate Ligament (ACL) Repair

Repair of the ligament, located in the center of the knee, that controls rotation and forward movement of the tibia (shin bone).

Pediatric Surgery

Pediatric surgery is the treatment of disease, injury or other disorders in children by direct physical intervention, usually with instruments. Surgery involves the cutting into the skin or other organ to accomplish restoring the body to a healthful state.

Heart Failure Treatment

Heart failure is a serious form of heart disease, but it can be monitored and treated in an attempt to improve heart function and reduce symptoms. The proper treatment for heart failure depends on what area of your heart is affected, and can include medicine and/or surgery.

Heart Catheterization

A doctor inserts a thin plastic tube (catheter) into an artery or vein in the arm or leg. From there it can be advanced into the chambers of the heart or into the coronary arteries.

Angiogram (Heart Catheterization)

Also called an "arteriogram" or "heart catheterization," an angiogram is an x-ray of the arteries and veins to detect blockage or narrowing of the vessels.

Lumpectomy

A type of breast-conserving surgery that may be used as a part of a treatment plan for breast cancer. During a lumpectomy, the cancerous lump and a portion of the breast tissue around the cancerous lump are removed. However, the breast itself remains intact.

da Vinci Robotic Prostate Surgery

This procedure incorporates a state-of-the-art robotic surgical system that helps your surgeon see vital anatomical structures more clearly and to perform a more precise surgical procedure through small incisions. For most patients this procedure offers substantially less pain and a much shorter recovery period.

The surgeon performs the operation by manipulating long hand-held surgical instruments inserted into the abdomen through small incisions.

Cystoscopy

Cystoscopy (also called cystourethroscopy) is an examination in which a scope, a flexible tube and viewing device, is inserted through the urethra to examine the bladder and urinary tract for structural abnormalities or obstructions, such as tumors or stones. Samples of the bladder tissue (called a biopsy) may be removed through the cystoscope for examination under a microscope in the laboratory.

Hysterectomy

Hysterectomy is the surgical removal of the uterus. Different portions of the uterus, as well as other organs, may be removed at the same time.

Gallbladder Removal (Cholecystectomy)

Removal of the gallbladder (Cholecystectomy) may occur when gallstones develop. They are small hard masses often consisting of cholesterol and bile salts that form in the gallbladder or bile duct. These stones may block the flow of bile out of the gallbladder.

Appendectomy

The appendix is a small, finger-shaped pouch of intestinal tissue located between the small intestine and large intestine. If the appendix becomes infected, it must be surgically removed before a hole develops in the appendix and spreads the infection to the entire abdominal space. An appendectomy is the surgical removal of an infected appendix.

Sinus Endoscopy

Sinus Endoscopy, a treatment for chronic sinus problems, is a minimally invasive procedure that eliminates the need for an external incision. The sinus surgery procedure begins through the nose, removing the thickened and diseased tissue blocking the sinuses. Most of the healthy tissue in the sinuses is undisturbed allowing for a rapid recovery.

Optic Nerve Decompression

Optic nerve compression occurs when there is increased pressure to the nerve of vision without a discernable cause. Women from their teens through 50s are more likely to have this condition. Surgery involves opening the sinuses through the nose and then carefully drilling the bone over the optic nerve. The lining of the nerve is then slit to allow the nerve to swell and relieve the pressure. Computer-guided surgery is sometimes used to aid in identifying structures in the sinus. This allows for accurate navigation in the nose.

Colostomy/Ilestomy

A colostomy or ilestomy is performed when the large intestine, rectum, or anus is unable to function normally or needs rest from normal functions. This procedure can be performed using laparoscopic surgery. Laparoscopic surgery uses a thin, telescope-like instrument called a laparoscope, which is inserted through a small incision at the belly button. The laparoscope is connected to a tiny video camera which projects a view of the operative site onto video monitors located in the operating room.

Colon Resections (Colectomy)

Laparoscopic intestinal resection surgery (colectomy) uses a thin, telescope-like instrument called a laparoscope, which is inserted through a small incision at the belly button. The laparoscope is connected to a tiny video camera which projects a view of the operative site onto video monitors in the operating room. Anyone with a condition that requires removal of a large part of the intestine, including diverticulitis, Crohn's disease, some colorectal cancers, and rectal prolapse may be a candidate for laparoscopic intestinal surgery.

Biopsy

A biopsy is a procedure in which tissue samples are removed (with a needle or during surgery) from the body for examination under a microscope; to determine if cancer or other abnormal cells are present.

Mastectomy

A mastectomy is surgery to remove portions or all of the breast.

Forsyth Medical Center Medical Park Hospital Thomasville Medical Center
Thomasville Medical Center

207 Old Lexington Road
Thomasville, NC 27360
(336) 472-2000

Medical Park Hospital

1950 South Hawthorne Road
Winston-Salem, NC 27103
(336) 718-0785

Forsyth Medical Center

3333 Silas Creek Parkway
Winston-Salem, NC 27103
336-718-5000