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General surgeons

Found 5 general surgeons


Dr. Sergio Zaladek Gil

Dr. Sergio Zaladek Gil

General Surgeon in São Paulo

General surgeon

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Languages: English, Portuguese
Languages: English, Portuguese

Rua Duarte de Azevedo, 284 - Conjunto 14, Santana, Sao Paulo, 02036-020

Dr. Alexandre Genis Ghelman

Dr. Alexandre Genis Ghelman

Specialist in Gynecology, Obstetrics and Surgery in São Paulo

Gynecologist

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Languages: English, Portuguese, French, Italian
Languages: English, Portuguese, French, Italian

Avenida Pacaembu, 1400 - Pacaembu, Sao Paulo, 01234-000

Languages: English, Portuguese

Rua Conselheiro Brotero, 1486 - Santa Cecilia, Sao Paulo, 01232-010

Dr. Laís Albernaz Kury

Dr. Laís Albernaz Kury

General Surgeon in Campos dos Goytacazes

General surgeon

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Languages: English, Portuguese, Spanish
Languages: English, Portuguese, Spanish

Rua Arisio Lessa, 30 - Parque Avenida Pelinca, Campos dos Goytacazes, 28035-119

Dr. José Maria Borducchi

Dr. José Maria Borducchi

General Surgeon in Santo André

General surgeon

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Languages: English, Portuguese
Languages: English, Portuguese

Avenida Portugal, 875 Centro, Santo Andre, 09040-011

General information on medical treatment

What is a general surgeon?

A general surgeon is a physician specialized in performing surgeries in various parts of the body, such as the digestive system, urinary tract, skin, and soft tissues. In addition to performing interventions, they are responsible for all patient care, from initial assessment to post-operative follow-up, ensuring effective recovery.

This professional has the ability to diagnose and decide if surgery is the best option to treat conditions such as appendicitis, hernias, digestive diseases, and trauma. Their function is to ensure continuous and complete care, focusing on patient recovery and prevention of complications.

Education and specialization of the general surgeon

The education of a general surgeon begins with a medical degree, followed by a specific medical residency in general surgery that lasts an average of 3 to 5 years. During this period, the physician acquires essential theoretical and practical knowledge, developing technical skills under the supervision of experienced professionals. This rigorous training is fundamental to ensure the ability to perform complex procedures with precision and safety.

After residency, many surgeons opt for subspecializations in areas such as oncological surgery, traumatology, or vascular surgery, increasing their expertise in specific fields. Continuing education through conferences, courses, and scientific updates is an integral part of the career, keeping the professional always updated with the latest techniques and medical advances.

Areas of practice for the general surgeon

The general surgeon is a multifaceted specialist, with skills to perform procedures in various areas of the body. They treat a wide range of medical conditions, and their work encompasses key areas of health. Here are some of the most common areas in which the general surgeon can practice:

Digestive system

In the digestive system, the general surgeon specializes in dealing with conditions that affect organs such as the stomach, esophagus, intestines, and liver. Common surgeries include gallbladder removal due to gallstones, treatment of appendicitis, and surgeries to treat problems in the esophagus or intestines.

Endocrine system

The general surgeon also performs procedures on the endocrine system, which is responsible for hormone production in the glands. An example of a procedure is the removal of the thyroid gland in cases of diseases such as cancer or hyperthyroidism.

Hernias

The surgeon specializes in treating various types of hernias, including inguinal (in the groin area), umbilical (near the navel), and hiatal (when part of the stomach rises to the chest). These procedures are common and help relieve painful or dangerous symptoms caused by the presence of hernias.

Emergency surgeries

The general surgeon is also essential in emergency situations. Traumatic accidents, such as severe fractures or hemorrhages, require a rapid response. The surgeon performs immediate interventions to stabilize the patient, avoiding serious complications and ensuring a more effective recovery.

Oncological surgery

The role of the general surgeon in oncology is crucial for the treatment of various types of cancer. They perform procedures to remove tumors in organs such as the stomach, intestine, pancreas, and liver, contributing significantly to the multidisciplinary treatment of cancer. The precision of these procedures is essential for the complete removal of affected tissue and to minimize damage to adjacent healthy structures.

Currently, innovative techniques such as robotic surgery and minimally invasive methods are used by the oncological general surgeon, providing greater precision and less impact on the patient's body. This specialization requires constant updating on treatment protocols and active participation in multidisciplinary oncology teams.

The importance of the general surgeon in quick and accurate diagnoses

The general surgeon plays a fundamental role in identifying and diagnosing conditions that require surgery. Their competence goes beyond performing the operation, as they are the main person responsible for evaluating the patient's clinical condition and making accurate diagnoses. The ability to diagnose correctly is essential to choose the appropriate treatment and ensure the patient's recovery.

When evaluating the patient, the general surgeon performs a detailed analysis, taking into account the symptoms, medical history, and health conditions of the patient. Based on this evaluation, they can prescribe complementary tests that confirm the diagnosis, such as imaging or laboratory tests. This approach is crucial to determine the need for surgery and the type of intervention that will be most effective.

Advanced diagnostic technologies and resources

Modern general surgeons rely on a wide range of technologies that aid in accurate diagnosis. High-resolution imaging exams such as computerized tomography, magnetic resonance imaging, and ultrasound allow for detailed visualization of internal structures, identifying abnormalities with great precision. These technological resources are essential for surgical planning and for determining the most appropriate approach for each case.

In addition to imaging tests, biological markers and specific laboratory tests provide valuable information about the patient's general state and the condition to be treated. The integration of this data with clinical evaluation provides faster and more accurate diagnoses, which is especially important in emergency situations where time is a critical factor for the success of treatment.

Common procedures performed by the general surgeon

Appendectomy

Appendectomy is the removal of the appendix, usually done in cases of appendicitis. This surgery is crucial to avoid complications such as rupture of the appendix, which can result in generalized infection. The procedure is simple and can be performed in a minimally invasive way, with rapid recovery.

Cholecystectomy

Cholecystectomy is the removal of the gallbladder, commonly indicated in patients with gallstones. The surgery can be done by minimally invasive techniques, offering fewer risks and a shorter recovery time. The objective is to relieve abdominal pain and prevent future complications.

Treatment of hernias

The treatment of hernias involves the repair of inguinal, umbilical, and hiatal hernias. This procedure aims to correct the protrusion of organs and tissues in the muscle walls, avoiding serious complications such as strangulation of the hernia, which can cause serious damage to the patient's health.

Intestinal resections

Intestinal resections are performed to remove portions of the intestine affected by conditions such as cancer or obstructions. This procedure is essential to treat diseases that severely affect intestinal function and can put the patient's life at risk. It aims to restore health and intestinal functionality, with appropriate follow-up for recovery.

Bariatric and metabolic surgery

Bariatric surgery has become an important procedure performed by the general surgeon for the treatment of morbid obesity and control of metabolic diseases such as type 2 diabetes. Techniques such as gastric bypass, vertical gastrectomy (sleeve), and adjustable gastric band are performed to reduce the size of the stomach and/or alter the digestive process, promoting significant weight loss and improvement of comorbidities associated with obesity.

The success of this type of surgery depends not only on the operating technique but also on the multidisciplinary follow-up of the patient before and after the procedure. The general surgeon works together with nutritionists, psychologists, and endocrinologists to ensure lasting results and minimize complications, transforming the quality of life of patients.

Post-operative care with the general surgeon

Post-operative care is fundamental to ensure a successful recovery. The general surgeon closely monitors wound healing and observes possible complications, such as infections and hemorrhages. They also provide guidance on care of the surgical area, medication administration, and pain control so that the recovery process is as comfortable as possible.

Additionally, the doctor may suggest adjustments in diet and exercise routine, promoting a more efficient recovery. Follow-up consultations, especially after more complex surgeries, are conducted to monitor the progress of recovery and detect any complications early, ensuring that the patient recovers without problems and in the best possible time.

Pain management and functional recovery

Effective pain control is a crucial aspect of post-operative care. The general surgeon develops personalized analgesia plans, considering factors such as the type of procedure performed, medical history, and individual sensitivity to pain. Modern techniques such as multimodal analgesia combine different medications and approaches to provide adequate relief with minimal side effects, facilitating early mobilization of the patient.

Functional recovery is another fundamental component of post-operative care. The surgeon works together with physiotherapists to establish rehabilitation programs that help the patient gradually recover their physical capabilities. Early mobilization, when possible, has been shown to reduce complications such as deep vein thrombosis and pneumonia, as well as accelerate the return to daily activities.

How to choose the right general surgeon?

Choosing the ideal general surgeon is fundamental to ensure that the procedure is performed successfully and to ensure a smooth recovery. There are some important factors to consider when making this decision.

First, it is essential to verify the surgeon's experience and specialization in the specific area of the surgery you need, such as emergency procedures or scheduled treatments. Practical experience in procedures similar to your case can increase confidence in the professional.

Finally, the surgeon's communication ability is crucial. They should be clear when explaining the diagnosis, treatment options, and the risks involved. This ensures that you have a complete understanding of what to expect from the procedure and feel secure to make informed decisions about your health.

Quality and safety indicators in choosing the surgeon

An important aspect in choosing the general surgeon is the evaluation of quality indicators related to their practice. Rates of complications, post-operative infections, and hospital readmissions are relevant data that can indicate the level of safety offered by the professional. Certified hospitals and clinics generally maintain records of these indicators and can make them available upon request.

Another determining factor is the hospital environment where the surgeon works. The availability of ICU, modern equipment, and qualified support staff directly influences the outcome of the procedure. A good general surgeon is usually associated with institutions that value patient safety protocols and evidence-based practices, ensuring a safer and more effective surgical experience.

The role of the general surgeon in preventive health

The general surgeon plays a significant role in preventing diseases that may require surgical interventions in the future. They guide patients about the importance of regular examinations to detect serious conditions early.

Frequently Asked Questions

What are the signs that I should urgently see a general surgeon?
Signs indicating the need for urgent consultation include intense and persistent abdominal pain, digestive bleeding, swelling or abnormal protrusions in the abdominal region, high fever associated with localized pain, and yellowing of the skin (jaundice).
What is the difference between a general surgeon and other surgical specialists?
While specialists such as neurosurgeons or cardiac surgeons focus on specific systems, the general surgeon has broad training to operate on various areas, mainly abdomen, thorax, and superficial structures. Frequently, they are the first to evaluate surgical cases and determine if there is a need for referral to subspecialties.
What tests should I do before a consultation with a general surgeon?
Generally, it is not necessary to perform specific tests before the first consultation, as the surgeon will evaluate the case and request only the exams relevant to your clinical condition, avoiding unnecessary procedures. Bring results of previous exams, if available.
How long does recovery take after common abdominal surgeries?
Recovery varies according to the procedure: simple laparoscopic surgeries such as cholecystectomy may allow return to activities in 1-2 weeks, while more invasive procedures such as intestinal resections may require 4-8 weeks. Factors such as age, general health condition, and complications also influence recovery time.
How does preoperative preparation work for abdominal surgeries?
Preparation generally includes fasting for 8-12 hours, suspension of certain medications (anticoagulants, for example), intestinal preparation in some cases, bathing with antiseptic soap, and, occasionally, antibiotic prophylaxis. The surgeon will provide specific instructions according to the procedure and the patient's condition.
What are the specific risks of minimally invasive techniques compared to conventional ones?
Although minimally invasive techniques offer advantages such as less pain and faster recovery, they present specific risks such as difficulty in controlling sudden bleeding, limitation in three-dimensional visualization in some cases, and the possibility of conversion to open surgery during the procedure if unexpected complications arise.
In what cases is a second medical opinion recommended before surgical procedures?
A second opinion is especially recommended for complex elective surgeries, when there are inconclusive diagnoses, when the proposed treatment is controversial or experimental, when the risks are significant, or when the patient does not feel comfortable with the explanations or approach of the first surgeon consulted.
What is the specific nutritional follow-up after digestive surgeries?
Post-surgical digestive nutritional follow-up generally includes gradual reintroduction of food (liquid, soft, and solid diet), supplementation of specific nutrients depending on the operated organ, guidance to avoid discomforts such as dumping syndrome after gastrectomies, and monitoring of weight and nutritional markers for an extended period.
What are the main late complications after abdominal surgical procedures?
Late complications may include intestinal adhesions causing obstructions, incisional hernias at the site of the surgical scar, malabsorption syndromes after extensive intestinal resections, functional digestive disorders, and, in some cases, recurrence of the original condition that motivated the surgery.
How are new intraoperative imaging technologies changing conventional surgeries?
Technologies such as indocyanine green (ICG) guided fluorescence, intraoperative ultrasound, and image-guided navigation are revolutionizing conventional procedures by allowing real-time visualization of critical anatomical structures, precise identification of tumors and their margins, and assessment of tissue perfusion during surgery, resulting in greater precision and lower risk of complications.
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